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Current Drug Safety

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ISSN (Print): 1574-8863
ISSN (Online): 2212-3911

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Research Article

Self-medication Pattern and Prevalence Among Iranian Medical Sciences Students

Author(s): Nastaran Niroomand, Mohsen Bayati, Mozhgan Seif, Somayeh Delavari and Sajad Delavari*

Volume 15, Issue 1, 2020

Page: [45 - 52] Pages: 8

DOI: 10.2174/1574886314666191022095058

Abstract

Background: Self-medication could be risky behavior and has negative effects. While Over the Counter (OTC) drugs are available at drugstores, the behavior has become prevalent among the general population.

Objective: This study aimed at surveying self-medication behavior among medical sciences students of Shiraz, Iran.

Methods: A sample of 396 students from medical, paramedical, and health sciences disciplines were included in this cross-sectional study. They were asked to fill a questionnaire about their demographics and socioeconomic status, medication usage and self-medication in the last six months, information about the correct use of medication, and information about negative results of selfmedication. Data were analyzed using chi-square, t-test and logistic regression model using R statistical software.

Results: Almost 72% of participants reported self-medication in the past sixth months. The main reasons included trust in their own diagnosis (59.9%), mildness of the disease (56.6%), and having previous experience about the disease (56%). Cough or cold (84.5%), headache (66.3%), and body pain (60.2%) were the most frequent diseases that led to self-medication. The majority of the participants (77.7%) reported they select their medicine on their own decision. Furthermore, self-medication was highly related to having medicine stock at home (OR=2.692), having less information about negative results of self-medication (OR=0.835), and more non-syllabus study time (OR=1.041).

Conclusion: Although, medical science students have information about the treatment of illnesses, they should be more informed about negative results and side-effects of self-medication. They should also share their knowledge with society to decrease self-medication.

Keywords: Self-medication, medical students, nonprescription drugs, healthcare-seeking behavior, over the counter, paramedical.

