Low Level Of Schooling Research Articles

Local reports of climate change impacts in Sierra Nevada, Spain: sociodemographic and geographical patterns

While we know that climate change is having different impacts on various ecosystems and regions of the world, we know less how the perception of such impacts varies within a population. In this study, we examine patterns of individual variation in climate change impacts reports using data from a sample (n = 238) drawn from 33 mountainous municipalities of Sierra Nevada, Spain. Sierra Nevada inhabitants report multiple climate change impacts, being the most frequently reported changes in snowfall and snow cover, abundance of terrestrial fauna, freshwater availability, and extreme temperatures. Reports of climate change impacts vary according to informants’ sociodemographic characteristics and geographical location. People with life-long bonds with the environment and higher connection and dependence upon ecosystem services report more climate change impacts than other informants, as do people with lower level of schooling. We also found that reports of climate change impacts vary according to geographic areas, which reinforces the idea that climate change generates differentiated impacts even at small geographical scales. Understanding intracultural variation in reports of climate change impacts not only gives an enriched picture of the human dimensions of climate change but might also help design more targeted mitigation and adaptation responses.

The Unequal Impact of the COVID-19 Pandemic on Infant Health.

The COVID-19 pandemic has taken a large toll on population health and well-being. We examine the consequences of prenatal exposure for infant health, through which the pandemic may have lasting intergenerational effects. We examine multiple pathways by which the pandemic shaped birth outcomes and socioeconomic disparities in these consequences. Analysis of more than 3.5 million birth records in California with universal information on COVID infection among persons giving birth at the time of delivery reveals deep inequalities in infection by education, race/ethnicity, and place-based socioeconomic disadvantage. COVID infection during pregnancy, in turn, predicts a large increase in the probability of preterm birth, by approximately one third. At the population level, a surprising reduction in preterm births during the first months of the pandemic was followed by an increase in preterm births during the surge in COVID infections in the winter of 2021. Whereas the early-pandemic reduction in preterm births benefited primarily highly educated mothers, the increase in preterm births during the winter infection surge was entirely concentrated among mothers with low levels of schooling. The COVID-19 pandemic is expected to exacerbate U.S. inequality in multiple ways. Our findings highlight a particularly enduring pathway: the long-term legacy of prenatal exposure to an unequal pandemic environment.

A Quantitative Study on the Ethnobotanical Knowledge about Wild Edible Plants among the Population of Messiwa.

The preservation of traditional knowledge of wild edible plants (WEPs) is one of the challenges to the sustainability of natural resources. Therefore, it is crucial to assess the traditional knowledge of WEPs in relation to some socio-demographic and economic factors. The survey was conducted among the Messiwapopulationthrough a semi-structured questionnaire. The first part of the questionnaire concerns socio-demographic and economic information, while the second part concerns the plants recognized and used by the informant. The recognition frequency (RF), the use frequency (UF), the general consumption frequency(CF), the recent consumption frequency (RCF), and the correlation between these frequencies were evaluated. A comparison of means was also used to compare informant's knowledge according to their socio-demographic and economic status. The three species;Foeniculum vulgare, Ziziphus lotus, and Malva sylvestris were the most recognized (FR = 1) and the most used (FU = 1). The consumption frequency (CF) and the recent consumption frequency (RCF) for Foeniculum vulgare were 1 and 0.9, respectively. Taraxacum getulum, Calendula arvensis and Cyperus rotundus were the least recognized (FR= 0.16; 0.16; 0.48) and least used (FU = 0.3; 0.3; 0.4) species, respectively. The informants who showed a high level of traditional knowledge on WEPs were housewives, with a low level of schooling and at least 45 years old. Despite the decline in traditional knowledge about wild edible plants, some populations preserve this knowledge, especially among the elderly. Therefore, documentation of this knowledge is necessary through ethnobotanical and ethnomedicinal studies.

The effect of education on homeownership: Evidence from 20th century school attendance laws in the United States

AbstractThis article examines the causal impact of schooling on the probability of homeownership using decennial US Census data between 1960 and 2000. This is done by employing an instrumental variable approach that exploits historical changes in state mandatory schooling and child labour laws which affected the educational attainment of individuals with relatively low levels of schooling. Aggregate results suggest that policy‐induced increases in schooling at the bottom of the educational distribution have a positive impact on homeownership rates of 1.9 percentage points. Disaggregated results reveal that the impact of education is highest among individuals who are located in the middle and top terciles of the income distribution with no effect of additional education in the lowest tercile. These results add to the growing body of literature which suggests that education may lead to positive outcomes beyond labour market earnings.

