Estudo de utilização de medicamentos em indivíduos residentes no município de Alegre-ES: achados e implicações
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Data
2022-12-21
Autores
Bazoni, Patrícia Silva
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Universidade Federal do Espírito Santo
Resumo
The use of drugs as a therapeutic resource has evolved a lot throughout human history, becoming the main technological instrument in the field of health. In addition, they can provide several benefits to the user's health, however, when used incorrectly and unnecessarily, they can trigger several damages to the patient's health. In this context, the objective of this study was to analyze the profile of medication use, prevalence and factors associated with the occurrence of polypharmacy and self-medication in the population of Alegre, Espírito Santo. An epidemiological study with a cross-sectional design was carried out, using a household survey, in the city of Alegre, between November and December 2021. A descriptive analysis of sociodemographic and clinical characteristics was carried out, as well as the prevalence of polypharmacy and self-medication. of the interviewees. In this study, the occurrence of minor polypharmacy was defined as the use of two to four medications and major polypharmacy as the use of five or more medications. The occurrence of selfmedication was defined as the use of medication on one's own to treat self-recognized health problems. Factors associated with self-medication were assessed using Poisson regression and factors associated with minor and major polypharmacy using logistic regression. The prevalence of minor polypharmacy was 44.9% and of major polypharmacy was 20.2%. Additionally, it was found that 69.4% of respondents practiced self-medication. Factors associated with lower polypharmacy were: older age group, female gender, self-declared white, worse quality of life, medical appointments in the last year, use of the Municipal Basic Pharmacy and presence of comorbidities. On the other hand, the factors associated with major polypharmacy were the same as minor polypharmacy, with the exception of the gender variable and having only one disease when compared with patients who had two or more diseases. In addition, higher income, fair and poor/very poor self-perception of health, not self-medicating, problems with adherence to treatment and not using medicinal plants were factors associated with the occurrence of higher polypharmacy. The factors associated with the occurrence of self-medication were younger age, female sex, consumption of alcoholic beverages, problems with adherence to pharmacotherapy and, as a protective factor, being in greater polypharmacy. The results of this study can contribute to the optimization of patient care, reinforce the need for health education actions and the search for the rational use of medicines, as well as provide subsidies for public policies to promote health.
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Polifarmácia , Automedicação , Prevalência , Estudo transversal , Farmacoepidemiologia