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尼泊尔社区环境中自我药疗以管理口腔健康问题的实践。

Practice of self-medication to manage oral health issues in a community setting of Nepal.

作者信息

Shrestha Ashish, Bhagat Tarakant, Agrawal Santosh Kumari, Gautam Ujwal, Joshi Naresh Prasad

机构信息

Department of Public Health Dentistry, BP Koirala Institute of Health Sciences, Dharan, Nepal.

Department of Community Dentistry and Dental Public Health, Chitwan Medical College, Bharatpur, Nepal.

出版信息

BMC Oral Health. 2025 Jan 7;25(1):32. doi: 10.1186/s12903-025-05421-8.

Abstract

BACKGROUND

Self-medication has been defined as the practice of self-diagnosis and medication use without seeking professional healthcare advice. Its prevalence for alleviating dental problems in Nepali communities has not been explored. This study was conducted to assess self-medication for oral health problems in a community setting in Nepal.

METHODS

A community-based cross-sectional study was conducted in two conveniently selected wards of Baraha Municipality of Sunsari district in August 2021 using a pre-validated questionnaire in the Nepali language. The prevalence of self-medication for oral health problems was assessed. The chi-square and Mann-Whitney U tests were used to check its association with demographic variables.

RESULTS

The prevalence of self-medication was found to be 43.3%. The most common health problem leading to self-medication was toothache (78.5%). Around half of the respondents (55.1%) replied achieving temporary relief after its use while around a quarter (25.1%) thought that self-medication was effective in taking care of their problems. Three-quarters of the respondents (75.7%) knew that they had to visit a dentist if their problems persisted. The annual family income was significantly associated with the practice of self-medication for oral health problems. (p = 0.013) CONCLUSION: Self-medication was found to be frequently utilized by the people of Baraha municipality with almost every second person with oral health problems reporting using it to solve their problems. This phenomenon is disproportionately seen in those with lower economic status.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

自我药疗被定义为在未寻求专业医疗建议的情况下进行自我诊断和用药的行为。其在尼泊尔社区缓解牙齿问题方面的流行情况尚未得到探讨。本研究旨在评估尼泊尔社区环境中针对口腔健康问题的自我药疗情况。

方法

2021年8月,在孙萨里县巴拉哈市两个方便选取的选区开展了一项基于社区的横断面研究,使用预先验证的尼泊尔语问卷。评估了针对口腔健康问题的自我药疗流行情况。采用卡方检验和曼-惠特尼U检验来检查其与人口统计学变量的关联。

结果

发现自我药疗的流行率为43.3%。导致自我药疗的最常见健康问题是牙痛(78.5%)。约一半的受访者(55.1%)表示用药后获得了暂时缓解,而约四分之一(25.1%)的人认为自我药疗对解决他们的问题有效。四分之三的受访者(75.7%)知道如果问题持续存在就必须去看牙医。家庭年收入与针对口腔健康问题的自我药疗行为显著相关(p = 0.013)。结论:发现巴拉哈市的人们经常使用自我药疗,几乎每两个有口腔健康问题的人中就有一人报告使用它来解决问题。这种现象在经济地位较低的人群中更为常见。

临床试验编号

不适用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7db5/11705745/dfd5f08c0181/12903_2025_5421_Fig1_HTML.jpg

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