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[1]
Lankarani KB, Ghahramani S, Zakeri M, Joulaei H. Lessons learned from national health accounts in Iran: Highlighted evidence for policymakers. Shiraz E Med J 2015; 16(4): e27868
[http://dx.doi.org/10.17795/semj27868]
[2]
Peter P, Lipska K. The rising cost of diabetes care in the USA. Lancet Diabetes Endocrinol 2016; 4(6): 479-80.
[http://dx.doi.org/10.1016/S2213-8587(15)00519-7] [PMID: 27156052]
[3]
Jackson K, Nahata MC. Rising cost of anticancer medications in the United States. Ann Pharmacother 2017; 51(8): 706-10.
[http://dx.doi.org/10.1177/1060028017702406] [PMID: 28707550]
[4]
Suleman S, Ketsela A, Mekonnen Z. Assessment of self-medication practices in Assendabo town, Jimma zone, southwestern Ethiopia. Res Social Adm Pharm 2009; 5(1): 76-81.
[http://dx.doi.org/10.1016/j.sapharm.2008.04.002] [PMID: 19285292]
[5]
Alghanim SA. Self-medication practice among patients in a public health care system. East Mediterr Health J 2011; 17(5): 409-16.
[http://dx.doi.org/10.26719/2011.17.5.409] [PMID: 21796954]
[6]
Bennadi D. Self-medication: A current challenge. J Basic Clin Pharm 2013; 5(1): 19-23.
[http://dx.doi.org/10.4103/0976-0105.128253] [PMID: 24808684]
[7]
Italia S, Brand H, Heinrich J, Berdel D, von Berg A, Wolfenstetter SB. Utilization of self-medication and prescription drugs among 15-year-old children from the German GINIplus birth cohort. Pharmacoepidemiol Drug Saf 2015; 24(11): 1133-43.
[http://dx.doi.org/10.1002/pds.3829] [PMID: 26147881]
[8]
Grigoryan L, Haaijer-Ruskamp FM, Burgerhof JG, et al. Self-medication with antimicrobial drugs in Europe. Emerg Infect Dis 2006; 12(3): 452-9.
[http://dx.doi.org/10.3201/eid1203.050992] [PMID: 16704784]
[9]
Grigoryan L, Monnet DL, Haaijer-Ruskamp FM, Bonten MJ, Lundborg S, Verheij TJ. Self-medication with antibiotics in Europe: a case for action. Curr Drug Saf 2010; 5(4): 329-32.
[http://dx.doi.org/10.2174/157488610792246046] [PMID: 20615180]
[10]
Garofalo L, Di Giuseppe G, Angelillo IF. Self-medication practices among parents in Italy. BioMed Res Int 2015; 2015: 580650
[http://dx.doi.org/10.1155/2015/580650] [PMID: 25688359]
[11]
Lee CH, Chang FC, Hsu SD, Chi HY, Huang LJ, Yeh MK. Inappropriate self-medication among adolescents and its association with lower medication literacy and substance use. PLoS One 2017; 12(12): e0189199
[http://dx.doi.org/10.1371/journal.pone.0189199] [PMID: 29240799]
[12]
Helal RM, Abou-ElWafa HS. Self-Medication in University Students from the City of Mansoura, Egypt. J Environ Public Health 2017.: 20179145193
[http://dx.doi.org/10.1155/2017/9145193] [PMID: 28479921]
[13]
Khajeh A, et al. Healthcare-seeking behavior and its relating factors in South of Iran. J Educ Health Promot 2019; 8(1): 183-9.
[14]
Alkhatatbeh MJ, Alefan Q, Alqudah MA. High prevalence of self-medication practices among medical and pharmacy students: A study from Jordan. Int J Clin Pharmacol Ther 2016; 54(5): 390-8.
[http://dx.doi.org/10.5414/CP202451] [PMID: 26932303]
[15]
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): 1580-93.
[PMID: 26811809]
[16]
Al-Ameri RJ, Abd Al-Badri HJ, Lafta RK. Prevalence of self-medication among University students in Baghdad: A cross-sectional study from Iraq. East Mediterr Health J 2017; 23(2): 87-93.
[http://dx.doi.org/10.26719/2017.23.2.87] [PMID: 28383097]
[17]
Kumar N, Kanchan T, Unnikrishnan B, et al. Perceptions and practices of self-medication among medical students in coastal South India. PLoS One 2013; 8(8): e72247
[http://dx.doi.org/10.1371/journal.pone.0072247] [PMID: 24015223]
[18]
Zafar SN, Syed R, Waqar S, et al. Self-medication amongst university students of Karachi: Prevalence, knowledge and attitudes. J Pak Med Assoc 2008; 58(4): 214-7.
[PMID: 18655436]
[19]
Lukovic JA, Miletic V, Pekmezovic T, et al. Self-medication practices and risk factors for self-medication among medical students in Belgrade, Serbia. PLoS One 2014; 9(12): e114644
[http://dx.doi.org/10.1371/journal.pone.0114644] [PMID: 25503967]
[20]
Abdi A, Faraji A, Dehghan F, Khatony A. Prevalence of self-medication practice among health sciences students in Kermanshah, Iran. BMC Pharmacol Toxicol 2018; 19(1): 36.
[http://dx.doi.org/10.1186/s40360-018-0231-4] [PMID: 29970167]
[21]
Alam N, Saffoon N, Uddin R. Self-medication among medical and pharmacy students in Bangladesh. BMC Res Notes 2015; 8: 763.
