Evaluation of Knowledge, Attitude and Practice of Self-Medication among Pharmacy University Students: A Cross-Sectional Study in Zawia, Libya

Hana Smeda; Nisreen Almakrabi; Randa Hassan; Saja Algool

doi:10.55940/medphar202361

Authors

Hana Smeda Department of Pharmacology and Toxicology, Faculty of Pharmacy, University of Zawia, Zawia, Libya
Nisreen Almakrabi Department of Pharmacology and Toxicology, Faculty of Pharmacy, University of Zawia, Zawia, Libya
Randa Hassan Department of Pharmacology and Toxicology, Faculty of Pharmacy, University of Zawia, Zawia, Libya
Saja Algool Department of Pharmacology and Toxicology, Faculty of Pharmacy, University of Zawia, Zawia, Libya

DOI:

https://doi.org/10.55940/medphar202361

Keywords:

self-medication, Knowledge, Attitude, prevalence, university students, Libya

Abstract

Abstract

Background: The term "self-medication" describes the practice of using pharmaceuticals to address illnesses that the patient has self-diagnosed without seeking medical advice. Self-medication and excessive drug usage have detrimental effects on the economy and public health.

Objective: the objective of this study is to assess the prevalence of self-medication practices and to evaluate the current knowledge, attitude, and behavior regarding self-medication among Pharmacy School students in Zawia- Libya.

Method: A cross-sectional study was conducted on Pharmacy School students. Participants were asked to answer closed-ended questions to evaluate their knowledge, attitude, and practice of self-medication.

Result: This study comprised of 254 students. The students were divided into five groups according to their grades. This research comprised of 254 students. The students were divided into five groups according to their grades. The majority of students (93.70%) utilized self-medication, and the rest of the students (6.30%) didn't use it. The majority of students (N=171, 71.84%) who self-medicated offered arguments for when going to the doctor wasn't necessary for mild ailments. Headache accounted for 183 cases (76.89%) of symptoms for which self-medication was used, followed by cough, cold, and sore throat in 157 cases (64.96%) and hyperthermia in 107 cases (44.95%). Analgesics (74.70%), and antibiotics (51.2%) were the most common self-medicated drug groups. A large percentage of students stated that they were aware of the need to read labels and package inserts and adhere to any directions that were included 199 (83.61%).

Conclusion: Students at Pharmacy School have a good knowledge and great perspective on self-medication and practice the right behaviors in self-medication.

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References

Brandão GR, Teixeira L, Araújo L, Paúl C, Ribeiro O. Self-medication in older European adults: Prevalence and predictive factors. Archives of Gerontology and Geriatrics. 2020 ;91:104189. DOI: 10.1016/j.archger.2020.104189

Farahani I, Farahani S, Deters MA, Schwender H, Laeer S. Training Pharmacy Students in Self-Medication Counseling Using an Objective Structured Clinical Examination–Based Approach. Journal of Medical Education and Curricular Development. 2021 ;8:23821205211016484. DOI: 10.1177/23821205211016484

Ayosanmi OS, Alli BY, Akingbule OA, Alaga AH, Perepelkin J, Marjorie D, Sansgiry SS, Taylor J. Prevalence and correlates of self-medication practices for prevention and treatment of COVID-19: a systematic review. Antibiotics. 2022;11(6):808. DOI: 10.3390/antibiotics11060808

Khatony A, Soroush A, Andayeshgar B, Abdi A. Nursing students’ perceived consequences of self-medication: a qualitative study. BMC nursing. 2020;19:1-7. DOI: 10.1186/s12912-020-00460-8

Shah, A., Naqvi, A.A., Ahmad, R. The need for providing pharmaceutical care in geriatrics: A case study of diagnostic errors leading to medication-related problems in a patient treatment plan. Arch. Pharm. Pract. 2016; 7:87–94. DOI: 10.4103/2045-080X.186173.

Hussaim, M.,Naqvi, S.B.S.,Khan, M.A., Rizvi, M., Alam, S.,Abbas, A., Akram, M. Direct cost of treatment of diabetes mellitus type 2 in Pakistan. Int. J. Pharm. Sci. 2014; 6: 261–264.

- Bekele, S., Argaw, M. and Yalew, A. Magnitude and Factors Associated with Self-Medication Practices among University Students: The Case of Arsi University, College of Health Science, Asella, Ethiopia: Cross-Sectional Survey Based Study. Open Access Library Journal.2016; 3: 1-15. DOI: 10.4236/oalib.1102738.

Sharif, S. I., Ibrahim, O. H. M., Mouslli, L. & Waisi, R. Evaluation of Self-Medication Among Pharmacy Students. American Journal of Pharmacology and Toxicology.2012;7: 135-140. DOI: 10.3844/ajptsp.2012.135.140.

WHO. Guidelines for the regulatory assessment of medicinal products for use in self-medication. Geneva.2000.DOI: https://iris.who.int/handle/10665/66154.

Aljinović-Vucić V, Trkulja V, Lacković Z. Content of home pharmacies and self-medication practices in households of pharmacy and medical students in Zagreb, Croatia: findings in 2001 with a reference to 1977. Croat Med J. 2005; 46(1):74-80.

Klemenc-Ketis Z, Hladnik Z, Kersnik J. Self-medication among healthcare and non-healthcare students at University of Ljubljana, Slovenia. Med Princ Pract. 2010; 19(5):395-401. DOI: 10.1159/000316380.

Henry James H, Handu SS, Al Khaja KA, Otoom S, Sequeira RP. Evaluation of the knowledge, attitude and practice of self-medication among first-year medical students. Med Princ Pract. 2006;15(4):270-5. DOI: 10.1159/000092989.

