Loyola Filho Antônio I de, Uchoa Elizabeth, Firmo Josélia de Oliveira Araújo, Lima-Costa Maria Fernanda
Núcleo de Estudos em Saúde Pública e Envelhecimento, Centro de Pesquisas René Rachou, Fundação Oswaldo Cruz, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Cad Saude Publica. 2005 Mar-Apr;21(2):545-53. doi: 10.1590/s0102-311x2005000200021. Epub 2005 Mar 21.
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.
本研究旨在评估巴西米纳斯吉拉斯州班布伊市老年人使用处方药和非处方药的患病率及相关因素。在1742名60岁及以上的居民中,共有1606人(92.2%)接受了访谈。在参与者中,分别有1281人(79.7%)和274人(17.1%)在过去90天内使用过处方药和非处方药。使用处方药与性别(女性)、年龄(70 - 79岁及≥80岁)、家庭收入较高、健康状况较差以及看医生有关。非处方药与看医生呈负相关,与女性性别以及咨询药剂师呈正相关。总体而言,本研究中与使用处方药和非处方药相关的因素与其他国家研究中观察到的因素相似。同时,我们的研究结果与其他研究不同,显示较贫困老年人使用处方药的频率较低。此外,我们的研究结果表明,在研究社区中自我药疗已取代了正规医疗保健。