Abstract
Numerous countries have witnessed increasing misuse of benzodiazepines. This cross-sectional study assessed the factors associated with prescription of benzodiazepines for users of the Municipal Health Service in Colonel Fabriciano, Minas Gerais State, Brazil. Data were collected from official records on drug prescription (n = 1,866) from September to October 2006. Bivariate and multivariate analyses using Poisson regression were performed. Prolonged benzodiazepine use was independently associated with benzodiazepine type and patient participation in health programs. Concomitant use of other psychoactive drugs was independently associated with age and participation in health programs. Type of benzodiazepine (clonazepam or diazepam) was independently associated with age and gender, as well as with participation in health programs. Factors associated with benzodiazepine prescription show the problem's extent and should be considered in planning interventions to rationalize the use of these drugs in Brazil, particularly through health program planning.
Highlights
A partir da segunda metade do século XX, iniciou-se na medicina uma revolução tecnológica, incorporando recursos diagnósticos e terapêuticos que mudaram a abordagem das doenças
Numerous countries have witnessed increasing misuse of benzodiazepines. This cross-sectional study assessed the factors associated with prescription of benzodiazepines for users of the Municipal Health Service in Colonel Fabriciano, Minas Gerais State, Brazil
Prolonged benzodiazepine use was independently associated with benzodiazepine type and patient participation in health programs
Summary
O Município de Coronel Fabriciano, localizado na região leste do Estado de Minas Gerais, apresenta população de 102.588 habitantes. Foram coletados os seguintes dados: tipo de benzodiazepínico utilizado (Diazepam 10mg, Clonazepam 2mg e Clonazepam 2,5mg/ mL); gênero do usuário; idade em anos; inserção no mercado de trabalho, duração de tratamento contínuo com o benzodiazepínicos (meses), cadastro em programas municipais de saúde de hipertensão e diabetes; uso de outros medicamentos psicotrópicos juntamente com o benzodiazepínico. A análise bivariada foi efetuada com o objetivo de identificar fatores associados ao tempo de tratamento, a prescrição do Diazepam e ao uso do benzodiazepínico concomitante com outros psicotrópicos. O uso prolongado de benzodiazepínico teve prevalência maior entre os usuários do Diazepam quando comparado ao Clonazepam, entre os pacientes cadastrados nos programas coletivos de saúde e entre os indivíduos com 60 anos ou mais. Distribuição de frequência das variáveis gênero, faixa etária, cadastro em programas municipais de saúde e uso de outros psicotrópicos de usuários de benzodiazepínicos. Serviço Municipal de Saúde, Coronel Fabriciano, Minas Gerais, Brasil, 2006
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