scholarly journals Prevalence, knowledge and associated factors on self-medication practice among the community of Lalitpur Metropolitan City, Nepal: a cross-sectional study

2021 ◽  
Vol 12 (2) ◽  
pp. 1108-1118
Author(s):  
Birendra Shrivastava ◽  
Omi Bajracharya ◽  
Rajani Shakya

Self-medicine has become one of the important components in day-to-day life to treat mild ailments. If not used rationally, it may lead to serious public health issues. The aim of this study is to explore the prevalence, knowledge, and associated risk factors of self-medication practice among the community of the Lalitpur Metropolitan City of Nepal. A cross-sectional community based prospective study was conducted among 1,004 participants of the Lalitpur Metropolitan City using a pretested and validated questionnaire. The collected data were analyzed using descriptive and inferential analysis with an alpha level of 0.05 by using SPSS. The prevalence of self-medication was 45.20%. The three most common ailments for practicing self-medication were fever, headache, and cough/cold. The top reason for self-medication was minor illness. The study indicated that overall knowledge scores were significantly associated with self-medication (P<0.001). Multiple logistic regression showed the elderly are more oriented towards self-medication practice [AOR=5.22 (95%CI: 2.73-9.98)]. The health professional families have a high affinity towards self-medication practice [AOR=2.82 (95%CI: 1.68-4.75)]. Likewise, storing medicine at home [AOR= 7.01 (95%CI: 5.10-9.64)] and poor knowledge of medicine use were [AOR=1.81 (95%CI: 1.14-2.88)] more likely to prefer self-medication. The prevalence of self-medication was high, mostly due to the poor knowledge about appropriate medicine used. Self-medication is unavoidable in many situations; therefore, implementation of action plans to improve awareness about the consequences of self-medication is needed, thus facilitating its responsible use by the community.

Author(s):  
Sunitha Sunitha ◽  
Dhanya Dharman ◽  
Deepa Manohar ◽  
Shaiju S Daran ◽  
Vismaya Annie Vinod ◽  
...  

Primary dysmenorrhea is one of the most common gynecological problems among adolescent females which interferes with daily activities, affecting their physical and emotional aspects and has a negative impact on the quality of life. The pain is usually in the pelvis or lower abdomen. Self-medication for primary dysmenorrhea is a very common practice. The aim of this study was to observe and evaluate self-medication practice in primary dysmenorrhea among pharmacy students. This is a cross-sectional questionnaire study to be conducted among 50 females of age group between 18-25 of pharmacy college. The self-medication practice and features of dysmenorrhea were to be assessed with a 15 pre-validated questionnaire and the data is analyzed using descriptive statistics. A total of 50 students participated in this study in which 81.8% had regular periods. Dysmenorrhea was experienced in 79.6% with mild (30.4%),moderate(23.9%) and with severe(28.3%) dysmennohea. In this study 64.3% preferred self-medication pattern. The majority were Pharm.D students. The most commonly used drug was Meftal spas (mephenamic acid+dicyclomine) and for 96.8% the treatment was found to be effective. Among the 50 students, 57.6% have experienced ADR , majority with decreased blood flow. The Self-medication practice in dysmenorrhea was more among pharmacy students probably due to the knowledge of drugs, better awareness and greater access to drug information during their curriculum. This highlights the importance of creating awareness among students to consume drugs only in severe discomfort after prescription by the registered medical practitioners.


Salmand ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. 112-127
Author(s):  
Narjes Heshmatifar ◽  
◽  
Arezoo Davarinia Motlagh Quchan ◽  
Zohreh Mohammadzadeh Tabrizi ◽  
Leila Moayed ◽  
...  

