Predictors of medication use in the Roma population in Spain: a population-based national study

Martín-Pérez, Mar; Hernández-Barrera, Valentín; Andrés, Ana López de; Jiménez‐Trujillo, Isabel; Jiménez‐García, Rodrigo; Carrasco‐Garrido, Pilar

doi:10.1016/j.puhe.2015.01.028

Cited by 20 publications

(29 citation statements)

References 24 publications

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“…However, Afolabi found an association between marital status, and educational level with self medication [7]. Martin-Perez et al, found significant association of age with self medication among males but not females [13]. These associations help physicians in assessing the risk that a client sitting before them in the consulting room might be practicing self medication and therefore should be offered counselling for responsible drug use.…”

Section: Discussionmentioning

confidence: 99%

Self Medication and its Pattern among Patients Attending the General Outpatient Clinic of a Tertiary Institution in Abakaliki, Ebonyi State, Nigeria

Alo¹

2015

CMPH

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Background Self medication is the practice of taking medicines by individuals to treat self recognised symptoms or illness without the prescription of a health practitioner. Objectives This study seeks to assess the frequency, pattern of self medication, and the different forms of medications used by patients who attend the outpatient clinic of a tertiary hospital. Methods This was a cross-sectional study that lasted for three months. The respondents were selected using systematic random sampling. A pretested semi-structured interviewer administered questionnaire was used to collect information from the respondents. The data was analyzed using Epi info version 7 and significance level was set at P<0.05. Results The study involved 398 patients with mean age and standard deviation of 37.18±14.9. Males were 161 (40.45%) and females were 237 (59.55%). The frequency of self medication was 375 (89.70%) and those who live in the urban areas were about twice more likely to practice self medication than rural dwellers. The medicines used for self medication include multivitamins (99.5%), antimalarials (79.15%), analgesics (66.33%), and antibiotics (46.98%). Conclusion Self medication practice was high among our respondents, rural dwellers were more likely to practice self medication than urban dwellers and the drugs commonly used for self medication include multivitamins, analgesics, antimalarials and antibiotics.

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Section: Discussionmentioning

confidence: 99%

Self Medication and its Pattern among Patients Attending the General Outpatient Clinic of a Tertiary Institution in Abakaliki, Ebonyi State, Nigeria

Alo¹

2015

CMPH

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“…Self-medication practices with “over the counter” or other groups of drugs (analgesics/antipyretics, gastro-intestinal drugs, respiratory drugs, vitamins) is of benefit in the timely management of common illnesses; the prevalence varies in different countries or minorities groups as was shown by several surveys conducted in different geographic areas ( Alexa et al, 2014 ; Berzanskyte et al, 2006 ; Eticha & Mesfin, 2014 ; European Commission, 2013 ; Garofalo, Di Giuseppe & Angelillo, 2015 ; Jafari, Khatony & Rahmani, 2015 ; Martin-Perez, Barrera & Andreas, 2015 ; Ocan et al, 2014 ), but self-medication practices with antibiotics (administration of antibiotics without a medical prescription) increases the risk of ABR. Therefore, analyzing this practice is needed in order to identify factors that can reduce the consequences of inappropriate antibiotics use.…”

Section: Introductionmentioning

confidence: 99%

Awareness about antibiotic resistance in a self-medication user group from Eastern Romania: a pilot study

