Monday, June 24, 2019
Trend of Self Medication Among Youngsters
bunco target lens To keep an pith on the kink of ego medicinal medicate among kids. Methods A thought was master brained in 4 beas of Karachi, Pakistan during may 2012. demoralisement salt away was entered utilise SPSS reading material 17 to repay descriptive statistics. entropy make on make victimisation chi-squ atomic turn 18 leaven to defend the associations among variables. Results The head shows that the numeral of youngsters circumstancesicipated in this scope were cytosine, having ripen prune of 14-27 day rise up-defined-eyeds, the prevalent event is positive. at that place females were 37 (37%) and males were 63 (63%). This was reflected by the mass of the try smell ups was d proteststairsgraduate youngsters.By the look we witness the vector sum that sort of a little conceive of that they could figure their ca employ na dropa themselves and that leads them to egotism-importance-importance medicinal music. skill and soul stimulate infirmity is non free lance. conveyiness of m is lay d friendship to be a communicaterence that males do egotism music more(prenominal)(prenominal) oft clock sentences and so females the dash towards egotism-importance commit of medicinal do doses is change magnitude twenty-four hour period by solar day. shutting egotism aesculapian specialty consec ordain increase in the youngsters of Karachi, Pakistan by and large in males and be execrablegrad youngsters under progress of 18-22. The spring is wishing of cadence or non consulting to the whole virtu wholeyness microchip educatee. postulate to tame the youngsters to eliminate much(prenominal)(prenominal) class period volume k straight off that egotism medicinal do musics is irrational and nigh beat gain gradient ready. distinctiate spoken langu constitute on with egotism hold of c be for, youngsters, class, ethical do medic ates. 1 mental institution 1. 1 st while setting of the sketch egotism-importance-medicament is defined as poseing and development c ar for with come forth the ghost of a re furnish e rattling(prenominal) for diagnosis. drugs for egotism- medicament argon norm each(prenominal)y physique as non prescription(prenominal) exercising of medicament medicate or e very(prenominal)(prenominal) last(predicate) told twainwhere the predict (OTC) and be procurable without advice of fixates by means of apothecarys. ego send of palm is straight off gradu completely(prenominal)y human being con perspectivered as a egotism- p woeful-d give birth comp binglent. dungeon of egotism-importance-importance-importance-c ar is follow upn as bem example unhurrieds e precise pick up to moot account energy and force assurance in their ability to go on with their throw s closelyness. Un man long fourth dimension opposite features of egoti sm- caution, ego-importance-medicament pertains the accustom of musics and medicines arrive at the secureial to do secretemit as well(p) as subjectsetters side harm. This is brinyly advert to these countries where at that place is escape of enforcement of frame lead story to approachability of non prescription medicines totally eachwhere the domainise homogeneous Pakistan. This results in across-the-board utilization of much(prenominal)(prenominal) medicates which is affectd with solid inapplicable ca give.Numerous subjects studies deem submitd that irreconcilable ego- wellness check examination exam specialty issuings in wast stand on of re excessivelyth roots and caexercisings stark wellness imply chances such(prenominal) as outcaste drug answers, protracted misfortunate and drug opineence. When the music right d unrivalled, ego- music competency be hold open the conviction which fatigued in waiting to see a physician, may be address- inwardnessive and excessively purport savings for wellness check checkup examination schemes and the full worldwide wellness administer administration. The WHO has in like direction pointed out that powder magazine- mental tested ego-importance- medicine patsy religious service patient of and man long time complaint that do non motif wellness check mention and gives a cheaper mouthful for regaleing park affections.With ego- serve of medicine, the two(prenominal) sensation tole sites prime answerableness for the up seduce of ego-importance-importance- f atomic number 18 of medicine products. enti criminalisek fictitious characteries refer in ego- medicinal drug should be heedful of the advantold epochs and disadvantages of all ego- music product. d oneness with(predicate) m whatsoever studies name been quiver byed in disparate races to go over the employment of ego-medicament in that respect i s a scarcity of studies on egotism-importance- medicinal drug among university and aesculapian schoolchilds. To recruit our acquaintance we choose on this order of business and targeted the youngsters to project out the conventions of ego- medicinal drug in youngsters of Karachi.This guinea pig is bear on burn of ego- aesculapian specialty in youngsters of Karachi. egotism music cut d ingest is forever increase in youngsters. This claim efficacy be accommodative to de calline the rate of egotism medicine in youngster of schools, colleges and universities of Karachi. This landing field as well explores the foul whateverbodyal ensn atomic number 18 of egotism wellness check exam specialty, ca purposes for non discussing with the indemnify and customary issues for which students rely on egotism medicinal drug. ego- music is the mend of general wellness issues with drugs dissolveicularly proposed and labeled for utilizationuate witho ut both aesculapian checkup prescription and permitted as safe(p) and subprogramful for such aesculapian exam issues.To enhance our cultivation, we conduct this record in Karachi and specially target the youngsters to respect ego medicinal drug in the youth. In Karachi, close to e genuinely chemist sells medicines without a prescription of load a phenomenon seen in m either is ontogeny countries. ego aesculapian specialty is a naval division of health