Perceptions of social capital and cost-related non-adherence to medication among the elderly

Detalhes bibliográficos
Autor(a) principal: Luz, Tatiana Chama Borges
Data de Publicação: 2011
Outros Autores: Loyola Filho, Antônio Ignácio de, Lima-Costa, Maria Fernanda
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4724
Resumo: The aim of this study was to examine the association between social capital and cost-related non-adherence (CRN) in an elderly population, using data from 1,134 respondents to the Greater Metropolitan Belo Horizonte Health Survey. CRN was lower for those elderly with a better perception of attachment to their neighbourhoods (PR = 0.68; 95%CI: 0.50-0.94), with more social contacts (one to five, PR = 0.49; 95%CI: 0.30-0.80 and more than five, PR = 0.42; 95%CI: 0.26-0.67), and with private health insurance coverage (PR = 0.64; 95%CI: 0.45-0.93). Meanwhile, CRN was significantly higher for those with fair to poor self-rated health (PR =1.66; 95%CI: 0.95-2.90 and PR = 2.62; 95%CI: 1.46-4.71 respectively), with multiple comorbidities (two, PR = 3.45; 95%CI: 1.38-8.62 and three or more, PR = 4.42; 95%CI: 1.74-11.25), and with a lower frequency of physician-patient dialogue about health/treatment (rarely/never, PR = 1.91; 95%CI: 1.16-3.13). These findings highlight the need to take into account the social context in future research on CRN.
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spelling Perceptions of social capital and cost-related non-adherence to medication among the elderlyMedication AdherenceSocial ConditionsPharmacoepidemiologyAgedThe aim of this study was to examine the association between social capital and cost-related non-adherence (CRN) in an elderly population, using data from 1,134 respondents to the Greater Metropolitan Belo Horizonte Health Survey. CRN was lower for those elderly with a better perception of attachment to their neighbourhoods (PR = 0.68; 95%CI: 0.50-0.94), with more social contacts (one to five, PR = 0.49; 95%CI: 0.30-0.80 and more than five, PR = 0.42; 95%CI: 0.26-0.67), and with private health insurance coverage (PR = 0.64; 95%CI: 0.45-0.93). Meanwhile, CRN was significantly higher for those with fair to poor self-rated health (PR =1.66; 95%CI: 0.95-2.90 and PR = 2.62; 95%CI: 1.46-4.71 respectively), with multiple comorbidities (two, PR = 3.45; 95%CI: 1.38-8.62 and three or more, PR = 4.42; 95%CI: 1.74-11.25), and with a lower frequency of physician-patient dialogue about health/treatment (rarely/never, PR = 1.91; 95%CI: 1.16-3.13). These findings highlight the need to take into account the social context in future research on CRN.Para investigar a associação entre percepções de capital social e subutilização de medicamentos por motivos financeiros entre idosos, foram analisados dados de 1.134 participantes do Inquérito de Saúde dos Adultos na Região Metropolitana de Belo Horizonte, Minas Gerais, Brasil. A subutilização foi menor para idosos com maior coesão ao bairro de moradia (RP = 0,68; IC95%: 0,50-0,94) e com cobertura pela medicina suplementar (RP = 0,64; IC95%: 0,45-0,93). Por outro lado, essa prevalência foi significativamente maior para idosos com pior autopercepção de saúde (razoável, RP = 1,66; IC95%: 0,95-2,90; e ruim/muito ruim, RP = 2,62; IC95%: 1,46-4,71), com múltiplas condições crônicas (duas, RP = 3,45; IC95%: 1,38-8,62; e três ou mais, RP = 4,42; IC95%: 1,74-11,25) e para aqueles que raramente ou nunca obtêm do profissional de saúde esclarecimentos sobre sua saúde/tratamento (RP = 1,91; IC95%: 1,16-3,13). Os resultados apontam para a necessidade de incluir o contexto social em futuras pesquisas sobre o tema.Reports in Public HealthCadernos de Saúde Pública2011-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4724Reports in Public Health; Vol. 27 No. 2 (2011): FebruaryCadernos de Saúde Pública; v. 27 n. 2 (2011): Fevereiro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4724/9641https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4724/9642Luz, Tatiana Chama BorgesLoyola Filho, Antônio Ignácio deLima-Costa, Maria Fernandainfo:eu-repo/semantics/openAccess2024-03-06T15:28:20Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/4724Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:05:27.064263Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Perceptions of social capital and cost-related non-adherence to medication among the elderly
title Perceptions of social capital and cost-related non-adherence to medication among the elderly
spellingShingle Perceptions of social capital and cost-related non-adherence to medication among the elderly
Luz, Tatiana Chama Borges
Medication Adherence
Social Conditions
Pharmacoepidemiology
Aged
title_short Perceptions of social capital and cost-related non-adherence to medication among the elderly
title_full Perceptions of social capital and cost-related non-adherence to medication among the elderly
title_fullStr Perceptions of social capital and cost-related non-adherence to medication among the elderly
title_full_unstemmed Perceptions of social capital and cost-related non-adherence to medication among the elderly
title_sort Perceptions of social capital and cost-related non-adherence to medication among the elderly
author Luz, Tatiana Chama Borges
author_facet Luz, Tatiana Chama Borges
Loyola Filho, Antônio Ignácio de
Lima-Costa, Maria Fernanda
author_role author
author2 Loyola Filho, Antônio Ignácio de
Lima-Costa, Maria Fernanda
author2_role author
author
dc.contributor.author.fl_str_mv Luz, Tatiana Chama Borges
Loyola Filho, Antônio Ignácio de
Lima-Costa, Maria Fernanda
dc.subject.por.fl_str_mv Medication Adherence
Social Conditions
Pharmacoepidemiology
Aged
topic Medication Adherence
Social Conditions
Pharmacoepidemiology
Aged
description The aim of this study was to examine the association between social capital and cost-related non-adherence (CRN) in an elderly population, using data from 1,134 respondents to the Greater Metropolitan Belo Horizonte Health Survey. CRN was lower for those elderly with a better perception of attachment to their neighbourhoods (PR = 0.68; 95%CI: 0.50-0.94), with more social contacts (one to five, PR = 0.49; 95%CI: 0.30-0.80 and more than five, PR = 0.42; 95%CI: 0.26-0.67), and with private health insurance coverage (PR = 0.64; 95%CI: 0.45-0.93). Meanwhile, CRN was significantly higher for those with fair to poor self-rated health (PR =1.66; 95%CI: 0.95-2.90 and PR = 2.62; 95%CI: 1.46-4.71 respectively), with multiple comorbidities (two, PR = 3.45; 95%CI: 1.38-8.62 and three or more, PR = 4.42; 95%CI: 1.74-11.25), and with a lower frequency of physician-patient dialogue about health/treatment (rarely/never, PR = 1.91; 95%CI: 1.16-3.13). These findings highlight the need to take into account the social context in future research on CRN.
publishDate 2011
dc.date.none.fl_str_mv 2011-02-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4724
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4724
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4724/9641
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4724/9642
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 27 No. 2 (2011): February
Cadernos de Saúde Pública; v. 27 n. 2 (2011): Fevereiro
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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