Risk factors associated with self-medication among women in Iran

BMC Public Health - Tập 19 - Trang 1-7 - 2019
Mahmood Karimy1, Majed Rezaee-Momtaz2, Mahmoud Tavousi3, Ali Montazeri3, Marzieh Araban2,4
1Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
2Department of Health Education and Promotion, Public Health School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
3Health Metrics Research Center, Iranian Institute for Health Sciences Research, Tehran, Iran
4Social Determinants of Health Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

Tóm tắt

Self-medication is a public health concern that may create several problems such as increase in drug resistance, raise in drug use per capita, and creating side effects. This study was conducted to determine predictors of self-medication based on the theory of planned behavior (TPB) among the Iranian women. This was a cross sectional study. A sample of married women completed a validated, anonymous, self-administered questionnaire. The questionnaire included items on demographic variables, knowledge, and TPB structures, and the checklist of women’s self-medication practices. The study was conducted in six urban health centers of Shush and Zarandieh in Iran during January to July 2016. Data were analyzed using SPSS 23.0 applying t-test and logistic regression. A total of 360 women took part in the study. The results showed that 76% of women had a history of self-medication and 98.9% stored drugs at home. The most important reasons for self-medication were perceived self-medication harmless (41%), having history of a disease (35.5%), and availability of medications at home (34%). The most frequent diseases for self-medication were fatigue, weakness, and anxiety (24%), and fever (20%). The results obtained form logistic regression analysis indicated that age, place of residence, education level, health insurance status, as well as all constructs of the TPB were significant predictors for self-medication. The findings indicated that the prevalence of self-medication among Iranian women was high. Since women have important role in shaping the family health, the issue of high prevalence among this population should be considered as a serious problem in Iran. In this regard, it is recommended to consider factors affecting self-medication among women to reduce this health threatening factors.

