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2016 年巴西南里奥格兰德州佩洛塔斯农村地区药物获取途径及其使用情况的来源:一项基于人群的横断面研究。

Sources of access to medication and its use in the rural area of Pelotas, Rio Grande do Sul, Brazil, in 2016: a cross-sectional population-based study.

机构信息

Universidade Federal de Pelotas, Programa de Pós-Graduação em Epidemiologia, Pelotas, RS, Brasil.

Universidade Federal de Pelotas, Departamento de Fisiologia e Farmacologia, Pelotas, RS, Brasil.

出版信息

Epidemiol Serv Saude. 2021 Jan-Dec;30(1):e2020089. doi: 10.1590/S1679-49742021000100005.

Abstract

OBJECTIVE

To analyze the prevalence of medication use, sources of access, and associated factors among rural residents in Pelotas, RS, Brazil.

METHODS

This was a cross-sectional study conducted in 2016 with adults ≥18 years old. Participants reported on medication use and sources of access to medication in the month prior to the interview. Poisson regression was used.

RESULTS

Among the 1,519 respondents, 54.7% (95%CI 48.7;60.5) used some form of medication and 3.3% (95%CI 2.4;4.5) stopped taking necessary medication. Higher prevalence of use occurred in: women (PR=1.23 - 95%CI 1.12;1.34), the elderly (PR=2.36 - 95%CI 2.05;2.73), people with poorer self-perceived health (PR=1.29 - 95%CI 1.14;1.46) and people with a higher number of diseases (PR=2.37 - 95%CI 2.03;2.77). A total of 14.0% (95%CI 11.2;17.4) obtained medication exclusively from the Brazilian National Health System, prevalence of which was higher among those who self-reported themselves to be non-white and from lower economic classification.

CONCLUSION

A low number stopped taking medication they needed to take. Use of free-of-charge medication was greater in groups with lower income.

摘要

目的

分析巴西佩洛塔斯农村居民的用药情况、用药来源及其相关因素。

方法

这是一项 2016 年进行的横断面研究,对象为≥18 岁的成年人。参与者报告了在接受访谈前一个月内的用药情况和用药来源。采用泊松回归进行分析。

结果

在 1519 名受访者中,54.7%(95%CI 48.7;60.5)使用了某种形式的药物,3.3%(95%CI 2.4;4.5)停止服用必要的药物。更高的用药比例发生在:女性(PR=1.23-95%CI 1.12;1.34)、老年人(PR=2.36-95%CI 2.05;2.73)、自我报告健康状况较差的人(PR=1.29-95%CI 1.14;1.46)和患有更多疾病的人(PR=2.37-95%CI 2.03;2.77)。共有 14.0%(95%CI 11.2;17.4)的人完全从巴西国家卫生系统获得药物,其中自我报告为非白人和经济状况较差的人,这一比例更高。

结论

很少有人停止服用他们需要服用的药物。收入较低的群体更倾向于使用免费药物。

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