title: Use of selective serotonin reuptake inhibitors and lifestyle among women of childbearing age: a Danish cross-sectional survey.
abstract: OBJECTIVE
  To examine the use of selective serotonin reuptake inhibitors (SSRIs) among Danish women of childbearing age according to lifestyle factors.
  
  
  METHODS
  Cross-sectional survey.
  
  
  METHODS
  The Central Denmark Region.
  
  
  METHODS
  4234 women (71.5% of the invited women) aged 25-44 years who participated in a public health survey in 2006.
  
  
  METHODS
  Prevalence and prevalence ratios (PRs) of current and former SSRI use among women characterised by selected lifestyle factors. We obtained information on SSRI use through linkage to the Aarhus University Prescription Database covering all pharmacies in the region.
  
  
  RESULTS
  Of the 4234 women in the study, 161 (3.8%) were current SSRI users, 60 (1.4%) were recent users, 223 (5.3%) were former users and 3790 (89.5%) were never users. Current use of SSRIs was more prevalent in obese women than in non-obese women (PR 1.5, 95% CI 1.0 to 2.3), in current smokers compared with non-current smokers (PR 1.6, 95% CI 1.1 to 2.2), in women who drank more than seven alcoholic drinks weekly compared with women who drank seven or fewer drinks weekly (PR 1.8, 95% CI 1.2 to 2.8) and in women with an unhealthy diet compared with women with a healthy diet (PR 1.7, 95% CI 1.2 to 2.6). Prevalence of former use of SSRIs was similarly increased except in those with an unhealthy diet (PR 1.1, 95% CI 0.8 to 1.7). SSRI use did not differ according to participation in regular physical activity.
  
  
  CONCLUSIONS
  Women with an unhealthy lifestyle were about 1.5-fold more likely to be current or former users of SSRIs than those with a healthy lifestyle. These findings may be useful for quantitative assessment of the contribution of lifestyle factors to uncontrolled confounding in studies of SSRI use in pregnancy.
authors.affiliation: Department of Clinical Epidemiology, Institute of Clinical Medicine, Aarhus University Hospital, Aarhus, Denmark.
authors.forename: Kristina
authors.initials: K
authors.lastname: Laugesen
authors.forename: Ane Birgitte
authors.initials: AB
authors.lastname: Telén Andersen
authors.forename: Mette
authors.initials: M
authors.lastname: Nørgaard
authors.forename: Rikke Beck
authors.initials: RB
authors.lastname: Nielsen
authors.forename: Reimar Wernich
authors.initials: RW
authors.lastname: Thomsen
authors.forename: Finn Breinholt
authors.initials: FB
authors.lastname: Larsen
authors.forename: Henrik Toft
authors.initials: HT
authors.lastname: Sørensen
keywords: MENTAL HEALTH; PUBLIC HEALTH
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