Benzodiazepines utilization in Brazilian older adults: a population-based study
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , , , |
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=S0034-89102022000100208 |
Resumo: | ABSTRACT OBJECTIVE To evaluate the utilization of benzodiazepines (BZD) in Brazilian older adults, based on the Pesquisa Nacional de Acesso, Utilização e Promoção do Uso Racional de Medicamentos (PNAUM - National Survey of Access, Use and Promotion of Rational Use of Medicines). METHODS The PNAUM is a cross-sectional study conducted between 2013 and 2014, representing the Brazilian urban population. In the present study, we included 60 years or older (n = 9,019) individuals. We calculated the prevalence of BZD utilization in the 15 days prior to survey data collection according to independent variables, using a hierarchical Poisson regression model. A semistructured interview performed empirical data collection (household interview). RESULTS The prevalence of BZD utilization in the older adults was 9.3% (95%CI: 8.3–10.4). After adjustments, BZD utilization was associated with female sex (PR = 1.88; 95%CI: 1.52–2.32), depression (PR = 5.31; 95%CI: 4.41–6, 38), multimorbidity (PR = 1.44; 95%CI: 1.20–1.73), emergency room visit or hospitalization in the last 12 months (PR = 1.42; 95%CI: 1.18–1.70 ), polypharmacy (PR = 1.26; 95%CI: 1.01–1.57) and poor or very poor self-rated health (PR = 4.16; 95%CI: 2.10–8.22). Utilization was lower in the North region (PR = 0.18; 95%CI: 0.13–0.27) and in individuals who reported abusive alcohol consumption in the last month (PR = 0.42; 95%CI: 0.19–0.94). CONCLUSION Despite contraindications, results showed a high prevalence of BZD utilization in older adults, particularly in those with depression, and wide regional and sex differences. |
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Revista de Saúde Pública |
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Benzodiazepines utilization in Brazilian older adults: a population-based studyAgedDrug UtilizationBenzodiazepinesRisk FactorsCross-Sectional StudiesABSTRACT OBJECTIVE To evaluate the utilization of benzodiazepines (BZD) in Brazilian older adults, based on the Pesquisa Nacional de Acesso, Utilização e Promoção do Uso Racional de Medicamentos (PNAUM - National Survey of Access, Use and Promotion of Rational Use of Medicines). METHODS The PNAUM is a cross-sectional study conducted between 2013 and 2014, representing the Brazilian urban population. In the present study, we included 60 years or older (n = 9,019) individuals. We calculated the prevalence of BZD utilization in the 15 days prior to survey data collection according to independent variables, using a hierarchical Poisson regression model. A semistructured interview performed empirical data collection (household interview). RESULTS The prevalence of BZD utilization in the older adults was 9.3% (95%CI: 8.3–10.4). After adjustments, BZD utilization was associated with female sex (PR = 1.88; 95%CI: 1.52–2.32), depression (PR = 5.31; 95%CI: 4.41–6, 38), multimorbidity (PR = 1.44; 95%CI: 1.20–1.73), emergency room visit or hospitalization in the last 12 months (PR = 1.42; 95%CI: 1.18–1.70 ), polypharmacy (PR = 1.26; 95%CI: 1.01–1.57) and poor or very poor self-rated health (PR = 4.16; 95%CI: 2.10–8.22). Utilization was lower in the North region (PR = 0.18; 95%CI: 0.13–0.27) and in individuals who reported abusive alcohol consumption in the last month (PR = 0.42; 95%CI: 0.19–0.94). CONCLUSION Despite contraindications, results showed a high prevalence of BZD utilization in older adults, particularly in those with depression, and wide regional and sex differences.Faculdade de Saúde Pública da Universidade de São Paulo2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102022000100208Revista de Saúde Pública v.56 2022reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.11606/s1518-8787.2022056003740info:eu-repo/semantics/openAccessFreire,Marina de Borba OliveiraDa Silva,Bruna Gonçalves CordeiroBertoldi,Andréa DâmasoFontanella,Andréia TurminaMengue,Sotero SerrateRamos,Luiz RobertoTavares,Noemia Urruth LeãoPizzol,Tatiane da Silva DalArrais,Paulo Sérgio DouradoFarias,Mareni RochaLuiza,Vera LuciaOliveira,Maria AuxiliadoraMenezes,Ana Maria Baptistaeng2022-03-17T00:00:00Zoai:scielo:S0034-89102022000100208Revistahttp://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:2022-03-17T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Benzodiazepines utilization in Brazilian older adults: a population-based study |
