Drug utilisation and self-medication in rural communities in Vietnam

Drug utilisation and self-medication in rural communities in Vietnam
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DOI:
10.1016/s0277-9536(01)00155-1
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发表时间:
2002-06-01
影响因子:
5.4
通讯作者:
Umenai, T
Umenai, T
中科院分区:
医学2区
文献类型:
--
作者:
Okumura, J;Wakai, S;Umenai, T

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据报道,40-60%的越南人依赖自我药物治疗。为了评估越南农村地区自我药疗实践与卫生专业人员给药的现状,我们在家庭层面进行了横断面调查。通过使用结构化问卷,在家中对505名至少有一名5岁以下儿童的妇女进行了访谈,了解她们的药物使用情况和对药物的态度。在505个家庭中,有138个家庭储备了预防未来疾病的药品。76个家庭共保存96种不同的抗生素(按通用类型)。这些抗生素主要用于咳嗽和腹泻。自我用药组使用抗生素的可能性是另一组的两倍。此外,当母亲在家里放药时,自我药疗的做法增加了。本研究发现,对药物的错误观念和不良态度普遍存在。母亲们把抗生素当作万灵药来使用。在这种情况下,A缺乏公共卫生教育,没有对药物推广的控制,没有有效的药物政策和监管。应更多地关注作为药物最终使用者的消费者和患者,以便他们能够获得准确的信息,评估信息的可靠性并提出必要的问题。(C) 2002 Elsevier Science Ltd.版权所有。
Reportedly 40-60% of people in Vietnam depend on self-medication. To assess the current situation of self-medication practices as compared with medication given by health professionals in rural areas in Vietnam, we conducted a cross sectional survey at household level. A total of 505 women with at least one child younger than 5 years of age were interviewed in their homes about their drug utilisation practices and attitudes toward medication, by using structured questionnaires. Of the 505 households, 138 stocked drugs for anticipated illness in the future. A total of 96 different antibiotics (in terms of generic type) were kept at 76 households. These antibiotics were kept mainly for coughs and diarrhoea. The self-medication group was twice as likely to use antibiotics than the other group. In addition, self-medication practice was increased when a mother kept medicines in the house.This study revealed that mistaken beliefs about medicines and undesirable attitudes toward medication were prevalent. Mothers used antibiotics as if such drugs were panaceas. In this context, there A as insufficient public health education, no control over pharmaceutical promotion, and no efficient drug policy and regulation. More attention should be given to consumers and patients as the ultimate users of drugs so that they can access accurate information, assess the reliability of information and ask necessary questions. (C) 2002 Elsevier Science Ltd. All rights reserved.