Resumo Objetivo: Investigar se o alargamento do foramen realizado durante o tratamento primário tem um efeito na quantidade de material obturador apicalmente extruído durante oretratamento e verificar a sensibilidade da tomografia computorizada de feixe cônico (TCFC) na detecção de material obturador extruído. Métodos: Quarenta raízes palatinas de molares superiores foram selecionadas de acordo com a microtomografia computorizada, e foram divididas em dois grupos (n=20): com alargamento do foraminal (CA) e sem alargamento do foraminal (SA). Para padronizar o forame apical, todas as amostras foram instrumentadas com o sistema ProTaper Next até ao instrumento X3 até o forame. O grupo CA foi instrumentado até ao instrumento X5 até o forame, e o grupo SA foi instrumentado 1 mm aquém. Os canais foram obturados 1 mm abaixo do forame apical com gutta-percha e AH Plus e armazenados durante 7 dias a 37 °C e 95% de umidade. As raízes foram fixadas em microtubos preenchidos com gel de ágar a 1,5%. O material obturador foi removido com Reciproc R50. Os escaneamentos dos dentes e do ágar foram realizados com micro-CT e CBCT. A comparação entre grupos e entre métodos foi realizada utilizando o teste Mann-Withney (p ≤0.05). Resultados: Não foi encontrada diferença estatística ao comparar o material extruído entre grupos utilizando o Micro-CT (p = 0,589) ou TCFC (p = 0,953). Foi medido um volume maior de material extruído com a TCFC do que com a Micro- CT (p = 0,0004). Conclusão: O alargamento foraminal não teve qualquer efeito na extrusão do material obturador durante o retratamento. A TCFC favoreceu a avaliação do material de obturador apicalmente extruído.

Abstract Aim: To investigate whether foraminal widening performed at primary treatment has an effect on the amount of apically extruded obturator material during retreatment and to evaluate the sensitivity of cone beam computed tomography (CBCT) in detecting extruded obturator material. Methods: Forty palatal roots of maxillary molars were selected based on micro-CT and divided into two groups (n=20): with foraminal widening (WE) and without foraminal widening (NE). To standardize the apical foramen, all specimens were instrumented to the foramen using the Protaper Next system, up to instrument X3. The WE group was instrumented to the foramen up to instrument X5, and the NE group was instrumented 1 mm lower. The canals were obturated 1 mm below the apical foramen with gutta-percha and AH Plus and stored for 7 days at 37 °C and 95% humidity. Roots were fixed in microtubes filled with 1.5% agar gel. The obturation material was removed with Reciproc R50. Scans of the teeth and agar were performed using micro-CT and CBCT. Comparison between groups and between methods was performed using Mann-Withney test (p ≤0.05). Results: No statistical difference was found when comparing the extruded material between groups using micro-CT (p = 0.589) or CBCT (p = 0.953). CBCT measured a greater volume of extruded material than micro- CT (p = 0.0004). Conclusion: Foraminal widening had no effect on the extrusion of filling material during retreatment. The CBCT favored the evaluation of apically extruded filling material.

Abstract There are very few studies evaluating the exposure of the general population to food colours. This study aimed to estimate the Theoretical Maximum Daily Intake (TMDI) by the Brazilian population of four rather seldom-used synthetic food colours: Azorubine, Erythrosine, Indigotine, and Ponceau 4R. The study was conducted using data from the two most recent National Household Budget Surveys (carried out in 2008/2009 and 2017/2018). The study covered the country’s population, sorted into the following groups: gender, geographic region, and age (among people older than 10 years). The results show that the mean TMDI (mg/day) does not exceed the Acceptable Daily Intake (ADI) in any population group for any of the food colours. The highest values found were 12.5% of the ADI for Erythrosine in 2008/2009 and 4% in 2017/2018. A decrease in the mean TMDI was observed for all food colours comparing 2008/2009 and 2017/2018. Intake increases with decreasing age, adolescents being the group with the highest mean TMDI. When considering the prevalence of food consumption instead of the mean consumption, TMDI gets closer to the ADI, reaching 79% of the ADI of Erythrosine for adolescent females. The intake of these food colours proved to be within the recommended levels.

