巴西阿克里州里奥布兰科市老年人多药治疗的流行情况及其相关因素：2014 年基于人群的横断面研究
Prevalence of polypharmacy and associated factors in older adults living in Rio Branco, Acre, Brazil: a cross-sectional population-based study, 2014.
机构信息
Universidade Federal da Bahia, Curso de Medicina, Salvador, BA, Brasil.
Universidade Federal do Acre, Centro de Ciências da Saúde e do Desporto, Rio Branco, AC, Brasil.
出版信息
Epidemiol Serv Saude. 2021 May 31;30(2):e2020386. doi: 10.1590/S1679-49742021000200013.
OBJECTIVE
To analyze polypharmacy prevalence and associated factors in older adults living in Rio Branco, Acre, Brazil, in 2014.
METHODS
This was a cross-sectional population-based study using complex sampling with older adults. Polypharmacy was defined as concomitant use of five or more medications.
RESULTS
Polypharmacy prevalence was 14.9% (95%CI 11.8;18.6), positively associated with females (OR=2.29 - 95%CI 1.41;3.74), white race/skin color (OR=1.61 - 95%CI 1.10;2.38), dependence (OR=1.65 - 95%CI 1.05;2.60), change in eating habits/dieting (OR=1.66 - 95%CI 1.16;2.36), hospitalization in the last 12 months (OR=1.61 - 95%CI 1.02;2.53) and presence of the following self-reported morbidities: systemic arterial hypertension (OR=2.40 - 95%CI 1.33;4.34), diabetes mellitus (OR=2.17 - 95%CI 1.23;3.84), osteoporosis (OR=2.92 - 95%CI 1.84;4.64) and heart problems (OR=2.94 - 95%CI 1.90;4.56).
CONCLUSION
This study found that polypharmacy in the older adults was associated with demographic and health conditions.
目的
分析 2014 年巴西阿克里州里奥布兰科市老年人的多重用药情况及其相关因素。
方法
这是一项使用复杂抽样方法对老年人进行的横断面基于人群的研究。多重用药定义为同时使用五种或更多种药物。
结果
多重用药的患病率为 14.9%（95%CI 11.8;18.6），与女性（OR=2.29 - 95%CI 1.41;3.74）、白种人/白肤色（OR=1.61 - 95%CI 1.10;2.38）、依赖（OR=1.65 - 95%CI 1.05;2.60）、饮食习惯改变/节食（OR=1.66 - 95%CI 1.16;2.36）、过去 12 个月住院（OR=1.61 - 95%CI 1.02;2.53）以及存在以下自我报告的疾病有关：全身动脉高血压（OR=2.40 - 95%CI 1.33;4.34）、糖尿病（OR=2.17 - 95%CI 1.23;3.84）、骨质疏松症（OR=2.92 - 95%CI 1.84;4.64）和心脏问题（OR=2.94 - 95%CI 1.90;4.56）。
结论
本研究发现，老年人的多重用药与人口统计学和健康状况有关。
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