Evidence map›Paper›PMID 28241816›Full record

ArticleBMC psychiatry2017

Influence of socioeconomic status on antipsychotic prescriptions among youth in France.

Olivier Bonnot, Mélanie Dufresne, Paula Herrera, Emmanuelle Michaud, Jacques Pivette, Anicet Chaslerie, Anne Sauvaget, Caroline Vigneau

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Olivier BonnotDepartment of Child and Adolescent Psychiatry, University Hospital of Nantes, Nantes, France. olivier.bonnot@gmail.com.ORCID 0000-0003-0005-4765
Mélanie DufresneDepartment of Pharmacology, University Hospital of Nantes, Nantes, France.
Paula HerreraDepartment of Child and Adolescent Psychiatry, University Hospital of Nantes, Nantes, France.
Emmanuelle MichaudGrupo de Investigación en Neurociencias NeURos, Universidad del Rosario, Bogota, Colombia.
Jacques PivetteGrupo de Investigación en Neurociencias NeURos, Universidad del Rosario, Bogota, Colombia.
Anicet ChaslerieGrupo de Investigación en Neurociencias NeURos, Universidad del Rosario, Bogota, Colombia.
Anne SauvagetDepartment of Psychiatry, University Hospital of Nantes, Nantes, France.
Caroline VigneauDepartment of Pharmacology, University Hospital of Nantes, Nantes, France.
Universidad del Rosario · COCentre Hospitalier Universitaire de Nantes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent studies analysing the trends in antipsychotic (AP) prescriptions for children and adolescents have raised concerns regarding the influence of socioeconomic status. Previous findings have also shown variable prescription rates for first-generation (FG) and second-generation (SG) APs.

methodOur objectives were to assess the proportion of patients from low-income families receiving APs and the most commonly prescribed APs in France. We conducted a descriptive analysis of AP drugs dispensed during a 1-year period (July 1, 2013-June 30, 2014) in a northwestern region of France with 941,857 subjects less than 18 years old. All data were extracted from an exhaustive, individual and anonymous social security database. We obtained each subject's socioeconomic status (by identifying their affiliation with a specific social security program) and also collected sociodemographic data, drug type, prescribing and dispensing dates and amount, and prescriber type (e.g., hospital physician, general practitioner, psychiatrist, paediatrician).

resultsThere were two main novel findings. First, we found that the proportion of patients with AP prescriptions was nearly ten times higher in low-income families than in the general population: 35.9% of CMU-C patients compared to 3.7% in all of Pays de la Loire (X

conclusionsOur study suggests two types of AP misuse that could provide interesting targets for public healthcare interventions. First, our results strongly suggest an over-representation of patients from low-income families. Low-income families primarily resided in areas with low physician density and appeared to receive drugs to treat their conditions more frequently than other individuals. This increased prescription rate is a public health issue, potentially requiring political action. Second, the use of FGAPs did not adhere to the latest recommendations for drug use in this population, and this discrepancy should be addressed with informational campaigns targeted to medical practitioners.

Indexed as

AdolescentAntipsychotic AgentsChildDrug PrescriptionsFemaleFranceHumansMalePsychiatryPsychotic DisordersSocial ClassAntipsychotic Agents

Identifiers

PMID28241816
PMCPMC5330013
OpenAlexW2593503244

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.