Access to medicines for chronic diseases in brazil: a multidimensional approach

• Autor(a) principal: Oliveira, Maria Auxiliadora
• Data de Publicação: 2016
• Outros Autores: Luiza, Vera Lucia, Leao Tavares, Noemia Urruth, Mengue, Sotero Serrate, Dourado Arrais, Paulo Sergio, Farias, Mareni Rocha, Dal Pizzol, Tatiane da Silva, Ramos, Luiz Roberto [UNIFESP], Bertoldi, Andrea Damaso
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNIFESP
• dARK ID: ark:/48912/001300001226z
• DOI: 10.1590/s1518-8787.2016050006161
• Texto Completo: http://dx.doi.org/10.1590/s1518-8787.2016050006161; http://repositorio.unifesp.br/handle/11600/49287
• topic: Medication; Prevalence; Adults

OBJECTIVE: To analyze the access to medicines to treat non-communicable diseases in Brazil according to socioeconomic, demographic, and health-related factors, from a multidimensional perspective. METHODS: Analysis of data from the National Survey on Access, Use and Promotion of Rational Use of Medicines (PNAUM), household survey, sampling plan by conglomerates with representativeness of the Brazilian population and large areas of the country, according to sex and age domains. Data collected in 2013-2014 with sample of adults (>= 20 years) who reported having non-communicable diseases and medical indication for use of medicines (n = 12,725). We assessed the prevalence of access to medicines for self-reported non-communicable diseases, considering four dimensions: availability, geographic accessibility, acceptability, and affordability. We applied Pearson's Chi-square test to assess the statistical significance of the differences between strata, considering the level of significance of 5%. RESULTS: We found prevalence of 94.3%, 5.2%, and 0.5% for full, partial, and null access, respectively. Higher prevalence was observed among seniors in the South compared to the Northeast