Abstract
Background: The aim was to study and compare knowledge, attitude and practices regarding self-medication in healthcare and nonhealthcare university students.
Methods: Suitably constructed, structured and pretested questionnaires were distributed to 350 students in each group; data were documented in SPSS software version 20.0 and analyzed using χ2-test and multivariate logistic regression analysis.
Results: Completed questionnaires only were analyzed, which were 314 and 310 in healthcare and nonhealthcare groups, respectively. The majority of students practiced self-medication (84.4% vs. 68.1%; p<0.001) with the most common indications being fever (46.4% vs. 37.9%; p<0.001) and cough and common cold (30.9% vs. 37%; p=0.004). Most commonly self-medicated drugs were antipyretics (67.9% vs. 52.6%; p=0.03) and multivitamins (28.7% vs. 16.8%; p<0.001). A few of them experienced adverse drug reactions due to self-medication (6.8% vs. 1.9%; p<0.001). Independent risk factors for self-medication were younger age group (OR=2.93, CI 95% 1.09–7.85), storage of medicines at home (OR=2.49, CI 95% 1.21–5.12), healthcare students (OR=2.54, CI 95% 1.72–3.74), higher knowledge scores (OR=1.65, CI 95% 1.08–2.52), those consuming homeopathic preparations (OR=9.19, CI 95% 1.24–68.11), multivitamins (OR=6.7, CI 95% 2.88–15.6) or health supplements (OR=6, CI 95% 2.15–16.74), participants who strongly agreed that self-medication is a part of self-care (OR=3.97, CI 95% 1.56–10.09), and those self-medicating with an old prescription for same illness (OR=0.04, CI 95% 0.01–0.15) or over advice from home (OR=0.11, CI 95% 0.04–0.3).
Conclusions: Though self-medication is common in university students, there is a dearth in their knowledge regarding the same. This highlights the need for increasing awareness among students regarding hazards of self-medication.
Acknowledgments:
The authors would like to extend their heart-felt gratitude for the help and assistance rendered by Mr. Harsha P., student of mass media and communications, towards data collection in the university students and also all the participants of the study.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Research funding: None declared.
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
References
1. Essential Medicines and Health Products Information Portal [homepage on the Internet]. Human Info NGO; c1999–2014 [updated 2014 Dec 20; cited 2015 Apr 14]. The role of the pharmacist in self-care and self-medication. Available at: http://apps.who.int/medicinedocs/en/d/Jwhozip32e/3.2.html.Search in Google Scholar
2. Loyola Filho AI, Lima-Costa MF, Uchoa E. Bambui Project: a qualitative approach to self-medication. Cad Saude Publica 2004;20:1661–9.10.1590/S0102-311X2004000600025Search in Google Scholar
3. Correa da Silva MG, Soares MC, Muccillo-Baisch AL. Self-medication in university students from the city of Rio Grande, Brazil. BMC Public Health 2012;12:339.10.1186/1471-2458-12-339Search in Google Scholar PubMed PubMed Central
4. Banerjee I, Bhadury T. Self-medication practice among undergraduate medical students in a tertiary care medical college, West Bengal. J Postgrad Med 2012;58:127–31.10.4103/0022-3859.97175Search in Google Scholar PubMed
5. Klemenc-Ketis Z, Hladnik Z, Kersnik J. Self-medication among healthcare and non-healthcare students at University of Ljubljana, Slovenia. Med Princ Pract 2010;19:395–401.10.1159/000316380Search in Google Scholar PubMed
6. Klemenc-Ketis Z, Hladnik Z, Kersnik J. A cross sectional study of sex differences in self-medication practices among university students in Slovenia. Coll Antropol 2011;35:329–34.Search in Google Scholar
7. Al-Hussaini M, Mustafa S, Ali S. Self-medication among undergraduate medical students in Kuwait with reference to the role of the pharmacist. J Res Pharm Pract 2014;3:23–7.10.4103/2279-042X.132706Search in Google Scholar PubMed PubMed Central
