The use of benzodiazepines by women cared for at a Family Health Unit

Silva, Paula Adriana da; Almeida, Letícia Yamawaka de; Souza, Jacqueline de

doi:10.1590/S1980-220X2017038903419

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Revista da Escola de Enfermagem da USP

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ORIGINAL ARTICLE • Rev. esc. enferm. USP 53 • 2019 • https://doi.org/10.1590/S1980-220X2017038903419 copy

The use of benzodiazepines by women cared for at a Family Health Unit^* * Extracted from the dissertation: “O uso de benzodiazepínicos em mulheres atendidas pela Estratégia de Saúde da Família em um município do interior paulista”, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, 2017.

El empleo de benzodiazepinas por mujeres atendidas en una Unidad de Salud de la Familia

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

Estimate the prevalence of benzodiazepine use by adult women at a Family Health Unit and identify the risk factors associated with this usage.

Method:

Quantitative cross-sectional study that employed secondary data developed at a Family Health Unit in the state of São Paulo, Brazil. We collected the data from the following sources: medical charts, registration forms, and the archive of prescriptions from the pharmacy at the referred health unit. We employed the chi-squared, Student’s t, and Mann-Whitney tests, as well as logistic regression analysis.

Results:

We identified 81 benzodiazepine users amongst 1,094 adult women (7.4%). Regarding the risk factors, the comparison between the groups of benzodiazepine users (n = 64) and non-users (n = 70) showed that having a chronic disease and using other psychotropic drugs were significantly associated with the use of benzodiazepines.

Conclusion:

The prevalence found was lower than the described in previous studies performed in Primary Health Units. The group that must receive greater attention regarding the consumption of benzodiazepines is that of middle-aged women or older, with low education levels, and chronic illnesses.

DESCRIPTORS:
Psychotropic, Drug; Women; Prevalence; Risk Factors; Chronic Disease; Family Health Strategy

Sociodemographic characteristics		Benzodiazepine User				p value
		No (n = 70)		Yes (n = 64)
		n	%	n	%
Age	From 18 to 36 Years	19	27.1	7	10.9	0.005^†
	From 37 to 55 years	32	45.7	23	35.9
	From 56 to 74 years	15	21.4	31	48.4
	From 74 to 92 years	4	5.7	3	5.7
	Mean (standard deviation)
	Non-users 48.1 (16.4)
	Users 55.3 (12.9)
Education level	Up to complete elementary level	29	41.4	42	65.6	0.005^‡
Education level	Over the complete elementary level	41	58.6	22	34.4	0.005^‡
Occupation	Does not work outside the home	33	47.1	34	53.1	0.489^‡
Occupation	Works outside the home	37	52.9	30	46.9	0.489^‡
Number of Family members	Up the three people	33	47.1	36	56.3	0.292^‡
Number of Family members	Over three people	37	52.9	28	43.8	0.292^‡
Income^†	Up to two minimum wages*	20	28.6	19	29.7	0.629^‡
Income^†	Over two minimum wages*	26	37.1	20	31.3	0.629^‡
Home owner^§	Yes	58	82.9	55	85.9	0.118^‡
Home owner^§	No	9	12.9	3	4.7	0.118^‡
Reports some chronic disease	Yes	28	40.0	53	82.8	< 0.001^‡
Reports some chronic disease	No	42	60.0	11	17.2	< 0.001^‡
Uses another psychotropic drug	Yes	12	17.1	31	48.4	< 0.001^‡
Uses another psychotropic drug	No	58	82.9	33	51.6	< 0.001^‡
Bolsa família ^\|\|	Yes	3	4.3	3	4.7	0.852^‡
Bolsa família ^\|\|	No	48	68.6	41	64.1	0.852^‡

Factors	p value	Odds ratio	Confidence interval (95%)
Factors	p value	Odds ratio	Lower limit	Upper limit
Use of other psychotropic	0.000	5.176	2.134	12.553
Reported illnesses	0.001	4.797	1.832	12.563
Education Level	0.180	1.828	0.757	4.415
Age	0.837	0.997	0.965	1.029

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author: Letícia Yamawaka de Almeida Av. dos Bandeirantes, 3900, Bairro Monte Alegre CEP 14049-900 - Ribeirão Preto, SP, Brazil leyamawaka@gmail.com