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亚的斯亚贝巴社区的药物使用模式。

Pattern of drug use in Addis Ababa community.

作者信息

Amare G, Gedif T, Alemayehu T, Tesfahun B

出版信息

East Afr Med J. 1997 Jun;74(6):362-7.

PMID:9487397
Abstract

Though important in the development of educational materials for the public, community drug use studies are rare in Ethiopia. This community based cross-sectional study was conducted in Addis Ababa between November 1995 and January 1996 to describe community's perception on drugs, identify people's various sources of modern drugs and determine factors associated with drug use. The study results show that out of the 903 persons who reported an illness in the four weeks recall period, 231 (26%) did not take any action for their illness. The reasons being mainly the perception that the illness was minor and economic inaccessibility. Regarding sources of modern drugs, the majority 398 (63%) of those who used modern drugs obtained their medications from government health institutions. Drug sharing was practiced by 156 (17%) of the respondents. In addition, 39 (6%) prematurely discontinued their treatment course and the majority did so either due to inability to comprehend the instructions or having some social entertainment. It was also found that 178 (20%) of the studied households were found hoarding drugs and the most common ones were oral antibiotics and antipyretic analgesics. In addition, gender and education were found to have an association with drug hoarding. The study also identified factors associated with household drug hoarding and drug sharing among family members or neighbours; in this respect, the former was found associated with education and gender but the latter was associated with sex, age, education and marital status. In conclusion, drug sharing among families, friends or relatives are commonly practiced in Addis Ababa community. In addition, many patients stopped taking their prescribed drugs once they started to feel better.

摘要

尽管社区药物使用研究在为公众开发教育材料方面很重要,但在埃塞俄比亚却很少见。这项基于社区的横断面研究于1995年11月至1996年1月在亚的斯亚贝巴进行,旨在描述社区对药物的认知,确定人们获取现代药物的各种来源,并确定与药物使用相关的因素。研究结果表明,在四周回忆期内报告患病的903人中,有231人(26%)未对自己的疾病采取任何行动。原因主要是认为疾病轻微以及经济上无法获得治疗。关于现代药物的来源,使用现代药物的人中大多数398人(63%)从政府医疗机构获得药物。156名(17%)受访者存在药物共享行为。此外,39人(6%)过早中断治疗疗程,大多数人这样做是因为无法理解用药说明或有一些社交娱乐活动。还发现178户(20%)被研究家庭囤积药物,最常见的是口服抗生素和解热镇痛药。此外,发现性别和教育程度与药物囤积有关。该研究还确定了与家庭药物囤积以及家庭成员或邻居之间药物共享相关的因素;在这方面,前者与教育程度和性别有关,而后者与性别、年龄、教育程度和婚姻状况有关。总之,在亚的斯亚贝巴社区,家庭、朋友或亲戚之间的药物共享很常见。此外,许多患者一旦感觉好转就停止服用处方药。

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