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Prevalence and determinants of self-medication consumption of antibiotics in adults in Iran

A population based cross-sectional study, 2019–2020

Bibliographic Data

ID22067856
AuthorsJavad Nazari (0000-0002-8277-6819, Arak University of Medical Sciences), Roya Ghafoury (0000-0002-1825-1284, Iran University of Medical Sciences), Nahid Chezani-Sharahi (Islamic Azad University North Tehran Branch), Rahmatollah Moradzadeh (0000-0003-4952-3454, Arak University of Medical Sciences), Mobin Naghshbandi (Iran University of Medical Sciences, corresponding author)
Year2024
Volume12
Pages1502074-1502074
Publication date2024-12-19
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2024.1502074
PMID39749248
OpenAlexW4405602864
LanguageEN
References cited33

Introduction The self-medication of antibiotics is a global crisis, posing a significant challenge to healthcare systems worldwide. This study aimed to investigate the frequency of self-medication in the adult population and the factors influencing it. Methods This population-based cross-sectional study was conducted in Arak, a city in central Iran, from January 2019 to January 2020. Stratified random sampling was used to determine the recruitment criteria, and a total of 6,692 individuals participated in the study. Self-medication of antibiotics was defined as the self-reported annual consumption of antibiotics, as well as a record of antibiotic use registered in insurance services during the same period. The variables examined in this study included age, gender, educational level, occupational status, insurance coverage, and marital status. All gathered data were analyzed using SPSS version 16.0 and STATA version 16.0 software. p -values < 0.05 were considered statistically significant. Results The annual prevalence of antibiotic self-medication was 30.3% ( n = 2,033). Chi-square and Mann–Whitney tests identified a significant correlation between educational level and self-medication practices ( p = 0.028), while no significant associations were observed with gender, occupation, insurance coverage, or marital status. Logistic regression analysis revealed that female participants were less likely to self-medicate ( p = 0.027), and both older age and higher levels of education were associated with a reduced likelihood of antibiotic self-medication ( p = 0.001 and p = 0.044, respectively). Conclusion Factors such as female gender, older age, and higher education levels are significant determinants affecting antibiotic self-medication

Cross-sectional study · Environmental health · Family medicine · Medication adherence · Population · Self-medication · Antibiotic Use and Resistance · Medicine · Pharmaceutical Practices and Patient Outcomes · Pneumonia and Respiratory Infections · Internal Medicine

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