PMID- 26154976
OWN - NLM
STAT- MEDLINE
DCOM- 20160829
LR  - 20220330
IS  - 1099-1557 (Electronic)
IS  - 1053-8569 (Linking)
VI  - 24
IP  - 11
DP  - 2015 Nov
TI  - Use of psychotropic medications in Sao Paulo Metropolitan Area, Brazil: pattern 
      of healthcare provision to general population.
PG  - 1207-14
LID - 10.1002/pds.3826 [doi]
AB  - PURPOSE: We estimate the proportion of psychotropic medication use (PMU) among 
      adults in Sao Paulo Metropolitan Area, Brazil. We investigated whether 
      socio-demographic factors, comorbidity, and disease severity influence PMU among 
      individuals with psychiatric disorders. METHODS: Data are from the Sao Paulo 
      Megacity Mental Health Survey, a cross-sectional, population-based study, the 
      Brazilian branch of the World Mental Health Survey Initiative. Trained lay 
      interviewers face-to-face assessed psychiatric disorders and PMU through the 
      Composite International Diagnostic Interview. Respondents were asked about use of 
      healthcare service and prescribed medications for mental disorders in the 
      previous year. Information on PMU was collected for 2935 adult residents in the 
      area and among those with disorders who received treatment. RESULTS: Around 6% of 
      respondents reported PMU in the past year: hypnotics or sedatives were used by 
      3.7% and antidepressants by 3.5%. Among individuals with 12-month disorders, only 
      14% reported past year PMU. Gender, age, education, income, occupational status, 
      comorbidity, and severity were significant predictors for PMU. Among those with 
      12-month DSM-IV disorders who obtained treatment in healthcare settings, almost 
      40% received medication only. Among those treated in specialty mental health 
      service, around 23% received combination of medication and psychotherapy. 
      CONCLUSION: Our study has pointed out that the recent trend of access to mental 
      healthcare in Brazil depicts unmet needs, characterized by a low prevalence of 
      PMU among individuals with psychiatric disorders. Policies that improve 
      appropriate access to prescribed drugs for those most in need are urgent public 
      health priority.
CI  - Copyright (c) 2015 John Wiley & Sons, Ltd.
FAU - Campanha, Angela Maria
AU  - Campanha AM
AD  - Section of Psychiatric Epidemiology (LIM-23), Department and Institute of 
      Psychiatry, University of Sao Paulo Medical School, Sao Paulo, SP, Brazil.
AD  - Department of Pharmacy, State University of Maringa, Maringa, PR, Brazil.
FAU - Siu, Erica Rosanna
AU  - Siu ER
AD  - Section of Psychiatric Epidemiology (LIM-23), Department and Institute of 
      Psychiatry, University of Sao Paulo Medical School, Sao Paulo, SP, Brazil.
FAU - Milhoranca, Igor Andre
AU  - Milhoranca IA
AD  - Institute of Mathematics and Statistics, University of Sao Paulo, Sao Paulo, SP, 
      Brazil.
FAU - Viana, Maria Carmen
AU  - Viana MC
AD  - Department of Social Medicine, Health Sciences Center, Federal University of 
      Espirito Santo, Vitoria, ES, Brazil.
FAU - Wang, Yuan-Pang
AU  - Wang YP
AD  - Section of Psychiatric Epidemiology (LIM-23), Department and Institute of 
      Psychiatry, University of Sao Paulo Medical School, Sao Paulo, SP, Brazil.
FAU - Andrade, Laura Helena
AU  - Andrade LH
AD  - Section of Psychiatric Epidemiology (LIM-23), Department and Institute of 
      Psychiatry, University of Sao Paulo Medical School, Sao Paulo, SP, Brazil.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20150708
PL  - England
TA  - Pharmacoepidemiol Drug Saf
JT  - Pharmacoepidemiology and drug safety
JID - 9208369
RN  - 0 (Psychotropic Drugs)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Brazil
MH  - Cross-Sectional Studies
MH  - Delivery of Health Care/*statistics & numerical data
MH  - Female
MH  - Health Services Accessibility
MH  - Health Services Needs and Demand
MH  - Humans
MH  - Male
MH  - Mental Disorders/*drug therapy/physiopathology
MH  - Mental Health Services/*statistics & numerical data
MH  - Middle Aged
MH  - Psychotropic Drugs/*therapeutic use
MH  - Severity of Illness Index
MH  - Surveys and Questionnaires
MH  - Young Adult
OTO - NOTNLM
OT  - mental disorders/epidemiology
OT  - mental disorders/therapy
OT  - pharmacoepidemiology
OT  - psychotropic drugs
EDAT- 2015/07/15 06:00
MHDA- 2016/08/30 06:00
CRDT- 2015/07/09 06:00
PHST- 2015/01/23 00:00 [received]
PHST- 2015/05/22 00:00 [revised]
PHST- 2015/06/04 00:00 [accepted]
PHST- 2015/07/09 06:00 [entrez]
PHST- 2015/07/15 06:00 [pubmed]
PHST- 2016/08/30 06:00 [medline]
AID - 10.1002/pds.3826 [doi]
PST - ppublish
SO  - Pharmacoepidemiol Drug Saf. 2015 Nov;24(11):1207-14. doi: 10.1002/pds.3826. Epub 
      2015 Jul 8.