Medication storage and self-medication behaviour amongst female students in Malaysia
Objectives: The aims of this study are to determine the prevalence, attitudes and behaviours of medication storage and self-medication amongst female students at Universiti Sains Malaysia (USM).
Methods: A cross-sectional survey was conducted and cluster random sampling technique was used for respondent selection. A pre-piloted questionnaire was administered to female respondents so as to collect the data. Data was analyzed using SPSS version 12 and analysis was conducted using descriptive analysis procedures.
Results: Of the 481 participants (mean age; SD was 22.1; 3.3), 93.1% (n=448) students stated that they stored medicine in their rooms, while 70.7% (n=340) stated that they stopped taking a prescribed medicine without consulting a doctor. The prevalence of self-medication was 80.9% (n=389). The most common reasons for self-medication were related to their knowledge of their ailment and its treatment (58.0%), 14.4% thought it saved time and 8.5% mentioned that medication given by provider was not effective. The most common symptoms were otorhinolaryngology problems (22.5%), followed by respiratory disease (19.6%), Gastro Intestinal Tract (GIT) disease (18.1%) and headache/fever (16.8%). Commonly used medicines were analgesics & antipyretics (30.2%), ear, nose & throat drugs (10.8%), vitamins & minerals (10.8%), GIT drugs (8.5%), anti-infections (7.3%) and herbal medicines (3.5%). Prevalence of medicine storage and self-medication practice is high among educated female students in USM.
Conclusions: There is a need to educate the students to ensure safe practice by increasing their awareness. Strict policies need to be implemented on the unrestricted availability of medicines so as to prevent the wastage of medicines.
2. Dong H, Bogg L, Rehnberg C, Diwan V. Drug policy in China: pharmaceutical distribution in rural areas. Soc Sci Med. 1999;48(6):777-786.
3. Montastruc JL, Bagheri H, Geraud T, Lapeyre-Mestre M. Pharmacovigilance of self-medication. Therapie. 1997;52(2):105-110.
4. Figueiras A, Caamaño F, Gestal-Otero JJ. Sociodemographic factors related to self-medication in Spain. Eur J Epidemiol. 2000;16(1):19-26.
5. Shankar PR, Partha P, Shenoy N. Self-medication and non-doctor prescription practices in Pokhara valley, Western Nepal: a questionnaire-based study. BMC Fam Pract. 2002;3:17.
6. World Health Organization. Global strategy for containment of antimicrobial resistance. WHO Communicable Disease Surveillance and Response (CSR), 2001 WHO/CDS/CSR/DRS/2001.2.
7. Zafar SN, Syed R, Waqar S, Zubairi AJ, Vaqar T, Shaikh M, Yousaf W, Shahid S, Saleem S. Self-medication amongst university students of Karachi: prevalence, knowledge and attitudes. J Pak Med Assoc. 2008;58(4):214-217.
8. Buke C, Hosgor-Limoncu M, Ermertcan S, Ciceklioglu M, Tuncel M, Köse T, Eren S. Irrational use of antibiotics among university students. J Infect. 2005;51(2):135-139.
9. Aljinović-Vucić V, Trkulja V, Lacković Z. Content of home pharmacies and self-medication practices in households of pharmacy and medical students in Zagreb, Croatia: findings in 2001 with a reference to 1977. Croat Med J. 2005;46(1):74-80.
10. Lau GS, Lee KK, Luk CT. Self-medication among university students in Hong Kong. Asia Pac J Public Health. 1995;8(3):153-157.
11. Grand AL, Hogerzeil HV, Haaijer-ruskamp FM. Intervention research in rational use of drugs: a review. Health Policy Plann. 1999;14:89-102.
12. Hardon A, Hodgkin C, Fresle D. How to investigate the use of medicines by consumers. Amsterdam: WHO;2004.
13. Abou-auda H S. An economic assessment of the extent of medication use and wastage among families in Saudi Arabia and Arabian Gulf countries. Clin Ther. 2003;25:1276.
14. Abahussain E, Matowe LK, Nicholls PJ. Self-reported medication use among adolescents in Kuwait. Med Princ Pract. 2005;14(3):161-164.
15. Ibrahim MIM. USM's Health -care system report, (unpublished), 2003.
16. Hsiao FY, Lee JA, Huang WF, Chen SM, Chen HY. Survey of medication knowledge and behaviors among college students in Taiwan. Am J Pharm Educ. 2006;70(2):30.
17. Park J. Pharmaceuticals in the environment and management approaches in Korea. Korea Environment Institute (KEI), 2005.
18. Anonymous. Establishing an unwanted medication collection program. Wisconsin / USA, Pharmacy Society of Wisconsin, 2007.
19. Lynne BYE. Dispose of unwanted medicines properly. In Waitemata District Health Board (Ed.) The University of Auckland, School of Pharmacy, 2007.
20. Dengler R, Roberts H. Adolescents' use of prescribed drugs and over-the-counter preparations. J Public Health Med. 1996;18:437-442.
21. Vallerand AH, Fouladbakhsh J, Templin T. Patients' choices for the self-treatment of pain. Applied Nursing Research 2005;18:90-96.
22. Ayranci,U, Son N, Son O. Prevalence of non-vitamin, non-mineral supplement usage among students in a Turkish University. BMC Public Health 2005;5:47.
23. French DP, James DH. Reasons for the use of mild analgesics among English students. Pharm World Sci. 2008;30:7985.
24. World Health Organization. The benefits and risks of self- medication: General policy issues. WHO Drug Information, 2000;14:1-2.
25. Paterson JM, Anderson GM. "Trial" prescriptions to reduce drug wastage: results from Canadian programs and a community demonstration project. Am J Manag Care. 2002;8(2):151-158.
26. Rother DL, Hall JA.Doctors talking with patients/ patients talking with doctors: Improving communication in medical visits, London, Greenwood Press, 2006.
27. Vanden Eng J, Marcus R, Hadler JL, Imhoff B, Vugia DJ, Cieslak PR, Zell E, Deneen V, McCombs KG, Zansky SM, Hawkins MA, Besser RE. Consumer attitudes and use of antibiotics. Emerg Infect Dis. 2003;9(9):1128-1135.
28. Datta A. Drug resistant bacteria, killer at large The Hindu- online edition of India's National Newspaper, 2001.
29. James H, Handu SS, Al Khaja KA, Otoom S, Sequeira RP. Evaluation of the knowledge, attitude and practice of self-medication among first-year medical students. Med Princ Pract. 2006;15(4):270-275.
30. World Health Organization. Traditional medicine. In WHO (Ed.), 2003.
31. Forster DA, Denning A, Wills G, Bolger M, McCarthy E. Herbal medicine use during pregnancy in a group of Australian women. BMC Pregnancy Childbirth. 2006;6:21.
32. Mohd MA. Traditional medicines in Malaysia.Where are we heading? IPPP UM Research Bulletin, 2003.
33. Yeo AS, Yeo JC, Yeo C, Lee CH, Lim LF, Lee TL. Perceptions of complementary and alternative medicine amongst medical students in Singapore--a survey. Acupunct Med. 2005;23(1):19-26.
34. Feldman RH, Laura R. The use of complementary and alternative medicine practices among Australian university students Complementary Health Practice Review 2004;9:173-179.
35. Niggemann B, Gruber C. Side-effects of complementary and alternative medicine. Allergy. 2003;58:707-716.
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