Factors associated with low adherence to medicine treatment for chronic diseases in brazil

Factors associated with low adherence to medicine treatment for chronic diseases in brazil

Title: Factors associated with low adherence to medicine treatment for chronic diseases in brazil;
Fatores associados à baixa adesão ao tratamento farmacológico de doenças crônicas no Brasil
Author Leao Tavares, Noemia Urruth Google Scholar
Bertoldi, Andres Damaso Google Scholar
Mengue, Sotero Serrate Google Scholar
Dourado Arrais, Paulo Sergio Google Scholar
Luiza, Vera Lucia Google Scholar
Oliveira, Maria Auxiliadora Google Scholar
Ramos, Luiz Roberto Autor UNIFESP Google Scholar
Farias, Mareni Rocha Google Scholar
Dal Pizzol, Tatiane da Silva Google Scholar
Abstract OBJECTIVE: To analyze factors associated with low adherence to drug treatment for chronic diseases in Brazil. METHODS: Analysis of data from Pesquisa Nacional sobre Acesso, Utilizacao e Promocao do Uso Racional de Medicamentos (PNAUM - Brazilian Survey on Access, Use and Promotion of Rational Use of Medicines), a population-based cross-sectional household survey, based on a probabilistic sample of the Brazilian population. We analyzed the association between low adherence to drug treatment measured by the Brief Medication Questionnaire and demographic, socioeconomic, health, care and prescription factors. We used Poisson regression model to estimate crude and adjusted prevalence ratios, their respective 95% confidence interval (95% CI) and p-value (Wald test). RESULTS: The prevalence of low adherence to drug treatment for chronic diseases was 30.8% (95% CI 28.8-33.0). The highest prevalence of low adherence was associated with individuals: young adults

no education

resident in the Northeast and Midwest Regions of Brazil

paying part of the treatment

poor self-perceived health

three or more diseases

reported limitations caused by a chronic disease

using five drugs or more. CONCLUSIONS: Low adherence to drug treatment for chronic diseases in Brazil is relevant, and regional and demographic differences and those related to patients' health care and therapy regime require coordinated action between health professionals, researchers, managers and policy makers.
Keywords Medication Adherence
Primary-Care
Hypertension
Nonadherence
Metaanalysis
Frequency
Language English
Sponsor Department of Pharmaceutical Services and Strategic Health Supplies (DAF) of the Secretariat of Science, Technology and Strategic Inputs of the Ministry of Health (SCTIE/MS) [25000.111834/2011-31]
Department of Science and Technology (DECIT) of the Secretariat of Science, Technology and Strategic Inputs of the Ministry of Health (SCTIE/MS) [25000.111834/2011-31]
Grant number SCTIE/MS: 25000.111834/2011-31
Date 2016
Published in Revista De Saude Publica. Sao paulo, v. 50, n. 2, p. 10s, 2016.
ISSN 0034-8910 (Sherpa/Romeo, impact factor)
Publisher Iop Publishing Ltd
Extent 10s
Origin http://dx.doi.org/10.1590/s1518-8787.2016050006150
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000391447400007
SciELO ID S0034-89102016000300307 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/49283

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