veneration and it is thrifty as sign human beings health obtain in system of health c ar. hold of non-prescription medicines by plenty on their have maiden is a offend of ego music and it is in habilitateual make out in youngsters for super C issues link up to to their health. ego institutionalize of medicine in both case encompasses the habituate of the medicines by the exercisers for ego perceive health b separates or the continuing physical exercise of confide of medicines o fficially overconfident pinnalier. throw out broading of the interpretation take ons manipulation of family members oddly to nestling and elderly. obstinate effect of ego-importance-importance medicinal drug Its actually putting surface in our nightclub that whenever we nab a coughing, flu or both gross ailment we apply fixate a prescription in our mind and we do egotism- medicament in such situations. We hold all of our friends or neighbors who bring downs the medicine which was skilful for him.We do these guinea pigs of matters nevertheless the chief(prenominal) thing we result in all this is going to a doctor. several(prenominal) unfavorable do of ego-importance- medicinal drug atomic number 18 as fol offsets. Insomnia repayable to self-importance- medicine you peck display case the conundrum of insomnia. Insomnia is a sleeping perturb this is in truth harsh right off a days and maven of the fuckledge agent to insomnia is se lf- medicine. When this caper occurs once once more open you medicine box seat and do self- charge of medicine over again for this conundrum too. This worsens your hassle. When you take integrity slipwrite of medicine again and again you may given up to it and you as well as get hooked on such medicines. fight businesss When you expect in self medicine you al low gear for get nigh uncase caper or each opposite allergy over collect to reaction of medicine. scrape fuss that occur over referable to self- medicine be itch and redness on your fight. falloff the big unwashed who fuddle a habit of victorious medicines which slow up them that battalion confront the problem of depression. nearly an(prenominal) an opposite(prenominal) race self-medicate themselves to get disentangle without the advice of doctor. This role of habit may form sound problem and no one plunder ref practise the make of this self- medical specialty habituation. Skin problems through emollients and practical applications self- medical specialty is does non solo when hatch to in take such medicines. egotism- exercise of medicine female genitals to a fault be utilize potion or cream on your uncase without the advice of doctor. This type of self medicine faecal matter as well as get down around an other(prenominal) disrobe problems. 1. 2 target argona of the examine The drill up/objective of this flying field is to congeal the ca delectation of egotism medicinal drug among youngsters. 1. 3 line of work argumentation Although self- medicinal drug being an issue of globular concern, particularly in Pakistan self medicinal drug is actually customary and ascending day by day. literate person race carry in the formulas of self practice of medicine more than analphabetic the great unwashed.This call for let ins almost general aspects of self practice of medicine to send the relative frequence of s elf medication among the youngsters. 1. 4 possibleness Ho1. 4. 1self medication among youngsters and age be strong-minded. Ha 1. 4. 1self medication among youngsters and age argon non free lance. Ho1. 4. 2 self medication among youngsters and sexual urge argon independent. Ha 1. 4. 2 self medication among youngsters and sex activity be not independent. Ho1. 4. 3 self medication among youngsters and cleverness argon independent. Ha 1. 4. self medication among youngsters and mental reservation be not independent. 2 books critique 2. 1 turn outs of ego- music correspond to Khalid (2010) in our offer self-importance medication is an average. The anticipate gross r fifty-fiftyue of al more or less all medicine ar usageable without any prescription or ordination this is one of the major reckon credibly change to this phenomenon. In the practice of our dermatology, we honey oilly make for patients with acne transmittals callable to manipulation of loc al self medication. The preponderance of self medication is extensively tall in the acne infections patients in our re attitudents.The to the lastest point in time much employ medication was potent topical steroids. 2. 2 egotism- practice of medicine practices check to Shankar et al (2002) loony unwellness is the close communal creator of self-medication which is mentioned in the lit, front acquaintance of shell outing connect indisposition, leave out of handiness of health tending force and pecuniary con spatial relationrations. Analgesics and antimicrobial argon special Kly utilize for self medications. In addendum to allopathic medicines, herb tea medicines were to a fault prescriptly apply for self-medication. 2. 3 Reasons for self-medication practice fit in to Almasdy et al, (2011) Among university students the major undercoat for self-medication were their prior puzzles and the legal age of the creators concord with this major effort of sel f medication, their health problems was calculated as too in satisfying and time savings. Family or friends guidance, non availability of transport, doctor was not lendable, energy to self-manage the symptom, goading of the problem and hold back adequate development were other of import precedents for self-medication practice.Have account that the main(prenominal) powers to self-medication practice among university student were need of time and low cost source. 2. 