Prevalence and Associated Factors of Self-Medication among Pregnant Women on Antenatal Care Follow-Up at University of Gondar Comprehensive Specialized Hospital in Gondar, Northwest Ethiopia: A Cross-Sectional Study.
Faisel Dula Sema, Deres Gezahegn Addis, Eshetie Azezew Melese, Demeke Dana Nassa, Zemene Demelash Kifle
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引用次数: 7
Abstract
Background: Self-medication is being prevalent throughout the globe. Although pregnant women are among the most vulnerable group of the population for drug-induced adverse effects on their fetus and themselves, many pregnant women use self-medication without adequate safety precautions.
Objective: This study was aimed at assessing the prevalence and associated factors of self-medication among pregnant women on antenatal care follow-up at University of Gondar Comprehensive Specialized Hospital.
Methods: A cross-sectional study was employed among 400 pregnant women attending antenatal care clinic at the University of Gondar Comprehensive Specialized Hospital between February 01 and May 30, 2019. A structured interviewer-administered questionnaire was used for data collection. Data were analyzed using SPSS® (IBM Corporation) version 22. Descriptive statistics were presented using frequency and proportion. Binary logistic regression was used to identify factors associated with self-medication with a 95% confidence level and p value of 0.05.
Results: Among 400 respondents, the prevalence of self-medication during the current pregnancy was 44.8% (95% CI = 40.5-50). Among all respondents (400), 38.0% (95% CI = 33.3-42.8) and 12.5% (95% CI = 9.5-15) used herbal and conventional medicine, respectively. Self-medication showed a significant association with a previous history of self-medication and monthly income.
Conclusions: The prevalence of self-medication among pregnant women is considerably high. The previous history of self-medication and monthly income showed a significant association with self-medication. Awareness creation should be done for reproductive-age women on the potential risks of self-medication.
背景:自我药疗在全球都很普遍。虽然孕妇是最容易受到药物对胎儿和自身不利影响的人群之一,但许多孕妇在没有充分安全预防措施的情况下自行用药。目的:了解贡达尔大学综合专科医院产前随访中孕妇自我药疗的发生率及相关因素。方法:对2019年2月1日至5月30日在贡达尔大学综合专科医院产前保健门诊就诊的400名孕妇进行横断面研究。数据收集采用结构化的访谈问卷。数据分析使用SPSS®(IBM Corporation)版本22。描述性统计采用频率和比例。采用二元logistic回归方法确定与自我药疗相关的因素,置信水平为95%,p值为0.05。结果:400名调查对象中,妊娠期自我药疗的患病率为44.8% (95% CI = 40.5-50)。在所有受访者(400人)中,分别有38.0% (95% CI = 33.3-42.8)和12.5% (95% CI = 9.5-15)使用草药和传统药物。自我药疗与自我药疗史和月收入有显著相关性。结论:孕妇自我药疗率较高。自我药疗史和月收入与自我药疗显著相关。应提高育龄妇女对自我用药潜在风险的认识。