8. Lukovic JA, Miletic V, Pekmezovic T, Trajkovic G, Ratkovic N, Aleksic D. Self-medication practices and risk factors for self-medication among medical students in Belgrade, Serbia. PLoS One 2014;9:e114644.10.1371/journal.pone.0114644Search in Google Scholar PubMed PubMed Central
9. Carrasco-Garrido P, de Andres AL, Barrera VH, Jimenez-Trujillo I, Fernandez-de-Las-Penas C, Palacios-Cena D, et al. Predictive factors of self-medicated analgesic use in Spanish adults: a cross-sectional national study. BMC Pharmacol Toxicol 2014;15:36.10.1186/2050-6511-15-36Search in Google Scholar PubMed PubMed Central
10. Gutema GB, Gadisa DA, Kidanemariam ZA, Berhe DF, Berhe AH, Hadera MG, et al. Self-medication practices among health sciences students: the case of Mekelle University. J Appl Pharm Sci 2011;1:183–9.Search in Google Scholar
11. Essential medicines and health products information portal [homepage on the Internet]. Human Info NGO; c1999–2014 [updated 2014 Dec 20; cited 2015 Apr 14]. WHO Guidelines for the regulatory assessment of medicinal products for use in self-medication. Available at: http://apps.who.int/medicinedocs/en/d/Jh1462e/6.html#Jh1462e.6.1.Search in Google Scholar
12. Shankar PR, Partha P, Shenoy N. Self-medication and non-doctor prescription practices in Pokhara valley, Western Nepal: a questionnaire-based study. BMC Fam Pract 2002;3:17.10.1186/1471-2296-3-17Search in Google Scholar PubMed PubMed Central
13. Montgomery AJ, Bradley C, Rochfort A, Panagopoulou E. A review of self-medication in physicians and medical students. Occup Med 2011;61:490–7.10.1093/occmed/kqr098Search in Google Scholar PubMed
14. Mishra M, Shrivastava R, Kumar S. Pop pills at will: implications of self-medication. Curr Sci 2014;106:9.Search in Google Scholar
15. Zafar SN, Syed R, Waqar S, Zubairi AJ, Vaqar T, Shaikh M, et al. Self-medication amongst university students of Karachi: prevalence, knowledge and attitudes. J Pak Med Assoc 2008;58: 214–7.Search in Google Scholar
16. Kumar N, Kanchan T, Unnikrishnan B, Rekha T, Mithra P, Kulkarni V, et al. Perceptions and practices of self-medication among medical students in coastal South India. PLoS One 2013;8:e72247.10.1371/journal.pone.0072247Search in Google Scholar PubMed PubMed Central
17. Patil SB, Vardhamane SH, Patil BV, Santoshkumar J, Binjawadgi AS, Kanaki AR. Self-medication practice and perceptions among undergraduate medical students: a cross-sectional study. J Clin Diagn Res 2014;12:HC20–3.10.7860/JCDR/2014/10579.5313Search in Google Scholar PubMed PubMed Central
18. Sawalha AF. A descriptive study of self-medication practices among Palestinian medical and nonmedical university students. Res Social Adm Pharm 2008;4:164–72.10.1016/j.sapharm.2007.04.004Search in Google Scholar PubMed
19. El Ezz NF, Ez-Elarab HS. Knowledge, attitude and practice of medical students towards self medication at Ain Shams University, Egypt. J Prev Med Hyg 2011;52:196–200.Search in Google Scholar
20. Ghaieth MF, Elhag SR, Hussien ME, Konozy EH. Antibiotics self-medication among medical and nonmedical students at two prominent Universities in Benghazi City, Libya. J Pharm Bioall Sci 2015;7:109–15.10.4103/0975-7406.154432Search in Google Scholar PubMed PubMed Central
21. Pan H, Cui B, Zhang D, Farrar J, Law F, Ba-Thein W. Prior knowledge, older age, and higher allowance are risk factors for self-medication with antibiotics among university students in southern China. PLoS One 2012;7:e41314.10.1371/journal.pone.0041314Search in Google Scholar PubMed PubMed Central
22. Donkor ES, Tetteh-Quarcoo PB, Nartey P, Agyeman IO. Self-medication practices with antibiotics among tertiary level students in Accra, Ghana: a cross-sectional study. Int J Environ Res Public Health 2012;9:3519–29.10.3390/ijerph9103519Search in Google Scholar PubMed PubMed Central
