Benzodiazepines utilization in Brazilian older adults: a population-based study.
Rev Saude Publica
; 56: 10, 2022.
Article
em En, Pt
| MEDLINE
| ID: mdl-35319670
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.
Texto completo
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8926397
- https://dx.doi.org/10.11606/s1518-8787.2022056003740
- http://www.scielo.br/scielo.php?script=sci_arttext&nrm=iso&lng=pt&tlng=pt&pid=S0034-89102022000100208
- http://www.scielosp.org/scielo.php?script=sci_arttext&nrm=iso&lng=pt&tlng=pt&pid=S0034-89102022000100208
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Benzodiazepinas
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
País/Região como assunto:
America do sul
/
Brasil
Idioma:
En
/
Pt
Ano de publicação:
2022
Tipo de documento:
Article