Background: Aging is a major risk factor for atherosclerotic cardiovascular diseases (CVD) and death. There is limited evidence on benefits of statin therapy for primary prevention in elderly patients, while there is strong evidence for its use in secondary prevention. The knowledge of prescribing patterns of statins to elderly is limited. Aim: To provide an overview of the use of statins in primary and secondary prevention for patients ≥ 75 years in Region Stockholm in 2019.  Methods: A cross-sectional study based on the regional health database VAL containing all diagnoses and dispensed prescription drugs for all 174 950 inhabitants ≥ 75 years old in Region Stockholm. Prevalence and incidence were analysed by sex, age, cardiovascular risk, prescriber category, substance and the intensity of treatment. Results: Of the elderly population, 25-43% were treated with statins, and 2-4% were initiated on statins during 2019. Men, individuals <85 years and those with higher cardiovascular risk were treated to a higher extent. Simvastatin was prescribed primarily to prevalent users and atorvastatin to incident users. A majority were treated with moderate-intensity dosages and fewer women received high intensity treatment. General practitioners accounted for a majority of all prescriptions and they prescribed mainly low and moderate intensity dosages. Conclusions: Statins are widely prescribed in elderly. It is likely that there is undertreatment among high-risk patients (especially women and elderly 85+ years) and overtreatment among patients with low-risk for CVD. Physicians seem to consider patients’ cardiovascular risk when deciding to initiate statin treatment for elderly.

Inledning: Det är viktigt att öka kunskapen om den växande samhällsgruppen individer som är 65 år och äldre enligt Stockholms läns landsting (2013). Studien har undersökt hur denna samhällsgrupp beskriver sina relationer till sin ursprungsfamilj. Frågeställningar: Hur beskriver äldre individer sina relationer till sin ursprungsfamilj retrospektivt? Vilka relationella erfarenheter framstår som signifikanta i deras berättelser? Metod: Studiens metodval är kvalitativ och datainsamlingen utgjordes av en ostrukturerad intervjuform. Totalt intervjuades 5 personer. Resultat: Resultatet redovisas utifrån olika tidsperioder samt tre teman som framkom i analysen: Barndom och uppväxttid, ung vuxen och identitetskap samt vuxenliv och autonomi. Diskussion: Relationen idag bygger på minnen när respondenterna blickar tillbaka på sina liv. Mamma beskrivs ha haft ett alltför stort inflytande under uppväxten och pappa beskrivs som viktig - framför allt längre upp i åldrarna. Banden till syskonen har oftast stärkts under vuxenlivet. Respondenterna beskriver också att de har hittat strategier att acceptera, förlåta och försonas med det liv de hittills har levt, i takt med ju äldre de har blivit, vilket överensstämmer väl med teorin om gerotrancendens (Tornstam, 2010) / Introduction: It is important to increase awareness of the growing social group of individuals who are 65 years and older according to the Stockholm County Council (2013). This study has investigated how this social group describes their relationships with their family of origin. Research question: How to describe older individuals their relationships with their family of origin retrospectively? Which relational experience emerges as significant in their stories? Method: The study's methodological choices are qualitative and data collection was made up of unstructured interview form. Total interviewed 5 people. Results: The results reported from different time periods and three themes that emerged from the analysis: Childhood and adolescence , young adult and identity munity and adulthood and autonomy. Discussion: The relationship today is based on memories when respondents look back on their lives. Mom described having had too much influence during childhood and father is described as important - especially later age. Bands siblings usually have strengthened during adulthood. Respondents also describe that they have found strategies to accept, forgive and reconcile with the life they have lived so far - as the older they become, which agrees well with the theory of gerotrancendens ( Tornstam, 2010).