Feasibility of telemedicine for patients with parkinsonism in the Brazilian public health system.

Telemedicine for patients with parkinsonism is feasible, cost-effective and satisfactory. However, the feasibility of this modality of care for this subpopulation is not known in real-life scenarios of developing countries like Brazil. To evaluate the feasibility of telemedicine for patients with parkinsonism in a developing country. A cross-sectional study with patients with parkinsonism treated in the Brazilian public healthcare system. We included 130 patients, who were contacted by telephone; those who could be reached underwent a structured interview for data collection. The primary outcomes were the feasibility of teleconsultations and video consultations, but we also performed a logistic regression regarding the feasibility of a video consultation and associated factors. Telemedicine was feasible and accepted by 69 (53.08%) patients regarding teleconsultations and by 50 (38.5%) patients regarding video consultations. Teleconsultations were feasible for 80.2%, and video consultations were feasible for 58.1% of the patients reachable through telephone calls. Having a higher family income was positively correlated with the feasibility for a video consultation while a negative association was observed regarding being married or in a stable union and having a low level of schooling. A significant proportion of patients with parkinsonism in a developing country are unreachable, unwilling, or unable to participate in telemedicine. Among the reachable patients, feasibility is higher but still lower than what is reported in studies in developed countries. Family income, level of schooling, and marital status were associated with the feasibility of video consultations.

Young people’s job-search strategies in the German apprenticeship market: Who relies on referrals by strong ties and why?

Social capital is often regarded as an important resource when searching for a job. However, unlike in the general labor market, in youth labor markets, leveraging network contacts does not necessarily enhance young people’s chances compared to formal job-search methods. Who then uses referrals by strong ties to support their school-to-work transitions? Drawing on the German National Educational Panel Study, we focus on noncollege-bound students searching for apprenticeship places. We investigate whether parental referrals are more likely to be used as a compensation strategy for limited opportunities due to regional conditions and lower levels of schooling and whether this search strategy entails a trade-off in terms of higher dropout risks. Our results indicate that in regions with poor regional labor market conditions, young people use parental referrals more often and also increasingly find apprenticeship places via referrals. Moreover, using referrals does not result in higher dropout risks. Lower-educated school leavers are also more likely to use referrals but they do not benefit from this search channel more than higher-educated youth. We conclude that social contacts can at least partly compensate for poor opportunities due to regional market conditions.

Relação entre a coordenação motora e a função executiva em adultos e idosos

ABSTRACT Brazilian older adults present a relatively low schooling level when compared with other populations. In clinical practice, defining if more subtle alterations observed in executive function (EF) and motor coordination tests in older adults are due to an initial neurological condition or low schooling level is difficult. This study aimed to evaluate the possible differences in motor coordination and EF between adults and older adults with high and low schooling level as well as the possible correlations between motor coordination and EF in this sample. A total of 75 healthy individuals (aged from 30 to 89 years) were evaluated. EF was assessed by the trail making test (TMT) whereas motor coordination was assessed by the upper limb diadochokinetic test, which is the rapid alternation between supination and pronation of the forearms (right, left, both performing in-phase movements, and both performing anti-phase movements). Analysis of variance showed that age and schooling level possibly influenced EF and motor coordination. Possible relationships between EF and diadochokinesis were calculated by Pearson’s correlation. Older adults with low schooling level were significantly slower on the TMT part B (cognitive and motor) and delta TMT (cognitive). All groups were slower performing the anti-phase movement, especially those with low schooling level. Results showed only weak correlations between EF and motor coordination. Age and schooling level influenced executive function and motor coordination. However, the EF and motor coordination tests presented no correlation when these two factors were statistically corrected.

