Self-Medication of Psoriasis in Southwestern China

Zhang, Ling Ling; Yang, Huan; Wang, Yuedi; Chen, Yang; Zhou, Haizhou; Shen, Zhu Jun

doi:10.1159/000360284

Cited by 6 publications

(6 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Additionally, alcohol has been found to have pain-dampening effects, although the mechanism is unclear ( 31 , 32 ). Other diseases with high self-medication prevalence include malaria ( 33 – 35 ), psoriasis ( 36 , 37 ), oral disease ( 38 ), ophthalmology ( 39 ), and COPD ( 40 ).…”

Section: Prevalence Of Self-treatmentmentioning

confidence: 99%

Observations on the Prevalence, Characteristics, and Effects of Self-Treatment

Zhao

2016

Front. Public Health

View full text Add to dashboard Cite

AimsWhen facing illness, a person may choose self-treatment as an alternative to hospital (and primary care)-based treatment. Despite its important role in health care, the study on self-treatment remains limited. The goal is to collectively report the observations in the literature on the prevalence, characteristics, and effects of self-treatment.MethodsDatabases (Medline/PubMed and Google Scholar) were searched. Articles were scrutinized for country of origin, sample size, recall period, prevalence, associated factors, etc.ResultsPublished studies have reported that in some regions, the prevalence of self-treatment is high and varies across illness conditions and treatment approaches. Self-medication is the most popular self-treatment approach. Multiple regional, demographic, personal, cultural, and religious factors have been implicated in the pursuit of self-treatment. In addition, accessibility of health care also plays a role. In general, self-treatment has a positive clinical and financial effect. However, there have been concerns on abuse and possible negative effects.ConclusionThis article reviews observations made in recent studies on several important aspects of self-treatment. Comprehensive and systematic study is still lacking. Interventions are needed to solve several problems associated with self-treatment.

show abstract

Section: Prevalence Of Self-treatmentmentioning

confidence: 99%

Observations on the Prevalence, Characteristics, and Effects of Self-Treatment

Zhao

2016

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…Earlier studies in low- and middle-income countries found that there are several factors related to the use of self-medication. They include the health service system, law and regulations, socio-economic factors, easy access to drugs, and mild illnesses [5, 21–26]. The poor quality of the health-care service system, waiting times and its relative high cost discourage health-care utilization.…”

Section: Introductionmentioning

confidence: 99%

What is in the drug packet?: access and use of non-prescribed poly-pharmaceutical packs (Yaa Chud) in the community in Thailand

et al. 2019

View full text Add to dashboard Cite

Background ‘Yaa Chud’ is a non-prescribed poly-pharmaceutical pack containing several types of drugs, including antibiotics and steroids, which can be purchased over the counter in Thailand for self-medication. Although it is illegal, it is still available at some community outlets. This study aimed to understand access to and use of Yaa Chud at the community level in order to raise awareness on its usage and to provide policy recommendations to address the problem. Methods This study employed qualitative methods, including in-depth interviews with 18 drug suppliers and 16 community members, and six focus group discussions. It included inventories from 17 drug suppliers. Data were collected in selected communities of the Kanchanaburi Demographic Surveillance System, located in the western region of Thailand.Thematic analysis was based upon the Health Services Utilization Model and conducted using the Open Code qualitative software program. Results Overcrowding, long waiting times, and a perceived unwelcoming environment at public health-care service outlets were identified as factors that drive people into the private sector, where loose regulation of drug laws facilitates access and use of Yaa Chud. Migrants and older people were most likely to seek and use Yaa Chud, especially for mild illness. Availability, easy access through a user’s network, low cost, and perceived effectiveness were identified as factors that enable access and use of Yaa Chud. Conclusions Though illegal in Thailand, Yaa Chud is likely to remain available for self-medication by community members, due to the persisting demand by the elderly and migrant workers. There is an urgent need to replace these mixed medications with better choices. Safer Yaa Chud may be a preferred, first-line health-care option, which could help reduce congestion in the formal health-care setting. At the same time, enforcement of regulatory compliance needs to be continued in order to stop the supply of unsafe Yaa Chud. Electronic supplementary material The online version of this article (10.1186/s12889-019-7300-5) contains supplementary material, which is available to authorized users.

show abstract

“…For example, both a study conducted in South Korea [16] and our study were nationwide studies based on medical insurance databases, which may include more GPP patients than the questionnaire-based studies conducted in France and Japan would [5,15]. Last, GPP might be triggered by inappropriate treatments, e.g., the high noncompliance with medication [35] and seeking health advice from sham advertisements or secret recipes [35,36] in psoriasis patients in China. This phenomenon might partly explain the higher prevalence of GPP in our study.…”

Section: Discussionmentioning

confidence: 98%

Higher Prevalence of Generalized Pustular Psoriasis in Asia? A Population-Based Study Using Claim Data in China and a Systematic Review

et al. 2023

View full text Add to dashboard Cite

Background: Few studies have reported the burden of generalized pustular psoriasis (GPP), a severe and potentially life-threatening skin disease, especially at a national level. Objectives: To estimate the nationwide burden of GPP in China and make a systemic review of the published data. Methods: We conducted a population-based study using Urban Basic Medical Insurance in China from 2012 to 2016. GPP cases were identified by primary diagnoses including the international classification of Diseases codes (ICD-10: L40.1 and ICD-9: 694.3). A systematic review was conducted using relevant databases up to January 2022. Results: The crude prevalence and incidence of GPP in 2016 were 1.403 (95% confidence interval [CI]: 1.115– 1.691) and 0.629 (95% CI: 0.483 – 0.775) per 100,000 person-years, respectively. The rates were higher in males than in females for both prevalence (1.429 vs. 1.135) and incidence (0.635 vs. 0.520). The prevalence and incidence showed a bimodal age distribution, with the first peak occurring in the 0–3 years age group and the second peak occurring in the 30–39 years age group. The per-capita total cost per year for one patient with GPP was 609.26 (±45.77) U.S. dollars. Seven studies were identified in a systematic review, according to which the prevalence (per 100,000) of GPP tended to be higher in Asian countries (0.746 – 8.178 in Japan and 12.230 in Korea) than in France (0.176), Sweden (6.25) and Brazil (0.7). Conclusions: This is the largest study concerning the disease burden of GPP, and in this study, the prevalence seemed to be higher in Asia. Although the direct economic burden of GPP did not seem high during the study period, the future usage of biologics and the humanistic burden should also be considered for policy-related decision-making.

show abstract

Self-Medication of Psoriasis in Southwestern China

Cited by 6 publications

References 18 publications

Observations on the Prevalence, Characteristics, and Effects of Self-Treatment

Observations on the Prevalence, Characteristics, and Effects of Self-Treatment

What is in the drug packet?: access and use of non-prescribed poly-pharmaceutical packs (Yaa Chud) in the community in Thailand

Higher Prevalence of Generalized Pustular Psoriasis in Asia? A Population-Based Study Using Claim Data in China and a Systematic Review

Contact Info

Product

Resources

About