Influence of mothers' socio-demographic factors on self-medication of antimicrobials in under-five children in Egypt: A cross-sectional nursing study

Background

Self-medication among mothers of under-five years old children poses public health risks, particularly with antimicrobial use. Inappropriate practices can lead to resistance, adverse reactions, and poor child health outcomes.

Objective

To investigate socio-demographic factors affecting self-medication antimicrobial therapy for minor ailments among mothers of under-five children.

Design

A descriptive cross-sectional study conducted in eight governmental primary healthcare facilities.

Methods

Data were collected from 400 mothers selected through multistage sampling. A structured interview questionnaire assessed socio-demographic characteristics and reported practices regarding antimicrobial use.

Results

Only 42 % of mothers demonstrated satisfactory antimicrobial practices. Unsatisfactory practices were significantly associated with lower educational attainment, rural residence, larger family size, lack of health insurance, and low income. Protective factors included higher education, medium to high income, and nuclear family structure. Common reasons for self-medication were repeated symptoms (47.8 %) and prior experience (47 %). The primary conditions for antimicrobial use were sore throat (41.2 %) and common cold (32.3 %). Risk factors for poor practices included lack of awareness regarding appropriate dosing and treatment duration.

Conclusion

Half of the mothers engaged in unsatisfactory antimicrobial self-medication practices, which were associated with socio-demographic and economic disparities. Targeted interventions are essential to address these risk factors and promote rational antimicrobial use.

Nursing implications

Nurses play a vital role in educating mothers on appropriate antimicrobial use, addressing socio-demographic barriers, and advocating for policy changes to improve healthcare accessibility. Urgent policy interventions and targeted nursing education are essential to mitigate inappropriate antimicrobial use and improve medication practices among caregivers of children under five.