Literature DB >> 24346667

Epidemiology of medication use among the elderly in an urban area of Northeastern Brazil.

Sabrina Joany Felizardo Neves1, Ana Paula de Oliveira Marques2, Márcia Carrera Campos Leal2, Alcides da Silva Diniz3, Tibério Silva Medeiros4, Ilma Kruze Grande de Arruda3.   

Abstract

OBJECTIVE: To analyze medication use and associated factors among the elderly.
METHODS: A population-based cross-sectional study was carried out with a sample of 400 elderly people aged over 60 living in the urban area covered by the Family Health Strategy program in Recife, Northeastern Brazil in 2009. Individuals were selected by systematic random sampling and household data were collected. Demographic, socio-economic, lifestyle factors including nutrition practices and health variables were evaluated. Medication use was the independent variable. Univariate and multivariate statistical analysis were performed.
RESULTS: The prevalence of medication use was 85.5%. Polypharmacy (> 5 drugs) occurred in 11% of cases. Of the 951 drugs reported, 98.2% were prescribed by doctors and 21.6% were considered unsafe for the elderly. The most commonly prescribed groups were: cardiovascular drugs (42.9%), central nervous system agents (20.2%) and drugs with an effect on the digestive tract and metabolism (17.3%). The use of polypharmacy was associated with education (p = 0.008), self-reported health (p = 0.012), self-reported chronic disease (p = 0.000) and the number of doctor appointments per year (0.000).
CONCLUSIONS: The results of this study indicate a high proportion of medication use among the elderly, including of those considered unsuitable, and inequality among groups of elderly individuals regarding the use of medication, when education, number of doctor appointments and self-reported health are considered.

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Year:  2013        PMID: 24346667     DOI: 10.1590/S0034-8910.2013047003768

Source DB:  PubMed          Journal:  Rev Saude Publica        ISSN: 0034-8910            Impact factor:   2.106


  7 in total

Review 1.  Prevalence of self-medication and associated factors in an elderly population: a systematic review.

Authors:  Javier Jerez-Roig; Lucas F B Medeiros; Victor A B Silva; Camila L P A M Bezerra; Leandro A R Cavalcante; Grasiela Piuvezam; Dyego L B Souza
Journal:  Drugs Aging       Date:  2014-12       Impact factor: 3.923

2.  Medication regimen complexity in adults and the elderly in a primary healthcare setting: determination of high and low complexities.

Authors:  Juliana M Ferreira; Dayani Galato; Angelita C Melo
Journal:  Pharm Pract (Granada)       Date:  2015-12-15

3.  Polypharmacy and Polymorbidity in Older Adults in Brazil: a public health challenge.

Authors:  Luiz Roberto Ramos; Noemia Urruth Leão Tavares; Andréa Dâmaso Bertoldi; Mareni Rocha Farias; Maria Auxiliadora Oliveira; Vera Lucia Luiza; Tatiane da Silva Dal Pizzol; Paulo Sérgio Dourado Arrais; Sotero Serrate Mengue
Journal:  Rev Saude Publica       Date:  2016-12       Impact factor: 2.106

4.  Polypharmacy: a challenge for the primary health care of the Brazilian Unified Health System.

Authors:  Renata Cristina Rezende Macedo do Nascimento; Juliana Álvares; Augusto Afonso Guerra; Isabel Cristina Gomes; Micheline Rosa Silveira; Ediná Alves Costa; Silvana Nair Leite; Karen Sarmento Costa; Orlando Mario Soeiro; Ione Aquemi Guibu; Margô Gomes de Oliveira Karnikowski; Francisco de Assis Acurcio
Journal:  Rev Saude Publica       Date:  2017-11-13       Impact factor: 2.106

5.  Perceived barriers to the implementation of clinical pharmacy services in a metropolis in Northeast Brazil.

Authors:  Genival Araujo Dos Santos Júnior; Sheila Feitosa Ramos; André Mascarenhas Pereira; Aline Santana Dosea; Elton Matos Araújo; Thelma Onozato; Déborah Mônica Machado Pimentel; Divaldo Pereira de Lyra
Journal:  PLoS One       Date:  2018-10-22       Impact factor: 3.240

6.  Self-reported medication in community-dwelling older adults in Germany: results from the Berlin Initiative Study.

Authors:  Nina Mielke; Dörte Huscher; Antonios Douros; Natalie Ebert; Jens Gaedeke; Markus van der Giet; Martin K Kuhlmann; Peter Martus; Elke Schaeffner
Journal:  BMC Geriatr       Date:  2020-01-21       Impact factor: 3.921

7.  Potentially inappropriate medications for the elderly: Incidence and impact on mortality in a cohort ten-year follow-up.

Authors:  Natacha Christina de Araújo; Erika Aparecida Silveira; Brenda Godoi Mota; João Paulo Neves Mota; Ana Elisa Bauer de Camargo Silva; Rafael Alves Guimarães; Valéria Pagotto
Journal:  PLoS One       Date:  2020-10-28       Impact factor: 3.240

  7 in total

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