Objectives: The Coronavirus Disease 2019 (COVID-19) crisis and health outcomes are among the major human social events of the 21st century. The unknown nature of the disease and the fear of contagion have caused emotional reactions, including the self-consumption of drugs in the elderly. Therefore, this study investigated factors affecting the self-consumption of drugs for COVID-19 prevention in the elderly. Methods & Materials: This descriptive and cross-sectional study was performed on 342 elderly in Sabzevar City, Iran, in 2020. The research units were selected as clusters from 16 health centers. The necessary data were collected by an online self-medication questionnaire. Data analysis was performed in SPSS. Results: The Mean±SD age of the study participants was 66.2±5.67 years. The frequency of self-medication to prevent COVID-19 was 190(55.5%); analgesics, vitamins, anti-cold, and antibiotics were the most common drugs used. The major factors associated with self-medication in the COVID-19 pandemic were disease prevention, home quarantine, financial problems, experiencing previous self-medication, and others’ advice. There was a significant relationship between self-medication and education and insurance coverage. No significant relationship was observed between gender, occupation, and marital status, and self-medication. Conclusion: Self-Medication in the COVID-19 epidemic is notable as a crisis threatening the elderly’s health. Controlling and monitoring how the drug is used is among the requirements for protection and health promotion in the elderly.


Drug Research ◽  
2018 ◽  
Vol 68 (08) ◽  
pp. 475-480
Author(s):  
Mohammad Heidari ◽  
Mansureh Borujeni ◽  
Mansour Ghafourifard ◽  
Rahim Sheikhi

Abstract Introduction The prevalence of various diseases in the elderly has increased the use of drugs, which is coupled with age-related physiological changes and places the elderly at risk for multiple side effects. The present study aimed to determine awareness, attitudes and practices of elderly towards self-medication. Materials and Methods The sample included 300 participants over 60 years under any of the health centers in urban and rural areas of Abadeh city, who were selected based on stratified random sampling method. In order to collect data, the questionnaire including demographic information, awareness, attitude and performance of the elderly and the checklist of drug intractable consumption. Results Based on the results, 76% of the elderly reported drug consumption. Regarding lifestyle, the average score of the elderly’s awareness for the elderly who lived with and without families were 78.6±14.2 and 69.2±13.6, respectively. In other words, a significant difference was observed between these two groups. In addition, there was a significant between the elderly’s performance score with and without family members about the self-medication (p=0.001). Conclusion Considering the increase in self-medication among the elderly, adherence to prescription criteria for drug among this age group is recommended. Finally, designing and implementing various educational programs in health education center is necessary for the elderly and their families for the purpose of improving awareness and practice.


Author(s):  
Suhana Jawahir ◽  
Noorizan Abd Aziz

Objective: Self-medication is a common practice and an important health issue worldwide. The aim of this study was to determine the percentage of self-medication practice, patterns of use, self-medication attitudes, and to explore the occurrence of side effects resulting from self-medication practice among the adult population in Selangor, Malaysia.Methods: This cross-sectional survey used a validated questionnaire administered to adults 18 y and above residing in Selangor.Results: A total of 401 completed questionnaires were analyzed. The majorities of the participants were Malay (91.5%) and went to college or university (89.3%). One-third self-medicated in the past two weeks prior to the survey. Self-medication was significantly associated with age (p=0.009) and race (p=0.038). Among the respondents, 83.8% would search for information before practicing self-medication. Modern healthcare professionals (58.4%) and the internet (47.1%) were the most common source of information about drugs for self-medication. The main reason for self-medication was the illness perceived as minor (79.1%). Two-thirds of the respondents (66.6%) had a satisfactory attitude towards self-medication practices.Conclusion: The public needs to be better informed on responsible self-medication to ensure safe, effective, and rational use of medicines.


