دورية أكاديمية
Patterns and predictors of self-medication in northern Uganda.
العنوان: | Patterns and predictors of self-medication in northern Uganda. |
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المؤلفون: | Ocan M; Department of Pharmacology & Therapeutics, Makerere University College of Health Sciences, Kampala, Uganda., Bwanga F; Department of Microbiology, Makerere University College of Health Sciences, Kampala, Uganda., Bbosa GS; Department of Pharmacology & Therapeutics, Makerere University College of Health Sciences, Kampala, Uganda., Bagenda D; Department of Biostatistics, Makerere University College of Health Sciences, Kampala, Uganda., Waako P; Department of Pharmacology & Therapeutics, Makerere University College of Health Sciences, Kampala, Uganda., Ogwal-Okeng J; Faculty of Medicine, Gulu University, Gulu, Uganda., Obua C; Department of Pharmacology & Therapeutics, Makerere University College of Health Sciences, Kampala, Uganda. |
المصدر: | PloS one [PLoS One] 2014 Mar 21; Vol. 9 (3), pp. e92323. Date of Electronic Publication: 2014 Mar 21 (Print Publication: 2014). |
نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S. |
اللغة: | English |
بيانات الدورية: | Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: San Francisco, CA : Public Library of Science |
مواضيع طبية MeSH: | Health Knowledge, Attitudes, Practice* , Self Care* , Self Medication*, Anti-Infective Agents/*therapeutic use, Adult ; Amoxicillin/therapeutic use ; Artemether, Lumefantrine Drug Combination ; Artemisinins/therapeutic use ; Cross-Sectional Studies ; Drug Combinations ; Drug Resistance ; Ethanolamines/therapeutic use ; Female ; Fluorenes/therapeutic use ; Humans ; Male ; Metronidazole/therapeutic use ; Surveys and Questionnaires ; Trimethoprim, Sulfamethoxazole Drug Combination/therapeutic use ; Uganda |
مستخلص: | Self-medication with antimicrobial agents is a common form of self-care among patients globally with the prevalence and nature differing from country to country. Here we assessed the prevalence and predictors of antimicrobial self-medication in post-conflict northern Uganda. A cross-sectional study was carried out using structured interviews on 892 adult (≥18 years) participants. Information on drug name, prescriber, source, cost, quantity of drug obtained, and drug use was collected. Households were randomly selected using multistage cluster sampling method. One respondent who reported having an illness within three months in each household was recruited. In each household, information was obtained from only one adult individual. Data was analyzed using STATA at 95% level of significance. The study found that a high proportion (75.7%) of the respondents practiced antimicrobial self-medication. Fever, headache, lack of appetite and body weakness were the disease symptoms most treated through self-medication (30.3%). The commonly self-medicated antimicrobials were coartem (27.3%), amoxicillin (21.7%), metronidazole (12.3%), and cotrimoxazole (11.6%). Drug use among respondents was mainly initiated by self-prescription (46.5%) and drug shop attendants (57.6%). On average, participants obtained 13.9±8.8 (95%CI: 12.6-13.8) tablets/capsules of antimicrobial drugs from drug shops and drugs were used for an average of 3.7±2.8 days (95%CI: 3.3-3.5). Over half (68.2%) of the respondents would recommend self-medication to another sick person. A high proportion (76%) of respondents reported that antimicrobial self-medication had associated risks such as wastage of money (42.1%), drug resistance (33.2%), and masking symptoms of underlying disease (15.5%). Predictors of self-medication with antimicrobial agents included gender, drug knowledge, drug leaflets, advice from friends, previous experience, long waiting time, and distance to the health facility. Despite knowledge of associated risks, use of self-medication with antimicrobial drugs in management of disease symptoms is a common practice in post-conflict northern Uganda. |
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معلومات مُعتمدة: | R24 TW008886 United States TW FIC NIH HHS; 5R24TW008886 United States TW FIC NIH HHS |
المشرفين على المادة: | 0 (Anti-Infective Agents) 0 (Artemether, Lumefantrine Drug Combination) 0 (Artemisinins) 0 (Drug Combinations) 0 (Ethanolamines) 0 (Fluorenes) 140QMO216E (Metronidazole) 804826J2HU (Amoxicillin) 8064-90-2 (Trimethoprim, Sulfamethoxazole Drug Combination) |
تواريخ الأحداث: | Date Created: 20140325 Date Completed: 20150120 Latest Revision: 20220408 |
رمز التحديث: | 20231215 |
مُعرف محوري في PubMed: | PMC3962384 |
DOI: | 10.1371/journal.pone.0092323 |
PMID: | 24658124 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1932-6203 |
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DOI: | 10.1371/journal.pone.0092323 |