Table 3.
Age and gender adjusted | Fully adjusted | |||||||
---|---|---|---|---|---|---|---|---|
Antidepressant class | Participants | Observations | Events | Person-years | Hazard ratio | 95% CI | Hazard ratio | 95% CI |
Diabetes | 98 338 | 109 681 | 1456 | 890 085 | ||||
No antidepressant | 1352 | 817 492 | 1.00 | |||||
Any antidepressant | 104 | 72 592 | 1.12 | (0.92–1.37) | 0.77 | (0.63–0.94) | ||
SSRIs | 72 | 59 606 | 1.13 | (0.94–1.36) | 0.68 | (0.53–0.87) | ||
Other antidepressant | 47 | 15 814 | 2.01 | (1.50–2.68) | 1.17 | (0.87–1.57) | ||
Hypertension | 92 524 | 103 416 | 3777 | 825 174 | ||||
No antidepressant | 3545 | 755 910 | 1.00 | 1.00 | ||||
Any antidepressant | 232 | 69 263 | 0.86 | (0.75–0.98) | 0.80 | (0.70–0.91) | ||
SSRIs | 182 | 57 514 | 0.83 | (0.73–0.94) | 0.77 | (0.66–0.89) | ||
Other antidepressant | 51 | 11 835 | 1.19 | (0.97–1.46) | 0.96 | (0.73–1.26) | ||
CV | 105 536 | 118 030 | 693 | 962 201 | ||||
No antidepressant | 625 | 882 022 | 1.00 | 1.00 | ||||
Any antidepressant | 68 | 80 179 | 1.42 | (1.10–1.83) | 1.26 | (0.97–1.62) | ||
SSRIs | 57 | 66 283 | 1.44 | (1.13–1.84) | 1.34 | (1.02–1.77) | ||
Other antidepressant | 11 | 14 035 | 1.12 | (0.62–2.04) | 0.97 | (0.54–1.77) | ||
CHD | 79 938 | 89 029 | 1015 | 728 001 | ||||
No antidepressant | 934 | 669 588 | 1.00 | 1.00 | ||||
Any antidepressant | 81 | 58 413 | 1.49 | (1.18–1.87) | 1.32 | (1.04–1.66) | ||
SSRIs | 56 | 76 620 | 1.38 | (1.10–1.73) | 1.15 | (0.87–1.51) | ||
Other antidepressant | 23 | 9320 | 2.25 | (1.48–3.40) | 1.99 | (1.31–3.01) | ||
CVD mortality | 103 567 | 115 732 | 454 | 947 147 | ||||
No antidepressant | 389 | 868 874 | 1.00 | 1.00 | ||||
Any antidepressant | 65 | 78 273 | 2.54 | (1.94–3.32) | 1.89 | (1.44–2.49) | ||
SSRIs | 50 | 64 864 | 1.92 | (1.43–2.57) | 1.87 | (1.38–2.53) | ||
Other antidepressant | 15 | 13 409 | 2.71 | (1.62–4.55) | 1.86 | (1.10–3.15) | ||
All-cause mortality | 81 279 | 90 508 | 1752 | 745 059 | ||||
No antidepressant | 1511 | 685 708 | 1.00 | 1.00 | ||||
Any antidepressant | 241 | 59 352 | 2.23 | (1.94–2.56) | 1.86 | (1.61–2.14) | ||
SSRIs | 181 | 49 651 | 1.68 | (1.44–1.96) | 1.73 | (1.48–2.03) | ||
Other antidepressant | 63 | 10 127 | 2.82 | (2.19–3.63) | 2.20 | (1.71–2.84) |
SSRI, selective serotonin reuptake inhibitor; CV, cerebrovascular disease; CHD, coronary heart disease; CVD, cardiovascular disease.