Shankar PR, Partha P, Shenoy N. Self-medication and non-doctor prescription practices in Pokhara valley, Western Nepal: a questionnaire-based study. BMC Fam Pract. 2002; 17;3:17. DOI: 10.1186/1471-2296-3-17.

Figueiras A, Caamaño F, Gestal-Otero JJ. Sociodemographic factors related to self-medication in Spain. Eur J Epidemiol. 2000 Jan;16(1):19-26. DOI: 10.1023/a:1007608702063.

Akeel Naji H. The Psychosocial and Economic Impact of Uveitis in Iraq. Journal of Research in Applied and Basic Medical Sciences. 2021;7(4):207-15.

Wilbur K, Salam SE, Mohammadi E. Patient perceptions of pharmacist roles in guiding self-medication of over-the-counter therapy in Qatar. Patient Prefer Adherence. 2010 May 13;4:87-93. DOI: 10.2147/ppa.s9530.

Zeb S, Mushtaq M, Ahmad M, Saleem W, Rabaan AA, Naqvi BS, Garout M, Aljeldah M, Al Shammari BR, Al Faraj NJ, Al-Zaki NA. Self-medication as an important risk factor for antibiotic resistance: a multi-institutional survey among students. Antibiotics. 2022;11(7):842. DOI: 10.3390/antibiotics11070842

- Saha A, Marma KK, Rashid A, Tarannum N, Das S, Chowdhury T, Afrin N, Chakraborty P, Emran M, Mehedi HH, Hussain MI. Risk factors associated with self-medication among the indigenous communities of Chittagong Hill Tracts, Bangladesh. PLoS One. 2022 ;17(6):e0269622. DOI: 10.1371/journal.pone.0269622

Sharif, S., Bugaighis, L. and Sharif, R.Self-Medication Practice among Pharmacists in UAE. Pharmacology & Pharmacy.2015; 6:428-435. Doi: 10.4236/pp.2015.69044.

Ali, A., Kai, K., Keat, C. and Dhanaraj, S. Self-Medication Practices among Health Care Professionals in a Private University, Malaysia. International Current Pharmaceutical Journal.2012; 1:302-310. DOI:10.3329/icpj.v1i10.11846

Albusalih FA, Naqvi AA, Ahmad R, Ahmad N. Prevalence of Self-Medication among Students of Pharmacy and Medicine Colleges of a Public Sector University in Dammam City, Saudi Arabia. Pharmacy (Basel). 2017 : 4;5(3):51. DOI: 10.3390/pharmacy5030051.

Zafar SN, Syed R, Waqar S, Zubairi AJ, Vaqar T, Shaikh M, et al. Self-medication amongst university students of Karachi: prevalence, knowledge and attitudes. J Pak Med Assoc. 2008: 58:214.

Albusalih FA, Naqvi AA, Ahmad R, Ahmad N. Prevalence of self-medication among students of pharmacy and medicine colleges of a public sector university in Dammam City, Saudi Arabia. Pharmacy. (2017) 5:51. Doi: 10.3390/pharmacy5030051.

Alshogran OY, Alzoubi KH, Khabour OF, Farah S. Patterns of self-medication among medical and nonmedical University students in Jordan. Risk Manag Healthc Policy. 2018: 11:169. DOI: 10.2147/RMHP.S170181.

Cavaco AM, Sozen-Sahne B, Ulutas-Deniz E, Yegenoglu S. Self-medication and non-prescription drug counseling: Illustrating profession uncertainty within Turkish pharmacy practice. Research in Social and Administrative Pharmacy. 2018;14(8):718-26. DOI: 10.1016/j.sapharm.2017.09.006

Ghazawy, E. Self-Medication among Adults in Minia, Egypt: A Cross Sectional Community-Based Study. Health.2017: 9: 883-895. DOI: 10.4236/health.2017.96063.

Hughes CM, McElnay JC, Fleming GF. Benefits and risks of self-medication. Drug Saf. 2001;24(14):1027-37. Doi: 10.2165/00002018-200124140-00002.

Alzoubi A, Nasor EM, Suliman EM, AlQaderi N, AbbasTanira SH, Abdi SA, Mustafa S, Kheirallah K. A Comparative Piloting of Determinants of Self-Medication Among University Students in the MENA Region; UAE and Jordan as an Example. Patient preference and adherence. 2023:699-709. DOI: 10.2147/PPA.S405279

Sawalha, A.F. Adescriptive study of selfmedication practices among Palestinian medical and non-medical university students. Res. Soc. Adm. Pharm.2008: 4: 164-172. DOI: 10.1016/j.sapharm.2007.04.004.

- Holborn T, Schifano F, Deluca P. No prescription? No problem: A qualitative study investigating self-medication with novel psychoactive substances (NPS). International Journal of Drug Policy. 2023;118:104109. DOI: 10.1016/j.drugpo.2023.104109

Al-Hussaniy HA. The Effect of MicroRNA-409-3p for Treatment and Response to Tumor Proliferation of Lung Cancer Cell Lines (In Vitro). Asian Pacific Journal of Cancer Prevention: APJCP. 2022;23(9):3151.DOI: 10.31557/APJCP.2022.23.9.3151

Sontakke SD, Bajait CS, Pimpalkhute SA, Jaiswal KM, Jaiswal SR. Comparative study of evaluation of self-medication practices in first and third year medical students. Int J Biol Med Res 2011;2:561-4.

Khadka A, Kafle KK.,2020. Prevalence of Self-medication among MBBS students of a Medical College in Kathmandu. JNMA J Nepal Med Assoc. 58(222):69-75. DOI: 10.31729/jnma.4840