ABSTRACT
OBJECTIVES: To analyze the use and acquisition of medicines in São Paulo, Brazil, in 2003 and 2015, according to sociodemographic factors, socioeconomic status, and health conditions of the population. METHODS: Data were obtained from population health surveys "ISA-Capital". Descriptive analysis, bivariate analysis, and logistic regression models were used to evaluate the use of medicines and coverage by the Brazilian Unified Health System (SUS) according to socioeconomic status and health conditions in two periods: 2003 and 2015. RESULTS: From 2003 to 2015, the surveys showed an increase in the income and education level of the study population. There was no increase in the prevalence of chronic diseases and use of medicines from 2003 to 2015. The provision of medicines by SUS was higher in 2015 than in 2003, and the coverage by SUS was higher in the population with lower education level and income in both 2003 and 2015. CONCLUSIONS: The use of medicines, mainly for chronic disease control, did not change over the years, and there was an increase in SUS coverage for medicines during 2003-2015 in all population groups, with a greater impact on the lower socioeconomic status population. The programs of the provision of medicines implanted since 2003 had influenced the greater SUS coverage for medicines and in the reduction of inequalities in access to medicines.
Subject(s)
Humans , Delivery of Health Care , Socioeconomic Factors , Brazil , Chronic Disease , Prevalence , Cross-Sectional StudiesABSTRACT
ABSTRACT BACKGROUND AND OBJECTIVES: Back pain is one of the most common pain in humans. It impacts the health and quality of life and can be disabling. Diseases detected in adolescence and poorly managed may get worse in adulthood. The objective of this study is to estimate the prevalence, the associated factors and the characteristics of back pain in adolescents living in the city of São Paulo. METHODS: A cross-sectional population-based study - Health Survey in São Paulo (2015) with 539 adolescents of both genders between 15 and 19 years old was used. The information was collected through home interviews and the participants were selected by probabilistic sampling. Frequencies, Chi-square test, and logistic regression analysis were used in this analysis. The level of significance was 5%. RESULTS: The estimated prevalence of back pain in adolescents in the city of São Paulo was 22.4%. Back pain in adolescents had the following associated factors: dizziness (OR 3.1), common mental disorder (OR 2.4), insomnia (OR 2.6) and perform household chores (OR 1.8). To relieve the pain, 46.6% of adolescents do nothing, 17.3% use self-medication and 8.9% use prescribed medication. CONCLUSION: Acknowledging back pain as a public health problem requires strategies that allow us to learn the origins, associated factors and coping strategies that may influence new ways of prioritizing and organizing healthcare.
RESUMO JUSTIFICATIVA E OBJETIVOS: Dor nas costas é uma das dores mais comuns do ser humano. Afeta a saúde e a qualidade de vida, podendo ser incapacitante. Doenças detectadas na adolescência e mal manejadas podem se agravar na vida adulta. O objetivo deste estudo foi estimar a prevalência, fatores associados e características de dor nas costas em adolescentes da cidade de São Paulo. MÉTODOS: Estudo transversal de base populacional - Inquérito de Saúde da Capital 2015, com 539 adolescentes de ambos os sexos e entre 15 e 19 anos. As informações foram coletadas por meio de entrevistas domiciliares e os participantes foram selecionados a partir de amostragem probabilística. Frequências, teste do Qui-quadrado e análise de regressão logística foram utilizados na análise. O nível de significância adotado foi 5%. RESULTADOS: A prevalência estimada de dor nas costas em adolescentes da cidade de São Paulo foi de 22,4%. Dor nas costas em adolescentes apresentou fatores associados com: tontura (OR 3,1), transtorno mental comum (OR 2,4), insônia (OR 2,6) e realizar atividades físicas domésticas (OR 1,8). Na busca por alívio da dor, 46,6% dos adolescentes não fazem nada, 17,3% buscam automedicação e 8,9% usam fármaco prescrito. CONCLUSÃO: Entender a dor nas costas como um problema de saúde pública obriga a pensar em estratégias que permitam compreender origens, fatores associados e estratégias de enfrentamento que podem influenciar novas formas de priorizar e organizar a atenção à saúde.