Knowledge of hazards of antibiotics self-medication by mothers for under-fives in rural community of South-west Nigeria.

K A Akinlade, J O Akinyemi, O I Fawole
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Abstract

Background: In Nigeria, self-medication of young children is common. Children under the age of five are often self-medicated with antibiotics because of their increased susceptibility to infections.

Objectives: To assess mothers' knowledge on the hazards of antibiotics self-medication in a rural community of South-west Nigeria.

Methodology: A community-based, cross-sectional study was conducted among 513 mothers selected through a purposive sampling technique from Koko community in Olodo, Ibadan between October and December, 2014. Data were collected using a semistructured interviewer administered questionnaire and analyzed with SPSS version 20. Descriptive statistics, Chi-square test and logistic regression were done at 5% level of significance.

Results: A very high proportion (96.5%) of mothers in this study practiced antibiotic self-medication for their children. Only 28.1% were knowledgeable about the risks and side effects of antibiotic self-medication. Chi-square test revealed that there was a significant association between respondents' educational status (P < 0.05) and knowledge of the hazards. Mothers with no formal education were less likely to be knowledgeable compared to those who had tertiary education (OR = 0.08; 95% CI = 0.02- 0.57).

Conclusion: High proportions of mothers lack adequate knowledge on the hazards of antibiotics self-medication. Mothers, particularly those with lower educational levels and young age need to be educated on the risks and side effects of this practice.

尼日利亚西南部农村社区五岁以下儿童母亲对抗生素自行用药危害的了解。
背景:在尼日利亚,幼儿自我药疗很常见。由于五岁以下儿童对感染的易感性增加,他们经常自行服用抗生素。目的:评估尼日利亚西南部农村社区母亲对抗生素自我用药危害的了解情况。方法:2014年10月至12月,通过有目的抽样技术,从伊巴丹州Olodo的Koko社区选择513名母亲进行了一项基于社区的横断面研究。采用半结构化访谈问卷收集数据,并使用SPSS version 20进行分析。描述性统计、卡方检验和logistic回归在5%显著性水平下进行。结果:在本研究中,有很高比例(96.5%)的母亲为他们的孩子进行抗生素自我用药。只有28.1%的人了解抗生素自我用药的风险和副作用。卡方检验显示,被调查者的教育程度与危险知识之间存在显著相关(P < 0.05)。与受过高等教育的母亲相比,没有受过正规教育的母亲更不可能有知识(OR = 0.08;95% ci = 0.02- 0.57)。结论:较高比例的母亲对抗生素自行用药的危害缺乏足够的认识。需要对母亲,特别是那些受教育程度较低和年龄较小的母亲进行教育,使其了解这种做法的风险和副作用。
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