scholarly journals Medication use by the elderly: analysis of prescribing, dispensing, and use in a medium-sized city in the state of São Paulo

2017 ◽  
Vol 20 (5) ◽  
pp. 679-690 ◽  
Author(s):  
Isabel Cristina Aparecida Stefano ◽  
Lucieni Oliveira Conterno ◽  
Carlos Rodrigues da Silva Filho ◽  
Maria José Sanches Marin
Keyword(s):  
Descriptive Analysis ◽  
Family Health ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Cross Sectional ◽  
Family Health Strategy ◽  
And Storage

Abstract Objective: To describe the prescribing, dispensing, use, adhesion, and storage of medicines to and by the elderly. Method: A descriptive cross-sectional study was performed in Estratégia Saúde da Família (Family Health Strategy) health centers (ESF), in Marília in the state of São Paulo, Brazil, based on the records of and interviews with 114 individuals seven to ten days after a medical consultation. A descriptive analysis was carried out. Results: The mean number of prescribed drugs was 4.98 per elderly patient. Of the total number of prescribed drugs, 81.5% were supplied by public services, with the nutrient (50%); antilipemic (62.1%); analgesic (30.7%); dermo-protector (66.6%); herbal (40%) and parasite and antifungal (37.5%) classes dispensed the least. A total of 83.8% of the prescribed drugs were used, while the drugs dispensed at the lowest rates were not used by the elderly, except for analgesics. A total of 40.3% of the respondents exhibited low adherence. Most stored their medicines in a suitable place. Conclusion: The prescribing, dispensing, use and storage of medications to and by the elderly can be considered effective, but adherence remains low, requiring new strategies and interventions.

scholarly journals Cerebrovascular diseases mortality in the elderly in the state of São Paulo

2021 ◽  
Author(s):  
Isaac Rêgo Purificação ◽  
Allêh Kauãn Santos Nogueira ◽  
Matheus Araújo de Souza ◽  
Camila de Almeida Costa Alencar ◽  
Sancha Mohana Brito Goes Rios
Keyword(s):  
Age Groups ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cerebrovascular Diseases ◽  
Sao Paulo ◽  
Primary Objective ◽  
The State ◽  
São Paulo ◽  
Cross Sectional ◽  
Lack Of Information

Background: Cerebrovascular disease (CVD) is the world 2nd death cause and the main cause of disability. Nevertheless, there is a lack of information regarding the mortality profile for this etiology in the last decade. Objective and Methods: Using prospectively collected data available in TabNet (DataSUS) platform, a descriptive and cross-sectional study was conducted. The primary objective is to access the demographic information most associated with DCV mortality in individuals older than 50 years-old, in São Paulo (SP), from 2010 to 2019. Results: The highest mortality in the state of SP was in 2019 (16,945 deaths), according to the growing trend; in the 2010-2019 period, the annual mean by city of deaths (± standard deviation [SD]) was 14,885 (± 1,341). During these years, the number of deaths was higher in the municipality of São Paulo (57,013; 31%). The annual mean deaths (± SD) in the capital and in the interior cities were, respectively: 4,684 (± 269) and 31 (± 58). The age groups from 70 to 79 years and over 80 years were the most affected. Caucasian race represents 71% of deaths. Individuals with 1 to 3 years of school were more affected (38%). The ratio of male deaths to female deaths was 1.02. Conclusion: In the last decade, there was an increasing mortality by CVD among the elderly population, and the city of São Paulo leads the number of cases.

scholarly journals Cerebrovascular diseases mortality in young adults in the state of São Paulo

2021 ◽  
Author(s):  
Isaac Rêgo Purificação ◽  
Allêh Kauãn Santos Nogueira ◽  
Matheus Araújo de Souza ◽  
João Vitor Lopes Lima ◽  
Douglas Mateus Pereira Jorge ◽  
...  
Keyword(s):  
Young Adults ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cerebrovascular Diseases ◽  
Sao Paulo ◽  
Primary Objective ◽  
The State ◽  
São Paulo ◽  
Cross Sectional ◽  
Epidemiological Profile

Background: The incidence of Cerebrovascular Diseases (CVD) increases significantly with age, being more frequent in the elderly. For this reason, there are still few studies that describe the epidemiological profile of these pathologies in youn g adults. Methods and Objective: From the data collected prospectively and allocated on the TabNet platform (DataSUS, MS), an observational, descriptive and cross-sectional study was carried out. As a primary objective, we seek to describe the demographic information most associated with CVD mortality in individuals between 20 and 49 years old, in São Paulo. Results: The year 2011 emerged in relation to mortality, with 1,432 deaths; in the 2010- 2019 period, the average number of deaths (± standard deviation [SD]) was 1,318 (± 61), per year. In this period, the number of deaths was higher in the capital (4,605; 34.9% of the total in the state). The mean deaths (± SD), per year, in the capital and in the interior cities were, respectively: 442 (± 58) and 2.4 (± 6.2). People with schooling from 4 to 7 years old and from 8 to 11 years old were the most affected. The ratio of male deaths to female deaths was 1.05. Conclusion: There is relative stability in relation to mortality per year among young adults in the state of SP, the capital being the city with the highest number of deaths. Male individuals, with a medium level of education were responsible for most of the deaths.

The Prevalence of Headache Among Elderly in a Low-Income Area of São Paulo, Brazil

Cephalalgia ◽  
2008 ◽  
Vol 28 (4) ◽  
pp. 329-333 ◽  
Author(s):  
IM Benseñor ◽  
PA Lotufo ◽  
AC Goulart ◽  
PR Menezes ◽  
M Scazufca
Keyword(s):  
Low Income ◽  
International Headache Society ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
Tension Type Headache ◽  
São Paulo ◽  
Cross Sectional ◽  
Migraine Headaches ◽  
Type Headache

There are scarce data about headache prevalence and its characteristics among elderly people. The aim was to carry out a cross-sectional study to determine the 1-year prevalence of tension-type and migraine headaches in people >65 years old in the city of São Paulo, Brazil. All 1615 people living in the study catchment area who agreed to participate in the study answered a questionnaire based in the International Headache Society criteria. Prevalence (mean and 95% confidence interval) of any type of headache in the last year was 45.6% (43.2, 48.0). Prevalence of tension-type headache in the last year was 33.1% (30.8, 35.4): 28.1% (24.6, 31.6) for men and 36.4% (33.4, 39.4) for women; for migraine headaches, prevalence in the last year was 10.6% (9.1, 12.1): 5.1% (3.4, 6.8) for men and 14.1% (11.9, 16.3) for women. One-year prevalence rates of headaches, and especially of migraine headaches, are very high among the elderly in Brazil.

