Knowledge, Attitudes, and Families Practices in Selecting, Obtaining, Using, Storing, and Disposing of Medicines on Self-Medication Behavior in Indonesia

Zulkarni Rauf; Deddi P. Putra; Masrul Masrul; Rima Semiarty

doi:10.3889/oamjms.2021.7700

Authors

Zulkarni Rauf Doctoral Program of Public Health, Faculty of Medicine, Universitas Andalas, West Sumatera, Indonesia; Departement of Pharmacy, Faculty of Pharmacy, Universitas Perintis Indonesia, West Sumatera, Indonesia https://orcid.org/0000-0001-6721-7851
Deddi P. Putra Department of Pharmacy, Faculty of Pharmacy, Universitas Andalas, West Sumatera, Indonesia
Masrul Masrul Department of Public Health and Community Medicine, Faculty of Medicine, Universitas Andalas, West Sumatera, Indonesia
Rima Semiarty Department of Public Health and Community Medicine, Faculty of Medicine, Universitas Andalas, West Sumatera, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.7700

Keywords:

Knowledge, Attitude, Practice, Family, Self-medication

Abstract

BACKGROUND: The irrational use of medicine in the family is a serious problem. Advances in education, economy, availability of medicines, regulations, and technology have encouraged people to self-medicate in overcoming their illness. Self-medication behavior is not only carried out by adults but also by the elderly, students, and even children. Self-medication can provide positive health benefits if done correctly starting from selecting, obtaining, using, storing, and disposing medicines. On the other hand, if self-medication measures are carried out inappropriately, they can lead to various drug-related risks.

AIM: Therefore, this study aimed to describe the knowledge, attitudes, and families practice in selecting, obtaining, using, storing, and disposing medicine and to identify the factors influence of this construct.

METHOD: The study was conducted using an analytical method with a cross-sectional approach using a questionnaire for families in Padang Pariaman Regency, West Sumatera, Indonesia, namely, in 2x11 Enam Lingkung and Sungai Garingging Districts. The total sample size obtained was 500 families. Bivariate analysis was determined using Chi-squared test and multivariate analysis was determined using linear logistic regression.

RESULTS: Data from current study found that the percentage of the average score of family knowledge of selecting, obtaining, using, storing, and disposing medicines was in a low category (57.53%), family attitudes were in the negative category (59.38%) and family actions were in the negative category (55.27%). The results of multivariate analysis using linear logistic regression showed that the sub-variables that influenced the knowledge, attitudes, and actions of families about medicines were pharmacists/doctors as the main source of information about drugs (p = 0.006), education in the category of secondary education (p = 0.002) and mothers as family members who had a major role in managing medicines (p = 0.000).

CONCLUSION: The results show that knowledge, attitudes, and practice of families about medicines are still low and very limited. Factors that influence knowledge, attitudes, and practice of families selecting, obtaining, using, storing, and disposing medicine are pharmacists/doctors as the main source of information about medicine, education, and mothers as family members who have a major role in managing medicines. The lack of knowledge, attitudes, and practice related to medicines and the important role of the family is the reason for the very importance of family-based medicines education.

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References

World Health Organization. Indicators for Monitoring National Drug Policies. Geneva: World Health Organization; 1994.

Sepúlveda C, Marlin A, Yoshida T, Ullrich A. Palliative care: The World Health Organization’s global perspective. J Pain Symp Manag. 2002;24(2):91-6. https://doi.org/10.1016/s0885-3924(02)00440-2 PMid:12231124 DOI: https://doi.org/10.1016/S0885-3924(02)00440-2

Sharif SI, Bugaighis LM, Sharif RS. Self-medication practice among pharmacists in the UAE. Pharmacol Pharm. 2015;6:428-35. https://doi.org/10.4236/pp.2015.69044 DOI: https://doi.org/10.4236/pp.2015.69044

