DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20201757

Assessment of parents induced self-medication in paediatric population in rural and urban areas of Ahmedabad, Gujarat

Sanskruti J. Patel, Gurusharan H. Dumra

Abstract


Background: Self-medication is termed as administration of medications by care-givers without medical consultation. It includes several forms through which the individual themselves or the ones responsible for them decide, without medical evaluation, which drug they will use and in which way for the symptomatic relief and cure of a condition. Objectives of the study was to estimate the overall prevalence of parents induced self-medication, to identify the most commonly used drugs and the reasons of self-medications in rural and urban areas of Ahmedabad, Gujarat.

Methods: This is community based observational cross sectional study was conducted over a period of four months in urban and rural areas of district Ahmedabad under the field practice area of AMC MET Medical College and Sheth LG General Hospital, district Ahmedabad, Gujarat. The study population included children from 5-15 years. The data was collected from the care giver/parents of the children through a pre-validated questionnaire.

Results: Prevalence of self-medication was 86.14%. Most common illness for which self- medication was done was fever in 84 children (22.16%) followed by acidity in 72 children (18.99%). Commonly used drugs were antipyretics, antibiotics and oral rehydration therapy. Previous prescription was used by most of them to procure the drugs and previous experience on efficacy was the most common reason cited.

Conclusions: In this study, the prevalence of parents induced self-medication is quite high. There is a need to strengthen public education regarding self- medication, by mass media and local government authorities.


Keywords


Paediatric population, Parent induced, Self-medication

Full Text:

PDF

References


Sahebi L, Vahidi R. Self-medication and storage of drugs at home among the clients of drugstores in Tabriz. Curr Drug Saf. 2009;4(2):107-12.

Afridi M, Rasool G, Rabia Tabassum R, Shaheen M, Siddiqullah, Shujauddin M. Prevalence and pattern of self-medication in Karachi: a community survey. Pak J Med Sci. 2015;31(5):1241-5.

Martins A, Miranda A, Mendes Z, Soares MA, Ferreira P, Nogueira A. Self-medication in a Portuguese urban population: a prevalence study. Pharmacoepidemiol Drug Saf. 2002;11:409-14.

Grigoryan L, Burgerhof J, Ruskamp HF, Degener JE, Deschepper R, Monnet DL, et al. Is self-medication with antibiotics in Europe driven by prescribed use? J Antimicrob Chemother. 2007;59:152-6.

Grigoryan L, Ruskamp HF, Burgerhof J. Self-medication with antimicrobial drugs in Europe. Emerging Infect Dis. 2006;12(3):452-9.

Goldsworthy R, Schwartz N, Mayhorn C. Beyond abuse and exposure: framing the impact of prescription-medication sharing. Am J Public Health. 2008;98(6):1115-21.

Rasheed A, Yagoub U, Alkhashan H, Abdelhay O, Alawwad A, Aboud A, et al. Prevalence and predictors of self-medication with antibiotics in Al Wazarat Health Center, Riyadh City, KSA. Biomed Res Int. 2016;16:3916874.

Oshikoya K, Senbanjo I, Njokanma O. Selfmedication for infants with colic in Lagos, Nigeria. BMC Pediatri. 2009;9:9.

Kumar N, Kanchan T, Unnikrishnan B, Rekha T, Mithra P, Kulkarni V, et al. Perceptions and practices of self-medication among medical students in coastal South India. PLoS One. 2013;8(8):e72247.

World Health Organization. Guidelines for the regulatory assessment of medicinal products for use in self-medication. Geneva: World Health Organization; 2000. Available at: http:// apps.who.int/ medicinedocs/pdf/. Accessed on 12 December 2019.

Wijesinghe PR, Jayakody RL, Seneviratne RS. Prevalence and predictors of self-medication in a selected urban and rural district of Sri Lanka. Asia J Public Health. 2012;1(1):28-41.

Tomson G, Sterky G. Self-prescribing by way of pharmacies in three Asian developing countries. Lancet. 1986;132(8507):620-2.

Lam CLK, Catarivas MG, Munro C, Lauder IJ. Self- medication among Hong-Kong Chinese. Soc Sci Med. 1994;39(12):1641-47.

Gupta P, Bobhate PS, Shrivastava SR. Determinants of self-medication practices in an urban slum community. Asian J Pharm Clin Res. 2011;4(3):54-7.

Saima N, Goel K, Mittal A, Singh J, Goel R, Rashid A. Parent induced self-medication among under five children: an observational cross sectional study. Preventive Med Bullletin. 2015;4:81-6.

Garofalo LG, Gabriella A. (2015). Self-medication practices among parents in Italy. Bio Med Res Int. 2015;58:65-8.

Borah M. A community-based cross-sectional study on the use of medication among young children in the rural areas of Assam. J Ntr Univ Health Sci. 2018;7:103-7.

Muhammad A, Muhammad J, Daniyal M, Muhammad Z. Parent-based self-medication in Pakistani children: a qualitative cross-sectional survey. Bangladesh J Medical Science. 2016;15:33-9.

Hoan le T, Chuc NT, Ottosson E, Allebeck P. Drug use among children under 5 with respiratory illness and/or diarrhoea in a rural district of Vietnam. Pharmacoepidemiol Drug Saf. 2009;18:448-53.

Keshari SS, Kesarwani P, Mishra M. Prevalence and pattern of self-medication practices in rural area of Barabanki. Ind J Clin Pract. 2014;25:636-9.

Zaki A, Fattah AM, Bassili A, Arafa M, Bedwani R. The use of medication in infants in Alexandria, Egypt. East Mediterr Health J. 1999:5;320-7.