Prevalence of Self-Medication and Assessment of its Consequences on Health among Female University Students in Islamabad, Pakistan
DOI:
https://doi.org/10.53560/PPASB(61-4)942Keywords:
Self-medication (SM), Health Effect, Viral Infection, Antibiotics, Pain KillersAbstract
Self-medication (SM) is the drug attainment and consumption without consulting a doctor/physician against a particular disease. This cross-sectional study assessed SM and its consequences among the female students of the International Islamic University Islamabad (IIUI), Pakistan. A total of 180 female students from different academic departments were selected on the basis of stratified random sampling technique and the collection of data on SM was done with a pre designed questionnaire. Findings displayed that the prevalence of SM among the female students of IIUI, Islamabad, Pakistan was 32.22 to 55.6%. The information source of medicines in students was 48.9 % from doctors/physicians and 33.9% from the internet. The disease conditions for which SM was adapted includes headache, flue, cough and cold in about 64.4% students and abdominal pain in 38.3% students. The most common medicines used for SM were pain killers for 49.4% students, vitamin supplements for 30.6% students and antibiotics for 16.7% students. About 46.1% students obtain medicines for SM from the medical stores and 33.3% obtain from hospitals pharmacy without doctors/physician’s prescription. Majority were using medicines for seasonal (40%) or viral (21.7%) infections or during accidental cases (26.1%). Overall, 68.88% students confirmed that they experienced adverse effects on health after SM. 74.35% students felt some common side effects, 67.16% experienced drug/medicine resistance against other diseases and 58.06% experienced poor immune system due to SM. In this regard, medication through regular consultations with doctors/physicians is necessary and the execution of proper policies on advertising, marketing and selling of medicines with precautionary measures is recommended to avoid adverse effects on health.
References
H.A. Alsaad, J.S. Almahdi, N.A. Alsalameen, F.A. Alomar, and M.A. Islam. Assessment of self-medication practice and the potential to use a mobile app to ensure safe and effective self-medication among the public in Saudi Arabia. Saudi Pharmaceutical Journal 30: 927–933 (2022).
C.M. Hughes, J.C. McElnay, and G.F. Fleming. Benefits and risks of self-medication. Drug Safety 24(14): 1027–1037 (2001).
M. Shafie, M. Eyasu, K. Muzeyin, Y. Worku, S. Martín-Aragón, and N. Kumar. Prevalence and determinants of self-medication practice among selected households in Addis Ababa community. PLoS One 13(3): e0194122 (2018).
K. Tripkovic´, A. Neškovic´, J. Jankovic´, and M. Odalovic´. Predictors of selfmedication in Serbian adult population: cross-sectional study. International Journal of Clinical Pharmacy 40(3): 627–634 (2018).
M.A. Islam, A.F. Al-Karasneh, A.A. Naqvi, D.M. AlShayban, F. Al-Hayek, S. Al-Badrani S, R. Al-Salem, and S.A. Ghori. Public awareness about medicine information, safety, and adverse drug reaction (ADR) reporting in Dammam, Saudi Arabia. Pharmacy (Basel) 8(4): 222 (2020).
F. AlGhofaili. Patterns of self-medication in Qassim Province, Saudi Arabia: A cross-sectional study. Annals of Medicine and Surgery 64: 102207 (2021).
R. Rahimisadegh, N. Sharifi, V.K. Jahromi, R. Zahedi, Z. Rostayee, and R. Asadi. Self‑medication practices and their characteristics among Iranian university students. BMC Pharmacology and Toxicology 23: 60–67 (2022).
WHO. Guidelines for the regulatory assessment of medicinal products for use in self-medication. World Health Organization, Geneva, (2000).
G.M. Alano, L.M. Galafassi, D. Galato, and S.C. Trauthman. Responsible self-medication: review of the process of pharmaceutical attendance. Brazilian Journal of Pharmaceutical Science 45(4):626–633 (2009).
A. Hussain and A. Khanum. Self-medication among university students of Islamabad, Pakistan-a preliminary study. Southern Med Review 1(1): 14–16 (2008).
P.R. Shankar, P. Partha, and N. Shenoy. Self-medication and non-doctor prescription practices in Pokhara valley, Western Nepal: a questionnaire based study. BMC Family Practice 3: 17 (2002).
S.W. Kahssay, G. Tadege, and F. Muhammed. Self-medication practice with modern and herbal medicines and associated factors among pregnant women attending antenatal care at Mizan-Tepi University Teaching Hospital, Southwest Ethiopia. Heliyon 8(9): e10398 (2022).
S. Worku and A. Mariam. Practice of self-medication in Jimma town. Ethiopian Journal of Health Development 17(2): 111–116 (2003).
S. Bin Zaman, M.A. Hussain, R. Nye, V. Mehta, K.T. Mamun, and N. Hossain. A review on antibiotic resistance: alarm bells are ringing. Cureus. 9(6): 1403 (2017).
