Mekuria Abebe Basazn, Birru Eshetie Melese, Tesfa Melkamu Teshome, Geta Mestayet, Kifle Zemene Demelesh, Amare Tsegaw
Department of Pharmacology, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Front Pharmacol. 2021 Feb 2;11:593764. doi: 10.3389/fphar.2020.593764. eCollection 2020.
Self-medication practice is the use of medications without healthcare professional requests. It can lead to inappropriate medication usage, wastage of resources, increased chance of microbial resistance, and adverse drug reactions. Therefore, this study aimed at assessing the prevalence and associated factors of self-medication practice among teachers' education training college students in the Amhara region, Ethiopia. A multicentre cross-sectional study was conducted on 344 teachers' education training college students in the Amhara region, Ethiopia, from January 1 to February 28, 2020. Data on sociodemography, the practice of self-medication, and factors associated with self-medication practice were collected through a self-administered structured questionnaire. Systematic random sampling was used to select participants. Descriptive statistics and univariate and multivariate logistic regression analyses were done to determine various variables and factors associated with self-medication practice. Out of the 344 respondents, 234 (68.0%) practiced self-medication. The most commonly cited indication for self-medication practice was headache (75, 32.05%), followed by abdominal discomfort (53, 22.6%). The respondents who were older than 26 years of age (AOR: 2.47, 95% CI: 1.18-3.94), were in the third year of study (AOR: 3.14, 95% CI: 1.94-5.79), lived in urban residence (AOR: 2.97, 95% CI: 1.06-3.64), had accessibility to a nearby pharmacy (AOR: 2.12, 95% CI: 1.43-4.46), and had peer/family pressure (AOR: 2.34, 95% Cl: 1.53-3.56) were significantly associated with self-medication practice. More than two-thirds of the study participants practiced self-medication. Being from an urban area, having access to a private pharmacy, and higher year of study positively affect self-medication practice.
自我药疗行为是指在没有医疗专业人员要求的情况下使用药物。它可能导致用药不当、资源浪费、微生物耐药性增加以及药物不良反应。因此,本研究旨在评估埃塞俄比亚阿姆哈拉地区教师教育培训学院学生中自我药疗行为的患病率及相关因素。2020年1月1日至2月28日,对埃塞俄比亚阿姆哈拉地区344名教师教育培训学院学生进行了一项多中心横断面研究。通过自行填写的结构化问卷收集社会人口统计学数据、自我药疗行为以及与自我药疗行为相关的因素。采用系统随机抽样方法选择参与者。进行描述性统计以及单变量和多变量逻辑回归分析,以确定与自我药疗行为相关的各种变量和因素。在344名受访者中,234人(68.0%)有自我药疗行为。自我药疗行为最常提及的适应症是头痛(75人,32.05%),其次是腹部不适(53人,22.6%)。年龄超过26岁的受访者(调整后比值比:2.47,95%置信区间:1.18 - 3.94)、处于学习三年级的受访者(调整后比值比:3.14,95%置信区间:1.94 - 5.79)、居住在城市的受访者(调整后比值比:2.97,95%置信区间:1.06 - 3.64)、附近有药店可及的受访者(调整后比值比:2.12,95%置信区间:1.43 - 4.46)以及受到同伴/家庭压力的受访者(调整后比值比:2.34,95%置信区间:1.53 - 3.56)与自我药疗行为显著相关。超过三分之二的研究参与者有自我药疗行为。来自城市地区、附近有私人药店以及较高的学习年级对自我药疗行为有积极影响。