{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:37:56Z","timestamp":1777937876050,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2022,7,25]],"date-time":"2022-07-25T00:00:00Z","timestamp":1658707200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004756","name":"Emil Aaltosen S\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004756","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002327","name":"Social Insurance Institution of Finland","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100002327","id-type":"DOI","asserted-by":"crossref"}]},{"name":"State Research Funding for University Level Health Research, Helsinki and Uusimaa Hospital District"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Public Health"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>Benzodiazepines and related drugs (BZDR) are often used longer than generally recommended. The aim is to study patterns of use among migrant and Finnish-born users of BZDR, and to identify factors that are associated with long-term use and BZDR polytherapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This register-based study includes a nationwide sample of migrants ( n=8729) and their Finnish-born controls ( n=11 388) who had purchased BZDR in 2011\u20132014, but not in 2009\u20132010. Information on drug purchases was obtained from the National Prescription Register and the duration of drug use was estimated using PRE2DUP method. The main outcomes were long-term use of BZDR, polytherapy and time until discontinuation of BZDR use. Sociodemographic variables and information on preceding psychiatric diagnoses were included as covariates. Logistic and Cox regression analyses were the statistical methods used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Only migrants from Sub-Saharan Africa were more likely to discontinue the medication once initiated than Finnish-born users. Migrants were significantly less likely to be long-term users (adjusted odds ratio 0.79, 95% CI 0.70\u20130.89) or polytherapy users (aOR 0.90, 95% CI 0.84\u20130.97) of BZDR compared with Finnish-born participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Migrants had less long-term and concomitant use of several BZDR than Finnish-born participants. The pattern of use is more optimal among migrants, but it may also reflect poorer access to mental health treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14034948221112470","type":"journal-article","created":{"date-parts":[[2022,7,25]],"date-time":"2022-07-25T08:21:27Z","timestamp":1658737287000},"page":"1222-1230","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Use of benzodiazepine and related drugs in migrants and Finnish-born persons: a nationwide register-based study"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0088-4948","authenticated-orcid":false,"given":"Venla","family":"Lehti","sequence":"first","affiliation":[{"name":"Finnish Institute for Health and Welfare, Equality Unit, Finland"},{"name":"University of Helsinki and Helsinki University Hospital; Department of Psychiatry, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Essi","family":"Salama","sequence":"additional","affiliation":[{"name":"Doctoral Programme for Clinical Investigation, Faculty of Medicine, University of Turku, Finland"},{"name":"Department of Child Psychiatry, Turku University Hospital, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Solja","family":"Niemel\u00e4","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Turku, Finland"},{"name":"Department of Psychiatry, Addiction Psychiatry Unit, Turku University Hospital, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antti","family":"Tanskanen","sequence":"additional","affiliation":[{"name":"University of Eastern Finland, Department of Forensic Psychiatry, Niuvanniemi Hospital, Kuopio, Finland"},{"name":"Karolinska Institutet, Department of Clinical Neuroscience, Stockholm, Sweden"},{"name":"Finnish Institute for Health and Welfare, Impact Assessment Unit, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8254-7525","authenticated-orcid":false,"given":"Mika","family":"Gissler","sequence":"additional","affiliation":[{"name":"Karolinska Institutet, Department of Molecular Medicine and Surgery and Region Stockholm, Academic Primary Health Care Centre, Sweden"},{"name":"Finnish Institute for Health and Welfare, Department of Knowledge Brokers, Helsinki, Finland"},{"name":"University of Turku, Research Centre for Child Psychiatry, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaana","family":"Suvisaari","sequence":"additional","affiliation":[{"name":"Finnish Institute for Health and Welfare, Equality Unit, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heidi","family":"Taipale","sequence":"additional","affiliation":[{"name":"Finnish Institute for Health and Welfare, Equality Unit, Finland"},{"name":"University of Eastern Finland, Department of Forensic Psychiatry, Niuvanniemi Hospital, Kuopio, Finland"},{"name":"Karolinska Institutet, Department of Clinical Neuroscience, Stockholm, Sweden"},{"name":"University of Eastern Finland, School of Pharmacy, Kuopio, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,7,25]]},"reference":[{"key":"bibr1-14034948221112470","volume":"77","author":"Giacco D","year":"2018","journal-title":"Semin Cell De Biol"},{"key":"bibr2-14034948221112470","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003337"},{"key":"bibr3-14034948221112470","doi-asserted-by":"publisher","DOI":"10.1177\/1403494815619256"},{"key":"bibr4-14034948221112470","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-017-1432-7"},{"key":"bibr5-14034948221112470","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-019-01774-y"},{"key":"bibr6-14034948221112470","unstructured":"Finnish Immigration Service. 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