Estimating length composition of fish observed with stereo-video cameras: A simulation study with application to red snapper (Lutjanus campechanus)

Stereo-video cameras have become an important tool worldwide for enumerating abundance and length compositions of marine fish. The two most common approaches for enumerating are referred to as MaxN and MeanCount, where the former counts fish on the single video frame with the most individuals observed and the latter uses the mean across multiple frames. Previous studies have demonstrated that both approaches may work well for computing relative abundance. However, basic fish population age-structure (e.g. more younger fish) and fish schooling characteristics (e.g. fish of similar size/age swim together) suggest the potential for bias in length compositions computed from the MaxN approach, as the single video frame with the most individuals would tend to overrepresent smaller, more populous fish. To evaluate the two approaches, we simulated a stationary video system placed on a sampling site inhabited by moving fish, and we compared length compositions estimated from each approach to that of the true, underlying population. Indeed, MaxN appears biased over a range of potential factors, in which the bias is toward estimates of mean size that are smaller than the true values. The factors leading to biased age/length estimates from MaxN include 1) large fish counts in the single frame, 2) fish schooling by age/length, especially at moderate school densities, and 3) small camera viewing area relative to the site being sampled. In addition to the general evaluation, we applied the simulation framework to video parameters derived from data on red snapper (Lutjanus campechanus) in U.S. Atlantic waters. The results suggest that the MaxN length composition bias is small for red snapper due primarily to the low counts of fish on site and low levels of schooling observed.

SARS-CoV-2 Incidence, signs and symptoms and main risk factors for COVID-19 infection in Health Care Workers: A hospital-wide survey in Salvador, Brazil

BackgroundBrazil is the third country most affected by Coronavirus Disease 2019 (COVID-19) in the world. Health care workers (HCWs) are at higher risk of infection. Despite the increasing numbers of studies on the topic, There are gaps in the knowledge of characteristics and risk factors for infection of HCWS. This information is important to design preventive strategies and to mitigate the disease impact. The objective of this study was to estimate the incidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, to identify factors associated, and to describe symptoms reported by healthcare workers at a tertiary hospital in Salvador, Brazil. MethodsAll HCWs were evaluated in a cross-sectional study conducted between May and September 2020, using self-administered questionnaires, and screening all participants for SARS-COV-2 IgG and IgM antibodies by rapid tests. Reactive IgG samples were retested by ELISA and IgM-positive test had a saliva sample retest by RT-PCR. Univariate associations were estimated by a non-adjusted incidence proportion ratio. Variables associated with COVID-19 incidence at p < 0.20 were selected for inclusion in a binary logistic regression model. ResultsA total of 2083 HCWs were included, mean age 41±10 years, 71.8% women, and 77.8% non-white. Of these, 271 (13.0%) and 25 (1.2%) HCWs tested positive for IgG and IgM SARS-CoV-2 antibodies, respectively, and three had a positive RT-PCR. Ancillary work [Odds Ratio (OR): 4.96], elementary education (OR: 2.91), high school education (OR: 2.89), and catholic religion (OR: 2.16) were associated with an increased likelihood of a positive IgG antibodies against SARS-CoV-2. Anosmia [Incidence Proportion Ratio (IPR): 7.41] and ageusia (IPR:8.51) were the most frequent associated symptoms. ConclusionHCWs with low mean family income, lower level of schooling, ancillary workor being black had a significantly higher likelihood of testing positive for SARS-CoV-2 antibodies. Social vulnerability was an important risk factor for COVID-19 infection.

Improving children’s executive functions: evidence fromcapoeira

AbstractPhysical activities have several benefits for mental and physical health, but the evidence on preschool-age children is limited. This article tests whether martial arts can provide a stimulating environment for boosting children’s executive functions. Exploring a preschool programme that randomly assigned schools to receive capoeira classes, we estimate an intention-to-treat effect on children’s inhibitory control, short-term memory, and cognitive flexibility. Results show modest positive impacts on inhibitory control only. Treated children performed 0.13 of a standard deviation better than the control group. Instrumental variable estimation provides additional positive impact on children’s inhibitory control. In addition, children living in households that receive the Bolsa Família grant and those born to mothers with low schooling levels tend to show larger impacts.

Prevalence, socio-demographics and service use determinants associated with disclosure of HIV/AIDS status to infected children: a systematic review and meta-analysis by 1985–2021