Author(s):  
Mohammad Shokrzadeh ◽  
Reza Hoseinpoor ◽  
Danial Jafari ◽  
Jafar Jalilian ◽  
Yaghoub Shayeste

Background and Purpose: Self-medication is an important concern in every part of the world. The aim of this study was to estimate the prevalence and to investigate the associate factors of self-medication among adults in Gorgan, north of Iran.  Materials and Methods: This descriptive cross-sectional study was carried out among adults aged 12 years and above who were residents in Gorgan city. The participants were selected using the multi-stage cluster sampling method. SPSS Software and Pearson's chi-squared test were used for data analysis. Results: A total of 592 households with 2050 respondents were visited. The prevalence of self-medication was 67.9%. A larger number of females were self-medicating (71.3%) than males (63.5%). The majority of the respondents self-medicated because of the previous use experience (59.3%). The main indication for self-medication use was headache (60.8%).  Analgesics were the most commonly self-medicated by the respondents (83.9%). Also, 88.6% of the respondents prepared their drug from drugstores. Furthermore, there were significant differences between self-medication and demographics characteristics including gender, age group, marital status, occupation, education level and income (p<0.05). Conclusion: The prevalence of self-medication especially with analgesics is relatively high among adult city-dwellers in Gorgan. So, preventive measures, such as strengthening of the communities awareness on the side effects of self-medication practice and regulation of pharmacies are very important mechanisms to decrease the practice. 


2021 ◽  
Vol 74 (3) ◽  
Author(s):  
Josefa Muriele da Silva Marinho ◽  
Karyne Beatriz Almeida de Medeiros ◽  
Romário Nóbrega Santos Fonseca ◽  
Thiego Santos de Araujo ◽  
Wanessa Cristina Tomaz dos Santos Barros ◽  
...  

ABSTRACT Objective: To identify the pattern of medication consumption among the elderly assisted in Primary Health Care. Methods: Descriptive, quantitative, cross-sectional study, with a sample of 315 elderly people, in a city in rural Rio Grande do Norte. Results: The average age was 72.41 years, with an average consumption of 3.15 medications per day, ranging from 1 to 16 medications daily. There was a prevalence of antihypertensives, antidiabetics, hypolipidemic and psychotropic drugs. 238 different drugs were mentioned, 15 of which were “potentially inappropriate drugs” for the elderly. Most of these patients follow treatment according to medical prescription, with low self-medication. Most elderly people buy their drugs, although many are available for free. Conclusion: The most consumed drugs are consistent with the most reported diseases (hypertension and diabetes). The daily use of inappropriate medications for the elderly is worrying, especially psychotropics, given the risks of dependence or health complications of these users.


Author(s):  
Abdul Nazer Ali ◽  
Pushpaa Asokan ◽  
Chew Jia Hui ◽  
Chuah Hui Ying ◽  
Nazer Zulfikar Ahmed

Aim: The aim and objectives of the study were: 1) To assess the knowledge regarding dengue viral infection among undergraduate healthcare professional (HCP) students. 2) To investigate the association of socio-demographic factors towards dengue knowledge among the study participants. 3) To compare the dengue knowledge among the three HCP (Dental, Medical and Pharmacy) students. Study Design: A cross sectional study design was used in the study. Place and Duration of Study: The study was conducted in AIMST University campus, Kedah state, Malaysia between January, 2017 and June, 2017. Methods: The study was conducted among HCP students using pre-validated questionnaire with knowledge as a single dependent variable. The questionnaire was distributed in class room setting after obtaining informed consent forms signed by participants. The summary statistics for categorical variables was used with chi-square test to see if there was any association between the variables. Inferential statistics was done using Spearmans correlation. Results: Among the 636 participants, an overall good knowledge (≈90%) was observed regarding the cause, breeding sites and common clinical symptoms of dengue fever. However, poor knowledge was observed regarding the time of dengue mosquitoes bite (51%, P = .58) and transmission through blood transfusion (59%, P <.001). Very poor knowledge was observed regarding transmission through person to person contact (25%, P <.001). The median knowledge score was 12(3) ranging from 0 to 15. There was a statistically significant differences (P < .001) in response to 14/15 knowledge based items. Further, a statistically significant association between dengue knowledge score was observed among field of study (P < .05) and year of study (P < .006) variables. The Spearman's correlation test showed a weak positive correlation [rs(2) = 8.6, P < .01] and [rs(10) = 108, P < .001] between year of study and age categories for dengue knowledge scores. Conclusion: Overall, the HCP students in AIMST University showed good knowledge score towards dengue however, educational intervention programmes can further enrich their knowledge in the prevention, treatment and management of this deadly disease.


