National Health Survey 2019: medication obtainment through the Brazilian Popular Pharmacy Program by adults being treated for hypertension and diabetes

Costa, Karen Sarmento; Tavares, Noemia Urruth Leão; Tierling, Vera Lúcia; Leitão, Veronica Batista Gomes; Stopa, Sheila Rizzato; Malta, Deborah Carvalho

Karen Sarmento Costa

Universidade Estadual de Campinas, Departamento de Saúde Coletiva, Campinas, SP, Brazil

http://orcid.org/0000-0002-2218-6024

Noemia Urruth Leão Tavares

Universidade de Brasília, Faculdade de Ciências da Saúde, Brasília, DF, Brazil

http://orcid.org/0000-0001-6180-7527

Vera Lúcia Tierling

Ministério da Saúde, Secretaria de Vigilância em Saúde, Brasília, DF, Brazil

http://orcid.org/0000-0001-9856-2017

Veronica Batista Gomes Leitão

Universidade Estadual de Campinas, Departamento de Saúde Coletiva, Campinas, SP, Brazil

http://orcid.org/0000-0002-7424-7300

Sheila Rizzato Stopa

Ministério da Saúde, Secretaria de Vigilância em Saúde, Brasília, DF, Brazil

http://orcid.org/0000-0001-8847-665X

Deborah Carvalho Malta

Universidade Federal de Minas Gerais, Escola de Enfermagem, Belo Horizonte, MG, Brazil

http://orcid.org/0000-0002-8214-5734

Correspondence
Karen Sarmento Costa. karen.costa@gmail.com

Associate editor

Isis Polianna Silva Ferreira de Carvalho

Authors’ contribution

Costa KS led the conceptualization of the study, analysis and interpretation of data, drafting of preliminary versions, and the critical review of the manuscript. Tavares NUL, Tierling VL and Leitão VBG collaborated with the conception of the study, data analysis and interpretation, drafting of preliminary versions, and critical review of the manuscript. Stopa SR and Malta DC collaborated in the supervision of data analysis, interpretation, and critical review of the manuscript. All of the authors have approved the final version of the manuscript and are responsible for all aspects thereof, including ensuring its accuracy and integrity.

Conflicts of Interest

The authors declared that they have no conflicts of interest.

Regions	Hypertension				Diabetes
	Diagnosis		Obtainment through PFPB^a		Diagnosis		Obtainment through PFPB^a
	%	95%CI^b	%	95%CI^b	%	95%CI^b	%	95%CI^b
Brazil	23.9	23.5;24.4	45.1	43.7;46.5	7.7	7.4;8.0	51.5	49.5;53.6
North	16.8	16.0;17.6	38.0	34.6;41.4	5.5	5.0;6.0	35.6	30.5;40.7
Northeast	23.1	22.5;23.7	34.8	32.9;36.7	7.2	6.8;7.6	39.5	36.4;42.6
Southeast	25.9	25.0;26.8	48.0	45.6;50.5	8.5	8.0;9.1	56.4	52.8;60.1
South	24.5	23.5;25.5	54.3	51.3;57.2	7.9	7.3;8.5	59.1	54.6;63.7
Midwest	21.9	20.9;23.0	47.7	44.3;51.1	7.2	6.5;7.8	56.4	51.7;61.0

