scholarly journals Self-medication practices versus health of the community

Author(s):  
Ruma Dutta ◽  
Dinesh Raja ◽  
Anuradha R. ◽  
Lawrence Dcruze ◽  
Timsi Jain ◽  
...  

Background: Self-medication is a common practice worldwide and the irrational use of drugs is a cause of concern. Self-medication involves the use of medicinal products by the individuals to treat self-recognized disorders or symptoms, or the intermittent or continuous use of a medication prescribed by a physician for chronic or recurring diseases or symptoms. The objectives of the study were to find out the prevalence of self-medication practices in the community; to describe the common conditions where self-medication is practiced.Methods: A community based cross sectional study was conducted in a rural population at Kuthambakkam village, Tamil Nadu from February 2015 to July 2015. This village falls under the rural field practice area of Department of Community Medicine, Saveetha Medical College and hospital, Thandalam. There were 1175 households in this village of which 165 households were identified for the study purpose using simple random sampling technique. Statistical analysis: Data entry and analysis was done using SPSS version 16 software. Descriptive statistics were calculated for background variables, attitude and practices of self-medication. Results: The study was conducted in 165 households in Kuthambakkam village, the rural field practice area of Department of Community Medicine, Saveetha Medical College. The median age of the study participants was 38 years. The minimum age was 17 and maximum was 77 years. 73 (44.2%) of study subjects reported having health problems currently. Of them, 76.7% replied they consulted a doctor for their problem, 17.8% resorted to self-medication and rest 5.5% took native treatment at home. Conclusions: It is imperative to address the practice of self-medication among the people in the age of growing drug resistance being reported. Periodic studies on the knowledge, attitude and practice of self-medication may give an insight into the pattern of drug use among the people. 

2015 ◽  
Vol 1 (1) ◽  
pp. 24-28
Author(s):  
MN Ghimire

Background: The study was conducted among the children and parents of Chepang community to know their health status in comparison with other communities. Chepang is an indigenous ethnic group living in Central and Southern Nepal especially in Chitawan, Gorkha and Dhading districts and also known as one of the isolated tribal groups of Nepal. They have their own language known as Chepang but is called Chyo-bang by the people themselves. The Chepang settlement is often on very steep land, unfertile and not easily accessible.Methods: The study was cross-sectional descriptive design. Simple random sampling technique was used to select the 38 children and their parents from the Brahmin/Chhetri, Ethnic groups, Chepang and Dalit.Result: Only 42% respondents had reported that they had visited hospital for checkups during the time of pregnancy. Among them only 11% Chepang had visited hospital. Similarly, 79% reported the use of iron tablets during the pregnancy and after post-delivery periods. In the same way, 95% reported that they had given birth to a child at home. In an average, 17% children of Chepang had better height, weight and thickness of arm than other communities' children.Conclusion: Chepang are found back in health seeking practices than the other communities. Cent percent mother had reported that they had given the birth of 1st baby before 20 years of her age. Though, health status of Chepang children found better than other communities' children.Journal of Advanced Academic Research Vol.1(1) 2014: 24-28


Author(s):  
Ayodeji M. Adebayo ◽  
Michael C. Asuzu

Background: Primary healthcare is established to ensure that people have access to health services through facilities located in their community. However, utilisation of health facilities in Nigeria remains low in many communities.Aim: To assess the utilisation of community-based health facility (CBHF) amongst adults in Ibadan, Nigeria.Settings: A low-income community in Ibadan North West Local Government Area of Oyo State.Methods:A cross-sectional survey was conducted using a simple random sampling technique to select one adult per household in all 586 houses in the community. A semi-structured interviewer-administered questionnaire was used to collect information on respondents’ sociodemographic characteristics, knowledge and utilisation of the CBHF. Data analysis included descriptive statistics and association testing using the Chi-square test at p = 0.05.Results: The mean age of the respondents was 46.5 ± 16.0 years; 46.0% were men and 81.0% married; 26% had no formal education and 38.0% had secondary-level education and above; traders constituted 52.0% of the sample; and 85.2% were of low socioeconomic standing; 90%had patronised the CBHF. The main reasons for non-utilisation were preference for general hospitals (13.8%) and self-medication (12.1%). Respondents who had secondary education and above, were in a higher socioeconomic class, who had good knowledge of the facility and were satisfied with care, utilised the CBHF three months significantly more than their counterparts prior to the study (p < 0.05). However, only satisfaction with care was found to be a significant predictor of utilisation of the CBHF.Conclusion: The utilisation of the CBHF amongst adults in the study setting is high, driven mostly by satisfaction with the care received previously. Self-medication, promoted by uncontrolled access to drugs through pharmacies and patent medicine stores, threatens this high utilisation.


PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253808
Author(s):  
Dhan Bahadur Shrestha ◽  
Nagendra Katuwal ◽  
Ayush Tamang ◽  
Agrima Paudel ◽  
Anu Gautam ◽  
...  

Background Medical students are more prone to burnout than the general population and students of other faculties due to the demanding nature of medical education with limited time and resources. Burnout has a negative impact on the academics and personal life of the students which can continue into their professional life and ultimately hamper patient care. The purpose of this study is to determine the prevalence of burnout among medical students of a medical college and find its association with age, gender, and year of study. Materials and methods This cross-sectional study was conducted among medical students of a medical college in Kathmandu, Nepal from 14 January to 7 March, 2021. Stratified sampling followed by a simple random sampling technique was employed to select study participants. Data was collected through a self-administered questionnaire using the English version of the Oldenburg Burnout Inventory adapted for students (OLBI-S) and analyzed in STATA version 15. Results The prevalence of burnout was found out to be 65.9% (n = 229). And of the remaining, 12.7% were exhausted, 11.4% were disengaged and 10.0% were neither exhausted nor disengaged. Burnout had no significant association with age in years, gender, and year of study. Conclusions This study shows an alarming prevalence of burnout in almost two-thirds of medical students. These results indicate the necessity of employing effective strategies by relevant authorities for the mental well-being of future physicians. Further multicenter prospective studies are required for a better understanding of the prevalence and associated factors of burnout.


Author(s):  
Gomathy Parasuraman ◽  
Y. Gowtham Krishna ◽  
M. Kaviya ◽  
Nischal A. Jain ◽  
Prashanth Rajendran ◽  
...  

Background: Dental caries is an important social problem in India and is predominantly a disease of childhood. The prevalence and incidence of dental caries is influenced by various socio–demographic factors like age, sex, ethnic groups, dietary patterns and oral hygiene habits. The objective of the study were to estimate the prevalence of dental caries among the school going children aged between 5–10 years and to determine the risk factors associated with dental caries.Methods: A population based cross–sectional study was conducted among the primary school going children in Thirumazhisai from February 2016 to July 2016. Simple random sampling technique was employed and 357 children were identified for the study. Descriptive statistics was calculated for background variables and association between the risk factors and evidence of dental caries was analyzed by tests of proportions and chi square test was used as a statistical test of significance. Results: The overall prevalence of dental caries was found to be 63.9%. Higher prevalence of dental caries was found among the girls (54%), among the lower socioeconomic class (41.7%), among those who consumed mixed diet (74.8%), among those who consumed junk foods (62.6%) at least once every day and among those who consumed dairy products (58.9%) at least once every day. Dental caries was found to be low in prevalence among those who consumed fruits several times a week (6.1%), among those who brushed their teeth twice/more than twice a day (20.2%) and among those who washed their mouth after each meal (38.7%). Conclusions: Lack of awareness, improper dietary habits and poor oral hygienic practices are seemingly the contributing factors for the development of dental caries. Dental caries is a preventable disease which can be alleviated by creating community awareness through health education activities. 


2021 ◽  
Vol 4 (4) ◽  
pp. 11-23
Author(s):  
Getachew Roba Agegnew ◽  
Seyoum Robo Gebremariam ◽  
Abera Haile Adello ◽  
Yasin Abafita Abawari ◽  
Abiyot Mamo Mergia ◽  
...  

