Prevalence of and factors associated with polypharmacy among elderly persons resident in the community

Abstract Objective: to verify the prevalence of and factors associated with polypharmacy among elderly residents of the city of Cuiabá, in the state of Mato Grosso. Method: a cross-sectional study of 573 people aged 60 and over was performed. Polypharmacy was defined as the use of five or more medications. To investigate the association between polypharmacy and sociodemographic variables, health and access to medication, the Mantel Haenszel chi square test was used in bivariate analysis and Poisson regression was used in multivariate analysis. The significance level adopted was 5%. Result: the prevalence of polypharmacy was 10.30%. Statistically significant associations were found between polypharmacy and living with others, describing suffering from circulatory, endocrine, nutritional and digestive tract diseases, and referring to financial difficulties for the purchase of medicines. Conclusion: some social and health condition factors play an important role in the use of multiple medications among the elderly.

Download Full-text

Prevalence of and factors associated with benzodiazepine use in community-resident elderly persons

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562017020.170042 ◽

2017 ◽

Vol 20 (4) ◽

pp. 463-473 ◽

Cited By ~ 2

Author(s):

Mariana Macedo Alvim ◽

Danielle Teles da Cruz ◽

Marcel de Toledo Vieira ◽

Ronaldo Rocha Bastos ◽

Isabel Cristina Gonçalves Leite

Keyword(s):

Household Survey ◽

The Elderly ◽

Cross Sectional Study ◽

Elderly Persons ◽

Cross Sectional ◽

Significance Level ◽

Factors Associated ◽

Medical Visits ◽

Elimination Half ◽

Benzodiazepine Use

Abstract Objective: to assess the prevalence of and factors associated with the use of benzodiazepines in elderly persons living in the community. Method: a cross-sectional study was conducted through a household survey of 423 elderly persons from Juiz de Fora, Minas Gerais, Brazil. To analyze the factors associated with the outcome, the Poisson regression model was used, based on the theoretical model of determination with hierarchical blocks. The variables were adjusted within each block, with those with a 5% significance level remaining in the final model. Result: The prevalence of benzodiazepine use was 18.3% (95% CI 15.2 to 21.6). Most benzodiazepines used had a long-elimination half-life (59.2%) and use was considered long in 85.5% of users. Among benzodiazepine users 38.4% also used antidepressants. The use of these drugs was associated with the presence of self-reported mental and behavioral disorders, polypharmacy and medical visits in the last three months. Conclusion: The use of benzodiazepines was considered high among the elderly. The reduction in the prescription of these drugs should be assessed individually, considering the physiological alterations of the elderly and the adverse effects of drugs, in order to minimize incorrect prescriptions.

Download Full-text

Factors associated with diabetes among the elderly receiving care at a specialized gerontology-geriatric outpatient clinic

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562017020.160145 ◽

2017 ◽

Vol 20 (3) ◽

pp. 363-373

Author(s):

Roberta de Souza Pereira da Silva Ramos ◽

Ana Paula de Oliveira Marques ◽

Vânia Pinheiro Ramos ◽

Anna Karla de Oliveira Tito Borba ◽

Avelino Maciel Alves de Aguiar ◽

...

Keyword(s):

Outpatient Service ◽

The Elderly ◽

Cross Sectional Study ◽

The Body ◽

Multivariate Logistic Regression Model ◽

Bivariate Analysis ◽

Elderly Persons ◽

Chi Square ◽

Cross Sectional ◽

Exact Test

Abstract Objective: To identify the prevalence of diabetes and its relation to associated factors in elderly persons receiving care at a specialist gerontology-geriatric outpatient service. A descriptive cross-sectional study of 301 elderly persons of both genders was performed. Method: The bivariate analysis was performed using the Pearson’s Chi-square test for Independence and Fisher's exact test, considering 5% of significance and 95% confidence. A multivariate logistic regression model was adjusted to identify factors that may influence the occurrence of diabetes. Result: There was no statistically significant association between the prevalence of diabetes and socioeconomic and demographic variables, behavioral factors and health conditions. Only the Body Mass Index variable was close to being statistically significant (p=0.059). Conclusion: The result confirms the need to develop new studies on the subject to consider the particularities and specificities of the elderly population to enable the creation of educational intervention strategies aimed at this group.

