Abstract:
OBJECTIVE:To characterize the polypharmacy in primary health care patients and to identify its associated factors. METHODS:This is a cross-sectional, exploratory, and evaluative study, part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos - Serviços, 2015 (PNAUM - National Survey on Access, Use and Promotion of Rational Use of Medicines - Services, 2015). The variable of interest was polypharmacy, defined as the use of five or more medicines. We sought to identify the association of sociodemographic variables and indicators of health conditions to polypharmacy. For group comparison, the Pearson's Chi-square test was used. The association between polypharmacy and explanatory variables was evaluated by logistic regression model (p < 0.05). The quality of the adjustment was verified by Hosmer-Lemeshow test. RESULTS:The prevalence of polypharmacy among medicine users was 9.4% (95%CI 7.8-12.0) in the general population and 18.1% (95%CI 13.6-22.8) in older adults above 65 years old. We found statistically significant association between polypharmacy and age above 45 years, lower self-perception of health, presence of chronic diseases, having health insurance, care in emergency services, and region of the Country. South users presented the highest chances to polypharmacy. The most used medicines were those of the cardiovascular system, being compatible with the national epidemiological profile. CONCLUSIONS:Polypharmacy is a reality in the population met within the primary care of Brazilian Unified Health System and may be related to excessive or inappropriate use of medicines. The main challenge to qualify health care is to ensure that prescription of multiple medicines be appropriate and safe.
journal_name
Rev Saude Publicajournal_title
Revista de saude publicaauthors
Nascimento RCRMD,Álvares J,Guerra AA Junior,Gomes IC,Silveira MR,Costa EA,Leite SN,Costa KS,Soeiro OM,Guibu IA,Karnikowski MGO,Acurcio FAdoi
10.11606/S1518-8787.2017051007136subject
Has Abstractpub_date
2017-11-13 00:00:00pages
19sissue
suppl 2eissn
0034-8910issn
1518-8787pii
S0034-89102017000300315journal_volume
51pub_type
杂志文章abstract:OBJECTIVE:To estimate the prevalence of adequate control of hypertension among older adults and to examine its association with predisposing and enabling factors and the need to use health services. METHODS:The analysis was carried out with 4,148 participants (≥ 50 years) from the baseline of the Brazilian Longitudina...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/S1518-8787.2018052000646
更新日期:2018-10-25 00:00:00
abstract::This is a case report of the first accident involving a scorpion Tityus serrulatus in the city of Porto Alegre, Brazil, that occurred in March, 2001. A 21-year-old male patient, while handling vegetables proceeding from other Brazilian states, was bitten by a scorpion Tityus serrulatus, developing local and systemic r...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102002000600014
更新日期:2002-10-01 00:00:00
abstract::Vero cells used by distinct measles vaccine control laboratories had their susceptibility to Moraten, Schwarz and Biken CAM-70 vaccine strains assayed. Of a total of 72 lots of measles vaccine whose potency was titrated by microtechnique in two Vero cell samples (Vero IB and Vero INCQS), 25 had been produced with Mora...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101994000300008
更新日期:1994-06-01 00:00:00
abstract:OBJECTIVE:To describe the adaptation to Portuguese of the short version of the "job stress scale", originally in English. METHODS:We evaluate six aspects of equivalence between the original scale and the Portuguese version: conceptual, semantic, operational, item, measurement, and functional equivalences. A reliabilit...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102004000200003
更新日期:2004-04-01 00:00:00
abstract::The publications committee of a multicenter study has the aim of organizing the proposals for articles, so as to ensure wide-ranging access to the data, quality and precedence. An online information and management system for study proposals (publiELSA) was developed, composed of three modules: (i) submission and appro...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-8910.2013047003810
更新日期:2013-06-01 00:00:00
abstract::Available information on organochlorines and the chronic effects of exposure to them are set out. Organochlorinated compounds are the most persistent pesticides and can be found in all ecosystems. Although they are generally efficient in pest control, they are also a potent environment pollutant and can provoke health...
journal_title:Revista de saude publica
pub_type: 杂志文章,评审
doi:10.1590/s0034-89101998000400011
更新日期:1998-08-01 00:00:00
abstract:OBJECTIVE:To describe the mortality pattern among children enrolled in public day care centers. METHODS:This was a descriptive study of the mortality pattern among children aged from 0 to 6 years and 11 months who were enrolled in all the public day care centers in the city of São Paulo, Brazil, from 1995 to 1999. The...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102004000100006
更新日期:2004-02-01 00:00:00
abstract::This article presents a systematic framework for modeling several classes of illness-sickness-disease named as Holopathogenesis. Holopathogenesis is defined as processes of over-determination of diseases and related conditions taken as a whole, comprising selected facets of the complex object Health. First, a conceptu...
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pub_type: 杂志文章
doi:10.1590/s0034-8910.2014048005196
更新日期:2014-04-01 00:00:00
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abstract:OBJECTIVE:To identify associations of chronic back pain with sociodemographic characteristics, lifestyles, body mass index, self-reported chronic diseases and health assessment, according to sex. METHODS:We analyzed data from the 2013 National Health Survey, estimated the prevalence and their respective 95% confidence...
journal_title:Revista de saude publica
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journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102011005000058
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abstract:OBJECTIVE:Describe the clinical and epidemiological profile of confirmed cases of yellow fever whose patients were hospitalized in a general hospital for infectious diseases in the State of Rio de Janeiro, Brazil, from March 11, 2017 to June 15, 2018, during a recent outbreak and factors associated with death. METHODS...
journal_title:Revista de saude publica
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journal_title:Revista de saude publica
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doi:10.1590/s0034-89102006000300014
更新日期:2006-06-01 00:00:00
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journal_title:Revista de saude publica
pub_type: 杂志文章
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更新日期:2019-08-19 00:00:00
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journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102003000300017
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journal_title:Revista de saude publica
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journal_title:Revista de saude publica
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journal_title:Revista de saude publica
pub_type: 杂志文章
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journal_title:Revista de saude publica
pub_type: 杂志文章
doi:
更新日期:2008-10-01 00:00:00
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journal_title:Revista de saude publica
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更新日期:2008-06-01 00:00:00
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pub_type: 杂志文章
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journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101996000200003
更新日期:1996-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2000-06-01 00:00:00