A systematic review of knowledge, attitude, practice and health impacts of self-medication among COVID-19 affected people in South Asia
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20241851Keywords:
Systemic review, COVID-19 self-medication, Knowledge, Attitude, PracticeAbstract
The objective of this study was to assess the knowledge, attitude and practice of self-medication and its health impact among South Asian people. This systematic review was conducted at the Department of Public Health, under the Faculty of Health Sciences of University of Sunderland, United Kingdom (UK) during December 2020 to December 2022.For this study, a comprehensive literature review was conducted on the knowledge, attitudes, and behaviors of self-medication among COVID-19-affected adults aged 18 and older in South Asian nations The design of this review was completed in accordance with the Preferred Reporting Items for Systematic Reviews (PRISMA). Critical Appraisal Skills Programme (CASP)-2019 were used to identify the methodological problems in each individual study report. In this systematic review ten qualifying studies were examined with a total of (n=5137) study subjects. Among the study subjects, 2211 (43.04%) COVID 19 afflicted People had enough knowledge of self- medication followed 2001 (38.95%) COVID19 affected people in South Asia had a favorable attitude toward self-medication, 2906 (56.56%) people had performed self-medication and 206 (4.01%) had adverse impacts on their health. Bangladesh and India had the greatest and lowest rates of self-medication, 88.3% and 17.9%, respectively. In addition, the greatest rate of self-medication was seen among medical students in Pakistan (83%). This study investigated that during the COVID-19 Pandemic, self-medication was very common, with over half of the study population engaging in it. Therefore, it is vital to enhance the public awareness about the adverse effects of self-medication without having proper knowledge.
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References
Abdullah IS, Chaw LL, Koh D, Hussain Z, Goh KW, Abdul Hamid AA, et al. Over-the-counter medicine attitudes and knowledge among university and college students in Brunei Darussalam: findings from the first national survey. International Journal of Environmental Research and Public Health. 2022;19(5):2658.
Likhar S, Jain K, Kot LS. Self-medication practice and health-seeking behavior among medical students during COVID 19 pandemic: a cross-sectional study. MGM Journal of Medical Sciences. 2022;9(2):189-95.
Neafsey PJ, Jarrín O, Luciano S, Coffman MJ. Self-medication practices of Spanish-speaking older adults in Hartford, Connecticut. Hisp Health Care Int. 2007;5(4):169-79.
Nasir M, Chowdhury AS, Zahan T. Self-medication during COVID-19 outbreak: a cross sectional online survey in Dhaka city. Int J Basic Clin Pharmacol. 2020;9(9):1325-30.
MCPS A MI. Self-medication among dental patients visiting tertiary care hospital, during COVID-19. JPDA. 2022;31(01).
Yang Y. Use of herbal drugs to treat COVID-19 should be with caution. The Lancet. 2020;395(10238):1689-90.
Azhar H, Tauseef A, Usman T, Azhar Y, Ahmed M, Umer K, et al. Prevalence, attitude and knowledge of self medication during Covid-19 disease pandemic. Pak. J. Med. Health Sci. 2021;15:902-5.
Mustafa ZU, Iqbal S, Asif HR, Salman M, Jabbar S, Mallhi TH, et al. Knowledge, attitude and practices of self-medication including antibiotics among health care professionals during the COVID-19 pandemic in Pakistan: findings and implications. Antibiotics. 2023;12(3):481.
Mirdoosti SM, Mirzaei M, Saadati A, Rahimi Hendavalan M, Vakili V. Knowledge, Attitude, and Practice of Self Medication among Medical Students of Mashhad University of Medical Sciences, Mashhad, Iran. Iran. J. Patient Saf. Qual. Improv. 2020;8:193-201.
Saleem RT, Butt MH, Ahmad A, Amin M, Amir A, Ahsan A, et al. Practices and attitude of self-medication during COVID-19 pandemic in university students with interventional role of pharmacist: a regional analysis. Lat Am J Pharm. 2021;40(8):1946-53.
Acharya A, Shrestha MV, Karki D. Self-medication among Medical Students and Staffs of a Tertiary Care Centre during COVID-19 pandemic: a descriptive cross-sectional study. Journal of the Nepal Medical Association. 2022;60(245):59.
Bahrin Dzulkharnain FB, Shafqat N, Hermansyah A, Tan CS, Koh D, Goh KW, et al. Knowledge, attitude and practice towards the use of over-the-counter medicines: An online survey among Bruneian adults amid the COVID-19 pandemic. Sustainability. 2022;14(15):9033.
Purssell E, McCrae N, Purssell E, McCrae N. Critical Appraisal: Assessing the Quality of Studies. How to Perform a Systematic Literature Review: A Guide for Healthcare Researchers, Practitioners and Students. 2020:51-68.
RECOVERY Collaborative Group. Effect of hydroxychloroquine in hospitalized patients with Covid-19. New England Journal of Medicine. 2020;383(21):2030-40.
Furtado RH, Berwanger O, Fonseca HA, Corrêa TD, Ferraz LR, Lapa MG, et al. Azithromycin in addition to standard of care versus standard of care alone in the treatment of patients admitted to the hospital with severe COVID-19 in Brazil (COALITION II): a randomised clinical trial. The Lancet. 2020;396(10256):959-67.