Tài liệu tham khảo

Neafsey PJ, Jarrín O, Luciano S, Coffman MJ. Self-medication practices of Spanish-speaking older adults in Hartford, Connecticut. Hisp Health Care Int. 2007;5(4):169–79. Sarahroodi S, Maleki-Jamshid A, Sawalha AF, Mikaili P, Safaeian L. Pattern of self-medication with analgesics among Iranian University students in Central Iran. J Fam Community Med. 2012;19(2):125. Kamat VR, Nichter M. Pharmacies, self-medication and pharmaceutical marketing in Bombay, India. Soc Sci Med. 1998;47(6):779–94. Jalilian F, Hazavehei SMM, Vahidinia AA, Jalilian M, Moghimbeigi A. Prevalence and related factors for choosing self-medication among pharmacies visitors based on health belief model in Hamadan Province, west of Iran. J Res Health Sci. 2013;13(1):81–5. Askarian M, Maharlouie N. Irrational antibiotic use among secondary school teachers and university faculty members in shiraz, Iran. Int J Prev Med. 2012;3(12):839. Foroutan B, Foroutan R. Household storage of medicines and self-medication practices in south-east Islamic Republic of Iran/Conservation de médicaments à domicile et pratiques d'automédication dans le sud-est de la République islamique d'Iran. East Mediterr Health J. 2014;20(9):547. Azami-Aghdash S, Mohseni M, Etemadi M, Royani S, Moosavi A, Nakhaee M. Prevalence and cause of self-medication in Iran: a systematic review and meta-analysis article. Iran J Public Health. 2015;44(12):1580. Combest W, Newton M, Combest A, Kosier JH. Effects of herbal supplements on the kidney. Urol Nurs. 2005;25(5):381. Brata C, Fisher C, Marjadi B, Schneider CR, Clifford RM. Factors influencing the current practice of self-medication consultations in eastern Indonesian community pharmacies: a qualitative study. BMC Health Serv Res. 2016;16(1):179. Kuriachan KE, George GS, Cherian J, Cheriyan SM, Paul L. A cross-sectional study on the prevalence of self-medication practices and its associated factors among housewives in rural areas of Ernakulam district. J Evol Med Dent Sci. 2016;5(46):3009–13. Ocan M, Bwanga F, Bbosa GS, Bagenda D, Waako P, Ogwal-Okeng J, Obua C. Patterns and predictors of self-medication in northern Uganda. PLoS One. 2014;9(3):e92323. Mansouri A, Ahmadvand A, Hadjibabaie M, Kargar M, Javadi M, Gholami K. Types and severity of medication errors in Iran; a review of the current literature. DARU J Pharm Sci. 2013;21(1):49. Pavydė E, Veikutis V, Mačiulienė A, Mačiulis V, Petrikonis K, Stankevičius E. Public knowledge, beliefs and behavior on antibiotic use and self-medication in Lithuania. Int J Environ Res Public Health. 2015;12(6):7002–16. Bogner MS. Human error in medicine. Boca Raton: CRC Press; 2018. https://www.taylorfrancis.com/books/9780805813869 DOI: https://doi.org/10.1201/9780203751725 Gumbrevicius G, Milasius A. [Most common cases of the unreasonable medication use]. Medicina (Kaunas, Lithuania). 2003;39(6):610–6. Yang P, Chen N, Wang R-R, Li L, Jiang S-PJT. Inappropriateness of medication prescriptions about chronic kidney disease patients without dialysis therapy in a Chinese tertiary teaching hospital. Ther Clin Risk Manag. 2016;12:1517. Karimy M, Niknami S, Hidarnia AR, Hajizadeh I. Intention to start cigarette smoking among Iranian male adolescents: usefulness of an extended version of the theory of planned behaviour. Heart Asia. 2012;4(1):120–4. Karimy M, Zareban I, Araban M, Montazeri A. An Extended Theory of Planned Behavior (TPB) Used to Predict Smoking Behavior Among a Sample of Iranian Medical Students. International journal of high risk behaviors & addiction. 2015;4(3):e24715. Armitage CJ, Armitage CJ, Conner M, Loach J, Willetts D. Different perceptions of control: applying an extended theory of planned behavior to legal and illegal drug use. Basic Appl Soc Psychol. 1999;21(4):301–16. Zhang Z. Model building strategy for logistic regression: purposeful selection. Ann Transl Med. 2016;4(6):111. Balamurugan E, Ganesh K. Prevalence and pattern of self medication use in coastal regions of South India. Br J Med Pract. 2011;4(3):a428. Albarrán KF, Zapata LV. Analysis and quantification of self-medication patterns of customers in community pharmacies in southern Chile. Pharm World Sci. 2008;30(6):863–8. Garofalo L, Di Giuseppe G, Angelillo IF. Self-medication practices among parents in Italy. Biomed Res Int. 2015;2015. Fadare JO, Tamuno I. Antibiotic self-medication among university medical undergraduates in northern Nigeria. J Public Health Epidemiol. 2011;3(5):217–20. Zafar SN, Syed R, Waqar S, Zubairi AJ, Vaqar T, Shaikh M, Yousaf W, Shahid S, Saleem S. Self-medication amongst university students of Karachi: prevalence, knowledge and attitudes. J Pak Med Assoc. 2008;58(4):214. Smogavec M, Softic N, Kersnik J, Klemenc-Ketis Z. An overview of self-treatment and selfmedication practices among Slovenian citizens. Zdravniski Vestnik. 2010;79(11). Zafar SN, Syed R, Waqar S, Irani FA, Saleem S. Prescription of medicines by medical students of Karachi, Pakistan: a cross-sectional study. BMC Public Health. 2008;8(1):162. El Ezz N, Ez-Elarab H. Knowledge, attitude and practice of medical students towards self medication at Ain Shams University, Egypt. J Prev Med Hyg. 2011;52(4). Bonner S, Zimmerman BJ, Evans D, Irigoyen M, Resnick D, Mellins RB. An individualized intervention to improve asthma management among urban Latino and African-American families. J Asthma. 2002;39(2):167–79. Motola G, Russo F, Mazzeo F, Rinaldi B, Capuano A, Rossi F, Filippelli A. Over-the-counter oral nonsteroidal anti-inflammatory drugs: a pharmacoepidemiologic study in southern Italy. Adv Ther. 2001;18(5):216–22. Uehleke B, Steinhoff B. Self-medication in Germany. Int J Clin Pharmacol Ther. 2001;39(11):484–7. Ahmad A, Patel I, Mohanta G, Balkrishnan R. Evaluation of self medication practices in rural area of town Sahaswan at northern India. Ann Med Health Sci Res. 2014;4(8):73–8. Yu M, Zhu Y, Song X, Yang L, Tao T, Zhao Q, Xu B, Zhao G. Insights into citizens’ purchasing habits of antibiotics from medicinal sales data of retail pharmacies in rural China. Fudan Univ J Med Sci. 2013;40(3):253–8. Al-Azzam S, Al-Husein B, Alzoubi F, Masadeh M, Ali M. Self-medication with antibiotics in Jordanian population. Int J Occup Med Environ Health. 2007;20(4):373–80. Sawalha AF. Assessment of self-medication practice among university students in Palestine: therapeutic and toxicity implications. IUG J Nat Stud. 2015;15(2). Panagakou SG, Spyridis Ν, Papaevangelou V, Theodoridou KM, Goutziana GP, Theodoridou MN, Syrogiannopoulos GA, Hadjichristodoulou CS. Antibiotic use for upper respiratory tract infections in children: a cross-sectional survey of knowledge, attitudes, and practices (KAP) of parents in Greece. BMC Pediatr. 2011;11(1):60. Awad AI, Aboud EA. Knowledge, attitude and practice towards antibiotic use among the public in Kuwait. PLoS One. 2015;10(2):e0117910. Bajčetić M, Jovanović I. Current aspects of rational antibiotic use in paediatrics. Paediatr Today. 2012;8(2):79–90. Widayati A, Suryawati S, de Crespigny C, Hiller JE. Self medication with antibiotics in Yogyakarta City Indonesia: a cross sectional population-based survey. BMC Res Notes. 2011;4(1):491. Klotz U. Pharmacokinetics and drug metabolism in the elderly. Drug Metab Rev. 2009;41(2):67–76. Fernandes M, Leite A, Basto M, Nobre MA, Vieira N, Fernandes R, Nogueira P, Jorge P. Non-adherence to antibiotic therapy in patients visiting community pharmacies. Int J Clin Pharm. 2014;36(1):86–91. Lim KK, Teh CC. A cross sectional study of public knowledge and attitude towards antibiotics in Putrajaya, Malaysia. South Med Rev. 2012;5(2):26.