ABSTRACT Objective To develop and validate a high-risk predictive model that identifies, at least, one common adverse event in older population: early readmission (up to 30 days after discharge), long hospital stays (10 days or more) or in-hospital deaths. Methods This was a retrospective cohort study including patients aged 60 years or older (n=340) admitted at a 630-beds tertiary hospital, located in the city of São Paulo, Brazil. A predictive model of high-risk indication was developed by analyzing logistical regression models. This model prognostic capacity was assessed by measuring accuracy, sensitivity, specificity, and positive and negative predictive values. Areas under the receiver operating characteristic curve with 95% confidence intervals were also obtained to assess the discriminatory power of the model. Internal validation of the prognostic model was performed in a separate sample (n=168). Results Statistically significant predictors were identified, such as current Barthel Index, number of medications in use, presence of diabetes mellitus, difficulty chewing or swallowing, extensive surgery, and dementia. The study observed discrimination model acceptance in the construction sample 0.77 (95% confidence interval: 0.71-0.83) and good calibration. The characteristics of the validation samples were similar, and the receiver operating characteristic curve area was 0.687 (95% confidence interval: 0.598-0.776). We could assess an older patient’s adverse health events during hospitalization after admission. Conclusion A predictive model with acceptable discrimination was obtained, with satisfactory results for early readmission (30 days), long hospital stays (10 days), or in-hospital death.

Abstract The aims of the present study were to estimate the free-of-charge acquisition of psychotropic drugs among Brazilian adults; analyze the distribution of psychotropics according to their presence on the Relação Nacional de Medicamentos Essenciais (RENAME [National List of Essential Medicines]) and acquisition according to the source of funding (free of charge or direct payment); and estimate the proportion of free-of-charge psychotropic drugs according to therapeutic class and presence on the RENAME. This study involved the analysis of data from the 2014 National Survey on the Accessibility, Use and Promotion of the Rational Use of Medicines considering psychotropic drugs used by the adult population (≥20 years; n = 32,348). The prevalence of the acquisition of free-of-charge psychotropic drugs was 53.3% and 64.6% of these drugs were on the RENAME. Among the psychotropic drugs acquired by direct payment, 70.8% were not on the national list. Regarding free-of-charge acquisition according to the therapeutic class and presence on the RENAME, differences were found for antidepressants, anxiolytics and antipsychotics (p <0.05). In conclusion, the most used psychotropic medicines were listed in the RENAME, but free-of-charge acquisition was not provided for all of them.

Resumo Objetivo O objetivo do presente estudo é padronizar e avaliar a utilização do teste de avidez de anticorpos imunoglobulina G (IgG) em amostras de sangue de recémnascidos (RNs) coletadas em papel filtro para a realização do teste do pezinho visando a implementação nos programas já vigentes. Métodos Foram coletadas amostras de sangue de recém-nascidos em papel filtro simultaneamente ao teste do pezinho. Em todas as amostras, foram realizados os testes imunoenzimáticos (ELISA) imunoglobulina M (IgM) e IgG. Dos RNs que apresentaram altos índices de IgG (33), foi novamente coletado sangue periférico da forma tradicional e em papel filtro. Foram realizadas técnicas padrão para a dosagem de IgG em soro, adaptadas para papel filtro, e a técnica de avidez de IgG em soro e em papel filtro. Os valores obtidos para o teste de avidez foram classificados de acordo com o protocolo de Rahbari. Resultados Dentre as 177 recoletas, em 17 amostras foi realizada a coleta simultânea de sangue periférico e papel filtro da mesma criança. Nesta análise, 1 (5,88%) das 17 amostras coletadas em duplicata obteve também baixa avidez de IgG, sugerindo infecção congênita da criança, e houve concordância entre os resultados obtidos em soro e em papel filtro: 16 (94,12%) das amostras apresentaram alta avidez, com concordância de 100% entre os resultados obtidos em soro e em papel filtro. Conclusão Os dados do presente trabalho evidenciam que o teste de avidez poderá ser mais um método valioso a ser utilizado no diagnóstico da toxoplasmose congênita em RNs.

