THE USE OF PSYCHOTROPICS BY THE ELDERLY: AN ANALYSIS BASED ON THE SOCIAL DETERMINANTS OF HEALTH DESCRIBED BY DAHLGREN AND WHITEHEAD
Elderly.Social Determinants of Health.Psychotropics.Health of the Elderly. Public health.
Introduction: Aging leads to biological, psychological, and social changes in individuals and is often accompanied by an increased prevalence of chronic diseases and medication use, particularly psychotropic drugs. Older adults, due to their specific characteristics, are affected by unique social determinants that are impacted by the prolonged use of such medications.Objective: To analyze the Social Determinants of Health (SDH) of older adults using psychotropic drugs, based on the Dahlgren and Whitehead model.Methodology: This is a descriptive, exploratory study with a qualitative approach, conducted in the municipality of Santa Cruz/RN. Participants were individuals aged 60 years or older, enrolled in Primary Health Care Units, and using at least one psychotropic medication. Data were collected between August 2024 and February 2025 through semi-structured interviews, which were recorded, transcribed, and analyzed using thematic categories organized according to the layers of the adopted theoretical model.Results: Twelve individuals were interviewed. Findings revealed that factors such as low educational attainment, domestic workload overload, social isolation, financial difficulties, lack of knowledge about medications, and experiences of psychological distress are common among older adults who use psychotropic drugs continuously. In addition, the absence of structured support networks and limited access to alternative therapies for mental health care were observed.Final considerations: The study highlights the need for public policies that promote comprehensive care, access to mental health services, and the rational use of medications, taking into account the multiple determinants that affect the health of the elderly population.