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Benzodiazepine use in a rural general practice population
1Repatriation General Hospital, Concord, NSW.
The Australian and New Zealand Journal of Psychiatry
|September 1, 1988
Summary
Benzodiazepine use is common in rural Australia, with over 11% of patients using them regularly for extended periods. Psychological dependence is a significant concern, especially among elderly patients.
Area of Science:
- Pharmacology
- General Practice
- Geriatrics
Background:
- Benzodiazepine prescriptions have increased globally.
- Long-term use is associated with dependence and adverse effects.
- Rural populations may face unique challenges in accessing healthcare and managing medications.
Purpose of the Study:
- To determine the prevalence and patterns of benzodiazepine use in an Australian rural general practice.
- To explore clinical features of psychological dependence associated with benzodiazepine use.
- To identify patient demographics, particularly age, associated with benzodiazepine use.
Main Methods:
- Cross-sectional study involving 771 patients from two rural general practices.
- Data collected over a five-day period.
- Inclusion criteria: patients attending the general practices.
Main Results:
- 11.3% of the sample reported benzodiazepine use in the preceding four weeks.
- 82% of users were regular users (over six months).
- Prevalence increased with age, with 36.5% of patients over 70 using benzodiazepines.
- Over 50% of users exhibited features of psychological dependence.
Conclusions:
- Benzodiazepine use is extensive and prolonged in this rural Australian setting.
- Overuse and psychological dependence are significant concerns, particularly in the elderly population.
- Further research and interventions are needed to address long-term benzodiazepine use and dependence in rural primary care.