BackgroundHuman immunodeficiency virus (HIV)/Acquired Immune Deficiency Syndrome (AIDS) is a public health issue of global importance. To our knowledge, no previous meta-analysis documenting the prevalence, socio-demographic, and service use determinants associated with HIV/AIDS disclosure to infected children has been conducted. The present study aimed to determine the prevalence, socio-demographics and service use determinants associated with the disclosure of HIV/AIDS status to infected children.MethodsStudies in English published between 01 January 1985 and 01 November 2021, and available on PubMed, Scopus, Web of Science, and Cochrane electronic databases were searched. After reviewing for study duplicates, the full-text of selected articles were assessed for eligibility using Population, Intervention, Comparator, Outcomes (PICO) criteria. We used fixed and random-effects meta-analysis models to estimate the pooled prevalence, pooled odds ratio (OR), and 95% confidence intervals.ResultsAfter article duplicates were excluded, assessments of abstracts were completed, and full-text papers evaluated, 37 studies were included in this meta-analysis. The prevalence of the disclosure of HIV status to children was measured to be 41% in this research. The odds that a child of 10 years and older is informed that they are HIV-positive is 3.01 time the odds that younger children are informed. Those children who had primary or lower schooling level were 2.41 times more likely to be informed of their HIV-positive status than children with higher levels of schooling. Children who had a non-biological parents were 3.17 times more likely to have been disclose being HIV-positive; social support (OR = 8.29, 95%CI = 2.34, 29.42), children who had higher levels of social supports were 8.29 times more likely to disclose HIV-positive; the primary educational level of caregivers (OR = 2.03, 95%CI = 1.43, 2.89), respondents who had caregivers with primary education level were 2.03 times more likely to disclose HIV-positive; antiretroviral treatment (ART) adherence (OR = 2.59, 95%CI = 1.96, 3.42), participants who adhered to ART were 2.59 times more likely to disclose HIV-positive and hospital follow-up (OR = 2.82, 95%CI = 1.85, 4.29), those who had hospital follow-up were 2.82 times more likely to disclose HIV-positive; were all significantly associated with the disclosure of HIV/AIDS status to infected children.ConclusionSuch data are of importance for healthcare pediatrics HIV care professionals. Facilitating HIV diagnosis and disclosure to the infected children and ensuring access to HIV treatment will likely prevent secondary HIV transmission. Healthcare professionals are expected to provide age-appropriate counseling services to this population.

Prevalence of Metabolic Syndrome Among Mexican Adults.

Background: Metabolic syndrome (MetS) has increased worldwide, and since 2012, prevalence of obesity, hypertension, diabetes, and dyslipidemia has increased in Mexico. Objective: To assess the prevalence of MetS, and its relationship with sociodemographic and lifestyle factors among Mexican adults. Methods: Analytical cross-sectional study nationally representative, carried out on Mexican adults (≥20-year-old adults of both sexes; n = 4595). Socioeconomic factors, geographic area, health care coverage and previous medical diagnoses of diabetes and hypertension, and smoking were assessed. Anthropometrics, and triglyceride, total cholesterol, high-density lipoprotein cholesterol (HDL-chol), creatinine, and glucose plasma levels were measured. The ATP III MetS definition was applied. Results: A MetS prevalence of 44.2% was observed, which was higher in males than females, and increased with age, lower school level, and overweight. Hyperglycemia, hypertriglyceridemia, low HDL-chol, abdominal obesity, and hypertension were higher in people with MetS, and were associated with obesity. Conclusions: The prevalence of MetS in the Mexican adult observed in the ENSADER 2007 was high, and mainly in men than women. Specific associations of MetS with age, scholar level, and body mass index have been found. Obesity and MetS were associated.

Volunteer motivation in sports events in Brazil

The purpose was to analyze the potential differences in the motivation factors of volunteers according to the demographics; sex, level of education, and type of events in Brazil. The Volunteer Motivations Scale for International Sporting Events was administered to Brazilian volunteers via an online survey. Back-translation was used to ensure accuracy between the original scales. Confirmatory factor analysis was used to perform the transcultural adaptation. MANOVA was utilized to compare differences in demographic variables. Volunteers were motivated by two factors: Love of Sports and Community Involvement. The level of education verified significant differences only in the love of sport factor. The MANOVA revealed that the volunteers with a lower level of schooling (incomplete and elementary school) have higher levels of motivation (love for sport) compared to volunteers with high school, undergraduate, master's and PhD degrees. The interaction between sex and level of education indicated a significant difference in the same factor, and the interaction sex and type of event with the factor Community Involvement. Therefore, the results identify some differences in demographics. It is concluded that Volunteers' motivation is linked to the love of sport and involvement with the community and is related to sex and schooling, highlighting the importance of investigating volunteer motivations amongst sports events to promote positive development in management practices, specially to Brazilian sports events.

