Sattar S, Quddus R, Saha S K
Dr Shamima Sattar, Assistant Professor, Department of Pharmacology & Therapeutics, Community Based Medical College, Bangladesh.
Mymensingh Med J. 2018 Oct;27(4):843-850.
Self-medication is widely practiced in both developed and developing countries and an age old practice. Inappropriate self-medication results in increases resistance of pathogens, wastage of resources and serious health hazards. Present study was conducted to determine the pattern of self-medication practices among rural population. This cross-sectional study was carried out at community pharmacies in a rural area of Mymensingh district, Bangladesh from January 2017 to June 2017. Self-medication data were collected from well stocked licensed retail pharmacies and 20 pharmacies were randomly selected as the study site. Considering the prevalence of self-medication practices of 73.6% and relative precision of 10%, the calculated sample size was 138. The data was collected by conducting the interview with participants when they exited from the pharmacy. All data were coded, entered and analyzed using the statistical package for social sciences program version 20 (Chicago IL, USA). Descriptive analysis was employed for statistical evaluation of results. The practice of self medication was more common among age group 30-40 years (31.9%) and most of them were male (60.9%), married (54.3%), farmer (44.9%) and illiterate (42.8%). Family, friends or neighbors were the main source of information for self-medication (65.9%) and common ailments warranting self-medication were headache (52.9%), gastric pain (39.1%), respiratory problem & asthma (34.1%) and fever (30.4%). Multivitamins (76.8%), NSAIDs (65.9%), ranitidine (50.7%), antibiotics (50%), paracetamol (46.4%) and anti-allergic (39.1%) were most commonly used drugs. Over 35% of the participants who treated themselves reported improvement in their condition. Rising prevalence of self-medication is a matter of serious concern. Health education to people regarding responsible self-medication is necessary to prevent misuse and adverse effect of self-medication.
自我药疗在发达国家和发展中国家都广泛存在,且由来已久。不恰当的自我药疗会导致病原体耐药性增加、资源浪费以及严重的健康危害。本研究旨在确定农村人口的自我药疗模式。这项横断面研究于2017年1月至2017年6月在孟加拉国迈门辛希区农村地区的社区药房进行。自我药疗数据从库存充足的持牌零售药房收集,随机选择20家药房作为研究地点。考虑到自我药疗行为的患病率为73.6%,相对精度为10%,计算得出的样本量为138。数据是在参与者离开药房时通过访谈收集的。所有数据均使用社会科学统计软件包第20版(美国伊利诺伊州芝加哥)进行编码、录入和分析。采用描述性分析对结果进行统计评估。自我药疗行为在30 - 40岁年龄组中更为常见(31.9%),其中大多数为男性(60.9%)、已婚(54.3%)、农民(44.9%)且文盲(42.8%)。家人、朋友或邻居是自我药疗的主要信息来源(65.9%),需要自我药疗的常见疾病有头痛(52.9%)、胃痛(39.1%)、呼吸问题和哮喘(34.1%)以及发烧(30.4%)。复合维生素(76.8%)、非甾体抗炎药(65.9%)、雷尼替丁(50.7%)、抗生素(50%)、对乙酰氨基酚(46.4%)和抗过敏药(39.1%)是最常用的药物。超过35%进行自我治疗的参与者报告病情有所改善。自我药疗患病率的上升是一个严重关切的问题。对人们进行关于负责任自我药疗的健康教育对于防止自我药疗的滥用和不良影响是必要的。