Name: Samila Breder Emerich Mendes
Type: MSc dissertation
Publication date: 06/12/2019

Namesort descending Role
Luciane Bresciani Salaroli Advisor *

Examining board:

Namesort descending Role
Adauto Emmerich Oliveira Internal Alternate *
Edson Theodoro dos Santos Neto Internal Examiner *
Jose Geraldo Mill Co advisor *
Lorena Rocha Ayres External Examiner *
Luciane Bresciani Salaroli Advisor *
Nazare Souza Bissoli External Alternate *

Summary: Few studies evaluating the prevalence of medication use have been directed to rural
populations, which have peculiar characteristics from the point of view of collective
health, resulting in differences in access and use of medications. Given this scenario,
the objective of the study was to analyze the use of medications and their association
with sociodemographic, occupational, behavioral and self-rated health characteristics
in farmers. This is a cross-sectional epidemiological study in a random sample of 790
farmers from 18 to 59 years old, male and female, from Santa Maria de Jetibá, ES,
Brazil. Data were obtained by questionnaire during a visit to a Health Unit to collect
clinical and laboratory data provided for in the project. The listed drugs were grouped
according to the Anatomical Therapeutic Classification System (ATC) at levels 1 and
2. Descriptive analysis was performed with calculation of absolute and relative
frequencies. Associations between study variables and drug use were assessed by
the chi-square test. The variables that were associated with the outcome with a
significance level of 5% in the chi-square test were tested by binary logistic
regression. The prevalence of medication use was 44.2%, being lower in males
(30.3%) than in females (59.4%). The most commonly used drugs were those acting
on the cardiovascular and nervous systems and the drugs that act on the digestive
tract and metabolism. After adjusted analysis, medication use was associated with
female gender, age 18 to 59 years old and self-rated health as fair or poor. Being
female increased by 2,38 times the chance of reporting medication use, as well as
being in the age group of 40 to 59 years increased by 2,87 times the chance of
consuming medicines. In addition, self-rated health was inversely associated with
medication use, as the group that reported regular / poor health reported consuming
2,16 times more medications than the group that self-rated their health as very good
or good. It is concluded that the present study allowed us to verify the prevalence of
medication use in a poorly studied population with greater difficulty in accessing
health services, the rural population, being extremely important to subsidize policies
and allocation of resources in Public Health.

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