Aydın Aksoy Esin, Güçiz Doğan Bahar, Yalçın Sıddıka Songül
Department of Social Pediatrics, Institute of Child Health, Hacettepe University, Ankara 06230, Türkiye.
Department of Pediatrics, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul 34418, Türkiye.
Nutrients. 2024 Dec 2;16(23):4182. doi: 10.3390/nu16234182.
The restriction of access to health services during the COVID-19 pandemic has led to an increase in self-medication. This study aims to examine mothers' use of nutrient supplements with over-the-counter (OTC) medications for their children, including instances of self-medication for themselves. The study also explores maternal characteristics associated with this behavior, the specific medications used, and the reasons for use.
In this descriptive study, 450 mothers with children aged 2 to 6 years in Türkiye were recruited through social media platforms. Questions focused on whether mothers used supplements for themselves and their children, types of products, frequency, and reasons for use. Multivariable binary logistic regression was conducted to examine the factors associated with OTC medication use for children.
Nearly half of the mothers reported administering OTC medications to their children. Factors associated with this practice included the child's age (specifically 48-72 months), attendance at nursery, perceived underweight status, and regular health visits with a pediatrician. Additionally, mothers who frequently used medications without a doctor's recommendation were 5.8 times more likely to give OTC drugs to their children. Maternal self-medication was significantly associated with an increased likelihood of OTC medication use for children (OR = 12.1). The most commonly used supplements included vitamin D, fish oil, multivitamins, vitamin C, immune boosters, zinc, probiotics, herbal teas, oral/nasal sprays, throat lozenges, and aspirin, with the primary purposes being prevention and treatment.
The administration of OTC medications in young children, who rely heavily on maternal care should be more closely monitored to ensure their safety and well-being, especially during epidemics.
2019冠状病毒病大流行期间,获得医疗服务受到限制,导致自我药疗有所增加。本研究旨在调查母亲们为孩子使用营养补充剂及非处方(OTC)药物的情况,包括她们自己自我药疗的情况。该研究还探讨了与这种行为相关的母亲特征、使用的具体药物以及使用原因。
在这项描述性研究中,通过社交媒体平台招募了450名在土耳其有2至6岁孩子的母亲。问题集中在母亲是否为自己和孩子使用补充剂、产品类型、使用频率和使用原因。进行多变量二元逻辑回归以检查与儿童使用非处方药相关的因素。
近一半的母亲报告曾给孩子服用非处方药。与这种做法相关的因素包括孩子的年龄(具体为48至72个月)、上托儿所、被认为体重过轻以及定期看儿科医生。此外,经常在没有医生建议的情况下用药的母亲给孩子服用非处方药的可能性高出5.8倍。母亲自我药疗与孩子使用非处方药的可能性增加显著相关(比值比 = 12.1)。最常用的补充剂包括维生素D、鱼油、多种维生素、维生素C、免疫增强剂、锌、益生菌、花草茶、口腔/鼻腔喷雾剂、润喉糖和阿司匹林,主要目的是预防和治疗。
对于严重依赖母亲照顾的幼儿,应更密切地监测其非处方药的使用情况,以确保他们的安全和健康,尤其是在疫情期间。