Background

There is a need to evaluate the health equity of atypical antipsychotics users who obtain their medicines from the Brazilian National Health System (SUS) through the identification of key factors that influence their health status due to concerns with equity of care.

Research design and methods

Cross-sectional study among patients attending state pharmacies in Brazil. Individuals were included if they used atypical antipsychotics, aged ≥18 years, and answered the EQ-5D-3L questionnaire. Sociodemographic, behavioral, and clinical data were collected. The dependent variable was health status. Associations between the independent variables and the dependent variable were analyzed by adjusting a linear regression model.

Results

Overall, 388 individuals met the eligibility criteria and were included in the analysis. The final multiple linear regression model demonstrated a statistically significant association between VAS and suicide attempts, private care, current antipsychotics, comorbidities, and perceived family support.

Conclusions

The study identified several factors both individual and collective that correlate with the health status of atypical antipsychotic users, and confirmed the importance of providing medicines for treating psychotic disorders. However, other factors are involved including social support. Our results suggest additional activities and policies are necessary including strategies to address the differences in private and public health care.

中文翻译：

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巴西国家卫生系统中的卫生公平性和非典型抗精神病药的使用：发现和意义

背景

有必要通过识别由于关注公平而影响其健康状况的关键因素，来评估从巴西国家卫生系统（SUS）获得药物的非典型抗精神病药物使用者的健康公平性。

研究设计与方法

在巴西国家药房的患者中进行横断面研究。如果使用年龄≥18岁的非典型抗精神病药并回答了EQ-5D-3L调查表，则将其包括在内。收集了社会人口统计学，行为学和临床数据。因变量是健康状况。通过调整线性回归模型分析自变量和因变量之间的关联。

结果

总体上，有388人符合资格标准，并被纳入分析。最终的多元线性回归模型表明，VAS与自杀企图，私人护理，当前的抗精神病药，合并症和家庭支持之间存在统计学上的显着联系。

结论

这项研究确定了与非典型抗精神病药物使用者的健康状况相关的个体和集体因素，并确认了提供治疗精神病药物的重要性。但是，还涉及其他因素，包括社会支持。我们的结果表明，需要采取其他活动和政策，包括应对私营和公共卫生保健差异的策略。