Arterial hypertension in the elderly people in the field of health attention

2011 ◽  
Vol 5 (2) ◽  
pp. 174
Author(s):  
Dyego Anderson Alves de Farias ◽  
Priscilla Medeiros Neves ◽  
Geraldo Eduardo Guedes de Brito
Keyword(s):  
Arterial Hypertension ◽  
Family Health ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Age Group ◽  
Cross Sectional ◽  
Primary Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ABSTRACTObjective: to draw the profile of the hypertensive elderly registered/accompanied in the field of basic health attention. Method: cross sectional study of descriptive characteristic, in which users who were 60 years old or more and who were in the Family Health Strategy program between 2000 and 2009 were analyzed through the HIPERDIA system of João Pessoa-PB city. Data referring to number of hypertensive patients registered in that period and association of hypertension with smoking, sedentary habits and overweigh, classified by sex and age group,  were used. Results: files of 7,156 hypertensive elderly registered/accompanied by HIPERDIA by sex and age group were found, with prevalence of arterial hypertension of 8 % in the period of study. Among these users, 68,4% are female and the age group from 60 to 64 presented the greatest number of hypertensive when both sexes are added (23.6%).  In relation to the presence of associated factors, 49% presented overweigh, 51% had sedentary habits and 15.9% smoked. Conclusion: the hypertensive elderly of João Pessoa showed characteristics which are similar to the other regions of the country. It is necessary to promote and implement public policies towards this population with emphasis on prevention and valorization of the services of Basic Attention. Descriptors: Aged; Hypertension; Primary health careRESUMOObjetivo: traçar o perfil dos idosos hipertensos cadastrados/acompanhados no âmbito da atenção básica de saúde. Método: estudo transversal de cunho descritivo, em que se analisaram por meio do sistema HIPERDIA da cidade de João Pessoa-PB os usuários 60 anos ou mais adscritos a Estratégia de Saúde da Família, entre os anos de 2000 a 2009. Utilizaram-se os dados já tabulados: número de hipertensos cadastrados no período e associação da hipertensão com tabagismo, sedentarismo e sobrepeso estratificados por sexo e faixa etária. Resultados: foram encontrados registros de 7156 idosos hipertensos cadastrados/ acompanhados pelo HIPERDIA por sexo e faixa etária, com prevalência de hipertensão arterial de 8% no período estudado. Destes usuários, 68,4% são do sexo feminino e a faixa etária de 60 a 64 anos apresentou o maior número de hipertensos somado ambos os sexos (23,6%). Quanto à presença de fatores associados, 49% apresentaram sobrepeso, 51% eram sedentários e 15,9% tabagistas. Conclusão: os hipertensos mostraram características semelhantes às demais regiões do país. Faz-se necessário incentivar e implementar políticas públicas voltadas a essa população, enfatizando a prevenção e valorizando os serviços de Atenção Básica. Descritores: Idoso; Hipertensão; Atenção básica; RESUMENObjetivo: trazar el perfil de los ancianos hipertensos registrados/acompañados en el ámbito de la atención básica de salud. Método: estudio transversal de cuño descriptivo, en el que fueron analizados por medio del sistema HIPERDIA de la ciudad de João Pessoa – PB los usuarios de 60 o más años inscritos en la Estrategia de Salud de la familia, entre el año 2000 y el 2009. Fueron utilizados los datos ya procesados: número de hipertensos registrados en el periodo y asociación de la hipertensión con tabaquismo, sedentarismo y obesidad estratificados por sexo y faja etaria. Resultados: fueron encontrados registros de 7156 ancianos hipertensos registrados/acompañados por el HIPERDIA por sexo y faja etaria, con prevalencia de hipertensión arterial de 8% en el periodo estudiado. De estos usuarios el 68,4% son del sexo femenino y los de la faja etaria entre 60 y 64 años presentaron un número mayor de hipertensos de ambos sexos (23,6%). En relación a la presencia de factores asociados el 49% presentaron obesidad, el 51% eran sedentarios y el 15,9% fumadores. Conclusión: los hipertensos mostraron características semejantes a las demás regiones del país. Se hace necesario incentivar e implementar políticas públicas orientadas a dicha población, enfatizando la prevención y dando más valor a los servicios de Atención Básica. Descriptores: Anciano; Hipertensión; Atención primaria de salud.  

scholarly journals A cross-sectional study of swine influenza in intensive and extensive farms in the northeastern region of the state of São Paulo, Brazil

2016 ◽  
Vol 49 (1) ◽  
pp. 25-30 ◽  
Author(s):  
Henrique Meiroz de Souza Almeida ◽  
Gabriel Yuri Storino ◽  
Daniele Araújo Pereira ◽  
Igor Renan Honorato Gatto ◽  
Luis Antonio Mathias ◽  
...  
Keyword(s):  
Swine Influenza ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Sectional Study ◽  
Cross Sectional ◽  
Northeastern Region

scholarly journals Patterns of alcohol use in an elderly sample enrolled in the Family Health Strategy program in the city of Porto Alegre, Brazil

2016 ◽  
Vol 21 (1) ◽  
pp. 27-35 ◽  
Author(s):  
Bruno Luiz Guidolin ◽  
Irênio Gomes da Silva Filho ◽  
Eduardo Lopes Nogueira ◽  
Francisco Pascoal Ribeiro Junior ◽  
Alfredo Cataldo Neto
Keyword(s):  
Alcohol Use ◽  
Family Health ◽  
Prevalence Ratio ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Porto Alegre ◽  
Cross Sectional ◽  
Family Health Strategy ◽  
History Of ◽  
The City

Abstract This article aims to determine the pattern of alcohol use in the elderly and its associations with sociodemographic characteristics in an elderly sample of patients from the city of Porto Alegre, Rio Grande do Sul, Brazil. A cross-sectional study was conducted involving 557 seniors, aged 60 years or more, through application of the Mini International Neuropsychiatric Interview and a global assessment questionnaire for the elderly. The majority of the 557 senior citizens did not complete elementary school (58.3%), were white (65.1%), married (37.6%), had no caregiver (62.2%), were catholic (65.5%) and practicing their religion (68.6%), were retired (67.7%), and had a personal income of up to one minimum salary (56.1%). The study revealed 67 (12%) elderly people with a history of alcoholism, of which 17 (3.1%) had a diagnosis of current alcoholism, 50 (9%) had a history of alcohol dependence in the past and 16 (2.9%) had a current alcohol abuse problem. Men had a prevalence ratio of 11.6 times for a history of alcoholism in comparison to women. The results confirm that alcoholism is frequent in the population of Brazilian elderly, drawing attention to some socio-demographic characteristics that can make a difference in the early diagnosis of alcoholism.