Psychosocial Risk Factors for Alzheimer’s Disease in Patients with Down Syndrome and Their Association with Brain Changes: A Narrative Review

Several recent epidemiological studies attempted to identify risk factors for Alzheimer’s disease. Age, family history, genetic factors (APOE genotype, trisomy 21), physical activity, and a low level of schooling are significant risk factors. In this review, we summarize the known psychosocial risk factors for the development of Alzheimer’s disease in patients with Down syndrome and their association with neuroanatomical changes in the brains of people with Down syndrome. We completed a comprehensive review of the literature on PubMed, Google Scholar, and Web of Science about psychosocial risk factors for Alzheimer’s disease, for Alzheimer’s disease in Down syndrome, and Alzheimer’s disease in Down syndrome and their association with neuroanatomical changes in the brains of people with Down syndrome. Alzheimer’s disease causes early pathological changes in individuals with Down syndrome, especially in the hippocampus and corpus callosum. People with Down syndrome living with dementia showed reduced volumes of brain areas affected by Alzheimer’s disease as the hippocampus and corpus callosum in association with cognitive decline. These changes occur with increasing age, and the presence or absence of psychosocial risk factors impacts the degree of cognitive function. Correlating Alzheimer’s disease biomarkers in Down syndrome and cognitive function scores while considering the effect of psychosocial risk factors helps us identify the mechanisms leading to Alzheimer’s disease at an early age. Also, this approach enables us to create more sensitive and relevant clinical, memory, and reasoning assessments for people with Down syndrome.

Common Mental Disorders and Equity in Health Care Use: São Paulo-Capital Health Survey

Background: Common Mental Disorders (CMDs) compromise quality of life, thus generating socioeconomic costs. Objectives: To analyze equity regarding use of the services and health expenditures among individuals with CMDs, and their relationships with sociodemographic variables. Methodology: The data are from the 2015 São Paulo health survey, with application of SRQ-20. The participants have given their consent for their data to be used in this research. Results: The sample presented a CMD prevalence of 19.7% (95% CI=18.2%-21.4%). Higher CMD prevalence values were found among users of the public health services (PR=1.49; 95%&nbsp;CI=1.25-1.76) and in groups with ≥ 33 dollars of health expenditures in the last month (PR=1.28; 95%&nbsp;CI=1.08-1.52). For individuals with CMDs, the main variables associated with “used the public health system” and “health expenditure &lt;&nbsp;33&nbsp;dollars” were lower schooling levels, lower per capita family income, and age &lt; 60 years old. There was an inverse relationship between use of the Unified Health System&nbsp;(Sistema Único de Saúde,&nbsp;SUS) and health expenditure. Conclusion: Use of the SUS by people with CMDs follows the principle of equity in that it assists groups that are underprivileged in terms of schooling and family income, but not those over 60 years old.

Barriers to Accessing Eye Health Services in Suburban Communities in Nampula, Mozambique.

Globally, an estimated 2.2 billion people are visually impaired (VI) or blind, and a large proportion (90%) of those affected live in low- and middle-income countries (LMICs), where access to eye health services is limited. This study aimed to identify barriers to accessing eye health services and associated factors in suburban communities of Nampula. A cross-sectional community-based study was carried out on adults ≥18 years old. A total of 338 adults were randomly selected from three communities (Muthita, Piloto, and Nthotta). Individual interviews were carried out and socio-demographic data, eye symptoms, date of last eye examination, and barriers to access to eye health services were extracted. Among participants, 49.4% had eye symptoms and 41.7% did not have their eye examinations up to date. The most cited barriers were crowding in hospitals (40.7%), financial difficulties (30.0%), self-medication (20.5%), traditional treatment (17.8%), and buying eyeglasses on the street (11.6%). Barriers limited the service target to 33%. Lower levels of schooling and monthly family income and farmer occupation were statistically associated with the most barriers as risk factors. The use of eye health services was lower due to barriers to accessing eye services. More specific intervention plans and greater cooperation between sectors are needed to improve these indicators.

Kaedah Perbincangan dalam Pengajaran Pendidikan Islam di Sekolah Rendah

The method of conversation is one of the mediums used by teachers in achieving their teaching objectives. The results of the discussion sessions made by students in the group succeeded in achieving student understanding of the lessons being taught. At the same time, this discussion method can be used for all subjects based on the teacher's creativity. This study will focus on conversation methods in the teaching of Islamic education in low schools. This study aims to identify the concept of the discussion method, how to apply the conversation method in teaching Islamic education in ordinary schools, and review the effectiveness of the conversation method. This study was carried out using a qualitative approach based on library studies and informal interviews with bright teachers of low school Islamic education. Document analysis and independent studies are also used as references. The study results found that this discussion method was suitable for use in teaching Islamic education at the low school level. The teacher's use of correct conversational methods gives the impression of understanding, motivation, and academic improvement in student learning.

