Kassie Aster Desalew, Bifftu Berhanu Boru, Mekonnen Habtamu Sewunet
Boru Meda District Hospital, South Wollo Zone, Amhara Region, Southeast, Ethiopia.
University of Gondar, College of Medicine and Health Science, School of Nursing, Gondar, Ethiopia.
BMC Pharmacol Toxicol. 2018 Apr 10;19(1):15. doi: 10.1186/s40360-018-0205-6.
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. Thus, the main purpose of this study was to assess the prevalence of self-medication practice and its associated factors among adult household members in Meket District, Northeast Ethiopia.
A community based cross-sectional study was conducted among 722 adult household members in Meket District, from April 5 to May 5, 2017. The systematic random sampling method was used to select study participants. A pre-tested, structured questionnaire was used for data collection using an interviewer-administered technique. Epi-info version and SPSS version 22 were utilized for data entry and analysis, respectively. Univariate and multivariate logistic regression was used to identify association factors.
The overall prevalence of self-medication was found to be 35.9%. Unmarried status (AOR = 2.17, 95% CI = 1.18, 4.01), previous experience of self-medication (AOR = 1.78, 95% CI = 1.22, 2.61), accessibility of pharmacies (AOR = 3.71, 95% CI = 1.31, 10.51), peer/family pressure (AOR = 2.88, 95% CI = 1.98, 4.18) and presence of medication at home (AOR = 1.80, 95% CI = 1.11, 2.92) were factors associated with self-medication practices.
More than one-third of the study participants practiced self-medication. Thus, strengthening communities awareness on drug side effects and integrated efforts of individuals, communities, health facilities, and regulatory bodies are highly necessary.
自我药疗行为（SMP）是指在没有医护人员处方的情况下使用药物。与自我药疗行为相关的主要问题包括耐药性、药物副作用、资源浪费以及包括死亡在内的严重健康危害。因此，本研究的主要目的是评估埃塞俄比亚东北部梅克特地区成年家庭成员中自我药疗行为的患病率及其相关因素。
2017年4月5日至5月5日，在梅克特地区对722名成年家庭成员进行了一项基于社区的横断面研究。采用系统随机抽样方法选择研究参与者。使用经过预测试的结构化问卷，通过访谈员管理技术进行数据收集。分别使用Epi-info版本和SPSS版本22进行数据录入和分析。采用单因素和多因素逻辑回归来确定相关因素。
发现自我药疗的总体患病率为35.9%。未婚状态（调整后比值比[AOR]=2.17，95%置信区间[CI]=1.18，4.01）、既往自我药疗经历（AOR=1.78，95%CI=1.22，2.61）、药店可及性（AOR=3.71，95%CI=1.31，10.51）、同伴/家庭压力（AOR=2.88，95%CI=1.98，4.18）以及家中有药物（AOR=1.80，95%CI=1.11，2.92）是与自我药疗行为相关的因素。
超过三分之一的研究参与者有自我药疗行为。因此，非常有必要加强社区对药物副作用的认识以及个人、社区、卫生机构和监管机构的综合努力。