scholarly journals Functional capacity and family dysfunction of the elderly in the family health strategy program in Ceará, Brazil: a cross-sectional study

2020 ◽  
Vol 44 ◽  
pp. e1762019
Author(s):  
Alyne Andrade Silva ◽  
Glauciano de Oliveira Ferreira ◽  
Janiel Ferreira Felício ◽  
Francisca Valúzia Guedes Guerra ◽  
Edmara Chaves Costa ◽  
...  
Keyword(s):  
Functional Capacity ◽  
Family Health ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Family Dysfunction ◽  
Sectional Study ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

scholarly journals Hypertensive elderly people: assessing the quality of life

2019 ◽  
Vol 41 ◽  
pp. e44652
Author(s):  
Larissa Cristina Rodrigues Alencar ◽  
Ana Hélia de Lima Sardinha
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Elderly Women ◽  
Family Health ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Catholic Religion ◽  
Family Health Strategy

The objective of the present study was to evaluate the quality of life in hypertensive elderly people assisted in the Family Health Strategy. This is a descriptive, exploratory, cross-sectional study, with quantitative approach. The participants were 544 hypertensive elderly patients. The instruments used for data collection were the sociodemographic form and the WHOQOL-BREF. Regarding the socioeconomic and demographic characteristics of the elderly participants of this study, there was prevalence of elderly women, aged 60-69 years, self-reported white, catholic religion, illiterates, coming from municipalities in the countryside of the state, married/stable union, retired, income of one minimum wage, with children, non-smokers, non-alcohol consumers. Regarding the quality of life, the highest score was obtained in the Social Relationships Domain, followed by the Psychological Domain, Physical Domain and lower score in the Environmental Domain. The results show that the elderly participants presented a good quality of life and, although they have high blood pressure levels, they seek to live as best as possible.

scholarly journals Vigilância e estímulo do crescimento e desenvolvimento infantil

2019 ◽  
Vol 13 (3) ◽  
pp. 680
Author(s):  
Natália Dos Santos Souza ◽  
Lilian Paula Da Silva Pereira ◽  
Suéllen Valderly Silva ◽  
Weslla Karla Albuquerque Silva de Paula
Keyword(s):  
Growth And Development ◽  
Descriptive Analysis ◽  
Family Health ◽  
Cross Sectional Study ◽  
Child Growth ◽  
The Body ◽  
Cross Sectional ◽  
Basic Care ◽  
Health Strategy ◽  
Family Health Strategy