Ghasemyani S, Benis MR, Hosseinifard H, Jahangiri R, Aryankhesal A, Shabaninejad H, et al. Global, WHO regional, and continental prevalence of self-medication from 2000 to 2018: a systematic review and meta-analysis. Annals of Public Health. 2024.
Hashemzaei M, Afshari M, Koohkan Z, Bazi A, Rezaee R, Tabrizian K. Knowledge, attitude, and practice of pharmacy and medical students regarding self-medication, a study in Zabol University of Medical Sciences; Sistan and Baluchestan province in south-east of Iran. BMC medical education. 2021;21:1-0.
Heerfordt C, Heerfordt IM. Has there been an increased interest in smoking cessation during the first months of the COVID-19 pandemic? A Google Trends study. Public health. 2020;183:6.
Heydargoy MH. The effect of the prevalence of COVID-19 on arbitrary use of antibiotics. Iranian Journal of Medical Microbiology. 2020;14(4):374-8.
Hinks TS, Cureton L, Knight R, Wang A, Cane JL, Barber VS. Azithromycin versus standard care in patients with mild-to-moderate COVID-19 (ATOMIC2): an open-label, randomised trial. The Lancet Respiratory Medicine. 2021;9(10):1130-40.
Kassie AD, Bifftu BB, Mekonnen HS. Self-medication practice and associated factors among adult household members in Meket district, Northeast Ethiopia, 2017. BMC Pharmacology and Toxicology. 2018;19:1-8.
Kim MS, An MH, Kim WJ, Hwang TH. Comparative efficacy and safety of pharmacological interventions for the treatment of COVID-19: A systematic review and network meta-analysis. PLoS medicine. 2020;17(12):e1003501.
Lam S, Lombardi A, Ouanounou A. COVID-19: A review of the proposed pharmacological treatments. European Journal of Pharmacology, 2020;886:173451.
Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Annals of internal medicine. 2009;151(4):W-65.
Arain MI, Shahnaz S, Anwar R, Anwar K. Assessment of self-medication practices during COVID-19 pandemic in Hyderabad and Karachi, Pakistan. Sudan Journal of Medical Sciences. 2021;16(3):347-54.
Mutua CM, Muthuka JK, Muthoka MN, Wambura FM. Pattern and Practices of Self Medication during COVID-19 Pandemic in Urban Settings, Kenya:“Does COVID-19 pandemic have a marginal Influence?”. IOSR J Pharm Biologic Sci. 2021;16(4):56-63.
Chautrakarn S, Khumros W, Phutrakool P. Self-medication with over-the-counter medicines among the working age population in metropolitan areas of Thailand. Frontiers in pharmacology. 2021;12:726643.
Oldenburg CE, Pinsky BA, Brogdon J, Chen C, Ruder K, Zhong L, et al. Effect of oral azithromycin vs placebo on COVID-19 symptoms in outpatients with SARS-CoV-2 infection: a randomized clinical trial. JAMA. 2021;326(6):490-8.
Quincho-Lopez A, Benites-Ibarra CA, Hilario-Gomez MM, Quijano-Escate R, Taype-Rondan A. Self-medication practices to prevent or manage COVID-19: A systematic review. PloS one. 2021;16(11):e0259317.
Rather IA, Kim BC, Bajpai VK, Park YH. Self-medication and antibiotic resistance: Crisis, current challenges, and prevention. Saudi Journal of Biological Sciences. 2017;24(4):808-12.
Salih S, Madkhali AA, Al-Hazmi WM, Al-Khaldy AY, Moafa TA, Al-Gahtani EZ, et al. Knowledge, attitude and practices on over the counter oral analgesics. International Journal of Medicine in Developing Countries. 2019;3(4):311-.
Sanders JM, Monogue ML, Jodlowski TZ, Cutrell JB. Pharmacologic treatments for coronavirus disease 2019 (COVID-19): a review. Jama. 2020;323(18):1824-36.
Shamsi M, Tajik R, Mohammadbegee A. Effect of education based on Health Belief Model on self-medication in mothers referring to health centers of Arak. Journal of Arak University of Medical Sciences. 2009;12(3):57-66.
Shrestha R, Shrestha S, Khanal P, Kc B. Nepal’s first case of COVID-19 and public health response. Journal of travel medicine. 2020;27(3):taaa024.
Sujan MS, Haghighathoseini A, Tasnim R, Islam MS, Salauddin SM, Hasan MM, et al. Self-medication practices and associated factors among COVID-19 recovered patients to prevent future infections: A web-based survey in Bangladesh. medRxiv. 2022:2022:05.
Talat N, Azam MK, Mirza MB, Singh N, Aziz U, Tahir W, et al. Psychosocial Effects of COVID-19 on Health Care Workers: A Cross Sectional Study from Tertiary Level Pediatric Hospital. Annals of King Edward Medical University. 2020;26:22-31.
Uzair M, Arshad M, Murtaza G, Ali K, Zafar A, Bashir S. Hovering threat of coronavirus disease-2019 (COVID-19) around South Asia. Infect Dis Trop Med. 2021;7:e752.
Wegbom AI, Edet CK, Raimi O, Fagbamigbe AF, Kiri VA. Self-medication practices and associated factors in the prevention and/or treatment of COVID-19 virus: a population-based survey in Nigeria. Frontiers in public health. 2021;9:606801.
