Author | Luz, Tatiana Chama Borges | |
Author | Loyola Filho, Antônio Ignácio de | |
Author | Costa, Maria Fernanda Furtado Lima | |
Access date | 2023-03-31T13:56:23Z | |
Available date | 2023-03-31T13:56:23Z | |
Document date | 2009 | |
Citation | LUZ, Tatiana Chama Borges; LOYOLA FILHOA, Antônio Ignácio de; COSTA, Maria Fernanda Furtado Lima. A population-based study on cost-related underuse of medicines by the Elderly in Greater Metropolitan Belo Horizonte, Minas Gerais State, Brazil. Cadernos de Saúde Pública, v. 25, n. 7, p. 1578-1586, 2009. | en_US |
ISSN | 1678-4464 | en_US |
URI | https://www.arca.fiocruz.br/handle/icict/57637 | |
Language | eng | en_US |
Publisher | Fundação Oswaldo Cruz | en_US |
Rights | restricted access | en_US |
Title | A population-based study on cost-related underuse of medicines by the elderly in Greater Metropolitan Belo Horizonte, Minas Gerais State, Brazil | en_US |
Alternative title | Estudo de base populacional da subutilização de medicamentos por motivos financeiros entre idosos na Região Metropolitana de Belo Horizonte, Minas Gerais, Brasil | en_US |
Type | Article | en_US |
DOI | 10.1590/S0102-311X2009000700016 | |
Abstract | The aim of this study was to estimate the prevalence of cost-related underuse of medicines and associated factors in a representative sample of 1,134 elderly individuals in Greater Metropolitan Belo Horizonte, Minas Gerais State, Brazil. Prevalence of cost-related underuse was 12.9%. After adjustments in the multivariate model, cost-related underuse was higher in individuals with income less than twice the minimum wage (PR = 0.57; 95% CI: 0.34-0.97), without health plan coverage (PR = 0.68; CI95%: 0.46-0.99), with low frequencies of physician-patient dialogue concerning health/treatment (rarely/never, PR = 1.79; 95% CI: 1.10-2.90), with fair to poor self-rated health (PR = 1.66; 95% CI: 0.95-2.90 and PR = 2.49; 95% CI: 1.38-4.48, respectively), and with multiple comorbidities (one, PR = 2.51; 95% CI: 0.99-6.35; two, PR = 3.51; 95% CI: 1.40-8.72 and three or more, PR = 4.52; 95% CI: 1.79-11.41). Our results suggest adherence problems within this population due to a communication gap between seniors and physicians on treatment-related aspects and to the lack of health plan coverage. Especially worrisome is the high risk of cost-related underuse among elderly with poor health | en_US |
Affilliation | UNIVERSIDADE FEDERAL DE MINAS GERAIS | en_US |
Affilliation | Fundação Oswaldo Cruz. Centro de Pesquisa Rene Rachou. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brasil/ Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil | en_US |
Affilliation | Fundação Oswaldo Cruz. Centro de Pesquisa Rene Rachou. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brasil/ Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil | en_US |
Affilliation | Fundação Oswaldo Cruz. Centro de Pesquisa Rene Rachou. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brasil/ Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil | en_US |
Subject | Pharmaceutical Preparations | en_US |
Subject | Drug Utiliza tion | en_US |
Subject | Aged | en_US |