Download Full-text

Prevalence of Insomnia and Factors Associated with it Among the Elderly People of Sarangdanda VDC in Panchthar District

Dhaulagiri Journal of Sociology and Anthropology ◽

10.3126/dsaj.v4i0.4517 ◽

1970 ◽

Vol 4 ◽

pp. 129-142 ◽

Cited By ~ 1

Author(s):

Raj Kumar Subedi

Keyword(s):

Elderly People ◽

The Elderly ◽

Cross Sectional Study ◽

Interview Schedule ◽

Chi Square ◽

Cross Sectional ◽

Factors Associated ◽

Keywords Alcohol ◽

Chi Square Test ◽

Restorative Sleep

Insomnia is one of the major and unsolved problems in older people. Most of the sleep studies report that the different forms of insomnia like Difficulty Initiating Sleep (DIS), Difficulty Maintaining Sleep (DMS) and Non-Restorative Sleep (NRS) are common among the elderly that are associated to many factors. The objective of the study was to measure the prevalence of insomnia and the factors associated to it among the elderly people. A cross-sectional study was conducted among 142 elderly people of and above 60 years of age in Sarangdanda VDC of Panchthar District of Eastern Nepal. The presence or absence of insomnia and the associated factors were assessed on them by the help of interview schedule. The results were analyzed using chi-square test in SPSS (version 11.5). DMS was the most common reported form of insomnia among the elderly followed by DIS and NRS. Association between insomnia and each of factors like use of tobacco before sleeping hours, eating too close to bedtime, use of tea/coffee before sleeping hours and use of alcohol before sleeping hours were statistically significant at 95% level of confidence. Insomnia affects a large proportion of elderly and is triggered by many factors like use of tobacco before sleeping hours, use of tea/coffee before sleeping hours, eating too close to bedtime and use of alcohol before sleeping hours. Keywords: Alcohol; tea/coffee; difficulty initiating sleep (DIS); difficulty maintaining sleep (DMS); non-restorative sleep (NRS); tobacco DOI: 10.3126/dsaj.v4i0.4517 Dhaulagiri Journal of Sociology and Anthropology Vol.4 2010 pp.129-142

Download Full-text

Prevalence of Hyposalivation in Patients with Systemic Lupus Erythematosus in a Brazilian Subpopulation

International Journal of Rheumatology ◽

10.1155/2015/730285 ◽

2015 ◽

Vol 2015 ◽

pp. 1-6 ◽

Cited By ~ 6

Author(s):

Cristhiane Almeida Leite ◽

Marcial Francis Galera ◽

Mariano Martínez Espinosa ◽

Paulo Ricardo Teles de Lima ◽

Vander Fernandes ◽

...

Keyword(s):

Systemic Lupus Erythematosus ◽

Lupus Erythematosus ◽

Salivary Flow ◽

Cross Sectional Study ◽

Systemic Lupus ◽

Cross Sectional ◽

Mato Grosso ◽

Significance Level ◽

Factors Associated ◽

Study Population

Background.Systemic lupus erythematosus (SLE) is a chronic inflammatory, multisystem, and autoimmune disease.Objective.The aim of this study was to describe the prevalence of hyposalivation in SLE patients and evaluate factors associated.Methods.This is a cross-sectional study developed at the Cuiaba University General Hospital (UNIC-HGU), Mato Grosso, Brazil. The study population consisted of female SLE patients treated at this hospital from 06/2010 to 12/2012. Unstimulated salivary flow rates (SFRs) were measured. Descriptive and inferential analyses were performed in all cases using a significance levelP<0.05.Results.The results showed that 79% of patients with systemic lupus erythematosus suffered from hyposalivation and that the disease activity and age in years were the factors that resulted in statistically significant differences.Conclusion.The activity of the disease, age >27 years, and the drugs used were factors associated with hyposalivation, resulting in a statistically significant decrease in saliva production.

Download Full-text

Factors Associated With Dementia In The Elderly At Cakung District Health Center In 2020

Journal of Ageing And Family ◽

10.52643/joaf.v1i1.1726 ◽

2021 ◽

Vol 1 (1) ◽

Author(s):

Tasya Virrisya Tania ◽

Fajar Susanti ◽

Erlin Ifadah ◽

Apri Sunadi

Keyword(s):

Physical Activity ◽

Health Center ◽

The Elderly ◽

Cross Sectional Study ◽

District Health ◽

Chi Square ◽

Cross Sectional ◽

Factors Associated ◽

Study Approach ◽

Keywords Dementia

Dementia is an acquired intellectual and memory dysfunction caused by brain disease, and is not associated with impaired levels of consciousness. The purpose of this study was to determine the factors associated with dementia in the elderly at the Cakung District Health Center in 2020. This study is a quantitative study with a correlative descriptive research design with a cross sectional study approach. The population consisted of elderly patients who participated in prolanis activities at the Cakung District Health Center. Sampling using total sampling. The sample consisted of 60 respondents. Data analysis using chi square test. The results showed a relationship between age (p = 0.000), physical activity (p = 0.000) and dementia. Physical activity needs to be done by the elderly to inhibit the factors that accelerate the onset of dementia. Counseling and learning about physical activity in the elderly should be a program in providing health services to the elderly, especially to prevent dementia. Keywords : Dementia, Physical Activity

Download Full-text

Sociodemographic and Behavioral Factors Associated with HIV Vulnerability according to Sexual Orientation

AIDS Research and Treatment ◽

10.1155/2020/5619315 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Maria Aparecida A. O. Serra ◽

Antoninho B. Milhomem ◽

Samae B. Oliveira ◽

Francisca Aline A. S. Santos ◽

Roberta Araújo e Silva ◽

...

