Use of the Brazilian People’s Pharmacy Program by older adults

Detalhes bibliográficos
Autor(a) principal: Miranda,Vanessa Iribarrem Avena
Data de Publicação: 2016
Outros Autores: Fassa,Anaclaudia Gastal, Meucci,Rodrigo Dalke, Lutz,Bárbara Heather
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista de Saúde Pública
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102016000100213
Resumo: ABSTRACT OBJECTIVE To assess the prevalence and factors associated with the use of the expanded Brazilian People’s Pharmacy Program among older adults and the reasons for not using it. METHODS In this population-based cross-sectional study conducted in the urban area of Pelotas, RS, Southern Brazil, we evaluated 1,305 older adults (aged 60 years or over) who had used medication in the last 15 days. Independent variables were socioeconomic factors, economic status, household income in minimum wages, educational attainment in years of schooling and occupational status. Demographic variables were sex, age, marital status, and self-reported skin color/race. Poisson regression was employed to analyze the factors associated with the use of the program. RESULTS The prevalence of use was 57.0% whilst the prevalence of knowledge of the program was 87.0%. In individuals aged 80 years or over, use of the program was 41.0%. As to the origin of the prescriptions used by older adults, 46.0% were from the Brazilian Unified Health System. The main reasons for not using the program were: difficulty in getting prescriptions, medication shortage, and ignorance about the medications offered and about the program. Higher age, lower income, presence of chronic diseases, and use of four or more medications were associated with use of the program. CONCLUSIONS It is necessary to expand the knowledge and use of the Brazilian People’s Pharmacy Program, especially among older adults, and to improve the dissemination of its list of medications to users and physicians. Thus it will be possible to reduce spending on long-term medications, which are especially important for this population.
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spelling Use of the Brazilian People’s Pharmacy Program by older adultsAgedCommunity Pharmacy ServicesEquity in AccessDrug UtilizationPharmacoepidemiologyCross-Sectional StudiesABSTRACT OBJECTIVE To assess the prevalence and factors associated with the use of the expanded Brazilian People’s Pharmacy Program among older adults and the reasons for not using it. METHODS In this population-based cross-sectional study conducted in the urban area of Pelotas, RS, Southern Brazil, we evaluated 1,305 older adults (aged 60 years or over) who had used medication in the last 15 days. Independent variables were socioeconomic factors, economic status, household income in minimum wages, educational attainment in years of schooling and occupational status. Demographic variables were sex, age, marital status, and self-reported skin color/race. Poisson regression was employed to analyze the factors associated with the use of the program. RESULTS The prevalence of use was 57.0% whilst the prevalence of knowledge of the program was 87.0%. In individuals aged 80 years or over, use of the program was 41.0%. As to the origin of the prescriptions used by older adults, 46.0% were from the Brazilian Unified Health System. The main reasons for not using the program were: difficulty in getting prescriptions, medication shortage, and ignorance about the medications offered and about the program. Higher age, lower income, presence of chronic diseases, and use of four or more medications were associated with use of the program. CONCLUSIONS It is necessary to expand the knowledge and use of the Brazilian People’s Pharmacy Program, especially among older adults, and to improve the dissemination of its list of medications to users and physicians. Thus it will be possible to reduce spending on long-term medications, which are especially important for this population.Faculdade de Saúde Pública da Universidade de São Paulo2016-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102016000100213Revista de Saúde Pública v.50 2016reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.1590/S1518-8787.2016050006180info:eu-repo/semantics/openAccessMiranda,Vanessa Iribarrem AvenaFassa,Anaclaudia GastalMeucci,Rodrigo DalkeLutz,Bárbara Heathereng2016-07-08T00:00:00Zoai:scielo:S0034-89102016000100213Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2016-07-08T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Use of the Brazilian People’s Pharmacy Program by older adults
title Use of the Brazilian People’s Pharmacy Program by older adults
spellingShingle Use of the Brazilian People’s Pharmacy Program by older adults
Miranda,Vanessa Iribarrem Avena
Aged
Community Pharmacy Services
Equity in Access
Drug Utilization
Pharmacoepidemiology
Cross-Sectional Studies
title_short Use of the Brazilian People’s Pharmacy Program by older adults
title_full Use of the Brazilian People’s Pharmacy Program by older adults
title_fullStr Use of the Brazilian People’s Pharmacy Program by older adults
title_full_unstemmed Use of the Brazilian People’s Pharmacy Program by older adults
title_sort Use of the Brazilian People’s Pharmacy Program by older adults
author Miranda,Vanessa Iribarrem Avena
author_facet Miranda,Vanessa Iribarrem Avena
Fassa,Anaclaudia Gastal
Meucci,Rodrigo Dalke
Lutz,Bárbara Heather
author_role author
author2 Fassa,Anaclaudia Gastal
Meucci,Rodrigo Dalke
Lutz,Bárbara Heather
author2_role author
author
author
dc.contributor.author.fl_str_mv Miranda,Vanessa Iribarrem Avena
Fassa,Anaclaudia Gastal
Meucci,Rodrigo Dalke
Lutz,Bárbara Heather
dc.subject.por.fl_str_mv Aged
Community Pharmacy Services
Equity in Access
Drug Utilization
Pharmacoepidemiology
Cross-Sectional Studies
topic Aged
Community Pharmacy Services
Equity in Access
Drug Utilization
Pharmacoepidemiology
Cross-Sectional Studies
description ABSTRACT OBJECTIVE To assess the prevalence and factors associated with the use of the expanded Brazilian People’s Pharmacy Program among older adults and the reasons for not using it. METHODS In this population-based cross-sectional study conducted in the urban area of Pelotas, RS, Southern Brazil, we evaluated 1,305 older adults (aged 60 years or over) who had used medication in the last 15 days. Independent variables were socioeconomic factors, economic status, household income in minimum wages, educational attainment in years of schooling and occupational status. Demographic variables were sex, age, marital status, and self-reported skin color/race. Poisson regression was employed to analyze the factors associated with the use of the program. RESULTS The prevalence of use was 57.0% whilst the prevalence of knowledge of the program was 87.0%. In individuals aged 80 years or over, use of the program was 41.0%. As to the origin of the prescriptions used by older adults, 46.0% were from the Brazilian Unified Health System. The main reasons for not using the program were: difficulty in getting prescriptions, medication shortage, and ignorance about the medications offered and about the program. Higher age, lower income, presence of chronic diseases, and use of four or more medications were associated with use of the program. CONCLUSIONS It is necessary to expand the knowledge and use of the Brazilian People’s Pharmacy Program, especially among older adults, and to improve the dissemination of its list of medications to users and physicians. Thus it will be possible to reduce spending on long-term medications, which are especially important for this population.
publishDate 2016
dc.date.none.fl_str_mv 2016-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102016000100213
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102016000100213
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S1518-8787.2016050006180
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
dc.source.none.fl_str_mv Revista de Saúde Pública v.50 2016
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
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institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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