23. Osemene KP, Lamikanra A. A study of the prevalence of self-medication practice among university students in southwestern Nigeria. Trop J Pharm Res 2012;11:683–9.10.4314/tjpr.v11i4.21Search in Google Scholar
24. Badiger S, Kundapur R, Jain A, Kumar A, Pattanshetty S, Thakolkaran N, et al. Self-medication patterns among medical students in South India. Australas Med J 2012;5:217–20.10.4066/AMJ.2012.1007Search in Google Scholar PubMed PubMed Central
25. Selvaraj K, Kumar SG, Ramalingam A. Prevalence of self-medication practices and its associated factors in Urban Puducherry, India. Perspect Clin Res 2014;5:32–6.10.4103/2229-3485.124569Search in Google Scholar PubMed PubMed Central
26. Machado-Alba JE, Echeverri-Catano LF, Londono-Builes MJ, Moreno-Gutierrez PA, Ochoa-Orozco SA, Ruiz-Villa JO. Social, cultural and economic factors associated with self-medication. Biomedica 2014;34:580–8.10.7705/biomedica.v34i4.2229Search in Google Scholar
27. Sudhamadhuri A, Kalasker V. Impact of pharmacology teaching on knowledge and practice of self medication among medical students. Int J Curr Med Appl Sci 2014;425–9.Search in Google Scholar
28. Adhikary M, Tiwari P, Singh S, Karoo C. Study of self-medication practices and its determinants among college students of Delhi University North Campus, New Delhi, India. Int J Med Sci Public Health 2014;3:406–9.10.5455/ijmsph.2014.260120146Search in Google Scholar
29. Smogavec M, Softic N, Kersnik J, Klemenc-Ketis Z. An overview of self-treatment and selfmedication practices among Slovenian citizens. Slov Med J 2010;79:757–63.Search in Google Scholar
30. Abay SM, Amelo W. Assessment of self-medication practices among medical, pharmacy, and health science students in Gondar University, Ethiopia. J Young Pharm 2010;2: 306–10.10.4103/0975-1483.66798Search in Google Scholar PubMed PubMed Central
©2015 by De Gruyter
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Articles in the same Issue
- Frontmatter
- Behavior and Neuroprotection
- Neurobehavioural evaluation of Lophira alata (Ochnaceae) stem bark extract in mice
- Cardiovascular Function
- Altered cardiovascular autonomic function in young normotensive offspring of hypertensive parents – Is obesity an additional risk factor?
- Atheromic and lymphoplasmacytic effects of Mangifera indica methanolic leaf extract on the heart of chinchilla rabbits
- Cardiovascular-Pulmonary Interactions
- Prevalence of cardiovascular risk factors and management practices of acute coronary syndrome in a tertiary care hospital
- Oxidative Stress
- Effect of homopterocarpin, an isoflavonoid from Pterocarpuserinaceus, on indices of liver injury and oxidative stress in acetaminophen-provoked hepatotoxicity
- Metabolism
- Activation of insulin signaling and energy sensing network by AICAR, an AMPK activator in insulin resistant rat tissues
- Mature coconut water exhibits antidiabetic and antithrombotic potential via L-arginine-nitric oxide pathway in alloxan induced diabetic rats
- Methanolic extract of Moringa oleifera leaves improves glucose tolerance, glycogen synthesis and lipid metabolism in alloxan-induced diabetic rats
- Morphological changes in the pancreas and glucose reduction of the aqueous extract of Costus afer leaf on alloxan-induced diabetic rats
- Immune Response
- Immunomodulatory activity of methanolic leaf extract of Moringa oleifera in Wistar albino rats
- Immune response modulatory effect of Emilia sonchifolia (L.) DC: an in vivo experimental study
- Inflammation
- Thymoquinone ameliorates NLRP3-mediated inflammation in the pancreas of albino Wistar rats fed ethanol and high-fat diet
- Miscellaneous
- Perceptions and practices of self-medication in healthcare and nonhealthcare university students in South India