Keyword(s):

Sexual Orientation ◽

Hiv Infection ◽

Sociodemographic Factors ◽

Cross Sectional Study ◽

Behavioral Factors ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Factors Associated ◽

Sex With Men

Objective. To analyze sociodemographic and behavioral factors associated with vulnerability to HIV according to sexual orientation. Method. This is a cross-sectional study conducted using data on 3,818 people in the city of Imperatriz, Brazil, during 2015 and 2016. The survey’s questionnaires addressed sociodemographic and behavioral variables. For the data analysis, association (chi-square test) and strength of association (odds ratio) were observed. A significance level of p<0.05 and adjustment for age and gender were taken into consideration. Results. A substantial portion of the sample stated they were heterosexual (88.8%). These individuals demonstrated a lower chance of HIV infection (p<0.001), sexually transmitted infections (p<0.001), alcohol use (p<0.001) and condom use (p<0.001), compared to men who have sex with men and/or bisexuals. In this group, after adjusting for confounding variables, the factors associated with HIV infection were being male (p<0.001), unmarried (p<0.001), having completed higher education (p<0.001) and boasting multiple sexual partners (p<0.001). Conclusion. Behavioral and sociodemographic factors of vulnerability to HIV are predominant among men who have sex with men and/or are bisexual.

Download Full-text

Sociodemographic and Clinical Factors Associated with Postpartum Hemorrhage in a Maternity Ward

Aquichan ◽

10.5294/aqui.2021.21.2.7 ◽

2021 ◽

Vol 21 (2) ◽

pp. 1-13

Author(s):

Daianne Teixeira ◽

Telmara Menezes Couto ◽

Ridalva Dias Martins ◽

Jules Ramon Brito Teixeira ◽

Jaqueline Alves Pires ◽

...

Keyword(s):

Multivariate Analysis ◽

Postpartum Hemorrhage ◽

Maternity Hospital ◽

Cross Sectional Study ◽

Bivariate Analysis ◽

Clinical Factors ◽

Cross Sectional ◽

Significance Level ◽

Factors Associated ◽

Multiparous Women

Objective: Checking the sociodemographic and clinical factors associated with the prevalence of postpartum hemorrhage (PPH) in a maternity school. Materials and methods: A quantitative cross-sectional study in a maternity hospital in Salvador, Bahia, Brazil. In data collection, we used a standardized form that contained sociodemographic and clinical data from the medical records of 83 women for the period of 2018. Stata version 14 software was used in the analyses. Bivariate analysis was conducted using Pearson’s or Fisher’s exact tests. Poisson regression was performed with robust variation in multivariate analysis. Prevalence ratios (PR) and respective 95 % confidence intervals were estimated. The significance level of the tests was 5 %. Results: The prevalence of PPH was 38.6 % and 25.6 % for atony as the cause. In the bivariate analysis, there was an association between PPH and non-breastfeeding in the first hour of life (p = 0.039). In the multivariate analysis, it was identified that multiparous women had an increase in the prevalence of PPH by almost twice (PR = 1.97). Not breastfeeding in the first hour of life increased this prevalence more than four times (PR = 4.16). Conclusions: Monitoring multiparous women during birth care and encouraging breastfeeding in the first hour of life may decrease the prevalence of PPH.

Download Full-text

Characteristics of falls in elderly persons residing in the community: a population-based study

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562017020.170080 ◽

2017 ◽

Vol 20 (5) ◽

pp. 691-701 ◽

Cited By ~ 3

Author(s):

Suzana Albuquerque de Moraes ◽

Wuber Jefferson Sousa Soares ◽

Lygia Paccini Lustosa ◽

Tereza Loffredo Bilton ◽

Eduardo Ferrioli ◽

...

