Assessment of the level of health literacy of drug users in the Primary Health Care of the Brazilian Unified Health System

Detalhes bibliográficos
Autor(a) principal: Nappo, Solange Aparecida
Data de Publicação: 2021
Outros Autores: Bigal, André Luiz
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/19444
Resumo: Patients’ knowledge and awareness of their disease and medication (health literacy) are essential to ensure treatment effectiveness. This work analyzed the health literacy (HL) level of users of the Brazilian Unified Health System (SUS) in Diadema city (SP) and its consequences concerning the rational use of prescribed medication. A total of 1,121 SUS users were interviewed and descriptive and inferential analyses were performed. Bivariate analyses estimated the crude odds ratio. A logistic regression model was developed, and the results were presented as adjusted odds ratio. Almost half of the sample did not know the name of the drug, 20% did not know the reason for using it, 14% did not know how to use the drug, 71% declared that they were unaware of the drug’s adverse reactions, 21.3% believed that the drug did not cause any adverse reaction, and only 7.7% considered that the drug could cause some problem and 92% claimed not to have asked the doctor anything about this matter. The data show an inadequate level of HL of SUS users concerning basic information about the prescribed drug and a potential risk arising from the drug’s misuse, considering the patient’s lack of familiarity with the medication and their pathology and poor interaction with the health professional.
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spelling Assessment of the level of health literacy of drug users in the Primary Health Care of the Brazilian Unified Health SystemEvaluación del nivel de alfabetización en salud de los consumidores de medicamentos en la Atención Primaria de Salud del Sistema Único de SaludAvaliação do nível de alfabetização em saúde de usuários de medicamentos na Atenção Básica à Saúde do Sistema Único de SaúdeHealth LiteracySUSPrescribed medicationDrug’s misusePatients ‘knowledgeRational use of medicine.Alfabetización en saludSUSMedicamentos recetadosUso indebido de medicamentosConocimiento de los pacientesUso racional de la medicación.Alfabetização em saúdeSUSMedicamentos prescritosUso indevido de medicamentosConhecimento do pacienteUso racional do medicamento.Patients’ knowledge and awareness of their disease and medication (health literacy) are essential to ensure treatment effectiveness. This work analyzed the health literacy (HL) level of users of the Brazilian Unified Health System (SUS) in Diadema city (SP) and its consequences concerning the rational use of prescribed medication. A total of 1,121 SUS users were interviewed and descriptive and inferential analyses were performed. Bivariate analyses estimated the crude odds ratio. A logistic regression model was developed, and the results were presented as adjusted odds ratio. Almost half of the sample did not know the name of the drug, 20% did not know the reason for using it, 14% did not know how to use the drug, 71% declared that they were unaware of the drug’s adverse reactions, 21.3% believed that the drug did not cause any adverse reaction, and only 7.7% considered that the drug could cause some problem and 92% claimed not to have asked the doctor anything about this matter. The data show an inadequate level of HL of SUS users concerning basic information about the prescribed drug and a potential risk arising from the drug’s misuse, considering the patient’s lack of familiarity with the medication and their pathology and poor interaction with the health professional.El conocimiento y la conciencia de los pacientes sobre su enfermedad y su medicación (alfabetización en salud) son esenciales para garantizar la eficacia del tratamiento. Este trabajo analizó el nivel de alfabetización en salud de los usuarios del SUS en una ciudad del estado de São Paulo y sus consecuencias en el uso racional de la medicación prescrita. Se entrevistó a un total de 1.121 usuarios del SUS. Se realizaron análisis descriptivos e inferenciales. Los análisis bivariados estimaron la razón de probabilidades bruta. Se desarrolló un modelo de regresión logística y los resultados se presentaron como razón de probabilidades ajustada. Casi la mitad de la muestra no conocía el nombre del fármaco, el 20% no sabía el motivo de su uso, el 14% no sabía cómo utilizar el fármaco, el 71% declaró que desconocía las reacciones adversas del fármaco, 21,3 El% creía que el fármaco no provocaba ninguna reacción adversa, y solo el 7,7% consideraba que el fármaco podía ocasionar algún problema y el 92% afirmaba no haberle preguntado nada al médico sobre este asunto. Los datos muestran un nivel inadecuado de AS de los usuarios del SUS con respecto a la información básica sobre el medicamento prescrito y un riesgo potencial derivado del uso indebido del medicamento, considerando la falta de familiaridad del paciente con el medicamento y su patología y la mala interacción con el profesional de la salud.O conhecimento e a conscientização dos pacientes sobre sua doença e seus medicamentos  (Alfabetização em Saúde) são essenciais para garantir a eficácia do tratamento. Este trabalho analisou o nível de alfabetização em saúde (AS) de usuários do Sistema Único de Saúde (SUS) na cidade de Diadema (SP) e suas consequências no uso racional de medicamentos prescritos. Foram entrevistados 1.121 usuários do SUS e realizadas análises descritivas e inferenciais. As análises bivariadas estimaram o odds ratio bruto. Um modelo de regressão logística foi desenvolvido e os resultados ajustados como odds ratio. Quase metade da amostra não sabia o nome do medicamento, 20% não sabiam o motivo do seu uso, 14% não sabiam como usar o medicamento, 71% afirmaram não conhecer as reações adversas do medicamento , 21,3% acreditavam que o medicamento não causava reação adversa e apenas 7,7% consideraram