| Propensity score-matched cohort (1:1 match) | ||||
---|---|---|---|---|---|
N = 519,780 (%) | |||||
AD monotherapy | AD + BZD therapy | aSD | |||
N = 259,890 (%) | N = 259,890 (%) | ||||
Follow-up (years; mean ± std) | 5.56 | ± 3.86 | 6.24 | ± 4.15 | 0.169 |
Age (years; mean ± std) | 43.9 | ± 17.1 | 43.4 | ± 16.1 | 0.027 |
Male | 112,411 | 43.25 | 113,154 | 43.54 | 0.006 |
Type of insurance | Â | Â | Â | Â | 0.000 |
 Healthcare insurance | 250,074 | 96.22 | 250,233 | 96.28 |  |
 Medical aid | 9595 | 3.69 | 9449 | 3.64 |  |
Residential district | Â | Â | Â | Â | 0.000 |
 Metropolitan | 139,908 | 53.83 | 140,636 | 54.11 |  |
 Urban | 44,264 | 17.03 | 44,499 | 17.12 |  |
 Rural | 75,090 | 28.89 | 74,159 | 28.53 |  |
Income level | Â | Â | Â | Â | 0.000 |
 1st quartile | 46,610 | 17.93 | 46,059 | 17.72 |  |
 2nd quartile | 51,464 | 19.80 | 51,229 | 19.71 |  |
 3rd quartile | 62,992 | 24.24 | 62,850 | 24.18 |  |
 4th quartile | 83,323 | 32.06 | 84,424 | 32.48 |  |
Charlson Comorbidity Index (mean ± std) | 0.36 | ± 0.78 | 0.35 | ± 0.78 | 0.011 |
 0 | 202,809 | 78.04 | 204,010 | 78.50 |  |
 1 | 31,040 | 11.94 | 30,658 | 11.80 |  |
 2 | 17,963 | 6.91 | 17,425 | 6.70 |  |
 3 | 7541 | 2.90 | 7272 | 2.80 |  |
 4 | 149 | 0.06 | 133 | 0.05 |  |
 ≥ 5 | 388 | 0.15 | 392 | 0.15 |  |
Comorbidities†| |||||
 Anxiety | 4618 | 1.78 | 4560 | 1.75 | 0.002 |
 Cancer | 3545 | 1.36 | 3468 | 1.33 | 0.003 |
 Cerebrovascular disease | 4558 | 1.75 | 4482 | 1.72 | 0.002 |
 Chronic kidney disease | 619 | 0.24 | 607 | 0.23 | 0.001 |
 Chronic obstructive pulmonary disease | 8930 | 3.44 | 8659 | 3.33 | 0.006 |
 Dementia | 1997 | 0.77 | 2012 | 0.77 | 0.001 |
 Diabetes mellitus | 15,116 | 5.82 | 14,741 | 5.67 | 0.006 |
 Epilepsy | 1071 | 0.41 | 1037 | 0.40 | 0.002 |
 Fractures | 1327 | 0.51 | 1299 | 0.50 | 0.002 |
 Hypertension | 27,875 | 10.73 | 26,808 | 10.32 | 0.013 |
 Hyperlipidemia | 26,392 | 10.16 | 25,583 | 9.84 | 0.010 |
 Insomnia | 7784 | 3.00 | 7547 | 2.90 | 0.005 |
 Ischemic heart disease | 1534 | 0.59 | 1496 | 0.58 | 0.002 |
 Osteoarthritis | 21,739 | 8.36 | 21,200 | 8.16 | 0.008 |
 Parkinson’s disease | 221 | 0.09 | 201 | 0.08 | 0.003 |
 Rheumatoid arthritis | 3656 | 1.41 | 3565 | 1.37 | 0.003 |
 Substance abuse | 944 | 0.36 | 1021 | 0.39 | 0.005 |
History of medication use†| |||||
 Angiotensin-converting-enzyme inhibitors | 2036 | 0.78 | 1961 | 0.75 | 0.003 |
 Angiotensin II receptor blockers | 15,077 | 5.80 | 14,664 | 5.64 | 0.007 |
 Anticholinergics | 25,843 | 9.94 | 25,751 | 9.91 | 0.001 |
 Antiplatelets and anticoagulants | 19,241 | 7.40 | 18,730 | 7.21 | 0.008 |
 Antipsychotics | 1997 | 0.77 | 1926 | 0.74 | 0.003 |
 Anticonvulsants | 4345 | 1.67 | 4363 | 1.68 | 0.001 |
 Digoxin | 340 | 0.13 | 345 | 0.13 | 0.001 |
 Non-insulin glucose-lowering agents | 8765 | 3.37 | 8607 | 3.31 | 0.003 |
 Anti-inflammatory analgesics | 101,017 | 38.87 | 100,937 | 38.84 | 0.001 |
 β-blockers | 10,291 | 3.96 | 9616 | 3.70 | 0.014 |
 Calcium channel blockers | 16,733 | 6.44 | 16,063 | 6.18 | 0.011 |
 Insulin | 885 | 0.34 | 872 | 0.34 | 0.001 |
 Lipid-lowering agents | 14,689 | 5.65 | 14,207 | 5.47 | 0.008 |
 Narcotic analgesics | 62,273 | 23.96 | 61,439 | 23.64 | 0.008 |
 Nonsteroidal anti-inflammatory drugs | 139,850 | 53.51 | 139,982 | 53.84 | 0.001 |
 Other anxiolytics | 14,899 | 5.73 | 14,851 | 5.71 | 0.001 |
 Thiazide diuretics | 10,403 | 4.00 | 9949 | 3.83 | 0.009 |