Keyword(s):

The Elderly ◽

Sociodemographic Factors ◽

Population Based ◽

The State ◽

Elderly Persons ◽

Chi Square ◽

Cross Sectional ◽

Population Based Study ◽

Mato Grosso ◽

Chi Square Test

Abstract Object: to examine the characteristics to the last fall of Brazilian elderly persons who experienced falls in 2008 and 2009, and to identify if there is a relationship with sociodemographic characteristics, physical health, comorbidities, clinical conditions and the circumstances of the falls. Methods: a cross-sectional, population based study was carried out with participants aged 65 and older from Barueri in the state of São Paulo and Cuiabá in the state of Mato Grosso, Brazil. Households were enrolled within each census region according to population density and the number of elderly persons living in each region. A multidimensional questionnaire composed of sociodemographic factors and data regarding falls was used. Associations were analyzed using contingency tables, and Fisher's Exact or Pearson's Chi-square test was used. Results: 774 elderly people were included in the study, 299 of whom reported falling in the previous year. Of these, 176 (58.9%) had fallen once and 123 (41.1%) reported having fallen twice or more. Among fallers the mean age was 72.53 (±6.12) years and 214 (71.6%) were female. About 107 (35.8%) of the elderly reported having fallen forwards, 79 (26.4%) fell to the side and 42(14%) fell backwards. Regarding the circumstances of the falls, 107 (35.8%) reported having lost their balance, 79 (26.4%) said they had stumbled and 42 (14%) said they had slipped. There was an association between the mechanism and circumstances of the falls and having fallen once or twice or more. There was an association between the circumstances of falls and the number of medications taken. Conclusion: The characteristics of falls were different among elderly persons who had fallen once or twice or more, which may guide health professionals, the elderly and their families in relation to specific fall prevention strategies.

Download Full-text

Factors associated with vulnerability and fragility in the elderly: a cross-sectional study

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2020-0399 ◽

2022 ◽

Vol 75 (2) ◽

Author(s):

Caroline Ribeiro de Sousa ◽

Janaína Fonseca Victor Coutinho ◽

João Bastos Freire Neto ◽

Rachel Gabriel Bastos Barbosa ◽

Marília Braga Marques ◽

...

Keyword(s):

Physical Activity ◽

The Elderly ◽

Vulnerability Index ◽

Cross Sectional Study ◽

Stepwise Logistic Regression ◽

Multinomial Regression ◽

Chi Square ◽

Cross Sectional ◽

Factors Associated ◽

Regression Methods

ABSTRACT Objectives: to assess factors associated with vulnerability and fragility in the elderly. Methods: crosssectional study with 384 elderly people in Fortaleza, Ceará. The Vulnerable Elders Survey and Clinical-Functional Vulnerability Index - 20 were used. Chi-square and Fisher’s exact tests were used for associations. In the analysis of the combined influence of risk factors, the stepwise logistic regression and multinomial regression methods were adopted. Results: 251 (65.4%) non-vulnerable and 133 (34.6%) vulnerable elders. From the vulnerable elders analyzed, 42 (30.9%) are at high risk for frailty. Factors associated with vulnerability: age, gender, presence of comorbidities, hypertension, diabetes, osteoporosis and use of polypharmacy. There is a 30% increase in the chance of vulnerability for each additional drug. Physical activity reduces the chance of vulnerability by 60%. Factors associated with frailty: educational level; self-perception of health; comorbidities; polypharmacy. Conclusions: it is important to pay attention to the presence of arterial hypertension, osteoporosis, polypharmacy, and encourage the practice of physical activity.

Download Full-text

Prevalence and risk factors associated with urinary incontinence in climate women

International Journal of Development Research ◽

10.37118/ijdr.21903.05.2021 ◽

2021 ◽

pp. 47146-47151

Keyword(s):

Urinary Incontinence ◽

Family Health ◽

Cross Sectional Study ◽

Bivariate Analysis ◽

Multiple Model ◽

Obese Women ◽

Cross Sectional ◽

Significance Level ◽

Factors Associated ◽

Modifiable Factors

To investigate the prevalence and factors associated with urinary incontinence (IU) in climacteric women attending the Family Health Strategies. Cross-sectional study with 874 climacteric women, selected by probabilistic sampling. The variables were investigated by a structured/pre-tested questionnaire. Bivariate analysis was performed using the chi-square test for variable selection for the multiple model adopting p≤0.25. In multivariate analysis, binary logistic regression was used to obtain adjusted odds ratios. After the analysis, the final model was constructed, adopting a significance level of p ≤ 0.05. The prevalence of urinary tract infection was 22.5%. After adjustments, the odds of urinary incontinence referred to these variables: single, sedentary/irregularly active women, smokers, overweight, obese women with severe climacteric symptoms, having episiotomy and presenting ovarian cysts. It was concluded that the presence of modifiable factors were associated with urinary incontinence.

Download Full-text