Table 3. Prevalence of low adherencea,b to treatment for chronic diseases by adults aged 20 or over in Brazil, by characteristics related to health care, health perception, morbidities and drug use. PNAUM, Brazil, 2014. (N = 11,842).
Variable | Sample breakdown | Prevalence of low adherence | ||
---|---|---|---|---|
|
|
|||
% | 95%IC | % | 95%IC | |
Health system characteristics | ||||
Visits doctor to treat chronic diseases | ||||
Yes | 93.3 | 92.3–94.2 | 31.2 | 29.0–33.5 |
No | 6.7 | 5.8–7.7 | 32.3 | 27.9–37.0 |
Number of doctors visited to treat chronic diseases | ||||
One | 68.2 | 66.3–70.0 | 27.2 | 24.9–29.6 |
More than one | 31.8 | 30.0–33.7 | 40.1 | 37.2–43.2 |
Free access to chronic drug therapy for chronic diseases | ||||
All free | 46.9 | 44.5–49.2 | 25.4 | 23.0–28.1 |
Any free | 20.3 | 19.1–21.5 | 46.6 | 42.7–50.7 |
None free | 32.9 | 30.8–35.1 | 29.0 | 26.5–31.7 |
Number of hospitalizations in the previous 12 months | ||||
None | 89.1 | 88.2–90.0 | 29.8 | 27.7–32.1 |
1 | 8.2 | 7.5–9.0 | 34.6 | 29.8–39.8 |
2 or more | 2.7 | 2.2–3.2 | 51.8 | 42.7–60.9 |
Number of emergency visits in the previous 12 months | ||||
None | 77.0 | 75.3–78.6 | 27.1 | 25.0–29.3 |
1 | 14.9 | 13.8–16.0 | 39.8 | 36.2–43.7 |
2 or more | 8.1 | 7.2–9.1 | 50.0 | 44.6–55.4 |
Self-perceived health and morbidities | ||||
Self-perceived health | ||||
Very good | 5.1 | 4.4–5.9 | 17.2 | 11.4–25.1 |
Good | 45.6 | 43.6–47.6 | 25.0 | 22.6–27.7 |
Average | 40.8 | 39.1–42.4 | 35.9 | 33.4–38.5 |
Poor | 6.3 | 5.6–7.0 | 46.4 | 41.1–51.7 |
Very poor | 2.3 | 1.9–2.7 | 49.6 | 39.7–59.5 |
Number of chronic diseases (comorbidities) | ||||
1 | 44.8 | 42.9–46.7 | 20.9 | 18.8–23.1 |
2 | 27.2 | 26.1–28.4 | 33.3 | 30.6–36.1 |
3 or more | 28.0 | 26.3–29.7 | 44.2 | 41.0–47.4 |
Limitations due to chronic disease | ||||
No limitations | 48.5 | 46.7–50.3 | 21.9 | 19.9–24.1 |
Limitations | 51.5 | 49.7–53.3 | 39.5 | 36.9–42.2 |
Use of drugs | ||||
Number of drugs used (continuous or occasional) | ||||
1 | 34.6 | 33.2–36.0 | 20.6 | 18.2–23.2 |
2 | 26.0 | 24.7–27.3 | 26.4 | 23.8–29.2 |
3 to 4 | 26.0 | 24.8–27.3 | 38.9 | 35.6–42.4 |
5 or more | 13.4 | 12.5–14.4 | 50.1 | 46.4–53.8 |
| ||||
Total | 30.8 | 28.8–33.0 |
a Percentage adjusted by sample weighting and post-stratification by age and gender.
b Non-adherence = low adherence according to the Brief Medication Questionnaire BMQ (2 or more positive answers).