Lethality among individuals infected with visceral leishmaniasis in Brazil: a retrospective study (2007-2018).

Visceral leishmaniasis (VL) is a public health problem with a high prevalence and lethality in Brazil. This study aims to estimate the lethality and associated factors in individuals with VL and assess survival time, emphasizing VL/HIV coinfection. This retrospective study has 37,583 individuals notified and confirmed with VL in the Sistema de Informação de Agravos de Notificação (SINAN) between 2007 and 2018 (Brazil). Lethality was evaluated considering VL deaths, deaths from other causes (OC), and non-deaths. We performed a multinomial logistic regression, with non-death as the benchmark category. We conducted a survival analysis (Kaplan-Meier method), emphasizing VL/HIV coinfection. Most individuals were young, male, mixed race, low schooling level, and urban dwellers. The lethality rate was 10.2% (VL and OC deaths) and 7.8% (VL deaths). The prevalence of HIV infection was 8.81%. A higher likelihood of VL and OC deaths was observed in older age groups, females, and with a higher number of symptoms. A higher likelihood of OC deaths was identified in individuals with HIV. A lower likelihood of VL and OC deaths was observed for individuals on VL therapy. The mean survival time was longer for VL/HIV individuals, who had a lower survival rate than those with VL. The data point to the need for attention to the timely diagnosis of VL and HIV and adequate pharmacological treatment in this population.

PREVALÊNCIA E FATORES ASSOCIADOS AO DIAGNÓSTICO TARDIO DA INFECÇÃO PELO HIV EM UM MUNICÍPIO PAULISTA

ABSTRACT Objective: to identify the prevalence and factors associated with late diagnosis of the infection by the Human Immunodeficiency Virus (HIV), in a municipality of São Paulo. Method: an epidemiological, analytical and retrospective study that analyzed the HIV and AIDS cases notified by the health services in the period from 2015 to 2017 using data from the notifications of the Information System for Notifiable Diseases (SINAN Net) corresponding to the users recently diagnosed with HIV/AIDS infection in the municipality of Ribeirão Preto/SP, Brazil. Data collection was in May 2018. The chi-square test was performed, as well as binary logistic regression, where the dependent variable was the AIDS criterion at the moment of notifying infection by HIV. A p-value&lt;0.05 was considered for the association between the variables studied in relation to late diagnosis. Results: of the 829 (100%) new HIV cases, 290 (35.0%) were diagnosed in the condition of AIDS. Most of the population was male and aged between 15 and 34 years old. Oral candidiasis and weight loss greater than 10% were the main symptoms associated with AIDS. It was observed that people with lower schooling levels and older were more prone to late diagnoses. Conclusion: it is necessary to devise strategies that favor timely diagnosis in the municipality under study, particularly among the individuals aged over 45 years old and with lower schooling levels.

THE COMPREHENSION OF MEDICINAL THERAPY BY ELDERLY IN THE POLYPHARMACY SITUATION IN TWO COMMUNITIES OF RECIFE – PERNAMBUCO

Introduction: The elderly, because they are more susceptible to develop chronic diseases, seek health services and medications more often, which predisposes this population to the problems related to them. Add to this the possibility of illiteracy, which may compromise understanding and lead to incorrect use of the drug. Objective: To evaluate the understanding of drug therapy by the elderly who are in a situation of polypharmacy. Methods: A quantitative, cross-sectional and descriptive study was carried out with individuals ≥ 60 years old who used 2 or more drugs in two communities in Recife-PE, from August to October 2016. The method used followed the principle of analysis, which verifies the agreement between the respondent’s response and the information contained in the medical prescription, and classifies the users through scores: less than six points – level of insufficient understanding; from six to eight – regular; above eight points, good level. Results: The elderly had low levels of schooling, 28% were illiterate. The two communities are made up of 72% and 48% of the elderly with insufficient understanding. Conclusion: The importance of the pharmacist as a member of the multidisciplinary team, who should guide and ensure that information is passed on to the user in a safe and efficient manner, through educational actions that promote knowledge about the use of medicines.