Shaamekhi Hamid Reza, Asghari Jafarabadi Mohammad, Alizadeh Mahasti
Department of Community and Family Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Health Promot Perspect. 2019 Aug 6;9(3):181-190. doi: 10.15171/hpp.2019.26. eCollection 2019.
Self-medication is the choice and use of medications by people to treat a self-diagnosed illness or symptom. The aim of this study was to search the relationship between a number of socio-demographic conditions and self-medication in the population covered by health complexes in Tabriz, Iran. This study was a cross-sectional descriptive-analytic study and was carried out on the population covered by health complexes in Tabriz. Participants were recruited by a multi-stage sampling method. A total of 1000 participants were included in the study. Data collection was done using a researcher-created questionnaire. Data were analyzed using chi-square test and logistic regression. The incidence of self-medication was 70.9% for participants who reported illness in the last month. The chance of self-medication was higher in young (P=0.007) and middle-aged (P=0.012) groups, and housewives (P=0.048); and was lower among participants who were not literate (P=0.047). There was no significant relationship between gender and self medication (P=0.553). The high cost of visits was mentioned as a reason for self-medication. The most frequently mentioned drugs used in self-medication were analgesics, cold medicines, and antibiotics, respectively. More frequent reasons for self-medication were the previous experience of the disease, the assumption that the ailment was not important, and the high cost of visits, respectively. The prevalence of self-medication in this study was high. Considering the results, education in the community, financial support, and monitoring the delivery of drugs can play an important role in improving the pattern of drug use.
自我药疗是人们选择并使用药物来治疗自我诊断的疾病或症状。本研究的目的是探寻伊朗大不里士健康中心覆盖人群中若干社会人口学状况与自我药疗之间的关系。本研究为横断面描述性分析研究，在大不里士健康中心覆盖人群中开展。采用多阶段抽样方法招募参与者。共有1000名参与者纳入本研究。使用研究者编制的问卷进行数据收集。采用卡方检验和逻辑回归分析数据。报告上个月患病的参与者中自我药疗发生率为70.9%。年轻人（P=0.007）、中年人（P=0.012）和家庭主妇（P=0.048）自我药疗的可能性较高；文盲参与者自我药疗的可能性较低（P=0.047）。性别与自我药疗之间无显著关系（P=0.553）。就诊费用高被提及为自我药疗的一个原因。自我药疗中最常提及使用的药物分别是镇痛药、感冒药和抗生素。自我药疗更常见的原因分别是既往患病经历、认为疾病不重要以及就诊费用高。本研究中自我药疗的患病率较高。考虑到研究结果，社区教育、经济支持以及对药品供应的监管在改善用药模式方面可发挥重要作用。
