Acesso e adesão a medicamentos entre pessoas com diabetes no Brasil: evidências da PNAUM

Abstract

ABSTRACT:Objective: To describe people with diabetes in Brazil and to compare their sociodemographic characteristics, access and self-reported adherence to diabetes prescribed drugs. Methods: Data analysis from the National Survey on Access, Use and Promotion of the Rational Use of Medicines, a household survey, with sampling by clusters, according to sex and age domains and national and macro-regional representativeness. Adults (≥ 20 years old) who reported having diabetes constituted the sample. The weighted frequencies of the variables in the sample were analyzed and the Pearson χ 2 test was applied to evaluate the statistical significance of the differences between the strata for the data of access, form of financing and adherence to the drugs, considering the level of significance of 5%. Results: We found a higher proportion of women, people over 60 years and economy class C. Most participants reported having two or more comorbidities, in addition to diabetes, and taking five or more drugs. Regarding access, 97.8% say they have access to prescription drugs for diabetes and 70.7% say they get them totally free of charge. There was low adherence to anti-diabetic treatment, with significant macro-regional differences (p = 0,001), and greater vulnerability in the South and Northeast regions. Conclusion: Better access to diabetes medicines in the country has been demonstrated. However, to improve the efficiency of health public spending, it is necessary to achieve higher rates of adherence to treatment.

Relationship between marital status and incidence of type 2 diabetes mellitus in a Brazilian rural population: The Baependi Heart Study

“…In an expressive Brazilian sample, in which the prevalence of self-reported T2DM was 7.5%, after adjustments, diabetes remained associated with age (≥ 40 years), education (< 8 years of study), marital status (non-married), obesity, sedentary lifestyle and comorbidity, such as hypertension and hypercholesterolemia [ 21 ]. In a specific Brazilian sample, assessed to verify the low adherence to anti-diabetic treatment, including only diabetic patients aged over 20 years, age, female sex and lower income status were associated to T2DM [ 22 ]. Other findings have shown that some Brazilian States with greater poverty and lower levels of education had higher rates of T2DM or hyperglycaemia as well [ 22 ].…”

“…In a specific Brazilian sample, assessed to verify the low adherence to anti-diabetic treatment, including only diabetic patients aged over 20 years, age, female sex and lower income status were associated to T2DM [22]. Other findings have shown that some Brazilian States with greater poverty and lower levels of education had higher rates of T2DM or hyperglycaemia as well [22]. However, these were all based on prevalent cases and mostly self-reported.…”

Adesão Ao Autocuidado No Tratamento Dos Pacientes Diabéticos Na Unidade Básica De Saúde De Cajazeiras-Pb.

“…A adesão ao tratamento é definida como o comportamento de uma pessoa ao tomar um medicamento, seguir um regime alimentar e/ou executar mudanças no estilo de vida corresponde às recomendações acordadas com um profissional de saúde. A não adesão, especialmente nas doenças crônicas não transmissíveis como o DM, traz sérias consequências, como a redução da qualidade de vida do usuário e de sua família e o aumento de custos diretos e indiretos na saúde 10 .…”

Tendência do uso e fontes de obtenção de antidiabéticos orais para tratamento de diabetes no Brasil de 2012 a 2018: análise do inquérito Vigitel

“…In the same period, the spending on the Programa Farmácia Popular do Brasil -PFPB) increased by 580%, which corresponded to more than 6 billion reais in 2016. Total spending on medicines by the Ministry and by the state and municipal health departments, including the PFPB, passed from 14.4 billion in 2010 to 20 billion in 2015 9 , which was also measured in population-based surveys, such as the 2014 National Survey on Access, Use and Promotion of Rational Use of Medicines in Brazil (Pesquisa Nacional sobre o Acesso, Utilização e Promoção do Uso Racional de Medicamentos no Brasil -PNAUM): 98% of diabetics obtained full access to their medications, of these, 70.7% obtained it free of charge 11 .…”