The severe acute respiratory syndrome coronavirus and resultant coronavirus disease (COVID-19) have evolved into a pandemic, requiring persons around the world to attend to rapidly changing messages about public health and take immediate actions. Related to this, community’s awareness toward the preventive practice of coronavirus is assessed. Hence, the purpose of this was to investigate the awareness and preventive practice among communities. Cross-sectional survey design was conducted among 400 participants. Simple random sampling, technique particularly lottery method was used to select the study participants. Data was collected by using questionnaire and observation. After the data was collected, data entry and analysis were done using SPSS version 26. Hence, data gathered using questionnaire and observation was computed by using simple descriptive statistics (percentage and frequencies). Regarding awareness level of communities 61% of respondents aware that covid-19 transmits from victim by hand shaking and close contacts. And hence, 37.8% of participants aware that awareness creation was done by health organization service centers. And hence, the findings in this study revealed that community’s awareness was high on each specific aspect of COVID-19 among the study participants. Communities are not still totally pay attention to aware about COVID 19, crisis. According to finding in this research communities wash their hand in order to prevent covid-19 better than the previous. Kaffa zone as well as stakeholders should have to provide ample information for all communities including urban and rural societies to aware about COVID-19 and practice how to prevent. 


Author(s):  
Anjan Datta ◽  
Kaushik Nag ◽  
Nabarun Karmakar ◽  
Srabani Datta

Background: To plan for effective health measures, knowledge regarding morbidity profile of local area is very important. Preventive health strategies cannot be made without an idea about the disease burden and changing trend of diseases of the locality. Keeping this background in mind the present study was conducted. The objective of the study was to assess the common morbidity pattern of people living in an urban area of Tripura.Methods: A community based cross-sectional study was conducted among people living in the filed practice area of Urban Health Training Centre, Dukli under Department of Community Medicine, Tripura Medical College & DR. BRAM Teaching Hospital, Hapania for a period of one year. Five hundred fourty participants were selected using simple random sampling technique and data was collected using a pre-designed pretested questionnaire and analyzed using SPSS version 20.0 software. Results: Majority (50.93%) of the study participants were females and belonged to 19-59 years age group (32.78%). The commonest type of morbidity was found to be acute respiratory infections (31.10%), followed by musculo-skeletal disorders (17.78%), with non-communicable diseases like diabetes mellitus, hypertension, obesity etc. catering 13.70% of all morbidities. Majority of the participants were having single morbidity (55.74%) than those having comorbidities. Conclusions: There is dual burden of communicable as well a non-communicable diseases in our study population. Future studies for risk factors assessment are required to plan for effective preventive strategies locally. 


Author(s):  
Shahin Rahman ◽  
Mohammad Makhmoor Alam ◽  
Sanjeev Kumar Khichi ◽  
Mohd Haroon Khan

Background: Adolescence is a transitional stage of physical and mental development that occurs between childhood and adulthood. Adolescence is a gateway to health promotion since key behavior patterns that influence health and longevity have their origin in adolescence. The aim and objectives of the study were to study the morbidity and behavioural problems among adolescents.Methods: A community based cross sectional descriptive study was at Hajipur village, a rural field practice area of Department of Community Medicine, Katihar Medical College, Katihar, Bihar. 400 adolescents (213 boys and 187 girls) were included in the study. Systematic random sampling technique was used.Results: Among 400 adolescents, 25% of the adolescents having some health problem during the survey; predominant problems were psychological and behavioral in nature. 6.25% of adolescents were addicted (tobacco chewing), 1.5% abused drugs, 9.75% were depressed and 7.5% had anxiety disorder. Higher number of adolescents (29%) had history of worm infestation. 9.75% adolescents were suffering from upper respiratory tract infection and also had ear, nose, throat, eye, skin, and or dental problems.Conclusions: The adolescents had higher rate of morbidity and behaviour problems.


Author(s):  
Savitha A. K. ◽  
Gopalakrishnan S. ◽  
Umadevi R.

