Uso de medicamentos entre idosos residentes em áreas urbanas e rurais de município no Sul do Brasil: um estudo de base populacional

Pizzol, Tatiane da Silva Dal; Pons, Emília da Silva; Hugo, Fernando Neves; Bozzetti, Mary Clarisse; Sousa, Maria da Luz Rosário de; Hilgert, Juliana Balbinot

doi:10.1590/s0102-311x2012000100011

Cited by 45 publications

(75 citation statements)

References 21 publications

(36 reference statements)

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“…The prevalence of drug use in the study population was 97.1%, surpassing the rates found in other regions of the country, such as 79.4% in the south 25 and 85.5% 26 in the northeast regions These data are in line with the study by Silva et al 10 , in which it was found that enrollment in a health plan was positively associated with the use of medication, due to the greater ease of access to doctors from different specialties, resulting in a greater number of prescriptions.…”

Section: Discussioncontrasting

confidence: 64%

Analysis of medication use by elderly persons with supplemental health insurance plans

Muniz

Goulart

Lazarini

et al. 2017

Rev. bras. geriatr. gerontol.

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Objective: To analyze the socio-demographic and pharmacotherapeutic profiles of elderly users of a private health plan. Method: A cross-sectional and descriptive study was conducted with 239 elderly users of a private health plan in a medium-size city in the state of São Paulo, Brazil. A structured questionnaire was used for data collection and absolute and relative frequencies were obtained. The pharmacotherapeutic survey estimated the prevalence and average number of medicines used in the 15 days prior to the interview, as well as adherence to treatment. Results: Of the respondents, 79% were female, with a mean age of 73 years. The main health problems reported were: arterial hypertension, rheumatism/ arthritis, dyslipidemia and diabetes. A total of 97.1% of the elderly persons used medicine, and the most frequently used classes were for the cardiovascular and digestive systems. An average of 5.9 drugs/elderly person were used and 62.8% of the sample were undergoing polymedication. A total of 11.7% of the sample used medications that were unsuitable for the elderly, 51% had average adherence to medication and 12.1% had poor adherence. Conclusions: The majority of elderly people in the sample were female, lived with relatives and had a higher-level education. Despite the use of polymedication and the presence of multiple comorbidities, the percentage of elderly persons with low adherence to treatment was lower than that found in other studies. A high level of education and purchasing power, which facilitated the access to medication of the elderly patients under study, may be important predictors of adherence to treatment. The results support maintaining a model of care for the elderly centered on the treatment of diseases and pharmacotherapy.

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Section: Discussioncontrasting

confidence: 64%

Analysis of medication use by elderly persons with supplemental health insurance plans

Muniz

Goulart

Lazarini

et al. 2017

Rev. bras. geriatr. gerontol.

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“…The prevalence of females (64.8%) and elderlies 60 ├ 69 years (60.4%) was found in a survey among elderlies using medications for chronic diseases such as heart disease, in the city of Carlos Barbosa-Rio Grande do Sul (3) , which is consistent with this research.…”

Section: Discussionsupporting

confidence: 88%

“…It is known that access to health services and drugs are greater in urban areas compared to rural areas (3) . In addition, the dislocations from the place of residence to carry out medical consultations can be diffi cult for elderlies who rely on family or live in remote areas, devoid of regular public transport, or with irregular topography, making it diffi cult to walk to the bus stop location (3) .…”

Section: Introductionmentioning

confidence: 99%

“…In addition, the dislocations from the place of residence to carry out medical consultations can be diffi cult for elderlies who rely on family or live in remote areas, devoid of regular public transport, or with irregular topography, making it diffi cult to walk to the bus stop location (3) . It is emphasized that access should be considered in its various forms, namely: geographical, cultural, economic and functional (4) .…”

Section: Introductionmentioning

confidence: 99%

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Socioeconomic characteristics and quality of life of urban and rural elderly people with heart disease

Tavares

Arduini

Martins

et al. 2015

Rev. Gaúcha Enferm.

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Objective: To compare the socioeconomic variables and quality of life scores (QOL) of elderly residents with heart diseases in urban and rural areas.Method: household survey with 829 urban and 220 rural elderlies. The data were collected using: Brazilian Questionnaire for Functional and Multidimensional Assessment, WHOQOL-BREF and WHOQOL-OLD. The collection in the urban area was from June to December of 2008 and, in the rural area, from June 2010 to March 2011. Chi-square, t-student and multiple linear regression (p <0.05) tests were used.Results: The proportion of women and elderlies with 75 years of age and over was higher in urban areas. Lower scores among urban elderlies physical and social relations were observed, and; facets autonomy, past, present and future activities and intimacy; for the rural elderlies, the environment, sensory abilities, death and dying.Conclusion: the urban elderlies showed a lower QOL score in most areas and facets compared to rural elderlies.

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“…Several studies agree that such medications are the most prescribed drug class 14,15 . This finding can be explained by the high prevalence of hypertension in Brazil, especially among the elderly, which can be as high as 50% in the various regions of the country 16 .…”

Section: Resultsmentioning

confidence: 99%

Factors associated with polypharmacy among elderly people receiving care under the family health strategy

Costa

Oliveira

Novaes

2017

Rev. bras. geriatr. gerontol.

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Objective: to identify the medication profile, the prevalence of polypharmacy and associated factors among elderly people receiving care from Family Health Strategy teams. Method: an analytical, document-based, cross-sectional survey with a quantitative approach was conducted in Brazlândia in the Distrito Federal, Brazil, with a sample of 211 elderly people enrolled in and receiving care from one of the local Family Health Strategy teams. Data were submitted to bivariate analysis and multiple analysis through logistic regression. Results: a considerable number of the elderly (62, 29.4%) were undergoing polypharmacy. The majority (56, 26.5%) used three different classes of drug, with antihypertensive drugs the most used. Diabetes mellitus, cardiovascular complications and the use of antihypertensive drugs were factors associated with polypharmacy. Conclusion: polypharmacy is a worrying reality and demands a new approach on the part of professionals, as this important aspect of geriatrics should be carefully evaluated to avoid harm and iatrogeny among the elderly.

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Uso de medicamentos entre idosos residentes em áreas urbanas e rurais de município no Sul do Brasil: um estudo de base populacional

Cited by 45 publications

References 21 publications

Analysis of medication use by elderly persons with supplemental health insurance plans

Analysis of medication use by elderly persons with supplemental health insurance plans

Socioeconomic characteristics and quality of life of urban and rural elderly people with heart disease

Factors associated with polypharmacy among elderly people receiving care under the family health strategy

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