Factors predicting home storage of medicines in Northern Uganda.

Factors predicting home storage of medicines in Northern Uganda.
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DOI:
10.1186/1471-2458-14-650
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发表时间:
2014-06-26
期刊:
影响因子:
4.5
通讯作者:
Obua C
Obua C
中科院分区:
医学2区
文献类型:
--
作者:
Ocan M;Bbosa GS;Waako P;Ogwal-Okeng J;Obua C

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世界各地的家庭中都有药品,用于急救、治疗慢性或急性疾病。这促进了药物的不当使用,从而带来了相关风险。该研究探讨了预测乌干达北部家庭药品供应和利用情况的因素。2012年11 - 12月对892户家庭进行横断面调查。5名数据收集人员负责问卷调查,受访者被要求带出家中存在的任何药物。收集人口统计学特征、药品名称、数量、来源、配方、药品标签的易读性和在家存放药品的原因。数据采用STATA 12.0进行分析,显著性水平为95%。受访家庭中有药品的占35.1%(313/892)。对乙酰氨基酚(11.8%)、复方蒿甲醚(11.3%)、复方新诺明(10%)、阿莫西林(9.2%)和甲硝唑(8.2%)为主要药物。抗菌药物是最常见的保留类型(40.1%)。家庭中存在的药物用于持续治疗(48%);“剩余”(30.5%)及预期未来用途(21.6%)。疟疾症状(34.1%)在有药物的家庭中很常见。家中保存的药品主要来自私营部门,占60.5%(497/821)。受教育人群的家庭药品存放率较高,为85.3%(267/313)。调查对象中有药品存放家庭的自我药疗率高达76%(238/313)。平均每户药品数量为6±5种,多数(68.1%)在1 ~ 10种之间。以往的成功治疗(OR: 1.3; 95% CI: 0.95-1.77)、固定收入(OR: 1.8; 95% CI: 1.2-2.6)和性别(OR: 0.63; 95% CI: 0.5-0.9)预测了乌干达北部家庭的药品储存情况。乌干达北部超过三分之一的家庭储存药品,其中最常见的是抗菌剂。自我药疗在持有药物的家庭中很常见。过去的成功治疗,固定收入和性别预测社区家庭药物储存。
Medicines are kept in households Worldwide for first aid, treatment of chronic or acute disease conditions. This promotes inappropriate use of medicines and hence the associated risks. The study explored the factors which predict availability and utilization of medicines in households of Northern Uganda. A cross sectional survey of 892 households was performed from November-to-December 2012. Five data collectors administered the questionnaires, respondents were requested to bring out any medicines present in their households. Demographic characteristics, drug name, quantity, source, formulation, legibility of drug labels and reasons why the medicines were being kept at home was collected. Data was analyzed using STATA 12.0 at 95% level of significance. Of the households visited, 35.1% (313/892) had drugs. Paracetamol (11.8%), coartem (11.3%), cotrimoxazole (10%), amoxicillin (9.2%) and metronidazole (8.2%) were the major medicines found. Antibacterial drugs were the most commonly (40.1%) kept type of drugs. The medicines present in households were for on-going treatment (48%); ‘leftover’ (30.5%) and anticipated future use (21.6%). Symptoms of malaria (34.1%) were common in households which had drugs. The medicines kept in homes were mainly from the private sector 60.5% (497/821). The rate of home drug storage was higher 85.3% (267/313) amongst the educated individuals. There was high prevalence 76% (238/313) of self-medication among respondents in households which stored drugs. The average number of medicines in each household was 6 ± 5 with majority (68.1%) having between 1–10 drugs. Previous successful treatment (OR: 1.3; 95% CI: 0.95-1.77), regular income (OR: 1.8; 95% CI: 1.2-2.6) and sex (OR: 0.63; 95% CI: 0.5-0.9) predicted storage of medicines in households in northern Uganda. Over a third of households in Northern Uganda store medicines with antibacterial agents being the most common. Self-medication is common among individuals in households which keep drugs. Past successful treatment, regular income and sex predict community home drug storage.
DOI: 10.2147/dhps.s25372
发表时间: 2011
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影响因子: --
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