Prevalence of Self-Medication Practice and Associated Factors among Pregnant Women Who Attended Antenatal Care at Public Hospitals of North Shewa Zone, Amhara Region, Ethiopia.

IF 2.1 Q3 PHARMACOLOGY & PHARMACY
Advances in Pharmacological and Pharmaceutical Sciences Pub Date : 2024-08-07 eCollection Date: 2024-01-01 DOI:10.1155/2024/6668480
Abrham Demis, Birhanetensay Masresha Altaye, Mulugeta Emiru, Mitiku Tefera
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引用次数: 0

Abstract

Background: Self-medication practice is the use of medicine without consulting health professionals to treat self-recognized illness by the general population including pregnant women. Inappropriate self-medication practice during pregnancy may pose harmful consequences for the fetus as well as the mother. There is not given much attention on the practice of self-medication among pregnant women in our setting. Therefore, this study aimed to assess the prevalence of self-medication practice and associated factors among pregnant women who attended antenatal care at North Shewa Zone public hospitals.

Methods: An institution-based cross-sectional study was conducted from June 01, 2022 to July 30, 2022, among 650 pregnant women who attended antenatal care at North Shewa Zone public hospitals. A multistage sampling technique was employed. The questionnaires were pretested. A structured interviewer-administered questionnaire and reviewed medical records were used for data collection. Epi-data version 4.6.2 and SPSS version 20 were utilized for data entry and analysis, respectively. Bivariate and multivariable logistic regression was done to identify associated factors, and P values less than 0.05 were considered statistically significant.

Results: The prevalence of self-medication practice among pregnant women was 65.38%. Housewives (AOR = 0.097 95% CI 0.030, 0.310), farmers (AOR = 0.117, 95% CI 0.028, 0.493), people with health insurance (AOR = 0.507, 95% CI 0.300, 0.858), and people in preconception care (AOR = 0.038, 95% CI 0.011-0.135) were less likely to practice self-medication, while people with primary education (AOR = 3.00, 95% CI 1.217, 7.435), income less than 3,000 birr (AOR = 5.46, 95% CI 1.41, 21.1), participants in the first (AOR = 4.183, 95% CI 2.12, 8.24) and second trimesters (AOR = 2.05, 95% CI 1.18, 3.56), pregnant women who lived in rural areas (AOR = 1.579, 95% CI 1.103-2.260), and people who previously practiced self-medication (AOR = 8.2, 95% CI 5.04, 13.3) were more likely to practice self-medication.

Conclusion: From the present finding, it can be concluded that self-medication among pregnant women is high. Previous self-medication practice, gestation period, educational status, monthly income, no preconception care, no health insurance, being a housewife, farmer, and place of residence were significantly associated with self-medication practice. Therefore, preventive measures such as proper counseling during dispensing, awareness creation programs on preconception care, and enrolling in health insurance programs to minimize the practice of self-medication are necessary.

在埃塞俄比亚阿姆哈拉地区北谢瓦区公立医院接受产前检查的孕妇自行用药的普遍程度及相关因素。
背景:自我药疗是指包括孕妇在内的普通人群在未咨询专业医护人员的情况下使用药物来治疗自己认识到的疾病。怀孕期间不适当的自我药疗可能会对胎儿和母亲造成危害。在我们的环境中,人们对孕妇自我用药的情况并不十分关注。因此,本研究旨在评估在北舍瓦区公立医院接受产前检查的孕妇中自我用药的普遍程度及相关因素:方法:2022 年 6 月 1 日至 2022 年 7 月 30 日,对在北舍瓦区公立医院接受产前检查的 650 名孕妇进行了一项基于机构的横断面研究。研究采用了多阶段抽样技术。对问卷进行了预先测试。数据收集采用了结构化访谈问卷和经审查的医疗记录。数据录入和分析分别采用 Epi-data 4.6.2 版和 SPSS 20 版。采用双变量和多变量逻辑回归来确定相关因素,P 值小于 0.05 为有统计学意义:孕妇自我药疗的发生率为 65.38%。家庭主妇(AOR = 0.097 95% CI 0.030, 0.310)、农民(AOR = 0.117, 95% CI 0.028, 0.493)、有医疗保险者(AOR = 0.507, 95% CI 0.300, 0.858)、孕前保健者(AOR = 0.038,95% CI 0.011-0.135),而受过初等教育(AOR = 3.00,95% CI 1.217,7.435)、收入低于 3 000 比尔(AOR = 5.46, 95% CI 1.41, 21.1)、第一胎(AOR = 4.183, 95% CI 2.12, 8.24)和第二胎(AOR = 2.05, 95% CI 1.18, 3.56)、居住在农村地区的孕妇(AOR = 1.579, 95% CI 1.103-2.260)以及以前曾自行用药的人(AOR = 8.2, 95% CI 5.04, 13.3)更有可能自行用药:从本研究结果可以得出结论,孕妇自我药疗的比例很高。以往的自我用药行为、妊娠期、教育程度、月收入、无孕前保健、无医疗保险、家庭主妇、农民和居住地与自我用药行为显著相关。因此,有必要采取一些预防措施,如在配药时提供适当的咨询、开展孕前保健意识培养计划、参加医疗保险计划等,以尽量减少自行用药的做法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.30
自引率
3.60%
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审稿时长
17 weeks
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