{"id":33723,"date":"2016-01-22T09:04:40","date_gmt":"2016-01-22T09:04:40","guid":{"rendered":"http:\/\/healthmedicinet.com\/news\/prevalence-of-using-non-prescribed-medications-in-economically-deprived-rural-population-of-pakistan\/"},"modified":"2016-01-22T09:04:40","modified_gmt":"2016-01-22T09:04:40","slug":"prevalence-of-using-non-prescribed-medications-in-economically-deprived-rural-population-of-pakistan","status":"publish","type":"post","link":"http:\/\/healthmedicinet.com\/news\/prevalence-of-using-non-prescribed-medications-in-economically-deprived-rural-population-of-pakistan\/","title":{"rendered":"Prevalence of using non prescribed medications in economically deprived rural population of Pakistan"},"content":{"rendered":"<p>A remarkably high response rate of 100\u00c2\u00a0% was obtained, due to proper explanation of<br \/>\n         research proposal and assurance of maintaining full confidentiality of the data they<br \/>\n         provided. Three fifty participants (50\u00c2\u00a0%) were recruited from each hospital. The mean<br \/>\n         age of the subjects was 48.5?\u00c2\u00b1?6.3, consisting of 441 (63\u00c2\u00a0%) males and 259 (37\u00c2\u00a0%)<br \/>\n         females. Besides, 217 (31) participants were matriculated (grade 10),182 (26) had<br \/>\n         secondary school degree (intermediate), 77 (11\u00c2\u00a0%) participants were graduated,49 (7\u00c2\u00a0%)<br \/>\n         had qualification of post graduation and 175 (25\u00c2\u00a0%) OPD patients had no formal education.<br \/>\n         Regarding occupation, 329 (47\u00c2\u00a0%) were employed,77 (11\u00c2\u00a0%) were retired, 161 (23\u00c2\u00a0%)<br \/>\n         were un-employed and 133 (19\u00c2\u00a0%) were students. When questioned about monthly income,<br \/>\n         147 (21\u00c2\u00a0%) earned 5000 PKR, 210 (30\u00c2\u00a0%) responded in the range of 5000\u00e2\u20ac\u201c10,000PKR,<br \/>\n         182 (26\u00c2\u00a0%) subjects responded 10,000\u00e2\u20ac\u201c20,000 PKR, 95 (13.5\u00c2\u00a0%) responded 20,000\u00e2\u20ac\u201c50,000PKR,<br \/>\n         66 (9.5\u00c2\u00a0%) responded for 50,000PKR. Further,429 (61.3\u00c2\u00a0%) participants were married,<br \/>\n         122 (17.5\u00c2\u00a0%) were single,56 (8.0\u00c2\u00a0%) were widow and 92 (13.2\u00c2\u00a0%) were divorced. For<br \/>\n         the subdivision of chronic illness, 365 (52.2\u00c2\u00a0%) were not having any chronic disease<br \/>\n         where as 77 (11\u00c2\u00a0%) responded diabetes and 133 (19.0) claimed cardiovascular diseases.\n      <\/p>\n<p>According to the survey, 595 (85\u00c2\u00a0%) subjects practiced self medication. The most common<br \/>\n         reason evaluated for self medication was cost of consultation (90.3\u00c2\u00a0%), availability<br \/>\n         of transport (81.0\u00c2\u00a0%), advice from friend\/family (78.0\u00c2\u00a0%), convenience (62.0\u00c2\u00a0%) and<br \/>\n         previous experience (67.0). The prevalent symptoms that led rural dwellers to indulge<br \/>\n         in self medication were headaches (81.0\u00c2\u00a0%), flu\/cough (79.0\u00c2\u00a0%), fever (68.0\u00c2\u00a0%) and<br \/>\n         pain elsewhere in body (63.0\u00c2\u00a0%). As a result paracetamol as a painkiller (93.0\u00c2\u00a0%),<br \/>\n         acetylsalicylic acid as an anti pyretic (69.0\u00c2\u00a0%), anti biotic (52.0\u00c2\u00a0%) and anti allergic<br \/>\n         (51.0\u00c2\u00a0%) were the commonest drug used without prescription of a health care physician.<br \/>\n         Besides, 90\u00c2\u00a0% (535) never read the instructions that are placed with medicine and<br \/>\n         only 9\u00c2\u00a0% (54) read about side effects and contraindications. Moreover, 35\u00c2\u00a0% (208)<br \/>\n         of the subjects practicing self medication adjusted dosage of medicine consulting<br \/>\n         pharmacist and 22\u00c2\u00a0% (131) adjusted according to previous experiences.\n      <\/p>\n<p>Furthermore, for the most prevalent self medicated drug, paracetamol (pain killers)<br \/>\n         were used with the frequency of every few months by 216 (39\u00c2\u00a0%) subjects, 172 (42\u00c2\u00a0%)<br \/>\n         subjects also used acetylsalicylic acid (anti pyretic) within every few months. However,<br \/>\n         anti allergics were used by 136 (45\u00c2\u00a0%) participants with with the frequency of 2\u00e2\u20ac\u201c3<br \/>\n         times in a year whereas same frequency was recorded for usage of antibiotics by 151<br \/>\n         (49\u00c2\u00a0%) participants. Alarmingly, only 196 (33\u00c2\u00a0%) self medicated OPD patients were<br \/>\n         aware of the fact that their practice can lead to harmful effects and only 150 (25.2\u00c2\u00a0%)<br \/>\n         subjects among them appreciated that they should consult a medical physician before<br \/>\n         starting a new medicine.\n      <\/p>\n<p>Further analysis was performed to assess the significant difference associated with<br \/>\n         demographical features with regards to prevalence of self medication. There was no<br \/>\n         significant difference between self medication practiced by male and females (<em>p<\/em>?=?0.32; 41\u00c2\u00a0% vs 44\u00c2\u00a0%) and subjects having a chronic disease with participants having<br \/>\n         no disease (<em>p<\/em>?=?0.48; 42\u00c2\u00a0% vs 43\u00c2\u00a0%). However, a significant difference was obtained between participants<br \/>\n         earning less than 50,000 PKR and greater than this amount (<em>p<\/em>?=?0.029; 61\u00c2\u00a0% vs 24\u00c2\u00a0%) and for the self medicated patients having education less<br \/>\n         than graduation with the participants having education of graduation or above it (<em>p<\/em>?=?0.03; 63\u00c2\u00a0% vs 22\u00c2\u00a0%) (Tables 1, 2, 3 and 4).<\/p>\n<p><strong>Table 1.<\/strong> Illustrates demographic features of study participants\n      <\/p>\n<p><strong>Table 2.<\/strong> Illustrates factors and symptomatology that leads to self medication among study participants\n      <\/p>\n<p><strong>Table 3.<\/strong> Illustrates attitudes of study participants towards self medication\n      <\/p>\n<p><strong>Table 4.<\/strong> Depicts frequencies of most common self medicated drugs\n      <\/p>\n","protected":false},"excerpt":{"rendered":"<p>A remarkably high response rate of 100\u00c2\u00a0% was obtained, due to proper explanation of research proposal and assurance of maintaining full confidentiality of the data they provided. Three fifty participants (50\u00c2\u00a0%) were recruited from each hospital. The mean age of the subjects was 48.5?\u00c2\u00b1?6.3, consisting of 441 (63\u00c2\u00a0%) males and 259 (37\u00c2\u00a0%) females. Besides, 217 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-33723","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"http:\/\/healthmedicinet.com\/news\/wp-json\/wp\/v2\/posts\/33723","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/healthmedicinet.com\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/healthmedicinet.com\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/healthmedicinet.com\/news\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/healthmedicinet.com\/news\/wp-json\/wp\/v2\/comments?post=33723"}],"version-history":[{"count":0,"href":"http:\/\/healthmedicinet.com\/news\/wp-json\/wp\/v2\/posts\/33723\/revisions"}],"wp:attachment":[{"href":"http:\/\/healthmedicinet.com\/news\/wp-json\/wp\/v2\/media?parent=33723"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/healthmedicinet.com\/news\/wp-json\/wp\/v2\/categories?post=33723"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/healthmedicinet.com\/news\/wp-json\/wp\/v2\/tags?post=33723"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}