Abstract Objective The purpose of the present study is to standardize and evaluate the use of the immunoglobulin G (IgG) antibody avidity test on blood samples from newborns collected on filter paper to perform the heel test aiming at its implementation in ongoing programs. Methods Blood samples from newborns were collected on filter paper simultaneously with the heel prick test. All samples were subjected to immunoglobulin M IgM and IgG enzyme-linked immunosorbent assays (ELISA). Peripheral blood was collected again in the traditional way and on filter paper from newborns with high IgG levels (33). Three types of techniques were performed, the standard for measuring IgG in serum, adapted for filter paper and the technique of IgG avidity in serum and on filter paper. The results of the avidity test were classified according to the Rahbari protocol. Results Among the 177 samples, 17 were collected in duplicate from the same child, 1 of peripheral blood and 1 on filter paper. In this analysis, 1 (5.88%) of the 17 samples collected in duplicate also exhibited low IgG avidity, suggesting congenital infection. In addition, the results obtained from serum and filter paper were in agreement, that is, 16 (94.12%) samples presented high avidity, with 100% agreement between the results obtained from serum and from filter paper. Conclusion The results of the present study indicate that the avidity test may be another valuable method for the diagnosis of congenital toxoplasmosis in newborns.

Abstract: This study evaluated main canal and intratubular decontamination using different irrigation solutions followed by adjunctive agitation steps for infected root canals. Sixty-eight lower incisors were contaminated with Enterococcus faecalis and allocated to groups according to canal treatment (n = 10): G1, NaOCl followed by ethylenediaminetetraacetic acid (EDTA); G2, a mixture of NaOCl with hydroxyethylidene bisphosphonate (HEBP); and G3, NaOCl followed by EDTA-T (EDTA with sodium lauryl ether sulfate). All three groups of teeth were agitated with passive ultrasonic irrigation (PUI) using saline solution, whereby G4, G5, and G6 were prepared as above, and agitation was performed using an XP-Endo Finisher instrument. Microbiological samples were collected from the root canals with paper points at three times: before and after chemomechanical preparation and after agitation. The colony-forming units (CFU)/mL count was determined, and bacterial intratubular viability was analyzed via confocal laser scanning microscopy using Live/Dead staining. Statistical analysis was performed using a Kruskal-Wallis test followed by Dunn tests. A Friedman test was applied for colony-counting data (α = 0.05). CFU/mL counting indicated equally effective decontamination in the experimental groups (p > 0.05). According to microscopy images, the use of irrigation solutions followed by agitation with the XP-Endo Finisher yielded better results. Moreover, NaOCl+EDTA-T followed by XP-Endo Finisher resulted in significantly lower viability than in the PUI-activated groups (p < 0.05). The cervical and medium thirds of the specimens presented similar results. Overall, NaOCl+EDTA-T exhibited the best intratubular antibacterial activity, mainly for canals that were subsequently agitated using XP-Endo Finisher.

