Secoli Silvia Regina, Marquesini Erika Aparecida, Fabretti Sandra de Carvalho, Corona Ligiana Pires, Romano-Lieber Nicolina Silvana
Departamento de Enfermagem Médico-Cirúrgica, Escola de Enfermagem, Universidade de São Paulo - São Paulo (SP), Brasil.
Instituto do Coração, Universidade de São Paulo - São Paulo (SP), Brasil.
Rev Bras Epidemiol. 2019 Feb 4;21Suppl 02(Suppl 02):e180007. doi: 10.1590/1980-549720180007.supl.2.
Self-medication involves the concept of the spontaneous search by the individual for some drug that he or she considers appropriate to solve a health problem. Self-medication practice is little explored by the elderly according to other studies based in population data.
To examine the trends in self-medication practice among the Brazilian elderly between 2006 and 2010.
This is a population-based study whose data were obtained from the Health, Well-being and Ageing Study (SABE Study). Thesample consisted of 1,257 elderly people in 2006 and 865 in 2010, who used drugs.
The findings showed self-medication reduction from 42.3% in 2006 to 18.2% in 2010. In both periods, predominant utilized therapeutic classes were those acting on the nervous system (27.9% in 2006, and 29.6% in 2010) and on the alimentary tract and metabolism (25.5% in 2006, and 35.9% in 2010). The most commonly used medicines in 2006 and 2010 were analgesics, anti-inflammatories, and vitamins. There was a tendency to decrease the use of potentially inappropriate medicines between 2006 (26.4%) and 2010 (18.1%). The elderly themselves were the main responsible for the decision about the drug use in 2006 (62.5%) and 2010 (66.5%).
Theextent of self-medication practice among the elderly who participated in the study decreased between 2006 and 2010, but the use of medicines that offer risks to health was still reported. Thus, the findings reinforce the importance of monitoring, evaluating, and continuously educating the elderly about risks and benefits of drug consumption, particularly over-the-counter medicines.
自我药疗涉及个人自发寻找其认为适合解决健康问题的某种药物的概念。根据其他基于人口数据的研究，老年人的自我药疗行为鲜有研究。
研究2006年至2010年间巴西老年人自我药疗行为的趋势。
这是一项基于人群的研究，数据来自健康、幸福与老龄化研究（SABE研究）。样本包括2006年的1257名使用药物的老年人和2010年的865名使用药物的老年人。
研究结果显示，自我药疗比例从2006年的42.3%降至2010年的18.2%。在这两个时期，主要使用的治疗类别是作用于神经系统的药物（2006年为27.9%，2010年为29.6%）和作用于消化道及代谢的药物（2006年为25.5%，2010年为35.9%）。2006年和2010年最常用的药物是镇痛药、抗炎药和维生素。2006年（26.4%）至2010年（18.1%）期间，使用潜在不适当药物的趋势有所下降。2006年（62.5%）和2010年（66.5%），老年人自己是决定用药的主要责任人。
2006年至2010年间，参与研究的老年人自我药疗行为的程度有所下降，但仍有报告称存在使用对健康有风险的药物的情况。因此，研究结果强化了对老年人进行药物消费风险和益处监测、评估及持续教育的重要性，尤其是非处方药。
