Self-medication in low-income adults in Southeastern Brazil
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/32861 |
Resumo: | OBJECTIVE: To estimate the self-medication prevalence in low-income adults and identify associated factors. METHODS: Data from a population survey performed in São Paulo municipality, Southeastern Brazil in 2005, were used. The sample strategy included two domains, favelas and non-favelas, with clustered sampling performed in two stages with a total of 3,226 eligible individuals. In addition to sociodemographic and economic characteristics, the multiple logistic regression included: use of medicines in the 15 days preceding interview, access to medicines (free, purchased or other) and type of morbidities treated (chronic or acute). RESULTS: The proportion of self-medication was 27% to 32%. Self-medication was strongly associated with acute morbidity, ability to purchase medicines, age less than 47 years and the medicine group that acts on the central nervous system. The medicinal group that acts on the central nervous system was the most common utilized in self-medication. CONCLUSIONS: Free access to medicines was shown to be a protective factor for self-medication. The distribution of medicines and appropriate health care should be considered when providing patient counseling and for reducing health risks from irrational medicine use. |
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Self-medication in low-income adults in Southeastern Brazil Automedicación en adultos de baja renta en el municipio de Sao Paulo Automedicação em adultos de baixa renda no município de São Paulo AutomedicaçãoeconomiaMedicamentos de Uso ContínuoFatores SocioeconômicosEstudos TransversaisAutomedicacióneconomíaMedicamentos de Uso ContinuoFactores SocioeconómicosEstudios TransversalesSelf MedicationeconomicsDrugs of Continuous UseSocioeconomic FactorsCross-Sectional Studies OBJECTIVE: To estimate the self-medication prevalence in low-income adults and identify associated factors. METHODS: Data from a population survey performed in São Paulo municipality, Southeastern Brazil in 2005, were used. The sample strategy included two domains, favelas and non-favelas, with clustered sampling performed in two stages with a total of 3,226 eligible individuals. In addition to sociodemographic and economic characteristics, the multiple logistic regression included: use of medicines in the 15 days preceding interview, access to medicines (free, purchased or other) and type of morbidities treated (chronic or acute). RESULTS: The proportion of self-medication was 27% to 32%. Self-medication was strongly associated with acute morbidity, ability to purchase medicines, age less than 47 years and the medicine group that acts on the central nervous system. The medicinal group that acts on the central nervous system was the most common utilized in self-medication. CONCLUSIONS: Free access to medicines was shown to be a protective factor for self-medication. The distribution of medicines and appropriate health care should be considered when providing patient counseling and for reducing health risks from irrational medicine use. OBJETIVO: Estimar la proporción da automedicación en adultos de baja renta e identificar factores asociados. MÉTODOS: Se utilizaron datos de pesquisa poblacional realizado en el municipio de Sao Paulo, Sureste de Brasil, en 2005, cuyo plan de muestreo incluyó dos dominios, barrio y no barrio, con muestreo por conglomerados en dos fases, totalizando 3.226 individuos elegibles. Además de las características sociodemográficas y económicas, se analizaron: uso de medicamentos en los 15 días anteriores a la entrevista, tipo de acceso (gratuito, comprado u otra) a los medicamentos y los tipos de morbilidades (crónicas o agudas) tratadas, en análisis de regresión logística múltiple. RESULTADOS: La proporción de automedicación fue de 27% a 32%. La automedicación estuvo fuertemente asociada a la morbilidad aguda, al acceso al medicamento por compra, a la edad menor de 47 años y medicamentos del grupo terapéutico que actúan en el sistema nervioso central. El grupo que actúa en el sistema nervioso central fue el más utilizado en la automedicación. CONCLUSIONES: El acceso gratuito a los medicamentos se mostró como factor de protección para la automedicación. La distribución de medicamentos y la atención adecuada deben ser considerados para orientación y reducción de los riesgos que el uso irracional de medicamentos puede generar para la salud. OBJETIVO: Estimar a proporção de automedicação em adultos de baixa renda e identificar fatores associados. MÉTODOS: Foram utilizados dados de inquérito populacional realizado no município de São Paulo em 2005, cujo plano amostral incluiu dois domínios, favela e não favela, com amostragem por conglomerados em dois estágios, totalizando 3.226 indivíduos elegíveis. Além de características sociodemográficas e econômicas, foram analisados: uso de medicamentos nos 15 dias anteriores à entrevista, tipo de acesso (gratuito, comprado ou outra) aos medicamentos e os tipos de morbidades (crônicas ou agudas) tratadas, em análise de regressão logística múltipla. RESULTADOS: A proporção de