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

AI Article Synopsis

  • The study aimed to analyze medication use and influencing factors among the elderly population in Recife, Brazil, using data from a sample of 400 individuals aged over 60.
  • Findings showed that 85.5% of the elderly used medications, with 11% experiencing polypharmacy (using more than 5 drugs), a significant portion of which were deemed unsafe for older adults.
  • Factors such as education level, self-reported health status, presence of chronic diseases, and frequency of doctor visits were linked to the pattern of medication use, highlighting disparities in access to medication among elderly individuals.

Article 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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Source
http://dx.doi.org/10.1590/S0034-8910.2013047003768DOI Listing

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