A. Arzi, A. Ashtarinezhad, S. Sarahroodi, and A.F. Sawalha. Antibiotic self-medication among Southern Iranian University students. International Journal of Pharmacology 6(1): 48–52 (2010).
G.B. Gutema, D.A. Gadisa, Z.A. Kidanemariam, D.F. Berhe, A.H. Berhe, M.G. Hadera, G.S. Hailu, N.G. Abrha, R. Yarlagadda, and A.W. Dagne. Self-medication Practices among health sciences students: The case of Mekelle University. Journal of Applied Pharmaceutical Science 1(10): 183–189.
M.E. Ruiz. Risks of self-medication practices. Current Drug Safety 5(4): 315–23 (2010).
T. Nahimana, D. Harimenshi, G. Ntawukuriryayo, and D. Girukwishaka. Selfmedication and associated factors among nursing student trainees at Ngozi Hospital-Burundi. Health Science and Disease 23(1): 6–11 (2022).
S.B. Loni, R. Eid Alzahrani, M. Alzahrani, M.O. Khan, R. Khatoon, H.H. Abdelrahman, Z.A. Abd-Elhaleem, and Alhaidari, M.M. Prevalence of self-medication and associated factors among female students of health science colleges at Majmaah University: A cross-sectional study. Frontiers in Public Health 11: 1090021 (2023).
M. Ghafouri, M. Yaghubi, H. Lashkardoost, and S.H. Seyed Sharifi. The prevalence of self-medication among students of Bojnurd universities and its related factors in 2013. Journal of North Khorasan University of Medical Sciences 5(5): 1129–1135 (2014).
F. Alshammari, A. Alobaida, A. Alshammari, A. Alharbi, A. Alrashidi, A. Almansour, A. Alremal, and K.U. Khan. University Students' Self-medication practices and pharmacists' role: A cross-sectional survey in Hail, Saudi Arabia. Frontiers in Public Health. 9: 779107 (2021).
E. Krajewska-Kułak, A. Kułak-Bejda, P. Kułak, G. Bejda, M. Cybulski, A. Guzowski, C. Łukaszuk, J. Lewko, J. Fiłon, A. Pilecka, and W. Kułak. A comparative analysis of self-treatment in a population of medical students in 2012 and 2017. Family Medicine and Primary Care Review 1: 35–40 (2019).
A. Bassols, F. Bosch, and J-E. Baños. How does the general population treat their pain? A survey in Catalonia, Spain. Journal of Pain and Symptom Management 23(4): 318–28 (2022).
S. Rozenfeld. Prevalência, fatores associados e mau uso de medicamentos entre os idosos: uma revisão [Prevalence, associated factors, and misuse of medication in the elderly: a review]. Cadernos de Saúde Pública 19(3): 717–724 (2003). Portuguese.
S.A. Alghanim. Self-medication practice among patients in a public health care system. East Mediterranian Health Journal 17(05): 409–416 (2011).
E. Balmurugan and K. Ganesh. Prevalence and patterns of self- medication use in coastal regions of South India. British Journal of Medical Practitioners 4(3): a428 (2011).
N.F. El Ezz and H.S. Ez-Elarab. Knowledge, attitude and practice of medical students towards self-medication at Ain Shams University, Egypt. Journal of Preventive Medicine and Hygiene 52(4): 196–200 (2011).
Y. Wen, E. Lieber E., D. Wan, Y. Hong, and NIMH Collaborative HIV/STD Prevention Trial Group. A qualitative study about self-medication in the community among market vendors in Fuzhou, China. Health and Social Care in the Community 19(5): 504–513 (2011).
M.G.C. Da Silva, M.C.F. Soares, and A.L. Muccillo-Baisch. Self-medication in university students from the city of Rio Grande, Brazil. BMC Public Health 12(1): 1–7 (2012).
E.H. Padoveze, L.F. Nascimento., F.R. Ferreira, and V.S. Neves. Cross-sectional descriptive study of topical self-medication in a hospital dermatology department in the state of São Paulo. Anais Brasileiros de Dermatologia 87(1): 163–5 (2012).
P.R. Wijesinghe, R.L. Jayakody, and R. de A Seneviratne. Prevalence and predictors of self-medication in a selected urban and rural district of Sri Lanka. WHO South East Asia Journal of Public Health 1(1): 28–41 (2012).
I. Singh, I. Bard, and J. Jackson. Robust resilience and substantial interest: a survey of pharmacological cognitive enhancement among university students in the UK and Ireland. PLoS One. 9(19): e105969 (2014).
N. Alam, N. Saffoon, and R. Uddin. Self-medication among medical and pharmacy students in Bangladesh. BMC Research Notes 8: 1 (2015).
M. Alzahrani, T. Alhindi, A. Almutairi, M. Aldajani, and W. Sami. Frequency of using nonprescribed medication in Majmaah city, Saudi Arabia – A cross sectional study. Journal of Pakistan Medical Association 65: 825–828 (2015).
