title: Sedative hypnotic use among veterans with a newly reported mental health disorder.
abstract: This study compared sedative hypnotic use by type of mental health diagnosis and determined factors associated with use among older veterans (65+ years) with a newly reported mental health disorder.
  
  
  
  This study used data from veterans who received primary care services at VA Pittsburgh Healthcare System (VAPHS) from January 1, 2007 to December 31, 2011 (n = 879).
  
  
  
  Sedative hypnotics were commonly used in older veterans within 12-months following a newly reported mental health disorder (19.9%), particularly amongst those with insomnia (41.7%). The number of newly reported mental health disorders was a significant factor associated with sedative hypnotic use, with the odds of use increasing by more than 200% in older adults with two newly reported disorders compared to those with one newly reported mental health disorder.
  
  
  
  Continued efforts are needed to improve provider and patient awareness of the risks associated with sedative hypnotic use in older adults, as well as to increase access to and receipt of non-pharmacological mental health treatments for this vulnerable population.
authors.affiliation: VISN 4 Mental Illness Research,Education and Clinical Center (MIRECC),VA Pittsburgh Healthcare System,Pittsburgh,PA,USA.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: DiNapoli
authors.affiliation: VISN 4 Mental Illness Research,Education and Clinical Center (MIRECC),VA Pittsburgh Healthcare System,Pittsburgh,PA,USA.
authors.forename: Adam D
authors.initials: AD
authors.lastname: Bramoweth
authors.affiliation: VISN 4 Mental Illness Research,Education and Clinical Center (MIRECC),VA Pittsburgh Healthcare System,Pittsburgh,PA,USA.
authors.forename: Christopher
authors.initials: C
authors.lastname: Cinna
authors.affiliation: VISN 4 Mental Illness Research,Education and Clinical Center (MIRECC),VA Pittsburgh Healthcare System,Pittsburgh,PA,USA.
authors.forename: John
authors.initials: J
authors.lastname: Kasckow
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use*; D057970:Inappropriate Prescribing; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000188:drug therapy*; D008603:Mental Health; D007319:Sleep Initiation and Maintenance Disorders / Q000188:drug therapy*; D012959:Socioeconomic Factors; D014728:Veterans / Q000523:psychology*
chemical_list: D006993:Hypnotics and Sedatives
keywords: aged; inappropriate prescriptions; mental health; sedatives and hypnotics; veterans