Abstract The present study provides historical and new records of the introduced millipedes species in Brazil, Oxidus gracilis (C.L. Koch, 1847), Orthomorpha coarctata (Saussure, 1860) (Paradoxosomatidae), Prosopodesmus jacobsoni Silvestri, 1910 (Haplodesmidae), Trachyjulus calvus (Pocock, 1893a), Glyphiulus granulatus (Gervais, 1847) (Cambalopsidae), Trigoniulus corallinus (Gervais, 1842), Leptogoniulus sorornus (Butler, 1876), Epitrigoniulus cruentatus (Brölemann, 1903) (Pachybolidae), Paraspirobolus lucifugus (Gervais, 1837) (Spirobolellidae), Cylindroiulus britannicus (Verhoeff, 1891), Cylindroiulus truncorum (Silvestri, 1896) (Julidae), and Rhinotus purpureus (Pocock, 1894) (Siphonotidae). Among the 27 federative units in Brazil, 21 states present at least one record of a non-native species. Orthomorpha coarctata was the most widely distributed species, occurring in 15 states. Glyphiulus granulatus (state of Rio Grande do Sul), C. truncorum (São Paulo), and R. purpureus (Amazonas) were recorded from only one Brazilian state. The Southeast region concentrates most of the compiled records (42,6%) and richness by grid (5-7 species), mainly in urban areas of the states of Rio de Janeiro and São Paulo.

RESUMO Este artigo discute construções do português brasileiro (PB) e da fala informal do francês acadiano (FA) nas quais formas equivalentes à do verbo ‘ver’ aparecem em enunciados imperativos contendo um segundo verbo. Nessas construções, ‘ver’ enfatiza a injunção expressa por esse segundo verbo. A construção do PB apresenta também uma leitura adicional, na qual a forma vê IMPERATIVO tem o significado de ‘verificar’. O artigo propõe que as construções do PB podem ser associadas a duas estruturas distintas. As construções com o significado de ‘verificar’ são tratadas como estruturas bioracionais nas quais o verbo ‘ver’ seleciona um CP nucleado pelo complementador se . Com relação à análise do significado de ordem enfática associado às construções do PB e do FA, adota-se as propostas de Speas e Tenny (2003) e de Hill (2007, 2014), segundo as quais a pragmática conversacional é codificada na sintaxe com uma estrutura predicativa (uma projeção associada ao Speech Act ‘Ato de Fala’- SAP) acima de CP. Com base nessas propostas, analisam-se as construções de ordem enfática do PB e do FA como estruturas mono-oracionais, em que vê e voir são marcadores pragmáticos injuntivos inseridos diretamente no núcleo SA para codificar uma relação pragmática.

ABSTRACT This paper discusses constructions found in Brazilian Portuguese (BP) and Acadian French (AF), in which the equivalents of to see accompanies a second verb in imperative utterances. In these constructions in BP and AF to see emphasizes the command expressed by the other verb. The BP construction can also have an additional interpretation, in which vê ‘seeIMPERATIVE,2,SINGULAR’1has the meaning ‘to verify’. It is proposed that BP constructions can be associated with two different structures. The constructions with the ‘to verify’ meaning are treated as biclausal structures in which the verb ver ‘to see’ selects for a CP headed by the complementizer se ‘if’. As for the analysis of the emphatic order meaning associated to the BP and AF constructions, we adopt the proposals put forth in Speas & Tenny (2003) and Hill (2007, 20 , 2014 ) according to which conversational pragmatics is encoded in syntax as a predicative structure (Speech Act Projection - SAP) above CP. Following these ideas, we analyze BP and AF emphatic order constructions as monoclausal structures, where vê in BP and voir in AF are injunctive pragmatic markers that are externally merged into the SA head in order to encode a pragmatic relation.

Resumo A inserção de profissionais da psicologia no cenário da atenção básica constitui-se uma realidade cada vez mais presente. Entretanto, esse processo tem sido permeado por intensas discussões, as quais apontam para as dificuldades da psicologia frente à realidade e as necessidades de saúde desse contexto. Este estudo teve como objetivo compreender a prática profissional de psicólogos, vinculados a Programas de Residência Multiprofissional em Saúde, na atenção básica. Para tanto, procurou identificar as atividades desenvolvidas pelos psicólogos residentes, bem como entender quais os desafios encontrados no desenvolvimento de suas práticas. Os resultados apontaram para uma multiplicidade de ações e para a valorização do trabalho em equipe. A cobrança por atendimento individual e a grande demanda foram apontados como desafios presentes no cotidiano de trabalho. As considerações finais indicaram uma significativa mudança no modo como os profissionais deste estudo concebem o papel do psicólogo na atenção básica, enfatizando práticas coletivas.

