A Systematic Review of Self-Medication Practices Among Adolescents

Shehnaz, Syed Ilyas; Agarwal, Anoop Kumar; Khan, Nelofer

doi:10.1016/j.jadohealth.2014.07.001

Cited by 165 publications

(204 citation statements)

References 158 publications

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“…Majority of our study subjects (28.8%) selected the antibiotics on recommendation from dispensing counter, and 21.2% from past experiences and left-over strips. This observation correlates with two recent studies [9][10][11][12][13][14][15][16] where 67.3% subjects procured their medicines from retail medicine shops and the rest from left over medicines. Another study from outside India 7 reported ADRs with self-medication in 16.7% of the respondents, while in our study 13.3% of the subjects reported the ADRs.…”

Section: Discussionsupporting

confidence: 91%

The Extent and Factors Associated with Non-Prescription Medicine Use in Eastern India – A Cross-Sectional Survey

Das¹,

Choudhury²,

Santra³

et al. 2017

JYP

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Objective: To assess the extent, pattern and determinants of non-prescription medicine use in an urban area of eastern India. Methods: A descriptive cross-sectional survey with total 392 subjects was carried out for 3 months by a structured questionnaire to assess the extent, pattern and determinants of non-prescription medicine use amongst the patients at a community retail medicine shop and a pharmacy running in Public-Private Partnership (PPP) model in a government hospital. Results: Our study found that 61.4% of the consumers indulged in the practice of self-medication. The commonest reason for self medication was a prevailing tendency in the community followed by cost-saving and convenience. The most commonly used medicines were antacids (43.4%) followed by analgesics-antipyretics (42.6%). It was found that only 12.5% completed an ongoing course of antibiotics. Consumption of ORS was commoner in diarrhoea than vomiting and only a few (13%) of the patients dissolved the ORS powder as directed. Only 9.7% of the subjects thought non-prescription medicine use is safe. Regarding the various types of medicine preparations used by them from the two types of pharmacy, a significant difference was noted only for eye drops (p = 0.003). This result might have been obtained due to prevailing ocular infections in the selected study population and underreporting at the Ophthalmology OPD of the nearest hospital. Conclusion: The current study has documented the extent of, factors associated with, and the pattern of non-prescription medicine use resulting in a surge of self-medication practice in urban area.Key words: Non-prescription medicine use, Self-medication, PPP model, Retail pharmacy, Survey. Key message: Given the increasing emphasis on self-care and empowering the public to manage their health with non-prescription medicines, the findings highlight the need for improved pharmacovigilance of these medicines to maximize benefits with minimal risk. Healthcare providers need to be aware of the potential for misuse, abuse and dependence, particularly in patients with long-term illness. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

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Section: Discussionsupporting

confidence: 91%

The Extent and Factors Associated with Non-Prescription Medicine Use in Eastern India – A Cross-Sectional Survey

Das¹,

Choudhury²,

Santra³

et al. 2017

JYP

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“…1 Medication non-adherence is increasing among the pediatric patient population, particularly among adolescents as they begin taking more responsibility in medication management from their parents. [2][3][4][5][6][7] Effective child-provider communication is a potential strategy for addressing medication and health-related problems. 8,9 The National Council on Patient Information and Education (NCPIE) has also recognized that the improper use of prescription medicines in children is a national health problem that spans all ethnic and socioeconomic groups.…”

Section: Introductionmentioning

confidence: 99%

Identifying Barriers and Facilitators at Affect Community Pharmacists' Ability to Engage Children in Medication Counseling: A Pilot Study

Abraham

Alexander

Schleiden

et al. 2017

The Journal of Pediatric Pharmacology and Therapeutics

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OBJECTIVESThis study aimed to describe the barriers and facilitators that influence community pharmacists' ability to provide medication counseling to pediatric patients.METHODS Semistructured interviews (n = 16) were conducted with pharmacy staff at 3 community pharmacies in 2 Eastern states. The interview guide elicited pharmacy staff experiences interacting with children and their perceived barriers and facilitators to providing medication counseling. Transcripts were reviewed for accuracy and a codebook was developed for data analysis. NVivo 10 was used for content analysis and identifying relevant themes.RESULTS Ten pharmacists and 6 pharmacy technicians were interviewed. Most participants were female (69%), aged 30 to 49 years (56%), with ≥5 years of pharmacy practice experience. Eight themes emerged as barriers to pharmacists' engaging children in medication counseling, the most prevalent being the child's absence during medication pickup, the child appearing to be distracted or uninterested, and having an unconducive pharmacy environment. Pharmacy staff noted 7 common facilitators to engaging children, most importantly, availability of demonstrative and interactive devices/technology, pharmacist demeanor and communication approach, and having child-friendly educational materials.CONCLUSIONS Findings suggest that pharmacy personnel are rarely able to engage children in medication counseling because of the patient's absence during medication pickup; however, having child-friendly materials could facilitate interactions when the child is present. These findings can inform programs and interventions aimed at addressing the barriers pharmacists encounter while educating children about safe and appropriate use of medicines.

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“…Previous statistics has shown that self-medication uses range from 2 percent to 99 percent among various countries (Shehnaz et al 2014). For example, there is about 38.5 percent of repspondents who use self-medication among children and adolescents in Germany (Du 2009).…”

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confidence: 99%

“…For instance, Shehnaz et al (2014) provide a comprehensive review of the factors of self-medication behaviors among adolecents aged 13-18 years using 163 primary studies. The results in particular show that the prevalent determinants of self-medication among adolecents consist of female gender, older age, maternal education, and familial practices.…”

mentioning

confidence: 99%