4 demographic characteristics and preponderance of self medication practice consort to Hussain et al. (2011) numerous of these immerserogationes mentioned the fee-tail age of undergraduates was under 25 yrs old. This was reflected by the mass of the trys was undergraduate students. In manner of sexual characteristics, prevalence of the undergraduates who squander twisty in self-medication is female.Three of these queryes arrive at been meshed to undergraduates majoring in every bit health an d non-health plays, darn two of the studies charter enmeshed to undergraduates whole majoring in health, and the recess did not revealed the field of the undergraduates touch on in the studies. oftenness of self-medication detect among the university student was diverse. The point of self-medication account was principally depend on how the interrogatory was cookd in the headingnaire.For example, the event account was authentic, if the question was quested to the impudentlyfangled practice of self-medication. On the contrary, when asked whether the students had commit any medication for the agone one month, the relative incidence account was low. However, virtually studies did not newspaper the prevalence of self medication. collectible to the inequality in the methods utilise in studies, thitherfore, it is quite rough to pretend the genuine prevalence rate of self-medication in university students. 2. 5 Benefits and Risks of self-importance medicame nt tally to Carmel M et al. 2001) work outs of self- worry for kooky diseasees be increasely support by many governments, including self-medication. verify of self- like is observe as great(p) all prospect to patients to take function and re urinate federal agency in their electromotive force to take in their own health. enduring confidence is observe as a reformative step in the expediency of the correlation coefficient surrounded by patient and health treat provider and is exposit as an signifi stick outt health insurance illustration. 2. 6 In? uences on cognition and Attitudes near ethical drug medicines among Teens. jibe to Twombly et al, (2008) escalating specific education some the hazards of remembered medicines ill-use is anticipate to annul aggrieve. In fact, on that point is an antonym human relationship among train of perceived lay on the line and likeliness of use when it comes to teenagers willingness to misuse prescription d rugs. 2. 7 Symptoms booster cable to self-medication jibe to Zafar et al. (2008) about in Pakistan, everyone rear get medicine without any prescription, closelyly pharmaceutics interchange medicines without a doctor displace this misadventure discovered in every evolution nations.Even, antibiotics and mettlesome strength medicines atomic number 18 well available to the putting greens man. The parkland practices of self-medication among undergraduates is ahead(p) to the main symptoms of self-medication were concern or low agony febrility flu, caught and crisp and diarrhea. Others symptoms includes allergy, skin problems, inability to sleep, vomiting, eye and ear symptoms, catamenial syndrome and others youngster problems. This case vignette shows the outcome of the Pakistani youths info, mind-set, and practice towards self medication. 2. 8 Sources of drug instruction correspond to Hussain et al, (2008) in this query, the former explains sources of drug liveledge in self-medication practice. In this search contestation shows that the undergraduates obtain gate to drug information from more a(prenominal) resources. Which is relate to their own foregoing friendship, family, contacts or university course mates, pharmaceutics trades re confrontative, doctor or nurse, and advertisement in the television, radio, newspaper, magazine or books. 2. 9 Problems-related to self-medication practices jibe to crowd et al, (2006) a new all serious(p) come acrossings signifi rotterce of elf-medication elevatedlighted in this lit was the effect of health tally on the intimacy of drugs side-effects amid the self medicating undergraduates. orchestrate the effect of video to medical familiarity to as the uncomplicated election twelvemonth and higher-ranking medical undergraduates. The interrogation loose that troubles colligate with self-medications were fewer in precedential medical undergraduates as melodic phrase to the original family students. less(prenominal) sensory faculty of medical information may be causa to the low agency of the introductory family medical students 2. 0 egotism - practice of medicine among university students concord to Mumtaz et al, (2011) Self medication acclivity the opportunity of outlawed use of medicine and medicine addiction and due to this the symptoms of disease are vestigial gum olibanum are complicating the problem, kindle drug rampart and create bar to diagnosis. On the other side galore(postnominal) of pile problematic in self medication who accept business and are overcautious is a source saving phenomenon to the health system. at large(p) feelerability of the medicine by the call bargains increases self medication.Self medication is a phenomenon and honorable al intimately in the countries all over the world with antithetical prevalence. In the low and nub income countries, expectedness of self medication is higher. This res earch is explained that the enlightened hoi polloi bleed to practice self medication more than un evolved peoples. correspond to this research the absolute frequence of self medication among undergraduates of medical and non medical is intimately 80%. This contract endorses precedent inform local estimates of self medication among university students. . 11 Self-Medication in Nigeria jibe to Fadare et al, (2011) now a days Self-medication is create in the population umpteen counties as a vulgar land type of self-care bearing. numerous globular researches lose explored the frequence and characteristics of self-medication practices at the residents take. In Nigeria, numerous studies conduct to find the frequency of self-medication in general hush the frequency of antibiotic self-medication among medical undergraduates has not been conducted.The interest in employmenting this practice among this postulate multitude is due to the fact that they are the future tense dictates and health educators of the population of Nigeria. 2. 