M. Al Essa, A. Alshehri, M. Alzahrani, R. Bustami, S. Adnan, A. Alkeraidees, A. Mudshil, and J. Gramish. Practices, awareness and attitudes toward self-medication of analgesics among health sciences students in Riyadh, Saudi Arabia. Saudi Pharmaceutical Journal 27(2): 235–239 (2019).
R.A. Okyay and A. Erdoğan. Self-medication practices and rational drug use habits among university students: a cross-sectional study from Kahramanmaraş, Turkey. PeerJ 5: e3990 (2017).
A. Marzban, V. Rahmanian, M. Ayasi, and M. Barzegaran. Assessing attitude and practice of students in Shiraz University of Medical Sciences towards selfmedication. Journal of Preventive Medicine 5(2): 36–43 (2018).
N. Ramazani, A. Khalafi, H. Heshmati, and K. Darvishpour. The study of self-medication among university students in the city of Torbat Heydariyeh in 2014. Journal of Health Breeze 3(4): 24–29 (2015).
D. Limaye, V. Limaye, G. Krause, and G. Fortwengel. A systematic review of the literature to assess self-medication practices. Annals of Medical and Health Science Research 7: 1–15 (2017).
M. Ansari, A. Alanazi, A. Moin, and D. Bourgeois. Consumers’ awareness, attitude and associated factors towards self-medication in Hail. Saudi Arabia. PLoS One 15(4): e0232322 (2020).
S. Gupta, K. Khajuria, N.K. Bhat, V. Khajuria, and A. Mehra. Assessment of the knowledge, attitude and practice of self-medication among second year undergraduate medical students in a tertiary care teaching hospital. International Journal of Basic Clinical Pharmacology 8(5): 1090–1095 (2019).
M. Keyvanara, L. Safaeian, S. Karimi, and N. Shojaiezadeh. Rational use and prescription of drugs: a review on WHO’s 12 strategies. Hakim Research Journal 8(4): 294–305 (2016).
Y. Zhang, X. Li, S. Luo, C. Liu, Y. Xie, J. Guo, F. Liu, Z. Zhou. Use, Perspectives, and attitudes regarding diabetes management mobile apps among diabetes patients and diabetologists in China: National Web-based survey. JMIR Mhealth Uhealth 7(2): e12658 (2019).
L. Kooij, P.J.E. Vos, A. Dijkstra, and W.H. van Harten. Effectiveness of a mobile health and self-management app for high-risk patients with chronic obstructive pulmonary disease in daily clinical practice: Mixed methods evaluation study. JMIR Mhealth Uhealth 9(2): e21977 (2021).
G. Niclós, T. Olivar, and V. Rodilla. Factors associated with self-medication in Spain: a cross-sectional study in different age groups. International Journal of Pharmacy Practice 26: 258–266 (2018).
E. Jember, A. Feleke, A. Debie, and G. Asrade. Self-medication practices and associated factors among households at Gondar town, Northwest Ethiopia: a cross-sectional study. BMC Research Notes 12: 153–159 (2019).
H. Aljadhey, G.A. Assiri, M.A. Mahmoud, S. Al-Aqeel, and M. Murray. Selfmedication in central Saudi Arabia. Community pharmacy consumers’ perspectives. Saudi Medical Journal 36(3): 328–334 (2015).
K.M. Aldossary. Prevalence and predictors of self-medication practices in the population of Saudi Arabia: systematic review. Journal of Advanced Pharmacy Education and Research 11(2): 11–6 (2021).
M. GhanbariBoroujeni, A. Ansari, M.A. Tasharrofi, F. Zabihi, A.S. Chilrani, F. Khalili, et al. Antibiotic self-medication and risk factors among medical students in an Iranian University: a cross sectional study. Nov Biomedicine 9(2): 58–64 (2021).
P. Darabiyan, Z. Sokhansanj, A. Rafi, H. Nazari, R. Geravandian, and Z. Raiesifar. The rate of self-medication and its related factors in nursing students in Behbahan, southwest of Iran in 2020. International Research in Medical and Health Sciences 4(3): 40–46 (2021).
L. Garofalo, G. Di Giuseppe, and I.F. Angelillo. Self-medication practices among parents in Italy. Biomedical Research International 2015: 580650 (2015).
T. Nayir, R.A. Okyay, H. Yesilyurt, M. Akbaba, E. Nazlıcan., Y. Acık, and H.I. Akkus. Assessment of rational use of drugs and self-medication in Turkey: A pilot study from Elazıg and its suburbs. Pakistan Journal of Pharmaceutical Science 29(4): 1429–35 (2016).
L. De Bolle, E. Mehuys, E. Adriaens, J.P. Remon, L. Van Bortel, and T. Christiaens. Home medication cabinets and self-medication: a source of potential health threats? Annals of Pharmacotherapy 42(4): 572–579 (2008).
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