Perfil dos usuários com doenças reumáticas e fatores associados à qualidade de vida no Sistema Único de Saúde, Brasil

Abstract

Introduction: Rheumatic diseases (RD) comprise one of the oldest and most disabling diseases in clinical practice, with a considerable impact on the lives of those affected. Objectives: To outline the profile of SUS users with DR and to identify associated factors with quality of life (QoL) in the Brazilian Unified Health System (SUS). Methods: Through the National Survey on Access, Use and Promotion of Rational Use of Medicines (PNAUM), SUSs users with RD were identified. A descriptive analysis of sociodemographic and clinical variables was performed. QoL was evaluated by EuroQol 5 dimensions (Eq-5D), and factors associated with it were identified by multivariate linear regression. Results: Among interviewees, 1632 (19.1%) had RD, with the majority of women (81.6%), over 40 years old (90.9%), married or in a stable union (63.1%), belonging to economy class C (55.6%) and without health insurance (87.7%). In addition, 60% had three chronic diseases, 92.2% used medicines, 49.5% evaluated their health status as neither bad nor good. The mean QoL score was 0.660. Factors associated with worse QoL were between 40 and 59 years of age, living in the southern region, reporting stroke and/or depression, being in use of five medications or more, performing a diet to lose weight and declaring poor or very poor health. Conclusion: Understanding the perspective of the user with RD helps the health professional to reach the patient in an efficient way in his orientations, in the form of approach and in the educational actions.