Sales Alessandra Santos, Sales Marta Gabriele Santos, Casotti Cezar Augusto
Universidade Estadual do Sudoeste da Bahia, Departamento de Saúde, Jequié-BA, Brasil.
Universidade Federal da Bahia, Departamento de Saúde, Salvador-BA, Brasil.
Epidemiol Serv Saude. 2017 Jan-Mar;26(1):121-132. doi: 10.5123/S1679-49742017000100013.
to describe the drugs used and analyze the factors associated with polypharmacy in the elderly, in Aiquara, Bahia, Brazil.
this is a census cross-sectional study, conducted in February 2014, through an interview using standardized form.
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).
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.
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。
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。
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)。
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。