Availability and affordability of blood pressure-lowering medicines and the effect on blood pressure control in high-income, middle-income, and low-income countries: an analysis of the PURE study data
Lancet Public Health
; 2(9): 411-419, 2017. tab, graf
Artigo
em Inglês
| Sec. Est. Saúde SP, SESSP-IDPCPROD, Sec. Est. Saúde SP
| ID: biblio-1064540
Biblioteca responsável:
BR79.1
Localização: BR79.1
ABSTRACT
Hypertension is considered the most important risk factor for cardiovascular diseases, but its control is poor worldwide. We aimed to assess the availability and affordability of blood pressure-lowering medicines, and the association with use of these medicines and blood pressure control in countries at varying levels of economic development. We analysed the availability, costs, and affordability of blood pressure-lowering medicines with data recorded from 626 communities in 20 countries participating in the Prospective Urban Rural Epidemiological (PURE) study. Medicines were considered available if they were present in the local pharmacy when surveyed, and affordable if their combined cost was less than 20% of the households' capacity to pay. We related information about availability and affordability to use of these medicines and blood pressure control with multilevel mixed-effects logistic regression models, and compared results for high-income, upper-middle-income, lower-middle-income, and low-income countries. Data for India are presented separately because it has a large generic pharmaceutical industry and a higher availability of medicines than other countries at the same economic level...
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Brasil
Contexto em Saúde:
Agenda de Saúde Sustentável para as Américas
/
ODS3 - Saúde e Bem-Estar
Problema de saúde:
Objetivo 9: Redução de doenças não transmissíveis
/
Objetivo 5 Medicamentos, vacinas e tecnologias sanitárias
/
Meta 3.4: Reduzir as mortes prematuras devido doenças não transmissíveis
Base de dados:
Sec. Est. Saúde SP
/
SESSP-IDPCPROD
Assunto principal:
Doenças Cardiovasculares
/
Hipertensão
Tipo de estudo:
Estudo prognóstico
/
Fatores de risco
Aspecto:
Determinantes sociais da saúde
Idioma:
Inglês
Revista:
Lancet Public Health
Ano de publicação:
2017
Tipo de documento:
Artigo
Instituição/País de afiliação:
Africa Unit for Transdisciplinary Health Research/ZA
/
Department of Cardiac Sciences/SA
/
Department of Health Services Research and Policy/GB
/
Department of Public Health Sciences/US
/
Eternal Heart Care Centre and Research Institute/IN
/
Faculty of Health Sciences/CA
/
Faculty of Medicine/TR
/
Hatta Hospital/AE
/
Health Action by People/IN
/
Heart and Lung Institute/CA