Socioeconomic and demographic variables	Brazil		North		Northeast		Southeast		South		Midwest
Socioeconomic and demographic variables	%	95%CI^a	%	95%CI^a	%	95%CI^a	%	95%CI^a	%	95%CI^a	%	95%CI^a
Sex
Male	43.7	41.7;45.7	36.5	31.8;41.3	32.3	29.5;35.0	47.5	44.1;51.0	51.4	47.4;55.4	43.3	37.9;48.7
Female	46.0	44.3;47.7	38.8	34.6;43.0	36.3	34.0;38.5	48.3	45.3;51.4	56.2	52.3;60.1	51.0	47.0;54.9
Age (in years)
18 to 29	21.1	12.7;29.5	37.9	8.7;67.0	19.0	7.5;30.6	16.0	4.3;27.7	49.4	17.5;81.3	3.7	0.0;11.3
30 to 59	45.7	43.4;47.9	40.4	35.8;45.1	35.7	33.1;38.3	49.1	44.9;53.3	51.3	47.0;55.6	49.9	45.0;54.8
60 to 64	48.3	45.4;51.3	32.5	24.8;40.2	35.3	30.5;40.1	55.0	49.9;60.1	55.2	49.3;61.2	44.3	37.2;51.4
65 to 74	45.6	43.3;48.0	36.0	30.3;41.7	32.7	29.0;36.4	48.5	44.5;52.5	59.0	54.5;63.4	50.8	45.2;56.4
75 or over	41.5	38.7;44.3	38.4	31.3;45.6	36.0	31.3;40.7	40.1	35.3;44.9	54.2	47.6;60.8	45.1	37.4;52.7
Educational level
No schooling or incomplete primary education	47.9	46.2;49.6	40.2	36.1;44.3	36.4	34.0;38.9	52.7	49.5;55.9	59.2	55.2;63.2	50.3	45.2;55.4
Complete primary education and incomplete secondary education	50.4	46.7;54.1	47.7	37.5;57.9	36.5	30.5;42.5	52.6	46.5;58.6	57.8	51.6;64.0	53.7	44.6;62.8
Complete secondary education and incomplete higher education	43.0	40.1;45.9	37.0	30.1;43.9	32.6	28.7;36.6	45.4	40.6;50.1	51.1	45.2;57.0	42.6	36.3;49.0
Complete higher education	30.9	27.7;34.2	19.8	12.9;26.6	25.1	20.2;30.1	32.3	27.0;37.6	32.2	25.6;38.9	39.7	32.5;46.9
Race/skin color
White	44.8	42.9;46.7	30.7	24.6;36.8	34.8	31.0;38.5	43.6	40.5;46.7	54.7	51.7;57.7	43.6	38.2;49.0
Black	46.3	42.9;49.7	51.0	44.3;57.7	33.4	28.8;38.0	51.8	46.2;57.3	55.9	45.5;66.2	45.4	36.5;54.4
Brown	44.8	42.9;46.8	37.9	33.7;42.0	34.9	32.6;37.3	52.5	48.7;56.4	52.7	45.1;60.2	51.5	47.0;56.1
Income (MW)^a
No income to 1/4	44.0	39.2;48.8	39.0	29.7;48.4	36.4	30.7;42.2	53.6	42.9;64.3	47.6	31.6;63.6	56.0	38.2;73.9
1/4 to 1/2	43.7	40.1;47.3	44.0	35.6;52.4	34.3	29.9;38.7	49.5	41.2;57.8	65.8	55.9;75.8	61.6	50.9;72.4
1/2 to 1	48.8	46.3;51.3	43.6	37.8;49.3	37.7	34.7;40.7	54.0	49.3;58.8	59.4	53.7;65.2	50.8	44.6;57.0
1 to 2	48.5	46.3;50.7	33.1	27.7;38.6	34.5	30.5;38.4	51.6	48.2;55.1	56.2	52.0;60.4	48.3	42.8;53.8
2 to 3	42.3	38.0;46.6	29.6	21.1;38.1	34.5	26.5;42.6	39.9	32.8;47.0	54.8	48.1;61.6	44.0	35.2;52.8
3 to 5	36.4	32.2;40.5	27.6	14.7;40.5	21.4	15.3;27.4	38.7	32.7;44.8	41.5	33.2;49.7	34.8	24.6;45.0
Over 5	24.0	19.7;28.2	11.7	5.3;18.2	13.6	8.4;18.8	25.3	18.4;32.1	29.5	21.6;37.4	24.8	17.4;32.3
Total	45.1	43.7;46.5	38.0	34.6;41.4	34.8	32.9;36.7	48.0	45.6;50.5	54.3	51.3;57.2	47.7	44.3;51.1