Abstract The entry of psychology professionals in the primary health care area is an increasingly reality. However, this process has been surrounded by intense discussions, which have pointed out to the difficulties of psychologists in face of the reality and health needs in this context. This study aimed to comprehend the professional practice of psychologists who are part of a Multiprofessional Residency in Health Care Program, in the context of primary health care. Therefore, it aimed to identify the activities developed by psychology residents, as well as to comprehend what are the challenges faced in the development of their practices. The results pointed out to a variety of actions and for the value given to teamwork. The charge for individual appointments and the vast demand were pointed out as challenges faced in daily work. Finally, it is indicated a significant change in the way that the participants of this study conceive the psychologist’s role in primary health care, by emphasizing collaborative practices.

Resumo A inserção de profissionais da psicologia no cenário da atenção básica constitui-se uma realidade cada vez mais presente. Entretanto, esse processo tem sido permeado por intensas discussões, as quais apontam para as dificuldades da psicologia frente à realidade e as necessidades de saúde desse contexto. Este estudo teve como objetivo compreender a prática profissional de psicólogos, vinculados a Programas de Residência Multiprofissional em Saúde, na atenção básica. Para tanto, procurou identificar as atividades desenvolvidas pelos psicólogos residentes, bem como entender quais os desafios encontrados no desenvolvimento de suas práticas. Os resultados apontaram para uma multiplicidade de ações e para a valorização do trabalho em equipe. A cobrança por atendimento individual e a grande demanda foram apontados como desafios presentes no cotidiano de trabalho. As considerações finais indicaram uma significativa mudança no modo como os profissionais deste estudo concebem o papel do psicólogo na atenção básica, enfatizando práticas coletivas.

Abstract The entry of psychology professionals in the primary health care area is an increasingly reality. However, this process has been surrounded by intense discussions, which have pointed out to the difficulties of psychologists in face of the reality and health needs in this context. This study aimed to comprehend the professional practice of psychologists who are part of a Multiprofessional Residency in Health Care Program, in the context of primary health care. Therefore, it aimed to identify the activities developed by psychology residents, as well as to comprehend what are the challenges faced in the development of their practices. The results pointed out to a variety of actions and for the value given to teamwork. The charge for individual appointments and the vast demand were pointed out as challenges faced in daily work. Finally, it is indicated a significant change in the way that the participants of this study conceive the psychologist’s role in primary health care, by emphasizing collaborative practices.

Resumo O objetivo do presente estudo foi verificar a prevalência do uso de psicotrópicos nos adultos e idosos e os fatores associados, classes terapêuticas de medicamentos e fontes de obtenção. Foram analisados dados da Pesquisa Nacional sobre o Acesso, Utilização e Promoção do Uso Racional de Medicamentos no Brasil (PNAUM/2013-2014). A prevalência do uso de ao menos um psicotrópico para o conjunto de adultos brasileiros foi de 8,7%. Nas análises ajustadas para adultos e idosos, observaram-se associações positivas entre uso de psicotrópicos e sexo feminino, pior autoavaliação de saúde e presença de doenças crônicas (p < 0,05). As classes terapêuticas mais utilizadas foram os antidepressivos (55,3%) por adultos e os ansiolíticos (59,3%) por idosos. Cerca de 23,0% dos psicotrópicos foram obtidos exclusivamente nas farmácias do SUS e os outros 77,0% por outras fontes. Os resultados mostraram baixa proporção de obtenção dos psicotrópicos no SUS e a necessidade de políticas que incentivem a prescrição e tratamentos com mais racionalidade, promovendo melhor qualidade de vida e garantia do direito à saúde a população.

