Académique Documents
Professionnel Documents
Culture Documents
RESEARCH
CorrespondingAuthor:
DrSanjeevBadiger
AssociateProfessor
DepartmentofCommunityMedicine,
K.S.HegdeMedicalAcademy,
Mangalore,India
Email:s_badiger@yahoo.com
Abstract
Background
Selfmedication results in wastage of resources, increases
resistanceofpathogensandgenerallycausesserioushealth
hazardssuchasadversedrugreactions,prolongedsuffering
and drug dependence. This study was undertaken to
determine the reasons for selfmedication and the pattern
ofselfmedicationamongmedicalstudents.
Method
Thiscrosssectionaldescriptivestudywas conductedatthe
K.S.Hegde Medical Academy, Mangalore. The participants
were medical students from first to final year. Medical
studentswereselectedthroughconveniencesampling.The
data was collected using a pretested semistructured
questionnaire.ThedatawasanalysedusingSPSSversion16
andtheresultsexpressedasproportions.
Results
Atotalof200students,121(60.5%)femaleand79(39.5%)
male, were included in the study. Of the medical students
surveyed, selfmedication was reported among 92%. The
respondentswhousedselfmedicationfoundittobetime
saving in providing relief from minor ailments. The most
common ailments for which selfmedication were used
were: the common cold (69%), fever (63%) and headache
Whatthisstudyadds:
1.Thepatternofselfmedicationamongmedicalstudents.
2.Factorsinfluencingselfmedication.
3.Potentialadverseeffectsofselfmedication.
Background
Selfmedicationcanbedefinedasobtainingandconsuming
drugs without the advice of a physician for diagnosis,
prescription or surveillance oftreatment.1,2 Selfmedication
differs from selfcare in that it involves drugs that may do
good or cause harm.3 In several studies it has been found
that inappropriate selfmedication causes wastage of
resources, increases resistance of pathogens and generally
causes serious health hazards such as adverse drug
reactions,prolongedsufferinganddrugdependence.36
Therearemanyreasonsfortheincreasedlikelihoodofself
medication among medical students.3 These students have
easyaccesstoinformationfromdrugindices,literature,and
other medical students to selfdiagnose and selfmedicate.
217
Method
This crosssectional study was undertaken in K.S. Hegde
MedicalAcademy,Mangalore,India,withapprovalfromthe
Institutional Ethics Committee. The study population
consistedofmedicalstudentsfromfirsttofinalyear,within
the age group of 1825 years. Students were selected for
the study by a convenient sampling method. The
participants were briefed about the nature of the study,
consent was given and a pretested semistructured
questionnaire administered to them. The information
pertainingtothepatternofselfmedication,indicationsfor
selfmedication and drugs used for selfmedication were
included in the questionnaire. The investigators were
presentincasetherespondentsrequiredassistance.Forthe
purposeofthestudy,certainmedicaltermswereexplained
to the firstyear students, including dysmenorrhea,
antipyreticsandanalgesics.
Results
A total of 200 students participated in the study, of whom
121(60.5%)werefemaleand79(39.5%)weremale.Among
these200students,45(22.5%),49(24.5%)and106(53.0%)
werestudyingintheirfirstyear,secondyearandfinalyear
respectively (Table 1). A total of 110 (90.9%) female
participants and 74 (94.7%) male participants said they
practicedselfmedication.Allthevariablesweredenotedin
multipleresponsequestions.
