ArticleRevista de saude publica2016
Factors associated with the use of antihypertensives among seniors.
Article in Revista de saude publica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveAnalyze the use of antihypertensives among seniors and the association with socioeconomic and behavioral characteristics.
methodsIn this seriate cross-sectional study, we used data from the Saúde, Bem Estar e Envelhecimento study (SABE - Health, Well-being, and Aging), conducted in 2000, 2006, and 2010 in the city of São Paulo. Association between the use of antihypertensives and the demographic, behavioral, and socioeconomic characteristics and risk factors was analyzed by using multilevel logistic regression models.
resultsWe observed increased proportion of use of antihypertensive, from 48.7% in 2000 to 61.3% in 2006, reaching 65.7% in 2010. Among the seniors who made use of this type of medicine, we also observed increased adoption of combined therapy in the period, from 69.9% to 82.6% from 2000 to 2006 and reaching 91.6% in 2010. Multilevel analysis indicated statistically significant increase in use of antihypertensives, even after control by socioeconomic and behavioral characteristics, both in 2006 and in 2010 (OR = 1.90; 95%CI 1.60-2.24 and OR = 1.94; 95%CI 1.62-2.33, respectively). Use of antihypertensives showed positive association with females, higher age group, black skin color, overweight, and smoking history.
conclusionsHigh use of antihypertensives and its association with sociodemographic and behavioral characteristics can help guide the discussion of strategies to improve the epidemiological situation, the quality of life, and the distribution of medicines to the elderly population. OBJETIVO: Analisar o uso de medicamentos anti-hipertensivos em idosos e a associação com características socioeconômicas e comportamentais. MÉTODOS: Neste estudo transversal seriado, foram utilizados dados do estudo SABE (Saúde, Bem Estar e Envelhecimento), realizado em 2000, 2006 e 2010 no município de São Paulo. A associação entre o uso de medicamentos anti-hipertensivos e as características demográficas, socioeconômicas comportamentais e fatores de risco foi analisada por meio de modelos de regressão logísticos multinível. RESULTADOS: Foi observado aumento da proporção do uso de anti-hipertensivo, de 48,7% em 2000 para 61,3% em 2006, chegando à 65,7% em 2010. Entre os idosos que faziam uso desse tipo de medicamento, também foi observado aumento da adoção da terapia combinada no período, passando de 69,9% para 82,6% de 2000 a 2006 e alcançando 91,6% em 2010. A análise multinível indicou aumento estatisticamente significativo do uso de anti-hipertensivos, mesmo após controle pelas características socioeconômicas e comportamentais, tanto em 2006 como em 2010 (OR = 1,90; IC95% 1,60-2,24 e OR = 1,94; IC95% 1,62-2,33, respectivamente). O uso de anti-hipertensivos apresentou associação positiva com sexo feminino, maior faixa etária, cor da pele preta, sobrepeso e histórico de tabagismo. CONCLUSÕES: O uso elevado de anti-hipertensivos e sua associação com as características sociodemográficas e comportamentais podem ajudar a orientar a discussão de estratégias para a melhoria do quadro epidemiológico, da qualidade de vida, e da distribuição de medicamentos para a população idosa.
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