Van Nguyen H, Nguyen TH. Factors associated with self-medication among medicine sellers in Urban Vietnam. Int J Health Plan Manag. 2015;30(3):219-31. https://doi.org/10.1002/hpm.2223 PMid:24301612 DOI: https://doi.org/10.1002/hpm.2223

Ocan M, Obuku EA, Bwanga F, Akena D, Richard S, Ogwal-Okeng J, et al. Household antimicrobial self-medication: A systematic review and meta-analysis of the burden, risk factors and outcomes in developing countries. BMC Public Health. 2015;15(1):1-11. https://doi.org/10.1186/s12889-015-2109-3 PMid:26231758 DOI: https://doi.org/10.1186/s12889-015-2109-3

Clavijo HA, Baquero JA, Ulloa S, Morales A. Self-medication during pregnancy. World Health Forum. 1995;16( 4) :403-4. PMid:8534348

Shah A, Naqvi AA, 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(3):87. https://doi.org/10.4103/2045-080x.186173 DOI: https://doi.org/10.4103/2045-080X.186173

Hussaim M, Naqvi SB, Khan MA, Rizvi M, Nature S, Abbas A, et al. Direct cost of treatment of diabetes mellitus Type 2 in Pakistan. Int J Pharm Sci. 2014;6(11):261-4.

Widayati A, Suryawati S, de Crispigny C, Hiller JE, H. Self medication with antibiotics in Yogyakarta city Indonesia: A cross sectional population-based survey. BMC Res Notes. 2011;4:491. DOI: https://doi.org/10.1186/1756-0500-4-491

Ginotodihardjo, Jesika and I.Artini. Pattern of Self-medication with Antibiotics in Denpasar City, Indonesia; 2014. Available from: https://pdfs.semanticscholar.org/88fc/21f365f26a689229e3f79e4534d2fc8b8ee0.pdf?_ga=2.56495595.179892721.1545740536-2033422494.1545740536 [Last accessed on 2018 Dec 25].

De Bolle L, Mehuys E, Adriaens E, Remon JP, Van Bortel L, Christiaens T. Home medication cabinets and self-medication: A source of potential health threats? Ann Pharmacother. 2008;42(4):572-9. https://doi.org/10.1345/aph.1K533 PMid:18364405 DOI: https://doi.org/10.1345/aph.1K533

Atinafu T, Takele A, Netere AK, Yehualaw A, Tesfaw G, Desseno T, et al. Unused medications disposal practice: The case of patients visiting university of gondar Ethiopia. Int J Pharm Sci Res. 2014;5(12):999-1005.

Central Bureau of Statistics. Percentage of Population Self-medicating During the Last Month by Province and Type of Drug Used, 2000-2014; 2017. Available from: http://www.bps.go.id/linkTableDinamis/view/id/926

Bennadi D. Self-medication: A current challenge. J Basic Clin Pharm. 2014;5(1):19-23. https://doi.org/10.4103/0976-0105.128253 PMid:24808684 DOI: https://doi.org/10.4103/0976-0105.128253

Ministry of Health of the Republic of Indonesia. Basic Health Research 2013 Jakarta: Ministry of Health of the Republic of Indonesia. Ministry of Health of the Republic of Indonesia; 2013.

Garofalo L, Di Giuseppe G, Angelillo IF. Self-medication practices among parents in Italy. Biomed Res Int. 2015;2015:580650. https://doi.org/10.1155/2015/580650 PMid:25688359 DOI: https://doi.org/10.1155/2015/580650

Albusalih F, Naqvi A, 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;5(4):51. https://doi.org/10.3390/pharmacy5030051 PMid:28970463 DOI: https://doi.org/10.3390/pharmacy5030051

Jawahir S, Abd Aziz N. Self-medication among adult population in Selangor, Malaysia. Int J Pharm Pharm Sci. 2017;9(5):268. https://doi.org/10.22159/ijpps.2017v9i5.16445 DOI: https://doi.org/10.22159/ijpps.2017v9i5.16445