Background: Acute respiratory infection (ARI) is an infection of the respiratory tract that may interfere with normal breathing. ARI is one of the leading causes of illness and death among children worldwide. The aim of the study was to estimate the prevalence of ARI among under 5 children in the rural field practice area of a medical college in Kancheepuram district of Tamil Nadu.Methods: This study is a community based cross–sectional study. The study population was children below five years of age and informant was the mother of the child. The sample size is 380 and simple random sampling method was used. Data was analyzed using the SPSS software, version 16, and presented as descriptive statistics.Results: The prevalence of ARI among children was 41.6%. Regarding the symptoms of ARI, 36.6% of them had either cold or runny nose, 27.9% had cough, 23.4% had stridor, 20.8% had reduced intake of food, 2.6% had either ear pain or discharge, 2.6% had rapid breathing.1.3% had wheeze, 0.8% were tired/drowsy, 0.5% had throat pain, 0.5% had convulsions and 17.1% of them had symptoms with fever.Conclusions: This study shows the prevalence of ARI among children below 5 years of age is 41.6% which is relatively high. The symptoms of ARI reflect the non severe form of pneumonia. More hospital based studies should be done in order to know the burden of severe form of pneumonia which contributes to the morbidity and mortality of children below five years of age.


2019 ◽  
Vol 6 (1) ◽  
pp. 15-18
Author(s):  
Nighat Musa ◽  
Yasir Mehmood ◽  
Asghar Khan

OBJECTIVES: To determine the illness seeking behavior and self-medication among students of private medical college in Peshawar.METHODOLOGY:This study was a cross sectional descriptive study. It was conducted from September till December 2018. Study setting was a private medical college of Peshawar. A total of 250 students were recruited after taking well informed consent. Sampling technique was stratified sampling, from every academic year proportional number of students was selected for the study. Pilot study to check feasibility of questionnaire was done on 10% sample size. Data was collected from students by face-to-face interviews. Data was entered and analyzed in SPSS version 21. RESULTS:The study data regarding illness-seeking behaviors among medical students showed that 162 (64.8%) out of 250 practiced self-medication. The common illness was fever, headache and sore throat. Students used pain-killers and antibiotics without getting consultation. CONCLUSION:Self-medication is common among medical students of all five professional years in medical college of Gandhara University Peshawar. Regarding illness seeking behaviors most of the students preferred self-medication as most of the time medicines are available without prescription in the medical stores. However, still some percentage of students prefers to consult doctors or pharmacist before taking any medicine for their illness.KEYWORDS: Illness, Behavior, Self-Medication, Medical Students, Headache


Author(s):  
Jasmine Sharmila M. K. ◽  
Umadevi Jeyakumar R. ◽  
Anantha Eashwar V. M.

Background: Childhood is a phase of swift growth and development after infancy. One of the foremost public health problems in developing countries like India is extensive prevalence of under nutrition among school children resulting in delayed cognitive development and severe health impairment. Hence early detection helps in prompt prevention and treatment of complications. Aim was to assess the prevalence and factors associated with under-nutrition among children aged 5-10 years in an urban area of Kancheepuram district, Tamil Nadu.Methods: A descriptive cross sectional study conducted among 210 children in the age group of 5-10 years residing at Anakaputhur, an urban field practice area of Sree Balaji Medical College and hospital for a duration of 4 months by simple random sampling technique. A pre-tested semi-structured questionnaire was employed to interview the children and their mothers. The data obtained was subjected to statistical analysis using SPSS version 22.Results: Prevalence of underweight among children was found to be 52.4% of which 58.5% of the undernourished children were boys when compared to 47.4% among girls. Underweight was significantly associated with source of drinking water [(p<0.0125), OR=2.0566], episode of diarrhea [(p<0.0054), OR=2.3624] and ARI [(p<0.0000), OR= 8.6417] in the last 3 months, history of passing worms [(p<0.0348), OR=1.8878], meal frequency <3 times/day [(p<0.0000), OR=7.5432].Conclusions: Half of the children (52.4%) in the study had poor nutritional status. To combat under-nutrition good living conditions, education to the mothers, clean water source, good personal hygiene, period deworming and delivery of integrated programs are recommended.


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