title |
Benzodiazepines utilization in Brazilian older adults: a population-based study |
spellingShingle |
Benzodiazepines utilization in Brazilian older adults: a population-based study Freire,Marina de Borba Oliveira Aged Drug Utilization Benzodiazepines Risk Factors Cross-Sectional Studies |
title_short |
Benzodiazepines utilization in Brazilian older adults: a population-based study |
title_full |
Benzodiazepines utilization in Brazilian older adults: a population-based study |
title_fullStr |
Benzodiazepines utilization in Brazilian older adults: a population-based study |
title_full_unstemmed |
Benzodiazepines utilization in Brazilian older adults: a population-based study |
title_sort |
Benzodiazepines utilization in Brazilian older adults: a population-based study |
author |
Freire,Marina de Borba Oliveira |
author_facet |
Freire,Marina de Borba Oliveira Da Silva,Bruna Gonçalves Cordeiro Bertoldi,Andréa Dâmaso Fontanella,Andréia Turmina Mengue,Sotero Serrate Ramos,Luiz Roberto Tavares,Noemia Urruth Leão Pizzol,Tatiane da Silva Dal Arrais,Paulo Sérgio Dourado Farias,Mareni Rocha Luiza,Vera Lucia Oliveira,Maria Auxiliadora Menezes,Ana Maria Baptista |
author_role |
author |
author2 |
Da Silva,Bruna Gonçalves Cordeiro Bertoldi,Andréa Dâmaso Fontanella,Andréia Turmina Mengue,Sotero Serrate Ramos,Luiz Roberto Tavares,Noemia Urruth Leão Pizzol,Tatiane da Silva Dal Arrais,Paulo Sérgio Dourado Farias,Mareni Rocha Luiza,Vera Lucia Oliveira,Maria Auxiliadora Menezes,Ana Maria Baptista |
author2_role |
author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Freire,Marina de Borba Oliveira Da Silva,Bruna Gonçalves Cordeiro Bertoldi,Andréa Dâmaso Fontanella,Andréia Turmina Mengue,Sotero Serrate Ramos,Luiz Roberto Tavares,Noemia Urruth Leão Pizzol,Tatiane da Silva Dal Arrais,Paulo Sérgio Dourado Farias,Mareni Rocha Luiza,Vera Lucia Oliveira,Maria Auxiliadora Menezes,Ana Maria Baptista |
dc.subject.por.fl_str_mv |
Aged Drug Utilization Benzodiazepines Risk Factors Cross-Sectional Studies |
topic |
Aged Drug Utilization Benzodiazepines Risk Factors Cross-Sectional Studies |
description |
ABSTRACT OBJECTIVE To evaluate the utilization of benzodiazepines (BZD) in Brazilian older adults, based on the Pesquisa Nacional de Acesso, Utilização e Promoção do Uso Racional de Medicamentos (PNAUM - National Survey of Access, Use and Promotion of Rational Use of Medicines). METHODS The PNAUM is a cross-sectional study conducted between 2013 and 2014, representing the Brazilian urban population. In the present study, we included 60 years or older (n = 9,019) individuals. We calculated the prevalence of BZD utilization in the 15 days prior to survey data collection according to independent variables, using a hierarchical Poisson regression model. A semistructured interview performed empirical data collection (household interview). RESULTS The prevalence of BZD utilization in the older adults was 9.3% (95%CI: 8.3–10.4). After adjustments, BZD utilization was associated with female sex (PR = 1.88; 95%CI: 1.52–2.32), depression (PR = 5.31; 95%CI: 4.41–6, 38), multimorbidity (PR = 1.44; 95%CI: 1.20–1.73), emergency room visit or hospitalization in the last 12 months (PR = 1.42; 95%CI: 1.18–1.70 ), polypharmacy (PR = 1.26; 95%CI: 1.01–1.57) and poor or very poor self-rated health (PR = 4.16; 95%CI: 2.10–8.22). Utilization was lower in the North region (PR = 0.18; 95%CI: 0.13–0.27) and in individuals who reported abusive alcohol consumption in the last month (PR = 0.42; 95%CI: 0.19–0.94). CONCLUSION Despite contraindications, results showed a high prevalence of BZD utilization in older adults, particularly in those with depression, and wide regional and sex differences. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102022000100208 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102022000100208 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.11606/s1518-8787.2022056003740 |
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.56 2022 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
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 |
_version_ |
1748936506700988416 |