que o medicamento poderia causar problema e 92% afirmaram não ter perguntado ao médico nada sobre o assunto. Os dados mostraram um nível inadequado de AS dos usuários do SUS quanto às informações básicas sobre o medicamento prescrito e um potencial risco decorrente do uso indevido do medicamento, considerando a falta de familiaridade do paciente com o medicamento e sua patologia e a pouca interação com o profissional de saúde.Research, Society and Development2021-08-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1944410.33448/rsd-v10i11.19444Research, Society and Development; Vol. 10 No. 11; e157101119444Research, Society and Development; Vol. 10 Núm. 11; e157101119444Research, Society and Development; v. 10 n. 11; e1571011194442525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/19444/17379Copyright (c) 2021 Solange Aparecida Nappo; André Luiz Bigalhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessNappo, Solange Aparecida Bigal, André Luiz 2021-10-23T19:01:11Zoai:ojs.pkp.sfu.ca:article/19444Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:39:20.272466Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Assessment of the level of health literacy of drug users in the Primary Health Care of the Brazilian Unified Health System
Evaluación del nivel de alfabetización en salud de los consumidores de medicamentos en la Atención Primaria de Salud del Sistema Único de Salud
Avaliação do nível de alfabetização em saúde de usuários de medicamentos na Atenção Básica à Saúde do Sistema Único de Saúde
title Assessment of the level of health literacy of drug users in the Primary Health Care of the Brazilian Unified Health System
spellingShingle Assessment of the level of health literacy of drug users in the Primary Health Care of the Brazilian Unified Health System
Nappo, Solange Aparecida
Health Literacy
SUS
Prescribed medication
Drug’s misuse
Patients ‘knowledge
Rational use of medicine.
Alfabetización en salud
SUS
Medicamentos recetados
Uso indebido de medicamentos
Conocimiento de los pacientes
Uso racional de la medicación.
Alfabetização em saúde
SUS
Medicamentos prescritos
Uso indevido de medicamentos
Conhecimento do paciente
Uso racional do medicamento.
title_short Assessment of the level of health literacy of drug users in the Primary Health Care of the Brazilian Unified Health System
title_full Assessment of the level of health literacy of drug users in the Primary Health Care of the Brazilian Unified Health System
title_fullStr Assessment of the level of health literacy of drug users in the Primary Health Care of the Brazilian Unified Health System
title_full_unstemmed Assessment of the level of health literacy of drug users in the Primary Health Care of the Brazilian Unified Health System
title_sort Assessment of the level of health literacy of drug users in the Primary Health Care of the Brazilian Unified Health System
author Nappo, Solange Aparecida
author_facet Nappo, Solange Aparecida
Bigal, André Luiz
author_role author
author2 Bigal, André Luiz
author2_role author
dc.contributor.author.fl_str_mv Nappo, Solange Aparecida
Bigal, André Luiz
dc.subject.por.fl_str_mv Health Literacy
SUS
Prescribed medication
Drug’s misuse
Patients ‘knowledge
Rational use of medicine.
Alfabetización en salud
SUS
Medicamentos recetados
Uso indebido de medicamentos
Conocimiento de los pacientes
Uso racional de la medicación.
Alfabetização em saúde
SUS
Medicamentos prescritos
Uso indevido de medicamentos
Conhecimento do paciente
Uso racional do medicamento.
topic Health Literacy
SUS
Prescribed medication
Drug’s misuse
Patients ‘knowledge
Rational use of medicine.
Alfabetización en salud
SUS
Medicamentos recetados
Uso indebido de medicamentos
Conocimiento de los pacientes
Uso racional de la medicación.
Alfabetização em saúde
SUS
Medicamentos prescritos
Uso indevido de medicamentos
Conhecimento do paciente
Uso racional do medicamento.
description Patients’ knowledge and awareness of their disease and medication (health literacy) are essential to ensure treatment effectiveness. This work analyzed the health literacy (HL) level of users of the Brazilian Unified Health System (SUS) in Diadema city (SP) and its consequences concerning the rational use of prescribed medication. A total of 1,121 SUS users were interviewed and descriptive and inferential analyses were performed. Bivariate analyses estimated the crude odds ratio. A logistic regression model was developed, and the results were presented as adjusted odds ratio. Almost half of the sample did not know the name of the drug, 20% did not know the reason for using it, 14% did not know how to use the drug, 71% declared that they were unaware of the drug’s adverse reactions, 21.3% believed that the drug did not cause any adverse reaction, and only 7.7% considered that the drug could cause some problem and 92% claimed not to have asked the doctor anything about this matter. The data show an inadequate level of HL of SUS users concerning basic information about the prescribed drug and a potential risk arising from the drug’s misuse, considering the patient’s lack of familiarity with the medication and their pathology and poor interaction with the health professional.
publishDate 2021
dc.date.none.fl_str_mv 2021-08-26
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/19444
10.33448/rsd-v10i11.19444
url https://rsdjournal.org/index.php/rsd/article/view/19444
identifier_str_mv 10.33448/rsd-v10i11.19444
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/19444/17379
dc.rights.driver.fl_str_mv Copyright (c) 2021 Solange Aparecida Nappo; André Luiz Bigal
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2021 Solange Aparecida Nappo; André Luiz Bigal
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 10 No. 11; e157101119444
Research, Society and Development; Vol. 10 Núm. 11; e157101119444
Research, Society and Development; v. 10 n. 11; e157101119444
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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