Knowledge and practices of Self-medication among sample of outpatients attendant to Baghdad teaching hospital,2019

Main Article Content

Dr. Mais Najah Razak AlShibly
Lamyaa Ali Hasan
Ashwaq Ridha Abdulsada

Keywords

Knowledge; practices; Self-medication; outpatients; Baghdad teaching hospital

Abstract

Background: Self-medication is the usage of medicines to resolve self-identified health issues, and it is common in many countries. The current study aimed to assess the knowledge and practices of self-medication among attendants to outpatient clinic of Baghdad teaching hospital.as well as determine association of Self-medication practice with some socio-demographic factors.


Subject and methods: The current Cross-sectional study was conducted about 460 people attended to outpatients of the Baghdad teaching hospital. during the period 1st Jan – 30th June 2019.


Results: The highest proportion of participants 176 (44%) was found in age groups (18-30) years , female represented in 290 (72.5%) of the study sample .Around 2/3 (266) of participants were married , and a higher proportion 218 (54.5%) of participants were government employee , and 77 (19%) of them were either unemployed or housewife .so the participants with graduate represented 241 (60%) of the study sample, postgraduate were 74 (18.5%) , For monthly income, 140 (35%) of participants were below 500,000 ID. so about 12 (43%) of them related to side effect of drugs association, 9 (32%) due to require medical experiences, 5 (18%) due to the risk of missing a diagnosis, and another 4 (14%) , for 100 (27%) of participants used drug leaflets, 86 (23%) of them used previous prescription, while 67 (18%) of study participants asking the nurse or health assistant, and reminder 41 (11%) used the mass media as a source of information about medicines, the majority of the participants 331 (89%) depended on private pharmacies and 37 (10%) of them depended on paramedics ,about half 167 (45%) of the participants mentioned the name of the drugs for requesting , and 115 (31%) of studied sample telling the symptoms of the disease to the pharmacist, and only 90 (24%) taking the drug container.


Conclusion: Self-medication is a common health care practice among attendants to outpatient of Baghdad teaching hospital; with different socio-demographic characteristic, more prevalent with young age group and low-income people.so there was a significant association between age and SM practice since elderly practice low SM because of chronic disease and their use of multiple drugs also , SM practice increases because of availability of drug and their ease access from pharmacy and other paramedics and street venders make it easy to be used specially if they used previously and become familiar with them neither in a prescription or non- prescription drug.

Abstract 794 | PDF Downloads 816 XML Downloads 71 HTML Downloads 121

References

1. Self-medication is a common health care practice among attendants to outpatient of Baghdad teaching hospital; with different socio-demographic characteristic, more prevalent with young age group and low-income people.
2. There was a significant association between age and SM practice since elderly practice low SM because of chronic disease and their use of multiple drugs.
3. SM practice increases because of availability of drug and their ease access from pharmacy and other paramedics and street venders make it easy to be used specially if they used previously and become familiar with them neither in a prescription or non- prescription drug.
References
1- WHO guidelines for the regulatory assessment of medicinal products for use in self-medication , 2000.
2- Hussain S, Malik F, Ashfaq KM, Parveen G , Hameed A , Ahmad S, Riaz H, Shah PA, Saeed T. Prevalence of self- medication and health-seeking behavior in a developing country. African journal of Pharmacy and Pharmacology. 2011 Jul 31;5(7):972-8.
3- Ali AN , Kai JT, Keat CC, Dhanaraj SA. Self-medication practices among health care professionals in a Private University, Malaysia. International Current Pharmaceutical Journal. 2012 Sep 5;1(10):302-10.
4- Ahmed NM , Sulaiman KH . Self-Medication Practice among Patients Attending a Sample of Primary Health Care Centers in Erbil City. Journal of Education and Practice. 2016;7(24):73-9 .
5- Ayalew MB . Self-medication practice in Ethiopia : a systematic review. Patient preference and adherence. 2017 ; 11: 401.
6- Eticha T, Mesfin K. Self-medication practices in Mekelle, Ethiopia. PLoS One. 2014 May 12 ; 9 (5) : e97464.
7- Saber AA. Mohseni M, Etemadi M, et al. Prevalence and Cause of Self-Medication in Iran: A Systematic Review and Meta-Analysis Article. Iran J Public Health. 2015 Dec; 44(12): 1580–93 .
8- Khalifeh MM, Moore ND, and Salameh PR. Self‐medication misuse in the Middle East: a systematic literature review.
Pharmacol Res Perspect. 2017 Aug; 5(4): e00323.
9- Nepal G and Bhatta S. Self-medication with Antibiotics in WHO Southeast Asian Region: A Systematic Review. Cureus. 2018 Apr; 10(4): e2428 .
10-Yousef AM, Al-Bakri AG, Bustanji Y, Wazaify M. Self- medication patterns in Amman, Jordan. Pharm World Sci. 2008 Jan;30(1):24-30.
11-Al-Flaiti M, Al-Badi K, Hakami WO, Khan SA. Evaluation of self-medication practices in acute diseases among university students in Oman. Journal of Acute Dis. 2014; 3:249–252 .

12- Alghanim SA. Self-medication practice among patients in a public health care system. Eastern Mediterranean Health Journal.2011;17(5) .
13-Ocan M, Obuku EA, Bwanga F, et al. Household antimicrobial self-medication: a systematic review and meta-analysis of the burden, risk factors and outcomes in developing countries. BMC Public Health. 2015;15:742 .
14- El Ezz NF, Ez-Elarab HS. Knowledge, attitude and practice of medical students towards self-medication, Egypt. J Prev Med Hyg. 2011;52(4):196–200 .
15- Shafie M, Worku Y, Martín-Aragón S. Prevalence and determinants of self-medication practice among selected households in Addis Ababa community. PLoS One. 2018 Mar; 13(3): e0194122.
16- Carrasco-Garrido P, Hernández-Barrera V, López de Andrés A, et al. Sex--differences on self-medication in Spain.
Pharmacoepidemiol Drug Saf. 2010 Dec; 19(12):1293-99.
17- Galvão TF, Silva MT, Pereira MG, et al. Prevalence and associated factors of self-medication in adults living in the Federal District, Brazil: a cross-sectional, population-based study.
Prevalence of self-medication in the adult population of Brazil: a systematic review. Epidemiol. Serv. Saúde. 2017; 26(2) .
18- Aghdash SA, Mohseni M, Etemadi M. Prevalence and Cause of Self-Medication in Iran: A Systematic Review and Meta-Analysis Article. Iran J Public Health. 2015 Dec; 44(12): 1580–93.
19- Awad A, Eltayeb I, Matowe L, Thalib L. Self-medication with antibiotics and antimalarials in the community of Khartoum State, Sudan. J Pharm Pharm Sci. 2005 Aug 12;8(2):326-31.
20- Jaleta A, Tesema S, Yimam B. Self-medication practice Sire-town, west Ethiopia: A cross sectional study. Cukurova Med J.2016;43:447–52
21- Tesfamariam S, Anand IS, Kaleab G, Berhane S, Woldai B, Habte E, Russom M. Self-medication with over the counter drugs, prevalence of risky practice and its associated factors in pharmacyoutlets of Asmara, Eritrea. BMC public health. 2019 Dec; 19(1):159.