Abstract The aim of the present study was to estimate the prevalence of psychotropic drug utilization among adults and seniors and determine associated factors, therapeutic classes and sources of acquisition. Data from the Brazilian National Survey on Access, Use and Promotion of the Rational Use of Medicines (2013-2014) were analyzed. The prevalence of use of at least one psychotropic drug in the overall sample (adults and seniors) was 8.7%. In the adjusted analyses, positive associations were found between the use of psychotropic drugs and the female sex, poorer self-rated health and chronic diseases (p < 0.05). The most frequently used therapeutic classes were antidepressants (55.3%) by the adults and anxiolytics (59.3%) by the seniors. Approximately 23.0% of psychotropic drugs were obtained exclusively from pharmacies of the public healthcare system and 77.0% were acquired from other sources. The findings reveal a low proportion of attaining psychotropic drugs through the Brazilian public healthcare system as well as the need for public policies that encourage the rational use of prescriptions and treatments to promote a better quality of life and ensure the population’s right to health.

RESUMO O estudo teve por objetivo estimar a prevalência da realização de Práticas Integrativas e Complementares (PIC) e sua relação com doenças crônicas em idosos brasileiros. Estudo transversal de base populacional realizado com dados da Pesquisa Nacional de Saúde (PNS/2013; n=23.815). Estimaram-se a prevalência de realização de PIC e as frequências relativas das práticas referidas. Realizaram-se comparações entre proporções pelo teste de Rao-Scott com nível de significância de 5% e estimaram-se razões de prevalência para o uso das práticas integrativas e complementares, segundo doenças crônicas. O uso das PIC foi referido por 5,4% (IC95%:4,9-6,0) dos idosos. Entre estes, 62,6% relataram uso de plantas medicinais/fitoterapia; 22,2%, acupuntura; e 11,2%, homeopatia. Somente 6,7% realizaram o tratamento no SUS. Observou-se maior realização das práticas pelas mulheres e para todos os tratamentos considerados (p<0,001); naqueles com colesterol alto, artrite ou reumatismo, problema de coluna e depressão (p<0,05). Os resultados dimensionam o uso das PIC com dados de abrangência nacional, apontando para sua utilização no tratamento das diversas condições de saúde que acometem principalmente os idosos.

ABSTRACT The study aimed to estimate the prevalence of carrying out Integrative and Complementary Practices (PIC) and their relationship with chronic diseases in elderly Brazilians. Cross-sectional population-based study conducted with data from the National Health Survey (PNS/2013; n=23,815). The prevalence of carrying out PIC and the relative frequencies of the referred practices were estimated. Comparisons were made between proportions using the Rao-Scott test with a 5% significance level and prevalence ratios were estimated for the use of PIC, according to chronic diseases. The use of PIC was mentioned by 5.4% (IC95%: 4.9-6.0) of the elderly. Among these, 62.6% reported the use of medicinal plants/phytotherapy; 22.2%, acupuncture; and 11.2%, homeopathy. Only 6.7% underwent treatment at Unified Health System (SUS). There was a greater performance of practices by women and for all treatments considered (p <0.001); in those with high cholesterol, arthritis or rheumatism, spinal problems and depression (p <0.05). The results measure the use of integrative and complementary practices with national data, pointing to their use in the treatment of the various health conditions that mainly affect the elderly.

