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

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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Main Authors: Miranda,Vanessa Iribarrem Avena, Fassa,Anaclaudia Gastal, Meucci,Rodrigo Dalke, Lutz,Bárbara Heather
Format: Digital revista
Language:English
Published: Faculdade de Saúde Pública da Universidade de São Paulo 2016
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102016000100213
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spelling oai:scielo:S0034-891020160001002132016-07-08Use of the Brazilian People’s Pharmacy Program by older adultsMiranda,Vanessa Iribarrem AvenaFassa,Anaclaudia GastalMeucci,Rodrigo DalkeLutz,Bárbara Heather Aged Community Pharmacy Services Equity in Access Drug Utilization Pharmacoepidemiology Cross-Sectional Studies 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.info:eu-repo/semantics/openAccessFaculdade de Saúde Pública da Universidade de São PauloRevista de Saúde Pública v.50 20162016-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102016000100213en10.1590/S1518-8787.2016050006180
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libraryname SciELO
language English
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author Miranda,Vanessa Iribarrem Avena
Fassa,Anaclaudia Gastal
Meucci,Rodrigo Dalke
Lutz,Bárbara Heather
spellingShingle Miranda,Vanessa Iribarrem Avena
Fassa,Anaclaudia Gastal
Meucci,Rodrigo Dalke
Lutz,Bárbara Heather
Use of the Brazilian People’s Pharmacy Program by older adults
author_facet Miranda,Vanessa Iribarrem Avena
Fassa,Anaclaudia Gastal
Meucci,Rodrigo Dalke
Lutz,Bárbara Heather
author_sort Miranda,Vanessa Iribarrem Avena
title Use of the Brazilian People’s Pharmacy Program by older adults
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
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.
publisher Faculdade de Saúde Pública da Universidade de São Paulo
publishDate 2016
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102016000100213
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