{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:53:47Z","timestamp":1760144027205,"version":"build-2065373602"},"reference-count":30,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T00:00:00Z","timestamp":1710374400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006245","name":"Ministry of Science and Technology","doi-asserted-by":"publisher","award":["MOST 109-2314-B-418-010","MOST 110-2314-B-418-004","FEMH-108DN24","FEMH-2019-C-012","FEMH-2020-C-020","FEMH-2021-C-024","FEMH-2022-C-075","FEMH-2023-C-083","V111E-002-1","V112E-001-1","V113E-002-1"],"award-info":[{"award-number":["MOST 109-2314-B-418-010","MOST 110-2314-B-418-004","FEMH-108DN24","FEMH-2019-C-012","FEMH-2020-C-020","FEMH-2021-C-024","FEMH-2022-C-075","FEMH-2023-C-083","V111E-002-1","V112E-001-1","V113E-002-1"]}],"id":[{"id":"10.13039\/501100006245","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Far Eastern Memorial Hospital, Taiwan","award":["MOST 109-2314-B-418-010","MOST 110-2314-B-418-004","FEMH-108DN24","FEMH-2019-C-012","FEMH-2020-C-020","FEMH-2021-C-024","FEMH-2022-C-075","FEMH-2023-C-083","V111E-002-1","V112E-001-1","V113E-002-1"],"award-info":[{"award-number":["MOST 109-2314-B-418-010","MOST 110-2314-B-418-004","FEMH-108DN24","FEMH-2019-C-012","FEMH-2020-C-020","FEMH-2021-C-024","FEMH-2022-C-075","FEMH-2023-C-083","V111E-002-1","V112E-001-1","V113E-002-1"]}]},{"DOI":"10.13039\/501100011912","name":"Taipei Veterans General Hospital","doi-asserted-by":"publisher","award":["MOST 109-2314-B-418-010","MOST 110-2314-B-418-004","FEMH-108DN24","FEMH-2019-C-012","FEMH-2020-C-020","FEMH-2021-C-024","FEMH-2022-C-075","FEMH-2023-C-083","V111E-002-1","V112E-001-1","V113E-002-1"],"award-info":[{"award-number":["MOST 109-2314-B-418-010","MOST 110-2314-B-418-004","FEMH-108DN24","FEMH-2019-C-012","FEMH-2020-C-020","FEMH-2021-C-024","FEMH-2022-C-075","FEMH-2023-C-083","V111E-002-1","V112E-001-1","V113E-002-1"]}],"id":[{"id":"10.13039\/501100011912","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Healthcare"],"abstract":"<jats:p>Increasing insomnia signals a public health problem, alongside rising zolpidem use. This study investigates the factors behind the disproportionate rise in zolpidem prescriptions in Taiwan. It aims to identify the determinants of high-dose zolpidem users in Taiwan\u2019s Yilan County and employ an innovative approach to outline their medication-seeking patterns, using Taiwan\u2019s healthcare database. The associations between sociodemographic and clinical factors and low-dose and high-dose users were analyzed using multiple logistic regression. Social network analysis was employed to explore medication-seeking behavior among these user groups across different healthcare institutions. Of our 5290 participants, 22.82% are high-dose users. This study found that males face a 1.33-fold higher risk and that having chronic diseases is a major risk factor, contributing to a more than four-times higher risk (adjusted OR = 4.27, 95% CI 1.55\u201311.70) of being a high-dose user of zolpidem. A social network analysis showed a higher density (0.52) for high-dose users, revealing their frequent visits, for zolpidem, to different healthcare institutions. Psychiatrists have a central role in both low-dose and high-dose user networks, with a greater influence on low-dose users (64.4) than high-dose users (32.2). In sum, patients seeking high doses of zolpidem are driven by personal factors. Future efforts should include regulated dispensing, public health education, and specialized training for healthcare professionals on drug addiction.<\/jats:p>","DOI":"10.3390\/healthcare12060660","type":"journal-article","created":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T14:05:25Z","timestamp":1710511525000},"page":"660","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Medication-Seeking Behaviors and Correlated Characteristics of Zolpidem Users in Taiwan\u2014A Shared Patient Network Analysis"],"prefix":"10.3390","volume":"12","author":[{"given":"Yi-Ju","family":"Pan","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Far Eastern Memorial Hospital, New Taipei City 220, Taiwan"},{"name":"Department of Chemical Engineering and Materials Science, Yuan Ze University, Taoyuan City 320, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheng-Hsuan","family":"Chang","sequence":"additional","affiliation":[{"name":"Institute of Hospital and Health Care Administration, National Yang Ming Chiao Tung University, Taipei 112, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei-Chen","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Far Eastern Memorial Hospital, New Taipei City 220, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4124-1949","authenticated-orcid":false,"given":"Yu-Chun","family":"Chen","sequence":"additional","affiliation":[{"name":"Institute of Hospital and Health Care Administration, National Yang Ming Chiao Tung University, Taipei 112, Taiwan"},{"name":"School of Medicine, College of Medicine, National Yang Ming Chiao Tung University, Taipei 112, Taiwan"},{"name":"Department of Family Medicine, Taipei Veterans General Hospital, Taipei 112, Taiwan"},{"name":"Big Data Center, Taipei Veterans General Hospital, Taipei 112, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,3,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1016\/j.jsmc.2013.05.002","article-title":"Epidemiology of Insomnia: Prevalence, Course, Risk Factors, and Public Health Burden","volume":"8","author":"Morin","year":"2013","journal-title":"Sleep Med. 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