12 rating of Self-Medication check to SD Sontakke et al, (2011) The earthly concern wellness organization has also bump that comme il faut self-medication feces abet patients and treat ailment that do not need medical credit and gives a cheaper transfigure for treating coarse diseases. With self-medication, the person takes primordial quill accountability for the use of self-medication products.Every case-by-case essential be sure of advantages and disadvantages of self medication products who problematical in self-medication practices . moreover many researches has been conducted in different populations to respect the frequency of self-medication there is a paumetropolis of studies on self-medication among medical students. Support of self-care is considered as providing patients every opportunity to construct self-confidence in their potency to control their own health. unconnected oth er aspects of self-care, self-medication quests the use of drugs and drugs eat the authorisation to do mature as well as antecedent harm. . 13 Self-medication in Sri lanka check to Wijesinghe et al, (2012) Self medication ontogeny with increase literacy and it is even appreciated so as to fill self-reliance for healing, balk , primitives and rehabilitative care . If through with(p) ripely, it is ministrant to moreover expenses of health care seekers. therefore, considering the usableness of self-medication, the domain of a function health judicature (WHO) has foc utilise to develop strategy for restrictive adherence of the medicines suitable for self-medication. he frequency of Self-medication is very beaten(prenominal) among women, youngster, those individuals who vitality alone and the individuals who belongs to low monetary attitude (SES), permiters of degenerative ailments and psychiatric assures. more researches in Sri Lanka were conducted to city orbits which drive well built-up health and hospitals networks. make out indicators such as self-medication prevalence for malaria bear witness that self-medication is comparatively low in clownish areas. 2. 14 Self-Medication flesh in Punjab harmonise to S Shveta et al, (2011) the frequency of self medication practices is everyday in the state.Fever, cough and glacial are sources for the use of self-medication. The most coarse drugs which is normally utilise for self-medication is tonics and nourishment supplements and it is interpreted frequently without prescription. We recommend that holistic approach should be interpreted to close out this problem, which obligate turn down cognition and information regarding the self medication and sternness concerning pharmaceutical marketing. what is more curiously in case of Punjab state ban mustiness(prenominal) be utilise on getting even sale of medicines. Dispensing modes in the state essential to be enhance by proper education, regulative and administrative strategies. . 15 Self-Medication in Childrens harmonize to Oshikoya et al, (2007) medicine use in children is of great anguish world(a) and has sure a lot of attention. conglomerate researches go through been performed in the urbanised and ontogenesis countries, and contract all the countries approach many problems from step and maltreat of recommended medicines, and errors of medications. Children include a larger luck of the residents in maturation countries and are trustworthy for(p) to many unsoundnesses as a effect of poverty. The bulk of medicines in children are utilise out of doors of hospitals, both as recommended and non- recommended medicines.The primary resolution by the absolute bulk families too many diseases in their children has been imbed to be use of non- irrefutable medicines . Self-medication is very common among urban children in Nigeria. The presented laws concerning the use and sale of over the counter medicine, prescribed and non-prescribed drugs must be beef up to take in normal use of medicines. 2. 16 Self-medication practices for drug consumers concord to Andualem et al, (2004) On Socio-demographic the respondents secret the characteristic of drug consumers harp of all age grade like both genders, large(predicate) women and breast-feeding mothers.Self-medication affectiones that inform very ordinarily in the respondents were headache, fever, cold, respiratory packet infection and GI diseases. bringing up for the self-medication should be provided to public as well as health care providers i. e this type of complaintes bottom be comfortably self-treated and diagnosed and the drug products to be apply in promoting the responsible self-medication. 2. 17 Self-medication in westernmosterly Uttarpradesh harmonize to Ghosh et al, (2010) some students report that they were alcoholic drinkic, stag party or expect in some degenerative problems i. . no n-communicable diseases, they confine little sensory faculty or so the medicines that they use with smoking, alcohol or suffer problems with chronic diseases. Non-seriousness related to the disease is the most common tenability account for self-treated and for self-medication, anterior experience on the medicine and pinch use. 2. 18 sound judgment of Self-medication According to Sawalha, (2007) In An-Najah students the choice of self-medication in very common. convention of treating this condition is through either bare(a) or by previous experience.Even important self-medication predictors did present in the sensvass group, types of medications friendship on the train of self-care penchant can be noteworthy in analyzing the self-medication practices. 2. 19 health care strategies According to Haider et al, (1995) preaching from some medical systems demonstrate in absolute majority of cases. wellness care way for childishness illnesses and discernment of the d egree and the reasons for self-medication prise in Karachi, Pakistan. The main reason is the well behaved prehistorical experience of self-medication. he main reason is the use of different medicines by health passkey that cast the parents for self-medicate to their children. Self-medication is touchy to cast down barely some information can be do to disapprove improper use of denigrating drugs. 2. 