Predictive factors of self‐medicated drug use among the Spanish adult population

Carrasco‐Garrido, Pilar; Jiménez-García, Rodrigo; Hernández-Barrera, Valentín; Miguel, Ángel Gil de

doi:10.1002/pds.1455

Cited by 94 publications

(119 citation statements)

References 21 publications

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“…In fact, individuals with a lower educational level and occupational status tended to misuse antibiotics while those with a higher level tended to abuse drugs. Other studies revealed similar (16) or lower rates (17), but equal predictive factors of self-medicated drug use. One could speculate that the attitude of the patient may reflect the level of knowledge concerning antibiotics.…”

Section: Self-prescription Non-adherence To Prescription ------------mentioning

confidence: 81%

Pattern of antibiotic use in the community: Νon-adherence and self-prescription rates in an Italian urban population

et al. 2012

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Abstract. The aim of the present study was to assess the pattern of antibiotic use in a community setting of an urban area of Italy and identify factors that affect adherence to their use. By using a questionnaire-based survey, we collected 1,269 interviews and performed analysis on those patients who had their last course of antibiotic within the past 12 months (956 subjects). Among the subjects reporting that they had not followed their last antibiotic course as prescribed, 14.7% stopped therapy early, 5.4% modified the dosage, and 5% changed the prescribed antibiotic. Approximately 23% of the subjects declared that they self-prescribed antibiotics. After adjusting for all covariates, major predictors for the selfprescription of antibiotics were younger age, female gender and higher socioeconomic and educational status. Conversely, both low educational and socioeconomic status were associated with a higher risk of non-adherence to physician indications. The findings of this study assessed the widespread pattern of poor antibiotic-taking behavior and provides important implications for understanding the targets of future educational campaigns to control the use and misuse of antibiotics.

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Section: Self-prescription Non-adherence To Prescription ------------mentioning

confidence: 81%

Pattern of antibiotic use in the community: Νon-adherence and self-prescription rates in an Italian urban population

et al. 2012

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“…Poor regulation of antimicrobials results from absent policies or, more commonly, from absent enforcement of policies, as happens in southern European countries. [51][52][53][54][55] Community antimicrobial resistance was common in several studies that examined communities with frequent use of nonprescription antimicrobials. [6][7][8][9][10][11] Antimicrobial use, whether it is prescription or non-prescription, exerts antimicrobial selection pressure.…”

Section: Discussionmentioning

confidence: 99%

“…Of seven European studies, [51][52][53][54][55][56][57] one surveyed 19 countries with at least 200 respondents per country. 52 Sufficient survey data were available to describe individual regions.…”

Section: Frequency Of Non-prescription Usementioning

confidence: 99%

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Non-prescription antimicrobial use worldwide: a systematic review

Morgan

Okeke

Laxminarayan

et al. 2011

The Lancet Infectious Diseases

780

670

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In much of the world antimicrobial drugs are sold without prescription or oversight by health-care professionals. The scale and effect of this practice is unknown. We systematically reviewed published works about non-prescription antimicrobials from 1970-2009, identifying 117 relevant articles. 35 community surveys from five continents showed that non-prescription use occurred worldwide and accounted for 19-100% of antimicrobial use outside of northern Europe and North America. Safety issues associated with non-prescription use included adverse drug reactions and masking of underlying infectious processes. Non-prescription use was common for non-bacterial disease, and antituberculosis drugs were available in many areas. Antimicrobial-resistant bacteria are common in communities with frequent non-prescription use. In a few settings, control efforts that included regulation decreased antimicrobial use and resistance. Non-prescription antimicrobial and antituberculosis use is common outside of North America and northern Europe and must be accounted for in public health efforts to reduce antimicrobial resistance.

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“…Nonvignon et al [5] show that factors that could encourage self-medication include longer travel and waiting times at public health facilities. Non-prescription medicines also influence health status as perceived by an individual [6,7]. It is worth noting that perceived or self-assessed health has been shown to relate positively with health status and mortality [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

The Use of Non-Prescription Medicine versus Self-Assessed Health: Evidence from Malawi

Novignon

Nonvignon

Mussa³

et al. 2011

SSRN Journal

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Predictive factors of self‐medicated drug use among the Spanish adult population

Abstract: In Spain, the prevalence of self-medicated drug use is higher in women than men. In our population, the influence of unhealthy lifestyles, such as alcohol and tobacco consumption, is related to a higher likelihood of self-medication.

Cited by 94 publications

References 21 publications

Pattern of antibiotic use in the community: Νon-adherence and self-prescription rates in an Italian urban population

Pattern of antibiotic use in the community: Νon-adherence and self-prescription rates in an Italian urban population

Non-prescription antimicrobial use worldwide: a systematic review

The Use of Non-Prescription Medicine versus Self-Assessed Health: Evidence from Malawi

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