Syofyan S, Dachriyanus D, Masrul M, Rasyid R. The knowledge and attitudes about the benefits, risks and use of medicine in aged primary students in Indonesia. Open Access Maced J Med Sci. 2019;7(11):1860-6. https://doi.org/10.3889/oamjms.2019.347 PMid:31316674 DOI: https://doi.org/10.3889/oamjms.2019.347

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):68. https://doi.org/10.3390/ijerph15010068 PMid:29300318 DOI: https://doi.org/10.3390/ijerph15010068

Oktarina HF, Budisuari MA. Relationship of characteristics of respondents, regional conditions with knowledge, attitudes towards HIV/AIDS in Indonesian society. Bull Health Syst Res. 2009;12(4):362-9.

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. https://doi.org/10.9734/bjmmr/2016/26384 DOI: https://doi.org/10.9734/BJMMR/2016/26384

Liew HP, Gardner S. Determinants of patient satisfaction with outpatient care in Indonesia: A conjoint analysis approach. Health Policy Technol. 2014;3(4):306-13. https://doi.org/10.1016/j.hlpt.2014.08.003 DOI: https://doi.org/10.1016/j.hlpt.2014.08.003

Ministry of Health of the Republic of Indonesia. Basic Health Research 2018. Jakarta: Ministry of Health of the Republic of Indonesia; 2018.

Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: An updated systematic review. Ann Intern Med. 2011;155(2):97-107. https://doi.org/10.7326/0003-4819-155-2-201107190-00005 PMid:21768583 DOI: https://doi.org/10.7326/0003-4819-155-2-201107190-00005

Gitawati G. Overview of the availability of types of drugs in the household. J Public Health. 2014;9(29):27-31. DOI: https://doi.org/10.21109/kesmas.v9i1.452

Kheir N, El Hajj M, Wilbur K, Kaissi R, Yousif A. An exploratory study on medications in qatar homes. Drug Healthc Patient Saf. 2011;3(1):99-106. https://doi.org/10.2147/dhps.s25372 PMid:22279414 DOI: https://doi.org/10.2147/DHPS.S25372

Ocan M, Bbosa GS, Waako P, Ogwal-Okeng J, Obua C. Factors predicting home storage of medicines in Northern Uganda. BMC Public Health. 2014;14(1):1-7. https://doi.org/10.1186/1471-2458-14-650 DOI: https://doi.org/10.1186/1471-2458-14-650

Sloand ED, Vessey JA. Self-medication with common household medicines by young adolescents. Issues Compr Pediatr Nurs. 2001;24(1):57-67. https://doi.org/10.1080/014608601300035625 PMid:11878555 DOI: https://doi.org/10.1080/014608601300035625

Shieh C, Broome ME, Stump TE. Factors associated with health information-seeking in low-income pregnant women. Women Health. 2010;50(5):426-42. https://doi.org/10.1080/03630242.2010.506152 PMid:20853218 DOI: https://doi.org/10.1080/03630242.2010.506152

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. https://doi.org/10.1371/journal.pone.0073049 PMid:24009729 DOI: https://doi.org/10.1371/journal.pone.0073049

Osmene KP, 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. https://doi.org/10.4314/tjpr.v11i4.21 DOI: https://doi.org/10.4314/tjpr.v11i4.21

Goggins KM, Wallston KA, Nwosu S, Schildcrout JS, Castel L, Kripalani S. Health literacy, numeracy, and other characteristics associated with hospitalized patients’ preferences for involvement in decision making. J Health Commun Supplement. 2014;19(Suppl 2):29-43. https://doi.org/10.1080/10810730.2014.938841 PMid:25315582 DOI: https://doi.org/10.1080/10810730.2014.938841

Ph.D, Irawaty, and Zakiya Darojat. The position and role of women in the perspective of Islam and Minangkabau Customs. Hayula. 2019;3(1):59-76. https://doi.org/10.21009/003.1.04 DOI: https://doi.org/10.21009/003.1.04

Cîrstea SD, Teselios CM, Iancu AI. International Conference on Advancements of Medicine and Health Care through Technology. 12th 15th October 2016, Cluj-Napoca, Romania; Chapter in IFMBE Proceedings; 2017. p. 303-8. DOI: https://doi.org/10.1007/978-3-319-52875-5_63

Zalbawi S, Santoso SS. Patter of traditional healers visited by rheumatic patient. J Ecol Health. 2002;1:85-93.

