Objective: To describe trends in prevalent and incident stimulant prescribing between 2008 and 2017 in California. Method: Statewide trends were estimated by age and sex category for prevalent (any) and incident (no prescriptions in the preceding 2 years) stimulant prescribing while adjusting for area-level covariates. Results: Prevalent prescribing rates increased by 126%, while incident prescribing increased 23%. Patients aged 25 to 44 years experienced over 200% increases in prevalent prescribing and 34% to 55% increases in incident prescribing. Among patients older than 25, women had consistently higher prescribing rates than men. ZIP code tabulation areas with the largest minority populations had the lowest baseline prescribing rates but experienced the greatest annual prescription rate increases. Conclusion: Adult stimulant prescribing increased substantially for early working aged adults. Prescription rates were greater for women than men.

中文翻译：

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刺激处方率的年龄和性别特定增长-加利福尼亚州，2008-2017年。

目的：描述2008年至2017年加利福尼亚州流行和事件兴奋剂处方的趋势。方法：根据年龄和性别类别，估计普遍性（任何）和突发事件（在过去2年中没有处方）兴奋剂处方的全州趋势，同时调整区域级协变量。结果：普通处方率增加了126％，而事故处方率增加了23％。25至44岁的患者的普通处方增加200％以上，事件处方增加34％至55％。在25岁以上的患者中，女性的处方率始终高于男性。人口最多的邮政编码制表地区的基线处方率最低，但年度处方率增幅最大。结论：早期工作的成年人对成年人的兴奋剂处方大大增加。女性的处方率高于男性。