Estudo de base populacional sobre o consumo de medicamentos entre idosos: Projeto Bambuí

Abstract

This study aimed to assess the prevalence and factors associated with use of prescribed and non-prescribed medications among older adults living in Bambuí, Minas Gerais, Brazil. A total of 1,606 (92.2%) out of 1,742 inhabitants aged 60+ years were interviewed. Among the participants, 1,281 (79.7%) and 274 (17.1%) had used prescribed and non-prescribed drugs in the previous 90 days, respectively. Use of prescribed medications was independently associated with gender (female), age (70-79 and > or = 80), higher family income, worse health conditions, and physician visits. Non-prescribed medications were negatively associated with physician visits and positively associated with female gender and consultation with a pharmacist. In general, factors associated with the use of prescribed and non-prescribed drugs in this study were similar to those observed in studies conducted in other countries. Meanwhile, our results differ from those of other studies by showing less frequent use of prescribed medications among the poorer elderly. Moreover, our results suggest that self-medication has been used in place of formal health care in the study community.

Influência da renda na associação entre disfunção cognitiva e polifarmácia: Projeto Bambuí

“…10 All the indications are that Bambuí reproduces this Brazilian pattern, since the relationship between use of medications and socioeconomic situation has appeared in other studies developed there. Income was positively associated with the use of prescribed medications, 15 and the elderly people of lower socioeconomic level presented greater diffi culty in obtaining them, which they ascribed to fi nancial problems. 12 References to diffi culties in funding expenses due to medications among this population were also observed in a study with qualitative methodology.…”

Diagnósticos de enfermagem de idosos que utilizam múltiplos medicamentos

“…Females were predominant in the study population. Among seniors, when females are compared with males, they are considered more vulnerable in the health state regarding the risk of falls, presence of multiple diseases, use of multiple drugs, obesity, poverty and assorted dependences (14) . Some hypotheses to explain this difference suggest that men have higher death rates related to violence, traffic accidents and chronic diseases.…”

Queda entre idosos no Brasil e sua relação com o uso de medicamentos: revisão sistemática

“…http://www.ibge.gov.br, acessado em 05/Mar/2010), e também pela maior procura dos idosos por atendimento à saúde 6,7,8,34 e, consequentemente, maior interesse em pesquisas sanitárias na área geriátrica 5,6,7 .…”

“…Cada um desses fár-macos apresenta um perfil de reações adversas que necessita ser investigado e avaliado para uso REVISÃO REVIEW racional 7 , inclusive para prevenir a ocorrência de doenças iatrogênicas, em especial as quedas que podem ser induzidas por medicamentos 8 . Também é importante a perda do equilíbrio postural, doenças neurológicas e a inadequação ao ambiente a que o idoso está exposto, já que a associação de todos esses fatores está ligada à frequente ocorrência de quedas 9 .…”