Loyola Filho Antônio I de, Uchoa Elizabeth, Lima-Costa Maria Fernanda
Núcleo de Estudos em Saúde Pública e Envelhecimento, Centro de Pesquisas René Rachou, Fundação Oswaldo Cruz, Brasil.
Cad Saude Publica. 2006 Dec;22(12):2657-67. doi: 10.1590/s0102-311x2006001200015.
The aim of this study was to investigate the use of medication and associated factors (sociodemographics, health conditions, and health services use) in a representative sample of 1,598 elderly individuals (60+ years) in Greater Metropolitan Belo Horizonte, Minas Gerais State, Brazil. The dependent variable was the number of drugs used in the preceding two weeks. Prevalence of medication was 72.1%, and mean consumption was 2.18 drugs, most of which acting on the cardiovascular system. Use of medication (any amount) was independently associated with gender (female), age (80+ years), having consulted a physician, and presence of any chronic health condition. Use of five or more drugs was significantly associated with schooling (8+ years, OR=2.28), worse self-rated health (fair, OR = 5.45; bad/very bad, OR = 5.35). The results show that the types of medications used and factors associated with consumption were similar to those observed in other populations, suggesting some uniformity among various populations in the use of medication and its determinants.
本研究旨在调查巴西米纳斯吉拉斯州贝洛奥里藏特大都市区1598名60岁及以上老年人的代表性样本中药物的使用情况及相关因素（社会人口统计学、健康状况和医疗服务利用情况）。因变量是前两周使用的药物数量。药物使用率为72.1%，平均用药量为2.18种药物，其中大部分作用于心血管系统。使用药物（任何剂量）与性别（女性）、年龄（80岁及以上）、咨询过医生以及存在任何慢性健康状况独立相关。使用五种或更多药物与受教育程度（8年以上，OR=2.28）、自评健康状况较差（一般，OR = 5.45；差/非常差，OR = 5.35）显著相关。结果表明，使用的药物类型和与用药相关的因素与其他人群中观察到的情况相似，这表明不同人群在药物使用及其决定因素方面存在一些一致性。