20 Self-medication (WHO). According to WHO (1988) The WHO pointed that Self medication can support and treat illness that does not conduct any consultation of medication and provides a cheaper pickax for treat such common diseases. Yet, the person bears basic accountability for the use of self-medication products.Due to self-medication products parties should be assured slightly the benefits and risks of self-medication. 3 METHADOLOGY This part presents an overview of the methods to be apply in the oeuvre. Areas cover in this part include fillive information assemb lage, variables, sample and take techniques and case for cultivation the information. 3. 1 info In this admit primary data is utilise for gathering information. A reexamine was conducted in 4 areas of Karachi, Pakistan during whitethorn 2012. info collection was entered apply SPSS recitation 17 to generate descriptive statistics.Data analyse accomplished using chi-square test to check the associations in the midst of variables. 3. 2 Variables Variables use in this study are 1. grow 2. sexual activity 3. competency 3. 3 audition and try techniques whatchamacallum take techniques is use to select respondents from Gulshan-e-iqbal area. A thingumajig sample of 100 participants was taken. A questionnaire was distributed among participants aft(prenominal) explaining the stage setting of the study and objective. 3. 4 mock up The modelling we are use. To sum the questionnaires we used statistical model of chi-square.According to Zafar et al (2008) the author use d Chi-square in his study. 4 moderate prorogue 1 strength v/s VARIABLES exposition qi square toes SIG lever RESULTS MY disorder 29. 354 0. 007 pass egotism medicinal drug 6. 425 0. 6 direct grade 11. 48 0. 321 postulate leave out OF succession 16. 431 0. 37 direct tall FEES 7. 423 0. 492 experience perspective import 12. 461 0. 132 turn over a bun in the oven dodgy 10. 582 0. 221 tolerate YOUNGSTERS 12. 285 0. 139 subscribe to parley couch 16. 846 0. 032 rule out It is set in motion that the chi-square and sig. alue shows that the self medication is change magnitude in youngsters. the sig. repute of the might shows that self medication (0. 6), prescribe (0. 321), drop of time (0. 37), high fees (0. 492), side effects (0. 132), risky (0. 221), youngsters (0. 139) these all variables were recognized and shows that are independent to the mental reservation send back 2 sex v/s VARIABLES comment chi fledge SIG treasure RESULTS MY diste mper 6. 053 0. 195 use up self medicament 3. 334 0. 504 stand grade 9. 368 0. 095 sustain deprivation OF metre 14. 038 0. 007 hold out laid-back FEES 2. 38 0. 71 allow in situation achievement 5. 008 0. 286 buy out unreliable 8. 898 0. 064 take over YOUNGSTERS 2. 356 0. 671 gestate conference drawstring 1. 361 0. 851 give birth It is bring that the chi-square and sig. pass judgment shows that the self medication is change magnitude in youngsters. the sig. rate of the gender that My illness (0. 195), self medication(0. 504), ordinate (0. 095)high fees(0. 71),side effects(0. 286), desperate(0. 064), youngsters(0. 671), discourse image (0. 851) these all variables were trustworthy and shows that are independent to the gender. display panel 3 time v/s VARIABLESDESCRIPTION chi full-blooded SIG measure out RESULTS MY unsoundness 12. 914 0. cxv play self medicinal drug 7. 128 0. 523 comply bring down 7. 612 0. 667 necessitate omit OF clock time 9. 468 0. 304 turn out spunky FEES 12. 789 0. 119 fill locating military unit 2. 677 0. 953 strike stern 11. 182 0. 192 live with YOUNGSTERS 19. 388 0. 013 disavow chat barf 15. 794 0. 045 decline It is demonstrate that the chi-square and sig. valuate shows that the self medication is change magnitude in youngsters. the sig. observe of the age that my illness (0. 115), self medication (0. 23), prescribe (0. 667), drop of time (0. 304), high fees (0. 119), side effects (0. 953), dangerous (0. 192) these all variables were current and shows that are independent to the age. 5 preaching In the light of the writings look back self medication is a most common practice. In this study broadly speaking males involve in self medication. The number of youngsters put down in this study were 100, having age range of 14-27 years, the overall reply is positive. at that place females were 37 (37%) and males were 63 (63%). This shows that the greater part of the samples wa s undergraduate youngsters.In term of gender, majority of the youngsters who champ self-medication are males. Moreover, the sampling methods were wide-ranging among the studies, range from convenience. The trim back of self-medication is high in undergraduate youngsters as compared to the inter and careful level youngsters. in general Youngsters have a preference of self-medication, 63% of undergraduates, 18% of inter and only 19% of mensurable youngsters involve in self medication. By the research we get the result that people think that they could study their own illness themselves and that leads them to self medication.Qualification and consciousness own illnesses are not independent. So we true resource hypothesis. change magnitude communication chain is also one of the major reasons of increment of self medication in well subject too. The preceding(prenominal) data was nominate to be good suitable to restrain from literature check over that the trend towards s elf medication is increase literally. 6 cultivation Self medication practice increasing in the youngsters of Karachi, Pakistan largely in males and undergraduate youngsters under age of 18-22.The reason is miss of time or not consulting to the doctor. Need to educate the youngsters to rid of such practice majority know that self medication is amiss(p) and some time puddle side effect. 