Self-medication practices with antibiotics and antimalarials among Sudanese undergraduate university students
Self-medication practices with antibiotics and antimalarials among Sudanese undergraduate university students
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DOI：
10.1345/aph.1k068
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发表时间：
2007-07-01
影响因子：
2.9
通讯作者：
Eltayeb, Idris B.
中科院分区：
文献类型：
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作者：
Awad, Abdelmoneim I.;Eltayeb, Idris B.
背景：在许多发展中国家，高达60-80%的健康问题是自我治疗的。目的：估计苏丹大学生使用抗生素和/或抗疟药物自我药疗的流行程度，并确定促进这种使用的因素。方法：对从苏丹喀土穆州5所大学中选出的1300名学生使用预测问卷进行描述性横断面研究。结果：研究人群中891名（79.5;95% CI 77.0 ~ 81.8）学生在研究前1-2个月内无处方使用过抗生素或抗疟药物；490名（55%;95% CI 51.7 ~ 58.3）受访者表示使用过抗生素，39名（4.4%;95% CI 3:2 ~ 6.0）使用过抗疟药物；362例（40.6%;95% CI 37.4 ~ 43.9）两者同时使用。整体;与20岁及以下的学生相比，21岁及以上的学生使用抗生素或抗疟药自我治疗的情况更为常见（or 1.55; 95% CI 1.15至2:09；p = 0.004），私立大学的学生与公立大学的学生相比，使用抗生素或抗疟药自我治疗的情况更为常见（or 1.42; 95% CI 1.04至1.95;p = 0.028）。使用抗生素自行用药的情况也类似，这在21岁及以上的学生（or 1.36; 95% CI 1.03至1.81;p = 0.03）和私立大学受访者（or 1.52; 95% CI 1.15至2.02;p = 0.003）中更为常见。自我使用抗疟药物的比例在女性中明显较低（OR 0.76; 95% CI 0.59 ~ 0.97; p = 0:028），而在21岁及以上年龄组中较高（OR 1.84; 95% CI 1.42 ~ 2.40; p < 0.001）。自我用药最常见的原因是受访者以前有过类似的疾病经历。结论：喀土穆州本科大学生自我使用抗生素/抗疟药物的比例较高。我们的研究结果强调需要规划干预措施，以促进抗生素/抗菌素的明智使用：
BACKGROUND: In many developing countries, up to 60-80% of health problems are self-medicated.OBJECTIVE: To estimate the prevalence of self-medication with antibiotics and/or antimalarials and identify factors promoting such use among university students in Sudan.METHODS: A descriptive cross-sectional study was performed, using a pretested questionnaire on a sample of 1300 students selected from 5 universities in Khartoum State, Sudan.RESULTS: Eight hundred: ninety-one (79.5 ;; 95% CI 77.0 to 81.8) students from the study population had used antibiotics or antimalarials without a prescription within 1-2 months prior to the study: Four hundred ninety (55%; 95% Cl 51.7 to 58.3) of the respondents stated that they had used antibiotics, 39 (4.4%; 95% CI 3:2 to 6.0) had used antimalarials; and 362 (40.6%; 95% CI 37.4 to 43.9) had used both. Overall; self-medication with antibiotics or antimalarials was significantly more common among students 21 years of age or older compared with those 20 years of age or younger (OR 1.55; 95% CI 1.15 to 2:09; p = 0.004) and among students attending private universities compared with those attending public universities (OR 1.42; 95% CI 1.04 to 1.95; p = 0.028). Self-medication with antibiotics followed a similar pattern, Which was significantly ore common among students 21 years of age or older (OR 1.36; 95% CI 1.03 to 1.81; p = 0.03) and private university respondents (OR 1.52; 95% CI 1.15 to 2.02; p = 0.003). Selfmedication with antimalarials was found to be significantly less common among females (OR 0.76; 95% CI 0:59 to o:97; p = 0:028) and higher among the 21 years or older age group (OR 1.84; 95% CI 1.42 to 2.40; p < 0.001). The most common reason indicated' for self-medication was the respondents' previous experiences with similar ailments. The main source of drugs was community pharmacies:CONCLUSIONS: The prevalence of self-medication with antibiotics/antimalarials among undergraduate university students in Khartoum State is high. Our findings highlight the need' for planning interventions to promote the judicious use of antibiotics/antimicrobials: