Polypharmacy in community-based older adults: results of the Fibra study
Abstract Objectives : To estimate the prevalence of polypharmacy among older adults (≥65 years); to verify its association with sociodemographic variables, nutritional status and health conditions; to describe the prevalence of polypharmacy according to the presence of specific chronic diseases, an...
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| Format: | Article |
| Language: | English |
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Universidade Estadual do Rio de Janeiro (UERJ) , Universidade Aberta a Terceira Idade (UnAti)
2020-01-01
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| Series: | Revista Brasileira de Geriatria e Gerontologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-98232019000500204&tlng=en |
| _version_ | 1798020829670277120 |
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| author | Priscila de Paula Marques Daniela de Assumpção Roseli Rezende Anita Liberalesso Neri Priscila Maria Stolses Bergamo Francisco |
| author_facet | Priscila de Paula Marques Daniela de Assumpção Roseli Rezende Anita Liberalesso Neri Priscila Maria Stolses Bergamo Francisco |
| author_sort | Priscila de Paula Marques |
| collection | DOAJ |
| description | Abstract Objectives : To estimate the prevalence of polypharmacy among older adults (≥65 years); to verify its association with sociodemographic variables, nutritional status and health conditions; to describe the prevalence of polypharmacy according to the presence of specific chronic diseases, and to report the method of acquiring drugs. Method : A cross-sectional study was performed with older adults (n=2,217) from seven Brazilian municipal regions. The prevalence of polypharmacy and its 95% confidence intervals were estimated. Associations were verified using Pearson’s Chi-squared test with a significance level of 5%, and the independent associations between the selected variables and polypharmacy were verified by multiple hierarchical Poisson regression. Results : The prevalence of polypharmacy was 18.4% (CI95%:16.8-20.0), and was significantly lower among non-white individuals, those who did not have a health plan, and those who assessed their health as very good/good (p<0.05). Obesity: (PR=1.36; CI95%:1.06-1.75), increased waist circumference (PR=1.54; CI95%:1.08-2.20) and presence of two (PR=2.24; CI95%:1.52-3.31) or three or more (PR=4.22; CI95%:2.96-6.02) chronic diseases were positively associated with polypharmacy. Polypharmacy was observed in about 30.0% of older adults with heart disease, diabetes mellitus and/or strokes/CVA/ischemia. The frequency of older adults who acquired drugs in Basic Health Units was 20.3% and those who obtained them via their own/family resources was 13.5%. Conclusion : Among older adults, the identification of segments with a higher prevalence of polypharmacy enables a better structuring of the provision of treatment during their care pathway, allowing special attention to be paid to problems related to the use of drugs. |
| first_indexed | 2024-04-11T17:04:06Z |
| format | Article |
| id | doaj.art-e00f2e4e765b4ca99e29bffccddfdd9e |
| institution | Directory Open Access Journal |
| issn | 1981-2256 |
| language | English |
| last_indexed | 2024-04-11T17:04:06Z |
| publishDate | 2020-01-01 |
| publisher | Universidade Estadual do Rio de Janeiro (UERJ) , Universidade Aberta a Terceira Idade (UnAti) |
| record_format | Article |
| series | Revista Brasileira de Geriatria e Gerontologia |
| spelling | doaj.art-e00f2e4e765b4ca99e29bffccddfdd9e2022-12-22T04:13:06ZengUniversidade Estadual do Rio de Janeiro (UERJ) , Universidade Aberta a Terceira Idade (UnAti)Revista Brasileira de Geriatria e Gerontologia1981-22562020-01-0122510.1590/1981-22562019022.190118Polypharmacy in community-based older adults: results of the Fibra studyPriscila de Paula Marqueshttps://orcid.org/0000-0002-7954-4056Daniela de Assumpçãohttps://orcid.org/0000-0003-1813-996XRoseli Rezendehttps://orcid.org/0000-0001-8593-6104Anita Liberalesso Nerihttps://orcid.org/0000-0002-6833-7668Priscila Maria Stolses Bergamo Franciscohttps://orcid.org/0000-0001-7361-9961Abstract Objectives : To estimate the prevalence of polypharmacy among older adults (≥65 years); to verify its association with sociodemographic variables, nutritional status and health conditions; to describe the prevalence of polypharmacy according to the presence of specific chronic diseases, and to report the method of acquiring drugs. Method : A cross-sectional study was performed with older adults (n=2,217) from seven Brazilian municipal regions. The prevalence of polypharmacy and its 95% confidence intervals were estimated. Associations were verified using Pearson’s Chi-squared test with a significance level of 5%, and the independent associations between the selected variables and polypharmacy were verified by multiple hierarchical Poisson regression. Results : The prevalence of polypharmacy was 18.4% (CI95%:16.8-20.0), and was significantly lower among non-white individuals, those who did not have a health plan, and those who assessed their health as very good/good (p<0.05). Obesity: (PR=1.36; CI95%:1.06-1.75), increased waist circumference (PR=1.54; CI95%:1.08-2.20) and presence of two (PR=2.24; CI95%:1.52-3.31) or three or more (PR=4.22; CI95%:2.96-6.02) chronic diseases were positively associated with polypharmacy. Polypharmacy was observed in about 30.0% of older adults with heart disease, diabetes mellitus and/or strokes/CVA/ischemia. The frequency of older adults who acquired drugs in Basic Health Units was 20.3% and those who obtained them via their own/family resources was 13.5%. Conclusion : Among older adults, the identification of segments with a higher prevalence of polypharmacy enables a better structuring of the provision of treatment during their care pathway, allowing special attention to be paid to problems related to the use of drugs.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-98232019000500204&tlng=enHealth of the ElderlyAgingPolypharmacyChronic Disease |
| spellingShingle | Priscila de Paula Marques Daniela de Assumpção Roseli Rezende Anita Liberalesso Neri Priscila Maria Stolses Bergamo Francisco Polypharmacy in community-based older adults: results of the Fibra study Revista Brasileira de Geriatria e Gerontologia Health of the Elderly Aging Polypharmacy Chronic Disease |
| title | Polypharmacy in community-based older adults: results of the Fibra study |
| title_full | Polypharmacy in community-based older adults: results of the Fibra study |
| title_fullStr | Polypharmacy in community-based older adults: results of the Fibra study |
| title_full_unstemmed | Polypharmacy in community-based older adults: results of the Fibra study |
| title_short | Polypharmacy in community-based older adults: results of the Fibra study |
| title_sort | polypharmacy in community based older adults results of the fibra study |
| topic | Health of the Elderly Aging Polypharmacy Chronic Disease |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-98232019000500204&tlng=en |
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