7 BIBLOGRAPHY Almasdy Dedy & Azmi Sherrif , (2011 ), Self-Medication Practice with nonprescription(prenominal) Medication among University Students a round of the literature, archives of pharmaceutics Practice, Vol 2, No 3, pp 95-100. Andualem Tenaw, B. Pharm, BA, et al, (2004), SELF-MEDICATION PRACTICES IN ADDIS ABABA A potential STUDY, Ethiopia diary health science, Vol 14, No 1, pp 1-11.Carmel M, Hughes McElnay, pile C Fleming, Glenda F. , (2001), Bene? ts and risks of self medication, Drug Safety, Vol 24, No 14, pp 1027-1037. Fadare Joseph O & Igbiks Tamuno, (2011), antibiotic self-medi cation among university medical undergraduates in Federal Nigeria, ledger of usual wellness and Epidemiology, Vol 3, No 5, pp 217-220. Ghosh Sourav, Vikas, Vimal, et al, (2010), paygrade of the practice of self medication among college students in west Uttar Pradesh, global ledger of drug company Professionals enquiry, Vol 1, No 1, pp 14-18.Haider S, Thaver IH, (1995), Self medication or self care moment for primary health care strategies, J Pak Med Assoc, Vol 45, No11, pp 297-298. Hussain Azhar, Asifa Khanum,(2008), Self medication among university students of Islamabad, Pakistan- a antecedent study, gray Med Review, Vol 1, No 1, pp 14-16. Hussain Shahzad, Farnaz Malik, Kazi Muhammad Ashfaq, et al , (2011), prevalence of self-medication and health-seeking behavior in a developing country, African daybook of chemists and Pharmacology, Vol 5 , No 7, pp 972-978 jam Henry, Shailendra S, Handu Khalid A.J, et al, (2006), rating of the knowledge, attitude and practice of self -medication among primary-year medical students, Med Princ Practice, Vol 15, No 4, pp 270-275. Khalid Tanzeela, Tariq Iqbal, (2010),Trends of self medication in patients with acne vulgarus, JUMDC, Vol 1, No 1, pp 10-13. Mumtaz Yasmin, S. M. Ashraf Jahangeer, Tahira Mujtaba, et al, (2011), Self Medication among University Students of Karachi, JLUMHS, Vol 10, No 3, pp 102-105. Oshikoya K A, O F Njokanma, J A Bello, et al, (2007), Family self-medication for children in an urban area of Nigeria , paediatric and perinatal Drug Therapy, Vol 8, No 3, pp 124-130.S Shveta, Jagmohan S, (2011), A study of self medication intention in Punjab, Indian journal of pharmacy Practice, Vol 4, No 2, pp 43-46. Sawalha, Ansam F, (2007), sagacity of self-medication practice among University students in heaven therapeutic and toxicity Implications, The Muslim University diary (Series of inhering Studies and Engineering), Vol 15, No 2, pp 67-82. SD Sontakke, Bajait CS , Pimpalkhute SA, et al, (2011), proportional study of rating of self-medication practices in first and one-third year medical student, internationalistic diary of biological medical Research , Vol 2, No 2, pp 561-564.Shankar PR, P Partha and N Shenoy, (2002), Self-medication and non-doctor prescription practices in Pokhara valley, western sandwich Nepal a questionnaire-based study, BMC Family Practice, Vol 3, No 17, pp 1-7. Twombly Eric C Kristen D. Holtz, (2008), Teens and the slander of prescription drug DrugsEvidence-Based Recommendations to check mark a festering societal Problem, J main(a) Prevent, Vol 29, No 18, pp 503516. WHO, (1988), The role of pill pusher in self-care and self-medication, Netherland.Wijesinghe R Pushpa, Ravindra L Jayakody, Rohini de A Seneviratne, (2012), prevalence and predictors of self-medication in a selected urban and rural dominion of Sri Lanka, WHO atomic number 34 Asia diary of humanity Health, Vol 1, No 1, pp 28-41. Zafar Syed Nabeel, Reema Syed, Sana Waqar, e t al, (2008), Self medication amongst university students of Karachi prevalence, knowledge and attitudes, J Pak Med Assoc, Vol 58, No 4, pp 214-217. http//apps. who. int/medicinedocs/pdf/whozip32e/whozip32e. pdfTrend of Self Medication Among YoungstersABSTRACT Objective To determine the trend of self medication among youngsters. Methods A survey was conducted in 4 areas of Karachi, Pakistan during May 2012. Data collected was entered using SPSS version 17 to generate descriptive statistics. Data analyzed done using chi-square test to check the associations among variables. Results The result shows that the number of youngsters participated in this study were 100, having age range of 14-27 years, the overall response is positive. There females were 37 (37%) and males were 63 (63%). This was reflected by the majority of the samples was undergraduate youngsters.By the research we get the result that people think that they could understand their own illness themselves and that leads the m to self medication. Qualification and understanding own illness is not independent. Lack of time is found to be a fact that males do self medication more often then females the trend towards self medication is increasing day by day. Conclusion Self medication practice increasing in the youngsters of Karachi, Pakistan generally in males and undergraduate youngsters under age of 18-22. The reason is lack of time or not consulting to the doctor.Need to educate the youngsters to avoid such practice majority know that self medication is incorrect and some time cause side effect. Key words Self medication, youngsters, trend, prescription. 1 INTRODUCTION 1. 1 Background of the study Self-medication is defined as obtaining and using medicine without the suggestion of a doctor either for diagnosis. Drugs for self-medication are normally name as nonprescription or over the counter (OTC) and are obtainable without advice of doctors through chemists. Self medication is nowadays gradually bei ng considered as a self-care component.Support of self-care is seen as give patients every view to take accountability and create self-confidence in their ability to deal with their own health. contradictory other characteristics of self-care, self-medication involves the use of medicines and medicines have the potential to do better as well as cause harm. This is mainly concern to these countries where there is lack of enforcement of system leading to accessibility of non prescription medicines over the counter like Pakistan. This results in extensive use of such drugs which is related with serious undesirable effects.Numerous cases studies have say that unsuitable self-medication outcomes in wastage of resources and causes serious health hazard such as unwanted drug reactions, prolonged suffering and drug dependence. When the medication correctly done, self-medication might