Antidepresan İlaç Kullanımı ve İlişkili Faktörler: Türkiye ve Almanya Karşılaştırması

Yıl 2022, , 12 - 19, 31.12.2022

Orhan Zengin , Yasemin Aslan , Leyla Kanmaz

https://doi.org/10.54537/tusebdergisi.1106047

Öz

Amaç: Dünya Sağlık Örgütü’ne göre depresyon, global ölçekte yaygın görülen, küresel hastalık yükünü artıran ve ekonomik büyümeyi olumsuz etkileyen ruhsal bir bozukluktur. Bu çalışmanın amacı 2008-2019 yılları arasında Türkiye’de ve Almanya’da antidepresan ilaç kullanım düzeylerini ve antidepresan kullanımı ile ilişkili faktörleri ortaya koymaktır.
Gereç ve Yöntemler: Veriler Organization for Economic Co-operation and Development (OECD) veri tabanından elde edilmiştir. Verilerin analizinde tanımlayıcı istatistiklerden yararlanılmıştır. Buna ek olarak, antidepresan ilaç kullanımı ile intihar, alkol ve uyuşturucu kaynaklı ölüm, alkol tüketimi ve intihar oranı arasındaki ilişkiyi saptamak amacıyla Spearman Korelasyon Testi ve iki ülke arasındaki farklılıkları ortaya koymak amacıyla Mann Whitney-U testi kullanılmıştır.
Bulgular: Ülkelere göre değişkenlerin aldığı değerlerin ortalama dağılımına bakıldığında; Almanya'da antidepresan ilaç kullanımının Türkiye'ye göre daha yüksek olduğu tespit edilmiştir. Antidepresan ilaç kullanımı ile intihar-alkol-uyuşturucu kaynaklı ölüm, alkol tüketimi ve intihar oranı arasında pozitif yönde güçlü bir ilişki saptanmıştır. Ülkelere göre antidepresan ilaç kullanımı ile intihar-alkol ve uyuşturucu kaynaklı ölüm, alkol tüketimi ve intihar oranı arasında istatistiksel olarak anlamlı bir fark saptanmıştır (p<0,05). Antidepresan ilaç kullanımı, intihar-alkol-uyuşturucu kaynaklı ölüm, alkol tüketimi ve intihar oranı Almanya’da Türkiye’ye kıyasla daha yüksek bulunmuştur.
Sonuç: Araştırma sonucunda Türkiye ve Almanya için intihar-alkol-uyuşturucu kaynaklı ölüm, alkol tüketimi ve intihar oranı arttıkça antidepresan ilaç kullanım oranının arttığı tespit edilmiştir. Küresel ölçekte depresyon yükünün azaltılması ülke düzeyinde politika yapıcılar, toplum, sağlık profesyonelleri ve araştırmacılar gibi çeşitli paydaşların iş birliğine dayalı ortak eylemini gerektirmektedir.

Anahtar Kelimeler

Antidepresan ilaç kullanımı;, Türkiye, Almanya

Destekleyen Kurum

Çalışmayı destekleyen herhangi bir kurum bulunmamaktadır.

Antidepressant Medication Usage and Associated Factors: Comparison of Turkey and Germany

Öz

Aim: According to the World Health Organization, depression is a mental disorder that is common globally, and increases the global burden of disease, and negatively affects economic growth. The aim of this study is to reveal the levels of antidepressant medication usage and the factors associated with antidepressant use in Turkey and Germany between 2008 and 2019.
Materials and Methods: Data were obtained from the Organization for Economic Co-operation and Development (OECD) database. Descriptive statistics were used for data analysis. Spearman Correlation Test was used to determine the relationship between antidepressant medication usage and suicide-alcohol-drug related death, alcohol consumption and suicide rate, and Mann Whitney-U test was used to reveal the differences between the two countries.
Results: Considering the average distribution of the values of the variables according to the countries; it was detected that the usage of antidepressant medications in Germany is higher than in Turkey. A strong positively correlation was detected between the usage of antidepressant medications and suicide-alcohol-drug related death, alcohol consumption, and suicide rates. A statistically significant difference was found between the usage of antidepressant medications and suicide-alcohol-drug related death, alcohol consumption and suicide rates by country (p<0.05). Antidepressant medication usage, suicide-alcohol-drug related death, alcohol consumption and suicide rates were found to be higher in Germany compared to Turkey.
Conclusion: As a result of the research, it was determined that as suicide-alcohol-drug related death, alcohol consumption, and suicide rates increase, as the rate of antidepressant medication usage increases for Turkey and Germany. Reducing the burden of depression on globally requires collaboration between various stakeholders, such as policy makers, the community, health professionals, and researchers.

Anahtar Kelimeler

Antidepressant medication usage, Turkey, Germany

Kaynakça

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