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[2014年巴西巴伊亚州艾夸拉市老年人的药物治疗概况及与多重用药相关的因素]

[Pharmacotherapeutic profile and factors associated with polypharmacy among the elderly in Aiquara, Bahia, Brazil, 2014].

作者信息

Sales Alessandra Santos, Sales Marta Gabriele Santos, Casotti Cezar Augusto

机构信息

Universidade Estadual do Sudoeste da Bahia, Departamento de Saúde, Jequié-BA, Brasil.

Universidade Federal da Bahia, Departamento de Saúde, Salvador-BA, Brasil.

出版信息

Epidemiol Serv Saude. 2017 Jan-Mar;26(1):121-132. doi: 10.5123/S1679-49742017000100013.

DOI:10.5123/S1679-49742017000100013
PMID:28226014
Abstract

OBJECTIVE

to describe the drugs used and analyze the factors associated with polypharmacy in the elderly, in Aiquara, Bahia, Brazil.

METHODS

this is a census cross-sectional study, conducted in February 2014, through an interview using standardized form.

RESULTS

among the 272 elderly respondents, 53.3% used only prescribed medication and 31.6% used at least one medication not prescribed; the prevalence of polypharmacy was 29.0%; cardiovascular drugs were the most used in polypharmacy (n=390; 37.6%); after adjusted analysis, the factors that remained associated with polypharmacy were female sex (OR=2.20 - 95%CI 1.11;4.35), private health insurance (OR=2.18 - 95%CI 1.05;4.55), hospitalization in the previous year (OR=2.34 - 95%CI 1.18;4.65) and having four or more self-reported diseases (OR=3.18 - 95%CI 1.60;6.29).

CONCLUSION

there was a high prevalence of polypharmacy, associated with sex, private health insurance, having four or more self-reported diseases and hospitalization in the previous year, with higher use of cardiovascular drugs.

摘要

目的

描述巴西巴伊亚州艾夸拉市老年人使用的药物,并分析与多重用药相关的因素。

方法

这是一项普查横断面研究,于2014年2月通过使用标准化表格进行访谈开展。

结果

在272名老年受访者中,53.3%仅使用处方药,31.6%至少使用一种非处方药;多重用药的患病率为29.0%;心血管药物是多重用药中使用最多的药物(n = 390;37.6%);经过校正分析后,仍与多重用药相关的因素为女性(比值比=2.20 - 95%置信区间1.11;4.35)、私人医疗保险(比值比=2.18 - 95%置信区间1.05;4.55)、上一年住院(比值比=2.34 - 95%置信区间1.18;4.65)以及自我报告患有四种或更多疾病(比值比=3.18 - 95%置信区间1.60;6.29)。

结论

多重用药的患病率较高,与性别、私人医疗保险、自我报告患有四种或更多疾病以及上一年住院有关,心血管药物的使用更为频繁。

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