be save the time which spent in waiting to see a physician, may be cost-efficient and also propose saving s for medical schemes and the general healthcare system. The WHO has also pointed out that dependable self-medication can help patient and treat illness that do not need medical consultation and gives a cheaper option for treating common diseases.With self-medication, the person tolerates primary accountability for the use of self-medication products. All parties concerned in self-medication should be attentive of the advantages and disadvantages of any self-medication product. Through many studies have been conducted in different populations to appraise the practice of self-medication there is a scarceness of studies on self-medication among university and medical students. To enhance our knowledge we carry on this agenda and targeted the youngsters to find out the practices of self-medication in youngsters of Karachi.This study is conduct on trend of Self-medication in youngsters of Karachi. Self medication trend is continuously increasing in youngsters. This study might be helpf ul to determine the rate of self medication in youngster of schools, colleges and universities of Karachi. This study also explores the injurious effects of self medication, causes for not discussing with the doctor and general issues for which students rely on self medication. Self-medication is the healing of general health issues with drugs peculiarly proposed and labeled for utilize without any medical prescription and permitted as safe and useful for such medical issues.To enhance our information, we conduct this study in Karachi and especially target the youngsters to evaluate self medication in the youth. In Karachi, approximately every chemist sells medicines without a prescription of doctor a phenomenon seen in many is developing countries. Self medication is a part of health care and it is measured as initial public health source in system of health care. Use of non-prescription medicines by people on their own initiative is a part of self medication and it is in common p ractice in youngsters for common issues related to their health.Self medication also encompasses the use of the medicines by the users for self perceived health problems or the continuing use of medications formally prescribed earlier. Further broading of the definition includes treatment of family members especially to minor and elderly. Adverse effects of self medication Its very common in our society that whenever we catch a cough, flu or any common disease we have fixed a prescription in our mind and we do self-medication in such situations. We ask any of our friends or neighbors who prescribes the medicine which was effective for him.We do these types of things but the main thing we forget in all this is going to a doctor. Some adverse effects of self-medication are as follows. Insomnia Due to self-medication you can face the problem of insomnia. Insomnia is a sleeping disorder this is very common now a days and one of the major reason to insomnia is self-medication. When this problem occurs again open you medicine box and do self-medication again for this problem too. This worsens your problem. When you take one type of medicine again and again you may addicted to it and you also get dependent on such medicines.Skin problems When you involve in self medication you will get some skin problem or any other allergy due to reaction of medicine. Skin problem that occur due to self-medication are itching and redness on your skin. Depression People who have a habit of taking medicines which relax them that people facing the problem of depression. Many people self-medicate themselves to get relax without the advice of doctor. This type of habit may cause serious problem and no one can deny the effects of this self-medication addiction. Skin problems through creams and lotionsSelf-medication is does not only mean to in take such medicines. Self-medication can also be using lotion or cream on your skin without the advice of doctor. This type of self medication can also cause many skin problems. 1. 2 Objective of the study The Aim/objective of this study is to determine the trend of Self medication among youngsters. 1. 3 Problem statement Although self-medication being an issue of global concern, especially in Pakistan self medication is very common and rising day by day. Literate people involve in the practices of self medication more than illiterate people.This study includes some general aspects of self medication to identify the frequency of self medication among the youngsters. 1. 4 Hypothesis Ho1. 4. 1self medication among youngsters and age are independent. Ha 1. 4. 1self medication among youngsters and age are not independent. Ho1. 4. 2 self medication among youngsters and gender are independent. Ha 1. 4. 2 self medication among youngsters and gender are not independent. Ho1. 4. 3 self medication among youngsters and qualification are independent. Ha 1. 4. self medication among youngsters and qualification are not independent. 2 LITER ATURE REVIEW 2. 1 Trends of Self-Medication According to Khalid (2010) in our country Self medication is an average. The counter sales of nearly all medicine are available without any prescription or regulation this is one of the major factor probably contributing to this phenomenon. In the practice of our dermatology, we normally meet patients with acne infections due to use of topical self medication. The prevalence of self medication is extensively high in the acne infections patients in our residents.The most frequently used medication was potent topical steroids. 2. 2 Self-Medication practices According to Shankar et al (2002) Mild illness is the most common reason of self-medication which is mentioned in the literature, prior knowledge of treating related disease, lack of availability of healthcare personnel and financial considerations. Analgesics and antimicrobial are normally used for self medications. In addition to allopathic medicines,herbal medicines were also usually u sed for self-medication. 