Lerango Temesgen Leka, Alagaw Amsalu, Tunje Abayneh, Andarge Eshetu, Duko Bereket, Tilahune Asres Bedaso, Lerango Semalgn Leka
School of Public Health, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia.
School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Heliyon. 2023 Feb 18;9(3):e13833. doi: 10.1016/j.heliyon.2023.e13833. eCollection 2023 Mar.
Self-medication is a treatment based on symptoms without prescription and medical consultation. Despite being one of the critical practices that impose a harmful effect on the fetus and the woman herself, evidence on its practice and associated factors are not well-documented. This study, therefore, assessed the self-medication practice and associated factors among pregnant women in Wolaita Zone, Southern Ethiopia.
An institutionally based cross-sectional study was conducted at public health institutions in Wolaita Zone, Southern Ethiopia by recruiting a total of 408 pregnant women using a systematic random sampling technique between March 2019 and April 2019. We used the Antenatal care (ANC) registry as a sampling frame. A pre-tested, structured, interviewer-administered questionnaire used to depict Self-medication practice and associated factors. Data entered using Epi-data and analyzed by SPSS 23.0.
The overall prevalence of self-medication was 14.9% (95% CI:11-18). The odds of using self-medication may decreased by 75% for women who were in their third trimester (AOR = 0.25, 95% CI: 0.10, 0.64). However, the odds of practicing increased by 13-folds among pregnant women reported earlier (previous) self-medication experience (AOR = 13.62, 95% CI: 6.66-27.84).
The prevalence of self-medication was high in the current study setting. Women's gestational period (third trimester) and earlier self-medication experience were associated with their current self-medication practice.
自我药疗是一种未经处方和医疗咨询、基于症状的治疗方式。尽管这是对胎儿和女性自身产生有害影响的关键行为之一,但其实施情况及相关因素的证据记录并不充分。因此,本研究评估了埃塞俄比亚南部沃莱塔地区孕妇的自我药疗行为及相关因素。
2019年3月至2019年4月期间,在埃塞俄比亚南部沃莱塔地区的公共卫生机构开展了一项基于机构的横断面研究,采用系统随机抽样技术共招募了408名孕妇。我们将产前保健(ANC)登记册用作抽样框架。使用一份经过预测试的、结构化的、由访谈员实施的问卷来描述自我药疗行为及相关因素。数据录入Epi-data并使用SPSS 23.0进行分析。
自我药疗的总体患病率为14.9%(95%可信区间:11 - 18)。处于孕晚期的女性进行自我药疗的几率可能降低75%(调整后比值比[AOR]=0.25,95%可信区间:0.10,0.64)。然而,有过自我药疗经历的孕妇进行自我药疗的几率增加了13倍(AOR = 13.62,95%可信区间:6.66 - 27.84)。
在当前研究环境中,自我药疗的患病率较高。女性的妊娠期(孕晚期)和既往自我药疗经历与她们当前的自我药疗行为有关。