Prescrição de psicotrópicos à usuários da atenção primária à saúde

Abstract

The increasing use of psychotropic drugs is a reality that reflects the mental and physical health conditions of Primary Health Care users. This study aimed to estimate the prevalence of psychotropic medication prescription and its association with sociodemographic, health, and behavioral factors. This is a cross-sectional study conducted in Marau, Rio Grande do Sul, with adults and elderly individuals treated in 2019. The prevalence of the outcome was calculated, with a 95% confidence interval (95%CI) and the crude and adjusted Prevalence Ratios (PR) were used to identify the associated factors. The sample consisted of 3,309 participants, with a prevalence of the outcome of 36% (CI95 34-37), which was higher among females (PR=1.67; CI95 1.47-1.91), age group from 50 to 59 years (PR=1.97; CI95 1.54-2.53), white skin color (PR=1.16; CI95 1.06-1.26), individuals who do not have paid work (PR=1.44; CI95 1.31-1.66), in addition to those polymedicated (PR=1.47; CI95 1.33-1.64) and with a diagnosis of mental health problems (PR=2.88; CI95 2.70-3.09). The most commonly used classes of psychotropic drugs were antidepressants (80.2%), anxiolytics (30.3%) and antipsychotics (14.1%). The results indicate a high prevalence of the use of these drugs and the associated factors reflect the need for healthcare professionals to be careful about the correct prescription of these drugs, guidance on their rational use and health education.