RESUMOObjetivo: avaliar as ações de vigilância e estímulo, ao crescimento e desenvolvimento da criança. Método: trata-se de um estudo quantitativo, transversal, realizado em 40 unidades da Estratégia Saúde da Família. Realizou-se a coleta de dados e fez-se a análise descritiva com o auxílio do software Epi Info 7. Avaliou-se o grau de conformidade das dimensões estrutura e processo segundo uma matriz de julgamento, e apresentaram-se os resultados em forma de tabela. Resultados: percebeu-se elevada frequência de registro das informações referentes ao crescimento na Caderneta de Saúde da Criança, com exceção daquelas pertinentes ao Índice de Massa Corporal (13,5%); 72,7% destas não continham dados sobre os marcos do desenvolvimento. Classificou-se a dimensão estrutura como não adequada, ao demonstrar um grau de conformidade de apenas 64%, semelhante à dimensão processo, na qual 86% das ações estavam implementadas. Conclusão: observaram-se fragilidades no seguimento das ações de estímulo e vigilância do crescimento e desenvolvimento infantil, denotando que incentivos para a melhoria dos serviços precisam ser realizados. Espera-se que estas informações possam servir para o planejamento e a organização dos serviços de atenção básica. Descritores: Crescimento; Desenvolvimento Infantil; Promoção da Saúde; Atenção Básica; Estratégia de Saúde da Família; Avaliação de Serviços de Saúde.ABSTRACT Objective: to evaluate the actions of surveillance and stimulation, to the growth and development of the child. Method: this is a quantitative, cross-sectional study conducted in 40 units of the Family Health Strategy. The data was collected and the descriptive analysis was carried out with the help of Epi Info 7 software. The degree of conformity of the structure and process dimensions was evaluated according to a judgment matrix, and the results were presented in the form of table. Results: it was noticed a high frequency of registration of information regarding growth in the Child Health Handbook, except for those related to the Body Mass Index (13.5%); 72.7% of them did not contain data on developmental milestones. The structure dimension was classified as not adequate, demonstrating a compliance degree of only 64%, similar to the process dimension, in which 86% of actions were implemented. Conclusion: fragilities were observed following the actions of stimulation and monitoring of child growth and development, denoting that incentives to improve services need to be realized. It is hoped that this information can be used to plan and organize basic care services. Descriptors: Growth; Child development; Health promotion; Basic Attention; Family Health Strategy; Evaluation of Health Services.RESUMEN Objetivo: evaluar las acciones de vigilancia y estímulo, al crecimiento y desarrollo del niño. Método: se trata de un estudio cuantitativo, transversal, realizado en 40 unidades de la Estrategia Salud de la Familia. Se realizó la recolección de datos y se hizo el análisis descriptivo con la ayuda del software Epi Info 7. Se evaluó el grado de conformidad de las dimensiones estructura y proceso según una matriz de juicio, y se presentaron los resultados en forma de tabla. Resultados: se percibió una elevada frecuencia de registro de las informaciones referentes al crecimiento en el Cuaderno de Salud del Niño, con excepción de aquellas pertinentes al Índice de Masa Corporal (13,5%); El 72,7% de ellas no contenían datos sobre los marcos del desarrollo.  Se clasificó la dimensión estructura como no adecuada, al demostrar un grado de conformidad de apenas 64%, semejante a la dimensión proceso, en la cual el 86% de las acciones estaban implementadas. Conclusión: se observaron fragilidades en el seguimiento de las acciones de estímulo y vigilancia del crecimiento y desarrollo infantil, denotando que incentivos para la mejora de los servicios necesitan ser realizados. Se espera que estas informaciones puedan servir para la planificación y la organización de los servicios de atención básica. Descritores: Crecimiento; Desarrollo Infantil; Promoción de la Salud; Atención Primaria de Salud; Estrategia de Salud Familiar; Investigación em Servicios de Salud.

scholarly journals Demographic and cardiovascular risk factors associated with drug use in truck drivers in the state of São Paulo: A cross-sectional study.

2020 ◽  
Author(s):  
Mariana Moura Pereira ◽  
Antonio Padua Mansur ◽  
Julio Yoshio Takada ◽  
Vilma Leyton
Keyword(s):  
Risk Factors ◽  
Alcohol Consumption ◽  
Illicit Drugs ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
The State ◽  
Truck Drivers ◽  
São Paulo ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background: The irregular routine of truck drivers favors the development of chronic noncommunicable diseases (NCDs), especially cardiovascular diseases (CVDs), which can be exacerbated by the use of illicit drugs. Methods: A cross-sectional study was carried out with data from 2,071 truck drivers who traveled through the state of São Paulo between 2010 and 2016. Socioeconomic and occupational variables, risk factors for CVD, use of illicit drugs were analyzed. Clinical and toxicological tests were also carried out. Results: The average age of the truck drivers was 42.27 ± 11.07 years, and the use of illicit drugs, at least once while working, was reported or detected in 388 (18.7%) drivers. Compared to non-users, drug users were younger (37.25 ± 9.45 vs. 43.43 ± 11.1 years; p <0.001) and single (43.3% vs. 28.4%; p <0.001). The independent variables age [OR = 0.93 (95% CI: 0.91 - 0.95; p<0.001)], smoking [OR = 2.18 (95% CI: 1.39 - 3.44; p = 0.001)], alcohol consumption [OR = 1.626 (95% CI: 1.06 - 2.49; p = 0.026)] and hours of driving per day [OR = 1.08 (95% CI: 1.01 - 1.15; p = 0.012)] were also associated with the use of illicit drugs. Conclusion: The use of illicit drugs was higher in young and single drivers and was associated with a higher prevalence of smoking, alcohol consumption and more driving hours, which are risk factors for NCDs, CVD and traffic accidents.

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