automedicação foi de 27% a 32%. Automedicação esteve fortemente associada à morbidade aguda, ao acesso ao medicamento por compra, à idade menor que 47 anos e medicamentos do grupo terapêutico que atuam no sistema nervoso central. O grupo que atua no sistema nervoso central foi o mais utilizado na automedicação. CONCLUSÕES: O acesso gratuito aos medicamentos mostrou-se fator de proteção para a automedicação. A distribuição de medicamentos e o atendimento adequado devem ser considerados para orientação e redução dos riscos que o uso irracional de medicamentos pode gerar à saúde. Universidade de São Paulo. Faculdade de Saúde Pública2010-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3286110.1590/S0034-89102010000600008Revista de Saúde Pública; Vol. 44 No. 6 (2010); 1039-1045 Revista de Saúde Pública; Vol. 44 Núm. 6 (2010); 1039-1045 Revista de Saúde Pública; v. 44 n. 6 (2010); 1039-1045 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32861/35418https://www.revistas.usp.br/rsp/article/view/32861/35419Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessSchmid, BiancaBernal, ReginaSilva, Nilza Nunes2012-07-10T02:29:47Zoai:revistas.usp.br:article/32861Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-10T02:29:47Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Self-medication in low-income adults in Southeastern Brazil Automedicación en adultos de baja renta en el municipio de Sao Paulo Automedicação em adultos de baixa renda no município de São Paulo |
title |
Self-medication in low-income adults in Southeastern Brazil |
spellingShingle |
Self-medication in low-income adults in Southeastern Brazil Schmid, Bianca Automedicação economia Medicamentos de Uso Contínuo Fatores Socioeconômicos Estudos Transversais Automedicación economía Medicamentos de Uso Continuo Factores Socioeconómicos Estudios Transversales Self Medication economics Drugs of Continuous Use Socioeconomic Factors Cross-Sectional Studies |
title_short |
Self-medication in low-income adults in Southeastern Brazil |
title_full |
Self-medication in low-income adults in Southeastern Brazil |
title_fullStr |
Self-medication in low-income adults in Southeastern Brazil |
title_full_unstemmed |
Self-medication in low-income adults in Southeastern Brazil |
title_sort |
Self-medication in low-income adults in Southeastern Brazil |
author |
Schmid, Bianca |
author_facet |
Schmid, Bianca Bernal, Regina Silva, Nilza Nunes |
author_role |
author |
author2 |
Bernal, Regina Silva, Nilza Nunes |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Schmid, Bianca Bernal, Regina Silva, Nilza Nunes |
dc.subject.por.fl_str_mv |
Automedicação economia Medicamentos de Uso Contínuo Fatores Socioeconômicos Estudos Transversais Automedicación economía Medicamentos de Uso Continuo Factores Socioeconómicos Estudios Transversales Self Medication economics Drugs of Continuous Use Socioeconomic Factors Cross-Sectional Studies |
topic |
Automedicação economia Medicamentos de Uso Contínuo Fatores Socioeconômicos Estudos Transversais Automedicación economía Medicamentos de Uso Continuo Factores Socioeconómicos Estudios Transversales Self Medication economics Drugs of Continuous Use Socioeconomic Factors Cross-Sectional Studies |
description |
OBJECTIVE: To estimate the self-medication prevalence in low-income adults and identify associated factors. METHODS: Data from a population survey performed in São Paulo municipality, Southeastern Brazil in 2005, were used. The sample strategy included two domains, favelas and non-favelas, with clustered sampling performed in two stages with a total of 3,226 eligible individuals. In addition to sociodemographic and economic characteristics, the multiple logistic regression included: use of medicines in the 15 days preceding interview, access to medicines (free, purchased or other) and type of morbidities treated (chronic or acute). RESULTS: The proportion of self-medication was 27% to 32%. Self-medication was strongly associated with acute morbidity, ability to purchase medicines, age less than 47 years and the medicine group that acts on the central nervous system. The medicinal group that acts on the central nervous system was the most common utilized in self-medication. CONCLUSIONS: Free access to medicines was shown to be a protective factor for self-medication. The distribution of medicines and appropriate health care should be considered when providing patient counseling and for reducing health risks from irrational medicine use. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-12-01 |
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://www.revistas.usp.br/rsp/article/view/32861 10.1590/S0034-89102010000600008 |
url |
https://www.revistas.usp.br/rsp/article/view/32861 |
identifier_str_mv |
10.1590/S0034-89102010000600008 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/32861/35418 https://www.revistas.usp.br/rsp/article/view/32861/35419 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 44 No. 6 (2010); 1039-1045 Revista de Saúde Pública; Vol. 44 Núm. 6 (2010); 1039-1045 Revista de Saúde Pública; v. 44 n. 6 (2010); 1039-1045 1518-8787 0034-8910 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_ |
1800221791182913536 |