[巴西人口获得治疗全身动脉高血压和 2 型糖尿病药物的情况:2019 年巴西全国健康调查数据]。

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Cadernos de saude publica Pub Date : 2024-09-16 eCollection Date: 2024-01-01 DOI:10.1590/0102-311XPT241022
Adriana Amorim de Farias Leal, Maria Helena Rodrigues Galvão, Ângelo Giuseppe Roncalli
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引用次数: 0

摘要

本研究旨在根据 2019 年巴西全国健康调查(PNS,葡萄牙语首字母缩写)的数据,按照获取方式衡量巴西治疗系统性动脉高血压和 2 型糖尿病药物的获取情况,并分析与获取情况相关的因素。我们分析了社会经济数据和 15 岁及以上人群使用药物的相关数据,以及通过巴西大众药房计划(PFPB,葡萄牙语缩写)和公共服务获取药物的相关数据。大多数参加大众药房计划的巴西人都表示在过去 15 天内使用过控制高血压的药物(91.5%),并使用过治疗糖尿病的口服药物(95.2%)和/或胰岛素(70%)。大多数参与者都是通过私人诊所获得高血压和 2 型糖尿病口服药物的(分别为 45.2% 和 53.6%),而对获得药物产生最不利影响的因素是年龄较大、收入较低、受教育程度较低、自评健康状况极差以及没有私人医疗保险。另一方面,获得胰岛素的最常见途径是公共卫生服务(69.7%),对获得胰岛素最不利的影响因素是黑人/混血肤色、收入较低、自评健康状况极差和没有私人医疗保险。总的来说,考虑到降压药和抗糖尿病药的免费供应,巴西公共卫生服务局作为一项增加基本药物获取的政策,其重要性得到了强调。
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[Access to medicines for the treatment of systemic arterial hypertension and type 2 diabetes mellitus in the Brazilian population: data from the 2019 Brazilian National Health Survey].

This study aimed to measure access to medicines for the treatment of systemic arterial hypertension and type 2 diabetes mellitus in Brazil according to the mode of acquisition, as well as to analyze the factors associated with this access, based on data from the 2019 Brazilian National Survey of Health (PNS, acronym in Portuguese). Socioeconomic data and data related to the use of medicines by people aged 15 and over were analyzed in relation to access via the Brazilian Popular Pharmacy Program (PFPB, acronym in Portuguese) and via public services. The majority of Brazilians who took part in the PNS reported using medication to control hypertension in the previous 15 days (91.5%) and using oral medication for diabetes (95.2%) and/or insulin (70%). Most participants obtained oral medication for hypertension and type 2 diabetes mellitus via PFPB (45.2% and 53.6%, respectively), and the factors that most negatively influenced this access were older age, lower income, lower schooling, very poor self-rated health and not having private health insurance. Access to insulin, on the other hand, was most often via the public health service (69.7%), and the factors that most negatively influenced this access were black/mixed-race skin color, lower income, very poor self-rated health and not having private health insurance. Generally, the importance of the PFPB as a policy to increase access to essential medicines in Brazil was highlighted, considering the free supply of antihypertensive and antidiabetic drugs.

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来源期刊
Cadernos de saude publica
Cadernos de saude publica 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.30
自引率
7.10%
发文量
356
审稿时长
3-6 weeks
期刊介绍: Cadernos de Saúde Pública/Reports in Public Health (CSP) is a monthly journal published by the Sergio Arouca National School of Public Health, Oswaldo Cruz Foundation (ENSP/FIOCRUZ). The journal is devoted to the publication of scientific articles focusing on the production of knowledge in Public Health. CSP also aims to foster critical reflection and debate on current themes related to public policies and factors that impact populations'' living conditions and health care. All articles submitted to CSP are judiciously evaluated by the Editorial Board, composed of the Editors-in-Chief and Associate Editors, respecting the diversity of approaches, objects, and methods of the different disciplines characterizing the field of Public Health. Originality, relevance, and methodological rigor are the principal characteristics considered in the editorial evaluation. The article evaluation system practiced by CSP consists of two stages.
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