Evidence map›Paper›PMID 38404197›Full record

ArticlePediatrics2024

Antidepressant Dispensing to US Adolescents and Young Adults: 2016-2022.

Kao-Ping Chua, Anna Volerman, Jason Zhang, Joanna Hua, Rena M Conti

Abstract read
In one paragraph

Article in Pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

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3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Kao-Ping ChuaSusan B. Meister Child Health Evaluation and Research Center, Department of Pediatrics, University of Michigan Medical School, Ann Arbor, Michigan.
Anna VolermanDepartments of Medicine and Pediatrics, University of Chicago, Chicago, Illinois.
Jason ZhangUniversity of Michigan Medical School, Ann Arbor, Michigan.
Joanna HuaDepartments of Medicine and Pediatrics, University of Chicago, Chicago, Illinois.
Rena M ContiDepartment of Markets, Public Policy, and Law, Questrom School of Business, Boston University, Boston, Massachusetts.

Funding

iACTIVATE: Investigators Advancing via Coaching at the Transition to Independence: a Value-Adding Team ExperienceR01GM147154 · NIGMS · UNIVERSITY OF CHICAGO · PI Anna Volerman · 2022 to 2026
$3.7M
Insurance-related barriers to medications for opioid use disorder in private and Medicaid plansR01DA056438 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHUA, KAO-PING, NGUYEN, THUY DIEU · 2022 to 2025
$2.5M
Evaluating Policy Interventions to Decrease Excessive and Risky Perioperative Opioid PrescribingR01DA057284 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHUA, KAO-PING, WALJEE, JENNIFER FILIP · 2022 to 2025
$2.5M
Chicago Asthma School-Directed Child-Centered Assessment and Dissemination of Evidence (CASCADE) ProgramK23HL143128 · NHLBI · UNIVERSITY OF CHICAGO · PI VOLERMAN, ANNA · 2020 to 2024
$985k
Using Default Opioid Prescription Settings to Limit Excessive Opioid Prescribing to Adolescents and Young AdultsK08DA048110 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHUA, KAO-PING · 2019 to 2023
$983k
NHLBI NIH HHS K23 HL143128NIDA NIH HHS K08 DA048110NIDA NIH HHS R01 DA056438NIDA NIH HHS R01 DA057284NIGMS NIH HHS R01 GM147154
6 · The paper itself

Abstract

backgroundMental health worsened in adolescents and young adults after the coronavirus disease 2019 (COVID-19) outbreak in March 2020, but whether antidepressant dispensing to this population changed is unknown.

methodsWe identified antidepressant prescriptions dispensed to US individuals aged 12 to 25 years from 2016 to 2022 using the IQVIA Longitudinal Prescription Database, an all-payer national database. The outcome was the monthly antidepressant dispensing rate, defined as the monthly number of individuals with ≥1 dispensed antidepressant prescription per 100 000 people. We fitted linear segmented regression models assessing for level or slope changes during March 2020 and conducted subgroup analyses by sex and age group.

resultsBetween January 2016 and December 2022, the monthly antidepressant dispensing rate increased 66.3%, from 2575.9 to 4284.8. Before March 2020, this rate increased by 17.0 per month (95% confidence interval: 15.2 to 18.8). The COVID-19 outbreak was not associated with a level change but was associated with a slope increase of 10.8 per month (95% confidence interval: 4.9 to 16.7). The monthly antidepressant dispensing rate increased 63.5% faster from March 2020 onwards compared with beforehand. In subgroup analyses, this rate increased 129.6% and 56.5% faster from March 2020 onwards compared with beforehand among females aged 12 to 17 years and 18 to 25 years, respectively. In contrast, the outbreak was associated with a level decrease among males aged 12 to 17 years and was not associated with a level or slope change among males aged 18 to 25 years.

conclusionsAntidepressant dispensing to adolescents and young adults was rising before the COVID-19 outbreak and rose 63.5% faster afterward. This change was driven by increased antidepressant dispensing to females and occurred despite decreased dispensing to male adolescents.

Indexed as

Antidepressive AgentsCOVID-19AdolescentCluster AnalysisDatabases, FactualDisease OutbreaksFemaleHumansMaleYoung AdultAntidepressive Agents

Identifiers

PMID38404197
PMCPMC10904889

What OpenQuestion holds

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Registered trials

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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.