Self-care management practices for arterial hypertension and diabetes mellitus among elderly people in Campinas, Brazil, in three periods

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art_LEMOS_Selfcare_management_practices_for_arterial_hypertension_and_diabetes_2020.PDF (227.89 KB)
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article
Data de publicação
2020
DOI
Scopus
Web of Science
PubMed
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Editora
UNIVERSIDAD NACIONAL DE LANUS
Autores
LEMOS, Vivian Castro
BARROS, Marilisa Berti de Azevedo
CESAR, Chester Luiz Galvao
LIMA, Margareth Guimaraes
Citação
SALUD COLECTIVA, v.16, article ID e2407, 13p, 2020
Projetos de Pesquisa
Unidades Organizacionais
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Resumo
The objective of this study was to estimate the prevalence of self-care management practices - both with and without medication - in elderly hypertensive and diabetic patients in Campinas, Brazil, in three periods. Data from health surveys conducted in three periods 2001-2002, 2008-2009 and 2014-2015 were analyzed. The prevalence of hypertension, diabetes, the continuous use of medication, and all behavioral practices showed an overall increase in the period analyzed, with a significant drop in both the non-regular use of medications and routine doctor visits on the part of individuals without a private health plan. The results evidenced advances in diet-related practices among individuals without health plans as well as those who reported having healthcare coverage, highlighting improvements in drug treatment and physical activity. Adherence to medication and health behaviors for the management of morbidities was shown to be consistent in the period evaluated. These indicators reinforce the need to maintain and expand policies directed at health education and pharmaceutical assistance in the country.
El objetivo fue estimar la prevalencia de las prácticas autoreferidas para con-trolar la hipertensión y la diabetes, con y sin medicamentos, en adultos mayores de Campinas, Brasil, en tres períodos. Se analizaron los datos de las encuestas de salud rea-lizadas en tres períodos: 2001-2002, 2008-2009 y 2014-2015. La prevalencia de hiper-tensión, de diabetes, del uso de medicación continua y las prácticas comportamentales aumentaron durante el período analizado, con una caída significativa en el uso no regu-lar de medicamentos y las consultas médicas de rutina en individuos sin plan de salud privado. Los resultados evidenciaron avances en las prácticas relacionadas con la dieta en aquellas personas sin plan de salud y en quienes declararon contar con plan de salud, destacando mejoras en el tratamiento con medicamentos y la práctica de actividad física. La adherencia al uso de medicamentos y a prácticas comportamentales para controlar las morbilidades se mostró consistente en el período evaluado. Estos indicadores refuerzan la necesidad de mantener y ampliar las políticas dirigidas a la educación sanitaria y la asistencia farmacéutica en el país.
Palavras-chave
Treatment Adherence and Compliance, Aged, Hypertension, Diabetes Mellitus, Brazil, Cumplimiento y Adherencia al Tratamiento, Adulto Mayor, Hipertensión, Brasil
URI
https://observatorio.fm.usp.br/handle/OPI/42340
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MPR
Artigos e Materiais de Revistas Científicas - LIM/39
Artigos e Materiais de Revistas Científicas - ODS/03