Social, cultural and economic factors associated with self-medication
Social, cultural and economic factors associated with self-medication
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DOI：
10.1590/s0120-41572014000400011
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发表时间：
2014-12-01
期刊：
影响因子：
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通讯作者：
Ruiz-Villa, Joaquín Octavio
中科院分区：
文献类型：
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作者：
Machado-Alba, Jorge E.;Echeverri-Cataño, Luis Felipe;Ruiz-Villa, Joaquín Octavio
简介：自我药疗在世界范围内是一种日益频繁的现象；一些研究表明，这与社会经济和文化因素有关。目的：确定哥伦比亚城市自我药疗的流行率及其相关因素。材料和方法：哥伦比亚佩雷拉的横断面描述性研究。我们采用简单随机抽样法，以房屋作为观察单位，选择了 414 名成年人。使用IRIS-AM仪器收集所需信息。结果：四百一十四（414）人接受采访，62.6%为女性，平均年龄为44岁； 77.5% 的样本一生中至少进行过一次自我药疗，31.9% 的样本在上个月进行过自我药疗。最常用的药物为：镇痛解热药（44.3%）、非甾体类抗炎药和抗风湿药（36.4%）、抗组胺药（8.5%）。最常见的自我治疗症状是：头痛（55.7%）、感冒（16.2%）和肌肉疼痛（13.2%）。多变量分析揭示了终生自我药疗与在家储存药物之间的关联，以及高教育水平与对自我药疗的好感之间的关联。在家储存药物并向他人推荐药物与过去 30 天内的自我药疗有关。结论：发现自我药疗率与全球报告的相似，但这种做法尚无既定模式。社会和人口变量与自我药疗之间发现了关联，这需要进一步表征。自我药疗的意图在其他研究中尚未得到很好的描述，这可能是一个重要的指标，有助于未来对这一现象的理解。
Introduction: Self-medication is an increasingly frequent phenomenon worldwide; some studies suggest that there is a relationship with socio-economic and cultural factors.Objective: To determine the prevalence of self-medication and its related factors in a Colombian city.Materials and methods: Cross-sectional descriptive study, in Pereira, Colombia. We selected 414 adults using simple randomization sampling with houses used as the observational unit. The IRIS-AM instrument was used to collect the information required.Results: Four hundred and fourteen (414) people were interviewed, 62.6% were females, and mean age was 44 years; 77.5% of the sample had self-medicated at least once in their life and 31.9% during the last month. The most commonly used medications were: analgesics and antipyretics (44.3%), non-steroidal anti-inflammatory drugs and anti-rheumatic medication (36.4%), and anti-histamine medication (8.5%). The most commonly self-medicated symptoms were: headache (55.7%), cold (16.2%) and muscular pain (13.2%). Multivariate analysis revealed an association between self-medication throughout life and storing medications at home, and between a high level of education and having a favorable opinion of self-medication. Storing medications at home and recommending them to others were associated with self-medication during the previous 30 days.Conclusion: Self-medication rates were found to be similar to those reported globally, but there is not an established pattern for this practice. Associations were found between social and demographic variables and self-medication, which require further characterization. Intention to self-medicate has not been well-described in other studies, and may be an important indicator which will contribute to future understanding of this phenomenon.