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Self-Medication and Associated Factors Among Pregnant Women in Rural Ethiopia: The Importance of Husband Education in Ensuring a Safe Pregnancy
BACKGROUND: Self-medication is the use of drugs without a medical prescription to treat self-identified illnesses; it is also the continued use of drugs without a physician’s order for recurring symptoms, either by sharing or purchasing them from unlicensed vendors. It entails substantial risk to pr...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9939672/ https://www.ncbi.nlm.nih.gov/pubmed/36814849 http://dx.doi.org/10.2147/DHPS.S394346 |
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author | Tujuba, Takele Deribu Chilo, Desalegn Abebe, Endegena Zenu, Sabit |
author_facet | Tujuba, Takele Deribu Chilo, Desalegn Abebe, Endegena Zenu, Sabit |
author_sort | Tujuba, Takele Deribu |
collection | PubMed |
description | BACKGROUND: Self-medication is the use of drugs without a medical prescription to treat self-identified illnesses; it is also the continued use of drugs without a physician’s order for recurring symptoms, either by sharing or purchasing them from unlicensed vendors. It entails substantial risk to pregnant women and fetuses. Magnitude of the problem and its factors among rural pregnant women is not studied in Ethiopia. OBJECTIVE: This study aimed to assess the prevalence of self-medication practice and identify its associated factors among pregnant women in rural Southwest Shewa, Ethiopia. METHODS: A cross-sectional study was conducted on 585 randomly selected pregnant women in selected rural public health institutions from May to July 2021. Data was collected by using an interviewer-administered pretested structured questionnaire. Multivariable logistic regression was used to identify factors associated with self-medication. Variables with p-value <0.05 for the 95% confidence interval of the adjusted odds ratio were considered statistically significant. RESULTS: A total of 585 pregnant women participated in the study with a response rate of 92.3%. The prevalence of self-medication among pregnant women was 19.8%. Primigravidity (AOR = 2.7, 95% CI: 1.2–6.1), lower educational status of husbands (AOR = 3.6, 95% CI: 1.02–12.9), living close to health facilities (AOR = 0.23, 95% CI: 0.09–0.6) and knowing one’s own gestational age (AOR = 0.5,95% CI: 0.30–0.9) were significantly associated with self-medication practice. CONCLUSION AND RECOMMENDATION: One in five of the pregnant women practiced self-medication during the current pregnancy. Primigravidity and lower educational status of husbands were associated with a higher probability of self-medication. Knowing gestational age and living close to health facilities were associated with a lower likelihood of practicing self-medication. Rational drug use has to be promoted among pregnant women. Maternal and child health interventions should also target husbands. Health education has to be strengthened to help pregnant women have a safe pregnancy. |
format | Online Article Text |
id | pubmed-9939672 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-99396722023-02-21 Self-Medication and Associated Factors Among Pregnant Women in Rural Ethiopia: The Importance of Husband Education in Ensuring a Safe Pregnancy Tujuba, Takele Deribu Chilo, Desalegn Abebe, Endegena Zenu, Sabit Drug Healthc Patient Saf Original Research BACKGROUND: Self-medication is the use of drugs without a medical prescription to treat self-identified illnesses; it is also the continued use of drugs without a physician’s order for recurring symptoms, either by sharing or purchasing them from unlicensed vendors. It entails substantial risk to pregnant women and fetuses. Magnitude of the problem and its factors among rural pregnant women is not studied in Ethiopia. OBJECTIVE: This study aimed to assess the prevalence of self-medication practice and identify its associated factors among pregnant women in rural Southwest Shewa, Ethiopia. METHODS: A cross-sectional study was conducted on 585 randomly selected pregnant women in selected rural public health institutions from May to July 2021. Data was collected by using an interviewer-administered pretested structured questionnaire. Multivariable logistic regression was used to identify factors associated with self-medication. Variables with p-value <0.05 for the 95% confidence interval of the adjusted odds ratio were considered statistically significant. RESULTS: A total of 585 pregnant women participated in the study with a response rate of 92.3%. The prevalence of self-medication among pregnant women was 19.8%. Primigravidity (AOR = 2.7, 95% CI: 1.2–6.1), lower educational status of husbands (AOR = 3.6, 95% CI: 1.02–12.9), living close to health facilities (AOR = 0.23, 95% CI: 0.09–0.6) and knowing one’s own gestational age (AOR = 0.5,95% CI: 0.30–0.9) were significantly associated with self-medication practice. CONCLUSION AND RECOMMENDATION: One in five of the pregnant women practiced self-medication during the current pregnancy. Primigravidity and lower educational status of husbands were associated with a higher probability of self-medication. Knowing gestational age and living close to health facilities were associated with a lower likelihood of practicing self-medication. Rational drug use has to be promoted among pregnant women. Maternal and child health interventions should also target husbands. Health education has to be strengthened to help pregnant women have a safe pregnancy. Dove 2023-02-15 /pmc/articles/PMC9939672/ /pubmed/36814849 http://dx.doi.org/10.2147/DHPS.S394346 Text en © 2023 Tujuba et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Tujuba, Takele Deribu Chilo, Desalegn Abebe, Endegena Zenu, Sabit Self-Medication and Associated Factors Among Pregnant Women in Rural Ethiopia: The Importance of Husband Education in Ensuring a Safe Pregnancy |
title | Self-Medication and Associated Factors Among Pregnant Women in Rural Ethiopia: The Importance of Husband Education in Ensuring a Safe Pregnancy |
title_full | Self-Medication and Associated Factors Among Pregnant Women in Rural Ethiopia: The Importance of Husband Education in Ensuring a Safe Pregnancy |
title_fullStr | Self-Medication and Associated Factors Among Pregnant Women in Rural Ethiopia: The Importance of Husband Education in Ensuring a Safe Pregnancy |
title_full_unstemmed | Self-Medication and Associated Factors Among Pregnant Women in Rural Ethiopia: The Importance of Husband Education in Ensuring a Safe Pregnancy |
title_short | Self-Medication and Associated Factors Among Pregnant Women in Rural Ethiopia: The Importance of Husband Education in Ensuring a Safe Pregnancy |
title_sort | self-medication and associated factors among pregnant women in rural ethiopia: the importance of husband education in ensuring a safe pregnancy |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9939672/ https://www.ncbi.nlm.nih.gov/pubmed/36814849 http://dx.doi.org/10.2147/DHPS.S394346 |
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