Socioeconomic and demographic variables	Brazil		North		Northeast		Southeast		South		Midwest
Socioeconomic and demographic variables	%	95%CI^a	%	95%CI^a	%	95%CI^a	%	95%CI^a	%	95%CI^a	%	95%CI^a
Sex
Male	49.0	45.9;52.1	35.1	27.2;43.0	35.7	31.1;40.3	54.0	48.7;59.3	57.0	50.2;63.9	49.0	41.4;56.5
Male	53.4	50.6;56.2	36.0	29.8;42.2	41.9	37.9;45.9	58.4	53.3;63.4	60.7	54.9;66.5	61.3	55.6;66.9
Age (in years)
18 to 29	36.5	19.4;53.6	27.4	0.0;56.9	34.1	10.0;58.2	40.0	4.2;75.9	55.9	12.0;99.9	18.9	0.0;43.5
30 to 59	53.2	49.7;56.8	37.0	28.7;45.3	39.9	35.3;44.5	59.5	53.2;65.7	60.0	52.2;67.8	54.4	46.6;62.3
60 to 64	56.1	50.9;61.4	34.3	22.3;46.3	43.3	35.4;51.1	61.9	53.1;70.7	62.0	51.2;72.7	59.7	49.2;70.3
65 to 74	51.9	48.1;55.7	35.0	26.4;43.7	40.5	35.1;45.9	56.2	49.2;63.2	58.7	51.5;65.9	61.3	52.3;70.2
Over 75	43.3	38.7;47.8	35.3	22.8;47.8	34.3	25.6;43.0	44.5	37.4;51.7	55.0	43.8;66.1	52.3	39.9;64.7
Educational level
No schooling or incomplete primary education	52.3	49.5;55.0	36.0	29.3;42.6	37.6	33.8;41.5	59.3	54.2;64.3	61.8	56.3;67.4	58.4	52.2;64.6
Complete primary education and incomplete secondary education	59.8	54.2;65.4	53.3	39.1;67.5	49.8	40.2;59.5	63.6	54.8;72.4	59.9	47.1;72.7	61.9	48.9;74.8
Complete secondary education and incomplete higher education	50.1	45.4;54.8	35.5	22.5;48.5	43.4	36.4;50.3	52.6	45.0;60.1	54.3	41.7;66.9	53.9	42.9;64.9
Complete higher education	40.7	35.1;46.3	12.0	4.8;19.3	35.7	26.1;45.3	43.1	34.3;51.8	48.5	34.4;62.6	46.7	32.5;60.9
Race/skin color
White	53.6	50.5;56.6	43.0	32.2;53.9	38.5	32.5;44.6	54.0	49.2;58.9	61.4	56.5;66.3	56.2	48.3;64.1
Black	53.8	48.0;59.6	44.6	30.5;58.7	38.2	31.0;45.5	63.5	54.3;72.8	56.0	38.9;73.2	54.1	38.4;69.9
Brown	49.3	46.1;52.5	32.3	26.1;38.4	39.7	35.6;43.7	59.3	52.8;65.7	53.8	42.3;65.2	57.1	50.2;64.0
Income (MW)^a
No income to 1/4	58.9	51.1;66.8	45.9	30.0;61.8	41.0	31.7;50.4	78.5	66.6;90.5	70.9	49.4;92.3	76.0	55.2;96.8
1/4 to 1/2	51.1	45.6;56.6	34.8	23.2;46.5	40.0	33.2;46.8	65.3	54.0;76.5	62.5	43.6;81.4	56.4	42.0;70.9
1/2 to 1	53.6	50.0;57.3	38.3	29.4;47.2	39.4	34.3;44.5	62.8	56.1;69.6	61.7	52.8;70.5	57.8	48.9;66.8
1 to 2	52.8	48.6;56.9	33.0	22.0;43.9	40.9	34.7;47.0	54.4	47.6;61.3	61.9	54.8;69.0	57.3	47.7;66.9
2 to 3	54.2	46.6;61.8	37.0	20.6;53.4	42.5	29.8;55.1	55.9	43.8;68.0	55.3	41.7;69.0	69.1	56.9;81.2
3 to 5	44.5	37.2;51.7	34.4	17.6;51.1	36.0	23.5;48.6	46.3	35.4;57.2	46.5	30.0;63.0	47.4	33.9;60.9
Over 5	28.9	22.1;35.7	9.0	0.9;17.0	20.3	3.0;37.5	27.8	17.9;37.7	40.2	22.6;57.8	35.3	22.1;48.5
Total	51.5	49.5;53.6	35.6	30.5;40.7	39.5	36.4;42.6	56.4	52.8;60.1	59.1	54.6;63.7	56.4	51.7;61.0

[1] Correspondence
Karen Sarmento Costa. karen.costa@gmail.com

Brasil

Brasil

National Health Survey 2019: medication obtainment through the Brazilian Popular Pharmacy Program by adults being treated for hypertension and diabetes

Abstract

Objective:

Method:

Results:

Conclusion: