Journal of Occupational
Health and Epidemiology
Rafsanjan university Of medical sciences
Volume 7, Issue 2 (Spring 2018)
J Occup Health Epidemiol 2018, 7(2): 103-111 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Mousaeipour S, Ansari Jaberi A, Negahban Bonabi T. The association between health literacy and self-medication behaviors among women referred to comprehensive health care centers in Sirjan, Iran, in 2017. J Occup Health Epidemiol 2018; 7 (2) :103-111
URL: http://johe.rums.ac.ir/article-1-299-en.html
URL: http://johe.rums.ac.ir/article-1-299-en.html
Related article in
Google Scholar
Google Scholar
Similar articles
1- Department of Medical Surgical Nursing, School of Nursing and Midwifery; Student Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
2- Department of Psychiatric and Mental Health Nursing, School of Nursing and Midwifery; Social Determinants of Health Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
3- Department of Community Health Nursing, School of Nursing and Midwifery; Social Determinants of Health Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran. ,negahbant@yahoo.com
2- Department of Psychiatric and Mental Health Nursing, School of Nursing and Midwifery; Social Determinants of Health Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
3- Department of Community Health Nursing, School of Nursing and Midwifery; Social Determinants of Health Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran. ,
Article history
Received: 2018/03/5
Accepted: 2018/04/21
ePublished: 2018/07/28
Accepted: 2018/04/21
ePublished: 2018/07/28
Subject:
Epidemiology
Abstract: (5343 Views)
Background: Self-medication is a challenging issue in health care systems and it seems that health literacy is a determining factor in safe self-medication behaviors. Limited studies are available in this field. Therefore, the aim of this study was to determine the relationship between health literacy and self-medicating behaviors among women referred to comprehensive health care centers
Materials and Methods: In this descriptive study, 540 women, who were referred to comprehensive health care centers in 2017, were selected randomly and their health literacy and self-medicating behaviors were assessed through self-reporting method. The data collection tools were the standard Health Literacy for Iranian Adults (HELIA), and the self-medication behaviors questionnaires. Data were analyzed using chi-square, Mann-Whitney U, and Kruskal-Wallis H tests.
Results: The results showed that the majority of women (94.6%) had inadequate health literacy. More than 89% of them approved self-medication and more than 98% of them performed self-medication. Older women and those who had a higher education level had lower mean health literacy scores (P = 0.021 and P = 0.001, respectively). There was no significant relationship between self-medication and demographic characteristics. Furthermore, there was no significant relationship between health literacy and confirmation and performance of self-medication.
Conclusions: The women had low health literacy levels and high incorrect self-medication behaviors. Self-medication behaviors are performed independent of health literacy. It seems a reform in women's health programs and the empowerment of women in the target population is necessary in order to promote health literacy skills and appropriate self-medication behaviors.
Materials and Methods: In this descriptive study, 540 women, who were referred to comprehensive health care centers in 2017, were selected randomly and their health literacy and self-medicating behaviors were assessed through self-reporting method. The data collection tools were the standard Health Literacy for Iranian Adults (HELIA), and the self-medication behaviors questionnaires. Data were analyzed using chi-square, Mann-Whitney U, and Kruskal-Wallis H tests.
Results: The results showed that the majority of women (94.6%) had inadequate health literacy. More than 89% of them approved self-medication and more than 98% of them performed self-medication. Older women and those who had a higher education level had lower mean health literacy scores (P = 0.021 and P = 0.001, respectively). There was no significant relationship between self-medication and demographic characteristics. Furthermore, there was no significant relationship between health literacy and confirmation and performance of self-medication.
Conclusions: The women had low health literacy levels and high incorrect self-medication behaviors. Self-medication behaviors are performed independent of health literacy. It seems a reform in women's health programs and the empowerment of women in the target population is necessary in order to promote health literacy skills and appropriate self-medication behaviors.
Keywords: Self Medication [MeSH], Health Literacy [MeSH], Empowerment [MeSH], Women Health [MeSH], Iran [MeSH]
References
1. Wertheimer AI, Serradell J. A discussion paper on self-care and its implications for pharmacists. Pharm World Sci 2008; 30(4):309-15. [DOI] [PMID]
2. Fathelrahman A, Ibrahim M, Wertheimer A. Pharmacy practice in developing countries. 1st ed. Cambridge, Massachusetts, United States: Academic Press; 2016. [Book]
3. Shaghaghi A, Asadi M, Allahverdipour H. Predictors of self-medication behavior: a systematic review. Iran J Public Health 2014; 43(2):136-46. [PMID] [PMCID]
4. World Health Organization. The role of the pharmacist in self-care and self-medication. Department of Essential Drugs and Other Medicines, World Health Organization. Hague, Netherlands: Report of the 4th WHO Consultative Group on the Role of the Pharmacist; 26-28 August 1998. [Report]
5. Verma RK, Mohan L, Pandey M. Evaluation of self medication among professional students in North India: proper statutory drug control must be implemented. Asian J Pharm Clin Res 2010; 3(1):60-4. [Article]
6. Osemene K, Lamikanra A. A study of the prevalence of self-medication practice among university students in Southwestern Nigeria. Trop J Pharm Res 2012; 11(4):683-9. [Article] [DOI]
7. Selvaraj K, Kumar SG, Ramalingam A. Prevalence of self-medication practices and its associated factors in Urban Puducherry, India. Perspect Clin Res 2014; 5(1):32-6. [DOI] [PMID] [PMCID]
8. Skliros E, Merkouris P, Papazafiropoulou A, Gikas A, Matzouranis G, Papafragos C, et al. Self-medication with antibiotics in rural population in Greece: a cross-sectional multicenter study. BMC Fam Pract 2010; 11:58. [DOI] [PMID] [PMCID]
9. Domingues PH, Galvão TF, Andrade KR, Sá PT, Silva MT, Pereira MG. Prevalence of self-medication in the adult population of Brazil: a systematic review. Rev Saude Publica 2015; 49 36. [DOI] [PMID] [PMCID]
10. Jerez-Roig J, Medeiros LF, Silva VA, Bezerra CL, Cavalcante LA, Piuvezam G, et al. Prevalence of self-medication and associated factors in an elderly population: a systematic review. Drugs Aging 2014; 31(12):883-96. [DOI] [PMID]
11. Yadav S, Rawal G. Self-medication practice in low income countries. International Journal of Pharmaceutical Chemistry and Analysis 2015; 2(3):139-42. [Article]
12. Azami-Aghdash S, Mohseni M, Etemadi M, Royani S, Moosavi A, Nakhaee M. Prevalence and cause of self-medication in Iran: a systematic review and meta-analysis article. Iran J Public Health 2015; 44(12):1580-93. [PMID] [PMCID]
13. Hughes CM, McElnay JC, Fleming GF. Benefits and risks of self medication. Drug Saf 2001; 24(14):1027-37. [DOI] [PMID]
14. Ruiz ME. Risks of self-medication practices. Curr Drug Saf 2010; 5(4):315-23. [PMID]
15. Kasim K, Hassan H. Self medication problem in egypt: a review of current and future perspective. Int J Cur Res Rev 2018; 10(4):40-5. [Article] [DOI]
16. Alfalogy EH, Nafadi HB, Al Rehaili SH, AL-Harbi BA. Prevalence and predictors of self-medication with antibiotics for children in Makkah, Saudi Arabi. European Journal of Preventive Medicine 2017; 5(5):60-4. [Article] [DOI]
17. Pons EDS, Knauth DR, Vigo Á, PNAUM Research Group, Mengue SS. Predisposing factors to the practice of self-medication in Brazil: Results from the National Survey on Access, Use and Promotion of Rational Use of Medicines (PNAUM). PloS One 2017; 12(12):e0189098. [DOI] [PMID] [PMCID]
18. Das M, Choudhury S, Santra R, De R, Roy RK. The extent and factors associated with non-prescription medicine use in Eastern India - A cross-sectional survey. J Young Pharm 2017; 9(4):583-7. [Article] [DOI]
19. Cadman KP. Lay worker health literacy: A concept analysis and operational definition. Nurs Forum 2017; 52(4):348-56. [DOI] [PMID]
20. Sherazi BA, Mahmood KT, Amin F, Zaka M, Riaz M, Javed A. Prevalence and measure of self medication: a review. Journal of Pharmaceutical Sciences and Research 2012; 4(3):1774-8. [Article]
21. Kulkarni P, Garg A, Ajmera A, Mahajan A, Gadekar S, Kulkarni P. Global scenario of self medication: A review of literature. Indian Journal of Commerce & Management Studies 2018; 9(1):99-107. [Article] [DOI]