[http://dx.doi.org/10.1186/s13104-015-1737-0] [PMID: 26652176]
[22]
Hughes CM, McElnay JC, Fleming GF. Benefits and risks of self medication. Drug Saf 2001; 24(14): 1027-37.
[http://dx.doi.org/10.2165/00002018-200124140-00002] [PMID: 11735659]
[23]
World Health Organization. Guidelines for the regulatory assessment of medicinal products for use in self-medication. Geneva: World Health Organization 2000.
[24]
Krejcie RV, Morgan DW. Determining sample size for research activities. Educ Psychol Meas 1970; 30(3): 607-10.
[http://dx.doi.org/10.1177/001316447003000308]
[25]
Delavari S, Arab M, Rashidian A, Nedjat S, Souteh RG. A qualitative inquiry into the challenges of medical education for retention of general practitioners in rural and underserved areas of Iran. J Prev Med Public Health 2016; 49(6): 386-93.
[http://dx.doi.org/10.3961/jpmph.16.062] [PMID: 27951631]
[26]
Corrêa da Silva MG, Soares MC, Muccillo-Baisch AL. Self-medication in University students from the city of Rio Grande, Brazil. BMC Public Health 2012; 12: 339.
[http://dx.doi.org/10.1186/1471-2458-12-339] [PMID: 22568959]
[27]
Klemenc-Ketis Z, Hladnik Z, Kersnik J. A cross sectional study of sex differences in self-medication practices among university students in Slovenia. Coll Antropol 2011; 35(2): 329-34.
[PMID: 21755698]
[28]
Karamata VV, Gandhi AM, Patel PP, Desai MK. Self-medication for acne among undergraduate medical students. Indian J Dermatol 2017; 62(2): 178-83.
[http://dx.doi.org/10.4103/ijd.IJD_243_16] [PMID: 28400638]
[29]
Domingues PH, Galvão TF, Andrade KR, Sá PT, Silva MT, Pereira MG. Prevalence of self-medication in the adult population of Brazil: A systematic review. Rev Saude Publica 2015; 49: 36.
[http://dx.doi.org/10.1590/S0034-8910.2015049005709] [PMID: 26083944]
[30]
Keshavarz K, Kebriaeezadeh A, Meshkini AH, Nikfar S, Mirian I, Khoonsari H. Financial perspective of private pharmacies in Tehran (Iran); Is it a lucrative business? Daru 2012; 20(1): 62.
[http://dx.doi.org/10.1186/2008-2231-20-62] [PMID: 23351226]
[31]
Sahebi L, Vahidi RG. Self-medication and storage of drugs at home among the clients of drugstores in Tabriz. Curr Drug Saf 2009; 4(2): 107-12.
[http://dx.doi.org/10.2174/157488609788172982] [PMID: 19442102]
[32]
Stratchounski LS, Andreeva IV, Ratchina SA, et al. The inventory of antibiotics in Russian home medicine cabinets. Clin Infect Dis 2003; 37(4): 498-505.
[http://dx.doi.org/10.1086/376905] [PMID: 12905133]
[33]
Tourinho FS, Bucaretchi F, Stephan C, Cordeiro R. Home medicine chests and their relationship with self-medication in children and adolescents. J Pediatr (Rio J) 2008; 84(5): 416-22.
[http://dx.doi.org/10.1590/S0021-75572008000600007] [PMID: 18830513]
[34]
Lima GB, Nunes LC, de Barros JA. The use of medicines storaged in the household in a population assisted by Family Health Program. Cien Saude Colet 2010; 15(Suppl. 3): 3517-22.
[http://dx.doi.org/10.1590/S1413-81232010000900026] [PMID: 21120339]
[35]
Alhomoud F, Aljamea Z, Almahasnah R, Alkhalifah K, Basalelah L, Alhomoud FK. Self-medication and self-prescription with antibiotics in the Middle East-do they really happen? A systematic review of the prevalence, possible reasons, and outcomes. Int J Infect Dis 2017; 57: 3-12.
[http://dx.doi.org/10.1016/j.ijid.2017.01.014] [PMID: 28111172]
[36]
Mushtaq M, Gul S, Naz F. The practice of self-medication among Pakistani university students. Pak J Pharm Sci 2017; 30(4): 1377-81.
[PMID: 29039341]
[37]
Shehnaz SI, Agarwal AK, Khan N. A systematic review of self-medication practices among adolescents. J Adolesc Health 2014; 55(4): 467-83.
[http://dx.doi.org/10.1016/j.jadohealth.2014.07.001] [PMID: 25245937]
[38]
Arrais PS, Fernandes ME, Pizzol TD, et al. Prevalence of self-medication in Brazil and associated factors. Rev Saude Publica 2016; 50(Suppl. 2): 13s.
[http://dx.doi.org/10.1590/s1518-8787.2016050006117] [PMID: 27982373]
[39]
Jafari F, Khatony A, Rahmani E. Prevalence of self-medication among the elderly in Kermanshah-Iran. Glob J Health Sci 2015; 7(2): 360-5.
[http://dx.doi.org/10.5539/gjhs.v7n2p360] [PMID: 25716414]
[40]
Gallelli L, Iannacchero R, De Caro E, Peltrone F, Colosimo M, De Sarro G. A questionnaire-based study on prevalence and treatment of headache in young children. J Headache Pain 2005; 6(4): 277-80.
[http://dx.doi.org/10.1007/s10194-005-0206-x] [PMID: 16362686]

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