No.ofstudents
%
Sociodemographicfactors
N=200
Male
79
39.5
Gender
Female
121
60.5
Agegroup
1821
153
76.5
(years)
2225
47
23.5
Firstyear
45
22.5
Yearof
Secondyear
49
24.5
study
Finalyear
106
53.0
Characteristics
Responses
Reasonsforselfmedication
No.ofstudents
%
(N=200)
22
11
Lackoftimetoconsultdoctor
164
82
Minorailment
Didnotwanttoconsult
12
6
faculty/peers
Finishedpharmacology,have
17
8.5
confidence
Awarenessofadverseeffects
(N=184)
124
67.4
Yes
60
32.6
No
Adversereactions(N=184)
10
5.4
Experienced
174
94.6
Notexperienced
Source(N=200)
78
39
Textbook
76
38
Senior/classmate
65
32.5
Pharmacist
218
Discussion
Selfmedication is becoming an increasinglyimportant area
withinhealthcare,4andthisstudyhasshownthatitiseven
more prevalent among medical students. This study has
found a prevalence of selfmedication of 92% in medical
studentsincontrastto59%inanonmedicalpopulationina
previous study.1 It is also noted that a high level of
educationandprofessionalstatusarepredictivefactorsfor
selfmedication.3 This is similar to the findings in a study
conducted by Erlend Hem and colleagues5 (90%) but is
higher than the findings (60%) in the study conducted by
HenryJamesandcolleagues.3
Ourstudydenotedthatthemostcommonreasonsforself
medication were minor ailments (82%) and lack of time to
consultadoctor(11%),whichisinconcordancewithother
studiesthat reported the reasons as mild illness (40%) and
shortage of time to consult a doctor (32%).3 The next
common reason for selfmedication in our study among
medical students was their confidence in selfdiagnosis
(8.5%), which is unique to this study group. Misplaced
confidence can lead to inappropriate selfmedication and
can expose the participants to all the risks associated with
inappropriateuseofmedications.3
Conclusion
Thisdescriptivestudyhasfoundthatselfmedicationisvery
common among medical students, facilitated by the easy
availability
of drugs, and information from
textbooks/seniors. A significant number of students are
unawareoftheadverseeffectsofthemedicationthatthey
themselvestakeandsuggesttoothers.Sinceinappropriate
selfmedicationhasthepotentialtocauseseriousharm, not
only to the students themselves but also to those whom
they suggest medication, potential problems of self
medication should be emphasised to the students to
minimise this risk. Restriction of sale of drugs with
potentially harmful effects should be implemented
effectivelywithmonitoringsystemsbetweenthephysicians
and pharmacists. Steps can also be taken to educate
pharmacistsontheneedtocrosscheckwiththeprescribing
physicianwhiledispensingsuchdrugs.
References
1.ShankarPR,ParthaP,ShenoyN.Selfmedicationandnon
doctor prescription practices in Pokhara valley, Western
Nepal: a questionnairebased study. BMC Fam Pract.
2002;3:17.
2. Montastruc JL, Bagheri H, Geraud T, Lapeyre Mestre M.
Pharmacovigilance
of
selfmedication.
Therapie.
1997;52:105110.
3.JamesH,HanduSS,KhalidAJ,KhajaA,OtoomS,Sequeira
RP. Evaluation of the knowledge, attitude and practice of
selfmedication among firstyear medical students. Med
PrincPract.2006;15:270275.
4.HughesCM,McElnayJC,FlemingGF.Benefitsandrisksof
selfmedication.DrugSaf.2001;24:10271037.
219
ve
ac
he
C o
ug
h
Di
ar
D
Up
rh
ys
e
se
a
me
t S
no
to
m
rrh
ac
ea
h (
Ga
s
S p trit i
o r s)
t s
Na
inj
us
ur
ea
y
/v
om
M it in g
ou
th
u l
ce
r
P im
p le
E x
s
am
st
re
H ss
an
De
go
cr
ve
ea
r
se
d s
l
e
Re
e
p
cr e
at
io n
a l
Ot
he
rs
ad
100
37%
34%
80
28%
60
40
20
2%
2%
1.5%
6%
NatureofMedication
220
Ot
he
rs
ul
an
ts
s
St
im
St
er
oi
d
pil
ls
ing
S l
ee
p
ac
id
s
A
nt
A
nt
ibi
ot
ics
0
ine
120
ihi
st
am
3% 3% 2% 5%
3%
65%
A
nt
ETHICSCOMMITTEEAPPROVAL
71%
140
NumberofStudents
Notapplicable.
11%
He
o ld
160
Theauthorsdeclarethattheyhavenocompetinginterests
FUNDING
F e
on
c
mm
CONFLICTSOFINTEREST
A
na
lge
sic
s
Notcommissioned.Externallypeerreviewed
et
ics
PEERREVIEW
C o
Figure1:Indicationsforselfmedication
160
69%
R 140
63% 60%
e 120
s
p 100
40%
o 80
n 60
23% 21% 21%
s 40
17% 16%
e
11%
s 20
Indications
Figure2:Drugsusedforselfmedication
ipy
r
ACKNOWLEDGEMENTS
Figures
A
nt
5.HemE,StokkeG,ReidarTyssenR,GrnvoldNT,VaglumP,
Ekeberg O. Selfprescribing among young Norwegian
doctors: a nineyear followup study of a nationwide
sample;BMCMed.2005;3:16.
6.KiyingiKS,LauwoJAK.Drugsinhome:dangerandwaste.
WorldHealthForum1993;14:381384.
7. Sarahroodi S, Arzi A, Sawalha A.F., Ashtarinezhad A.
Antibiotic SelfMedication among South Iranian University
Students. International Journal of Pharmacology 2010.6(1):
4852