Suswardany DL, Sibbritt DW, Supardi S, Pardosi JF, Chang S, Adams J. A cross-sectional analysis of traditional medicine use for malaria alongside free antimalarial drugs treatment amongst adults in high-risk malaria endemic provinces of Indonesia. PLoS One. 2017;12(3):e0173522. https://doi.org/10.1371/journal.pone.0173522 PMid:28329019 DOI: https://doi.org/10.1371/journal.pone.0173522

Alghadeer S, Aljuaydi K, Babelghaith S, Alhammad A, Alarifi MN. Self-medication with antibiotics in Saudi Arabia. Saudi Pharm J. 2018;26(5):719-24. https://doi.org/10.1016/j.jsps.2018.02.018 PMid:29991916 DOI: https://doi.org/10.1016/j.jsps.2018.02.018

Kayalvizhi S, Senapathi R. Evaluation of the perception, attitude and practice of self-medication among business students in 3 select cities, South India. Indian J Eng Mater Sci. 2010;1(3):40.

Dianawati O, Fasich, Athijah U. The Relationship between Perceptions of Advertising on Television and Self-Medication Behavior of State High School Students in Surabaya 6. Vol. 6. Airlangga Pharmacy Magazine, No.1, April; 2008.

Alkatheri AM, Albekairy AM. Does the patients’ educational level and previous counseling affect their medication knowledge? Ann Thorac Med. 2013;8(2):105-8. https://doi.org/10.4103/1817-1737.109823 PMid:23741273 DOI: https://doi.org/10.4103/1817-1737.109823

Al-Maskari F, El-Sadig M, Al-Kaabi JM, Afandi B, Nagelkerke N, Yeatts KB. Knowledge, attitude and practices of diabetic patients in the United Arab Emirates. PLoS One. 2013;8(1):1-8. https://doi.org/10.1371/journal.pone.0052857 PMid:23341913 DOI: https://doi.org/10.1371/journal.pone.0052857

Green LW, Kreuter MW. Health Promotion Planning: An Educational and Ecological Approach. 3rd ed. Mountain View, Calif: Mayfield; 1999.

Bergmann JF. Self-medication: From European regulatory directives to therapeutic strategy. Fundam Clin Pharmacol. 2003;17(3):275-80. https://doi.org/10.1046/j.1472-8206.2003.00141.x PMid:12803567 DOI: https://doi.org/10.1046/j.1472-8206.2003.00141.x

Kumar CA, Revannasiddaiah N. Assessment of self-medication patterns in a rural area of South India: A questionnaire based study. Int J Community Med Public Health. 2017;5(1):354. https://doi.org/10.18203/2394-6040.ijcmph20175812 DOI: https://doi.org/10.18203/2394-6040.ijcmph20175812

Barrenberg E, Knopf H, Garbe E. Over-the-counter (OTC) drug consumption among adults living in germany: Results from the German health interview and examination survey for adults 2008-2011 (DEGS1). Pharmacy. 2018;6(2):52. https://doi.org/10.3390/pharmacy6020052 PMid:29880765 DOI: https://doi.org/10.3390/pharmacy6020052

Menacker F, Aramburuzabala P, Minian N, Bush PJ, Bibace R. Children and medicines: What they want to know and how they want to learn. J Soc Adm Pharm. 1999;16(1):38-52.

Bush PJ, Iannotti RJ. Origins and stability of children’s health belief relative to medicine use. Soc Sci Med. 1988;27(4):345-52. PMid:3175716 DOI: https://doi.org/10.1016/0277-9536(88)90268-7