Topor

Grosu

Ghiciuc

et al. 2017

PeerJ

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BackgroundAwareness about antibiotic resistance depends on the attitudes and information about antibiotic resistance of both patients and physicians. Persons who practice self-medication are at high risk of also self-medicating with antibiotics. The purpose of the present study was to evaluate the awareness about antibiotic resistance by investigating the practice in a group of self-medication users in a sample of adults in Romania and the variables associated with such practice.Material and MethodsA cross-sectional self-filled questionnaire based study was conducted from December 2016 through January 2017 amongst 218 self-medication users (SMUG). The attitudes, the level of knowledge, the perceptions, about antibiotic use (ABU) and about antibiotic resistance (ABR) were compared to a reference group represented by medical residents group in their specialty training (MRG) considered to have a higher level of knowledge and awareness about ABU and ABR.ResultsThe response rate was 87.2% in the SMUG group and 100% in the MRG group. The SMUG group reported self-medication practices for antibiotics with a high frequency at any time in life (72%), but with a very low frequency from the month previous to the date of the study (12%), comparative with the MRG group (75% and 7%, respectively). The multivariate logistic regression analysis showed that self-medication with antibiotics at any time in life in the SMUG group could be predicted by the answers to two questions regarding the practices and knowledge about ABU (Q13 and Q20). On the other hand, in the MRG group, a question about ABR perception (Q23), could be predictor for self-medication with antibiotics. Self-medication with antibiotics in the month previous to the date of the study in the SMUG group could be predicted with three questions: one about ABU practice (Q14), one about ABR perception (Q26) and one referring to ABR knowledge (Q28). On the other hand, in the MRG group, a question about ABR knowledge (Q32) could be predictor for self-medication with antibiotics. The reduced awareness about ABR in the SMUG group, is revealed by the reduced number of subjects (38%), who did not know that missing an antibiotic dose during a medical treatment contributes to ABR, comparative with the MRG group (84%). Indirectly, low ABR awareness in the SMUG group is revealed by the confusion about the appropriate use of antibiotics in bacterial or viral infections (that antibiotics are not used against viruses).ConclusionsThe findings from our study on the awareness about antibiotic resistance in the SMUG group might help the policy makers and regulatory authorities to develop educational programs directed to change the perceptions and attitudes about the appropriate use of antibiotics in order to diminish self-medication practices with antibiotics.

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“…In addition, previous studies have indicated that the comorbidity analysis was related to the poor state of the Roma people health by gender and related to unhealthy habits and lifestyles [11]. Our results report data on noncommunicable diseases, unlike many of the investigations in Roma adults who have focused more on communicable diseases [9].…”

Section: Discussionmentioning

confidence: 42%

“…In 2015, Martín-Pérez et al reported a study on the predictors on using medication in the Roma population in Spain. This study included a questionnaire with questions about health status, lifestyle and access to health services, as well as questions designed to collect demographic information about the household and its members [11]. The authors reported the presence of chronic diseases, a negative perception on health and medical consultations were associated with an increased use of medication in the study population [11].…”

Section: Introductionmentioning

confidence: 99%

Foot health among the Roma population of southern Spain according to the foot health status questionnaire

et al. 2020

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Background: Foot health of the Roma population is a challenge for the health professionals where this minority is significant, as is the case in Spain. At present, little is known about foot health of the Roma population and their knowledge would promote the training of these professionals at the community level. Foot pain is common and a reason for consulting podiatry services. The purpose of this study was to determine foot health among the Roma population according to the Foot Health Status Questionnaire. Method: An observational, cross-sectional and quantitative study conducted at the Roma population living in Spain in 2018. Self-reported data and the Foot Health Status Questionnaire were recorded. Examining the general health and foot health (foot pain, foot function, footwear and general health) and general (general health, social capacity, physical activity and vigour). This questionnaire is recommended as a valid and reliable patient-reported outcome. The obtained scores were compared. Results: A sample made up of 624 men and women from the Roma population took part in this study. 45% were Roma men and 55% Roma women. In the first section of the FHSQ, a lower score of values was recorded in the footwear domain (62.5) and in the general foot health domain (60). Gypsy women obtained lower scores in all the domains. In the second section, lower scores were obtained in the vigour (56) domain and in the general health (60) domain. A large effect size (r-Rosenthal) was found by gender in the footwear domain (0.334) and in the vigour domain (0.195). Roma women showed higher values in cardiac disorders, serious illnesses, doctor visits and foot problems. 67.8% reported that they had never been assisted by a podiatrist. Conclusions: The studied Roma population has foot health problems, and these are more pronounced among women. They show lower values in the footwear and vigour domains. More professional training is required for health workers in this field to avoid cultural diversity stereotypes.

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Predictors of medication use in the Roma population in Spain: a population-based national study

Cited by 20 publications

References 24 publications

Self Medication and its Pattern among Patients Attending the General Outpatient Clinic of a Tertiary Institution in Abakaliki, Ebonyi State, Nigeria

Self Medication and its Pattern among Patients Attending the General Outpatient Clinic of a Tertiary Institution in Abakaliki, Ebonyi State, Nigeria

Awareness about antibiotic resistance in a self-medication user group from Eastern Romania: a pilot study

Foot health among the Roma population of southern Spain according to the foot health status questionnaire

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