22. Chen ML, Chan HS, Chu HY, Chou LN. Medication knowledge, safe use of medicines and health literacy in Southern Taiwan: a cross-section study. Br J Med Med Res 2016; 16(3):1-8. [Article] [DOI]
23. Persell SD, Osborn CY, Richard R, Skripkauskas S, Wolf MS. Limited health literacy is a barrier to medication reconciliation in ambulatory care. J Gen Intern Med 2007; 22(11):1523-6. [DOI] [PMID] [PMCID]
24. Shieh C, Broome ME, Stump TE. Factors associated with health information-seeking in low-income pregnant women. Women Health 2010; 50(5):426-42. [DOI] [PMID]
25. Wang MP, Viswanath K, Lam TH, Wang X, Chan SS. Social determinants of health information seeking among Chinese adults in Hong Kong. PloS One 2013; 8(8):e73049. [DOI] [PMID] [PMCID]
26. Boudioni M, McPherson K, Moynihan C, Melia J, Boulton M, Leydon G, et al. Do men with prostate or colorectal cancer seek different information and support from women with cancer? Br J Cancer 2001; 85(5):641-8. [DOI] [PMID] [PMCID]
27. Reczek C, Umberson D. Gender, health behavior, and intimate relationships: lesbian, gay, and straight contexts. Soc Sci Med 2012; 74(11):1783-90. [DOI] [PMID] [PMCID]
28. Schmiedl S, Rottenkolber M, Hasford J, Rottenkolber D, Farker K, Drewelow B, et al. Self-medication with over-the-counter and prescribed drugs causing adverse-drug-reaction-related hospital admissions: results of a prospective, long-term multi-centre study. Drug Saf 2014; 37(4):225-35. [DOI] [PMID]
29. Marniati, Notoatmodjo S, Kasiman S, kintoko Rohadi R. Patient’s behaviour with coronary heart desease viewed from socio-cultural aspect of aceh society in Zainoel Abidin hospital. MATEC Web of Conferences 2018; 150(05065):p12. Doi: 10.1051/matecconf/201815005065. [Article] [DOI]
30. Baghianimoghadam MH, Mojahed S, Baghianimoghadam M, Yousefi N, Zolghadr R. Attitude and practice of pregnant women regarding self-medication in Yazd, Iran. Arch Iran Med 2013; 16(10):580-3. [PMID]
31. Montazeri A, Tavousi M, Rkhshani F, Azin SA, Jahangiri K, Ebadi M, et al. Health Literacy for Iranian Adults (HELIA): development and psychometric properties. Payesh 2014; 13(5):589-99. [Article]
32. DeVellis RF. Scale development: theory and applications. 4th ed. Thousand Oaks, California, United States: SAGE Publications; 2016. [Book]
33. Muir KW, Santiago-Turla C, Stinnett SS, Herndon LW, Allingham RR, Challa P, et al. Health literacy and adherence to glaucoma therapy. Am J Ophthalmol 2006; 142(2):223-6. [DOI] [PMID]
34. Waldrop-Valverde D, Jones DL, Jayaweera D, Gonzalez P, Romero J, Ownby RL. Gender differences in medication management capacity in HIV infection: the role of health literacy and numeracy. AIDS Behav 2009; 13(1):46-52. [DOI] [PMID] [PMCID]
35. Kripalani S, Henderson LE, Chiu EY, Robertson R, Kolm P, Jacobson TA. Predictors of medication self‐management skill in a low‐literacy population. J Gen Intern Med 2006; 21(8):852-6. [DOI] [PMID] [PMCID]
36. Neafsey PJ, M’lan CE, Ge M, Walsh SJ, Lin CA, Anderson E. Reducing adverse self-medication behaviors in older adults with hypertension: results of an e-health clinical efficacy trial. Ageing Int 2011; 36(2):159-91. [DOI] [PMID] [PMCID]
37. Kamran A, Sharifirad G, Shafaeei Y, Mohebi S. Associations between self-medication, health literacy, and self-perceived health status: A community-based study. Iint J Prev Med 2015; 6:66. [DOI] [PMID] [PMCID]
38. Lei X, Jiang H, Liu C, Ferrier A, Mugavin J. Self-medication practice and associated factors among residents in wuhan, China. Int J Environ Res Public Health 2018; 15(1). Pii:E68. [DOI] [PMID] [PMCID]
39. Lee CH, Chang FC, Hsu SD, Chi HY, Huang LJ, Yeh MK. Inappropriate self-medication among adolescents and its association with lower medication literacy and substance use. PloS One 2017; 12(12):e0189199. [DOI] [PMID] [PMCID]
40. Jha A, Unnikrishnan MK, Shanbhag R. A survey in Indian population on attitude to self-medication. Adv Sci Lett 2017; 23(3):1983-6. [Article] [DOI]
41. Lukovic JA, Miletic V, Pekmezovic T, Trajkovic G, Ratkovic N, Aleksic D, et al. Self-medication practices and risk factors for self-medication among medical students in Belgrade, Serbia. PloS One 2014; 9(12):e114644. [DOI] [PMID] [PMCID]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