2021 ◽  
Vol 16 (1) ◽  
pp. 190-206
Author(s):  
Chin Mun Wong ◽  

The World Health Organization (WHO) has declared Zika infection as Public Health Emergency of International Concern in 2016. In this study, we aimed to assess the knowledge and risk perception towards Zika infection among the forest fringe population in Malaysia. A cross-sectional study of with 433 adult respondents in Malaysia completed the assisted-administered validated questionnaire on knowledge and perception to Zika infection. Bidirectional analysis on the person and item abilities were tested using Statistical Package for the Social Sciences (SPSS) and Rasch. The knowledge and perception levels were tested against significant sociodemographic or socioeconomic variables using Pearson’s Chi Square; covariates were then adjusted at multivariate level using binary logistic regression. Both knowledge and perception domains were well-targeted. Complementing results from SPSS and Rasch showed poor knowledge and poor risk perception levels in slightly more than half of the respondents [knowledge score: 50.8% (SPSS), 55.4% (Rasch); perception score: (58.0% (SPSS), 58.2% (Rasch)]. With covariates adjusted, non-bumiputra (non-natives) of higher education level, higher household income and recent jungle visits showed good knowledge level. Adult, menopaused women from Perak state showed better risk perception level towards Zika. Majority of the forest fringe population in Malaysia have poor knowledge and risk perception towards the Zika infection. This questionnaire is a suitable tool to assess knowledge and perception towards Zika infection among the forest fringe populations in Southeast Asia.


2021 ◽  
Author(s):  
Mussa S. Manhyabili ◽  
George M. Bwire ◽  
Lubinza Maziku ◽  
Mecky .I. N. Matee

Abstract Background: Self-medication practice (SMP) is the use of medication without the prescription of health care professionals. The major problems associated with self-medication practice have been drug resistance, drug side effects, wastage of resources, and serious health hazards including death. This study was conducted to assess the magnitude and factors associated with self-medication practice among adult household members in Shinyanga Municipal Council (SMC).Methods: A community based cross-sectional study was conducted in SMC, in September and October 2020. A multistage cluster random sampling was used to select study participants. Variables such as socio-demographic factors and reasons for SMP were summarized using frequencies and percentages. Chi square and logistic regression test were used to identify factors associated with SMP. All statistics were done using SPSS version 25.Results: In total 422 adult household members were studied, the magnitude of SMP among adult household members in SMC was 86%. The major symptom of illness that lead to SMP were headache 75(38.9%), fever 71 (37%) and cough 52 (27.1%) while paracetamol 84(43.8%), Ampiclox 30 (15.5%) and artemether lumefantrine 25 (13%) were the commonly used drugs. Perceptions of illness as mild 141(38.8%)and previous experience of self-medication138(38%) were the reasons for SMP. Participants who did not complete secondary education were seven times more likely to practice SMP as compared to those who had university education (adjusted odds ratio [aOR] =7.136, 95%CI=1.447-35.180, P=0.016). Participants with average household income (AHI) (<180,000 TSH=<78USD) were less likely to practice SMP compared to those with AHI (B 180,000Tsh) (aOR = 0.424, 95%CI = 0.214 – 0.840, P = 0.014).Conclusion: The magnitude of SMP in Shinyanga Municipal was found to be high.SMP was significantly associated with level of education and average monthly household income. Strengthening of the community’s awareness on the side effects of SMP including antimicrobial resistance in the study area is recommended.


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