RESUMO O estudo teve por objetivo estimar a prevalência da realização de Práticas Integrativas e Complementares (PIC) e sua relação com doenças crônicas em idosos brasileiros. Estudo transversal de base populacional realizado com dados da Pesquisa Nacional de Saúde (PNS/2013; n=23.815). Estimaram-se a prevalência de realização de PIC e as frequências relativas das práticas referidas. Realizaram-se comparações entre proporções pelo teste de Rao-Scott com nível de significância de 5% e estimaram-se razões de prevalência para o uso das práticas integrativas e complementares, segundo doenças crônicas. O uso das PIC foi referido por 5,4% (IC95%:4,9-6,0) dos idosos. Entre estes, 62,6% relataram uso de plantas medicinais/fitoterapia; 22,2%, acupuntura; e 11,2%, homeopatia. Somente 6,7% realizaram o tratamento no SUS. Observou-se maior realização das práticas pelas mulheres e para todos os tratamentos considerados (p<0,001); naqueles com colesterol alto, artrite ou reumatismo, problema de coluna e depressão (p<0,05). Os resultados dimensionam o uso das PIC com dados de abrangência nacional, apontando para sua utilização no tratamento das diversas condições de saúde que acometem principalmente os idosos.

ABSTRACT The study aimed to estimate the prevalence of carrying out Integrative and Complementary Practices (PIC) and their relationship with chronic diseases in elderly Brazilians. Cross-sectional population-based study conducted with data from the National Health Survey (PNS/2013; n=23,815). The prevalence of carrying out PIC and the relative frequencies of the referred practices were estimated. Comparisons were made between proportions using the Rao-Scott test with a 5% significance level and prevalence ratios were estimated for the use of PIC, according to chronic diseases. The use of PIC was mentioned by 5.4% (IC95%: 4.9-6.0) of the elderly. Among these, 62.6% reported the use of medicinal plants/phytotherapy; 22.2%, acupuncture; and 11.2%, homeopathy. Only 6.7% underwent treatment at Unified Health System (SUS). There was a greater performance of practices by women and for all treatments considered (p <0.001); in those with high cholesterol, arthritis or rheumatism, spinal problems and depression (p <0.05). The results measure the use of integrative and complementary practices with national data, pointing to their use in the treatment of the various health conditions that mainly affect the elderly.

Resumo O objetivo do presente estudo foi verificar a prevalência do uso de psicotrópicos nos adultos e idosos e os fatores associados, classes terapêuticas de medicamentos e fontes de obtenção. Foram analisados dados da Pesquisa Nacional sobre o Acesso, Utilização e Promoção do Uso Racional de Medicamentos no Brasil (PNAUM/2013-2014). A prevalência do uso de ao menos um psicotrópico para o conjunto de adultos brasileiros foi de 8,7%. Nas análises ajustadas para adultos e idosos, observaram-se associações positivas entre uso de psicotrópicos e sexo feminino, pior autoavaliação de saúde e presença de doenças crônicas (p < 0,05). As classes terapêuticas mais utilizadas foram os antidepressivos (55,3%) por adultos e os ansiolíticos (59,3%) por idosos. Cerca de 23,0% dos psicotrópicos foram obtidos exclusivamente nas farmácias do SUS e os outros 77,0% por outras fontes. Os resultados mostraram baixa proporção de obtenção dos psicotrópicos no SUS e a necessidade de políticas que incentivem a prescrição e tratamentos com mais racionalidade, promovendo melhor qualidade de vida e garantia do direito à saúde a população.

Abstract The aim of the present study was to estimate the prevalence of psychotropic drug utilization among adults and seniors and determine associated factors, therapeutic classes and sources of acquisition. Data from the Brazilian National Survey on Access, Use and Promotion of the Rational Use of Medicines (2013-2014) were analyzed. The prevalence of use of at least one psychotropic drug in the overall sample (adults and seniors) was 8.7%. In the adjusted analyses, positive associations were found between the use of psychotropic drugs and the female sex, poorer self-rated health and chronic diseases (p < 0.05). The most frequently used therapeutic classes were antidepressants (55.3%) by the adults and anxiolytics (59.3%) by the seniors. Approximately 23.0% of psychotropic drugs were obtained exclusively from pharmacies of the public healthcare system and 77.0% were acquired from other sources. The findings reveal a low proportion of attaining psychotropic drugs through the Brazilian public healthcare system as well as the need for public policies that encourage the rational use of prescriptions and treatments to promote a better quality of life and ensure the population’s right to health.