Factors associated to medicine use among children from the 2004 Pelotas Birth Cohort (Brazil)

Oliveira, Edilson Almeida de; Bertoldi, Andréa Dâmaso; Domingues, Marlos Rodrigues; Santos, Iná S.; Barros, Aluísio J D

doi:10.1590/s0034-89102012000300011

Cited by 5 publications

(7 citation statements)

References 24 publications

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“…Finally, need variables have an important association with medicine use, as expected from the literature (Carrasco-Garrido et al, 2009; Oliveira et al, 2012; Santos et al, 2009); furthermore, they make a strong contribution to the CI. This result is as expected, given that children with poorer health should use more medicine, and poor health is concentrated in the poorest children.…”

Section: Discussionsupporting

confidence: 59%

“…Finally, we also found a decline in the use of medicine as children grew up. The literature shows that younger children use more medicine, the prevalence decreases until adolescence and grows into adulthood, with high prevalence among the elderly (Arrais et al, 2005; Oliveira et al, 2012). This decrease was weaker for the initially poorest individuals, verifying a kind of convergence, which implied a reduction in inequalities and inequities.…”

Section: Discussionmentioning

confidence: 99%

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Income-related inequality and inequity in children’s health care: A longitudinal analysis using data from Brazil

Santos

Perelman

Jacinto

et al. 2019

Social Science & Medicine

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The Brazilian Unified Health System was created in the late 1980s to ensure free universal access to health care and was funded by taxes and social contributions. The persistent inequity in access to health services in favour of richer individuals in Brazil has been observed in the literature. However, to the best of our knowledge, no measurement of inequality in medicine use or private health insurance (PHI) among children has been performed with longitudinal data. This paper uses inequality indices and their decompositions to analyse the income-related inequalities/inequities in children's health care in the city of Pelotas, Brazil, using longitudinal data following children from 12 to 72 months of age. Our sample with data in all waves has between 1877 and 2638 children (varying according to outcome). We seek to answer three questions: i) How does the inequality/inequity in health care evolve as children grow up? ii) What are the main factors associated with inequality in children's health care? iii) How much of the change in inequality/inequity is explained by mobility in children's health care and income mobility? We found that inequities in health care have their beginnings in early childhood but that there was a reduction in inequity at 72 months of age. Ownership of children's PHI was associated with greater pro-rich inequity in health care. The reduction in inequality/inequity was linked to mobility in the sense that initially poorer children had greater gains in health care (a greater increase in PHI ownership and a lower reduction in medicine use). Despite this improvement among the poorest, apparently, the Brazilian public health service seems to fail to ensure equity in health care use among children, with possible long-term consequences on inequalities in health.

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Section: Discussionsupporting

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Income-related inequality and inequity in children’s health care: A longitudinal analysis using data from Brazil

Santos

Perelman

Jacinto

et al. 2019

Social Science & Medicine

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“…In the last 20 years, many topics have been published in the pages of RSP, such as: intergovernmental relations in the backdrop of Brazilian federalism 55 ; health policies and equality assurance 4 , 17 ; decentralization 1 , 9 and regionalization of health services 28 ; regional governance 85 ; use of information for decision-making 23 ; private health sector 12 , 14 , 44 , 50 , 80 , 94 ; and public-private relations 71 , 81 .…”

Section: Resultsmentioning

confidence: 99%

Health Policy on the pages of Revista de Saúde Pública

Bousquat

Tanaka

2016

Rev. Saúde Pública

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We carried out a narrative review of the scientific production in the area of Policy, Planning and Management in Revista de Saúde Pública (RSP), between 1967 and 2015. All the fascicles of RSP, in the period, were accessed via SciELO platform, which provides all articles online. We selected and classified the articles according to the main topics of scientific production in the area of Policy, Planning and Management. Revista de Saúde Pública has published 343 articles on this subject, with significant growth in the last two decades. The most discussed topics were Health Economics, Primary Health-care, Access and Use of Health Services, and Evaluation of Services and Programs. In the last decade, the topics of Policy and Access to Medicines and Public-Private Relationship, including judicialization, gained importance. The pages of RSP embraced the vast and diverse production of Policy, Planning and Management in its first 50 years, contributing to the consolidation of the area in Brazil.

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“…More than one-fifth of the children who used drugs for acute conditions did so without a doctor’s or dentist’s indication (22.2%). Studies carried out in the country explored this theme with samples limited to one, 11 , 17 two municipalities, 5 or a region, 1 with a prevalence of self-medication ranging from 11 to 56.6%.…”

Section: Discussionmentioning

confidence: 99%

“… 10 In another study, carried out with a cohort of children born in 2004 and living in a city in the interior of Rio Grande do Sul, self-medication increased as a function of age, with 11, 26, and 34% at 3, 12, and 24 months, respectively. 11 In a more recent study, Farías-Antunéz et al noted a decrease in the proportion of medically prescribed medications between ages 3 and 48 months and an increase in self-medication. 12 We did not find population-based studies with national coverage that evaluated self-medication exclusively in children.…”

Section: Introductionmentioning

confidence: 95%

Self-medication in children aged 0–12 years in Brazil: a population-based study

Pons¹,

Pizzol

Knauth

et al. 2024

Rev. paul. pediatr.

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Objetive: Studies have shown that the practice of self-medicating children occurs worldwide and is independent of the country’s economic level, medication policies, or access to health services. This study aimed to estimate and characterize the prevalence of self-medication in the Brazilian population of children aged up to 12 years. Methods: We analyzed the data of 7528 children aged up to 12 years whose primary caregivers responded to the National Survey on Access, Use and Promotion of Rational Use of Medicines in Brazil (PNAUM), a cross-sectional population-based study conducted in 245 Brazilian municipalities. The prevalence of self-medication was defined as the use of at least one medication without a doctor’s or dentist’s indication 15 days before the interview. Results: The prevalence of self-medication was 22.2% and was more frequent in older children belonging to poorer families and without health insurance. The acute conditions for which there was a higher frequency of self-medication were pain, fever, and cold/allergic rhinitis. Analgesics/antipyretics stood out among the most used medications for self-medication. Conclusions: The prevalence of self-medication to treat acute conditions was high in Brazilian children sampled in PNAUM, emphasizing the management of common symptoms such as pain, fever, and cold/allergic rhinitis in this age group. These findings reinforce the need for educational actions aimed at parents and caregivers.

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Factors associated to medicine use among children from the 2004 Pelotas Birth Cohort (Brazil)

Cited by 5 publications

References 24 publications

Income-related inequality and inequity in children’s health care: A longitudinal analysis using data from Brazil

Income-related inequality and inequity in children’s health care: A longitudinal analysis using data from Brazil

Health Policy on the pages of Revista de Saúde Pública

Self-medication in children aged 0–12 years in Brazil: a population-based study

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