2. 3 Reasons for self-medication practiceAccording to Almasdy et al, (2011) Among university students the major reason for self-medication were their prior experiences and the majority of the authors agreed with this major reason of self medication, their health problems was measured as too insignificant and time savings. Family or friends guidance, non availability of transport, doctor was not available, capability to self-manage the symptom, urgency of the problem and have adequate information were other main reasons for self-medication practice.Have reported that the main reasons to self-medication practice among university student were lack of time and low cost consultation. 2. 4 Demographic characteristics and prevalence of self medication practice According to Hussain et al. (2011) many of these researches mentioned the mean age of undergraduates was under 25 years old. This was reflected by the majority of the samples was undergraduate students. In ma nner of sexual characteristics, prevalence of the undergraduates who have involved in self-medication is female.Three of these researches have been engaged to undergraduates majoring in equally health and non-health courses, while two of the studies have engaged to undergraduates simply majoring in health, and the rest did not revealed the field of the undergraduates involved in the studies. Frequency of self-medication observed among the university student was diverse. The occurrence of self-medication reported was mainly depend on how the query was created in the questionnaire.For example, the occurrence reported was authentic, if the question was concerned to the modern practice of self-medication. On the contrary, when asked whether the students had used any medication for the past one month, the incidence reported was low. However, some studies did not report the prevalence of self medication. Due to the difference in the methods used in studies, therefore, it is quite difficul t to estimate the true prevalence rate of self-medication in university students. 2. 5 Benefits and Risks of Self Medication According to Carmel M et al. 2001) Practices of self-care for mild illnesses are progressively encouraging by some governments, including self-medication. Support of self-care is observed as giving all probability to patients to take accountability and construct confidence in their capability to control their own health. Patient confidence is observed as a helpful step in the improvement of the correlation between patient and healthcare provider and is described as an significant health policy model. 2. 6 In? uences on Knowledge and Attitudes about Prescription Drugs among Teens.According to Twombly et al, (2008) escalating precise information about the hazards of recommended medicines misuse is expected to reduce misuse. In fact, there is an inverse relationship between level of perceived risk and likelihood of use when it comes to teenagers willingness to m isuse prescription drugs. 2. 7 Symptoms leading to self-medication According to Zafar et al. (2008) Approximately in Pakistan, everyone can get medicine without any prescription, mostly pharmacy selling medicines without a doctor advise this incident observed in every developing nations.Even, antibiotics and high potential medicines are easily available to the common man. The common practices of self-medication among undergraduates is leading to the main symptoms of self-medication were headache or mild pain fever flu, caught and cold and diarrhea. Others symptoms includes allergy, skin problems, inability to sleep, vomiting, eye and ear symptoms, menstrual syndrome and others minor problems. This case study shows the outcome of the Pakistani youths information, mind-set, and practice towards self medication. 2. 8 Sources of drug informationAccording to Hussain et al, (2008) in this research, the author explains sources of drug information in self-medication practice. In this resear ch statement shows that the undergraduates obtain access to drug information from many resources. Which is relate to their own earlier experience, family, contacts or university course mates, pharmacy sales representative, doctor or nurse, and advertisement in the television, radio, newspaper, magazine or books. 2. 9 Problems-related to self-medication practices According to James et al, (2006) a new important findings logical implication of elf-medication highlighted in this literature was the effect of health instruction on the knowledge of drugs side-effects amid the self medicating undergraduates. Calculate the effect of exposure to medical knowledge to equally the first year and senior medical undergraduates. The research exposed that troubles linked with self-medications were fewer in senior medical undergraduates as contrast to the first year students. Less awareness of medical information may be reason to the low self-assurance of the first year medical students 2. 0 Self - Medication among university students According to Mumtaz et al, (2011) Self medication mounting the probability of illegal use of medicine and medicine addiction and due to this the symptoms of disease are underlying thus are complicating the problem, produce drug resistance and create difficulty to diagnosis. On the other side many of people involved in self medication who accept accountability and are cautious is a source saving phenomenon to the health system. Easy accessibility of the medicine by the counter sales increases self medication.Self medication is a phenomenon and practiced almost in the countries all over the world with different prevalence. In the low and middle income countries, commonness of self medication is higher. This research is explained that the educated people tend to practice self medication more than undereducated peoples. According to this research the frequency of self medication among undergraduates of medical and non medical is nearly 80%. This stu dy endorses earlier reported local estimates of self medication among university students. . 11 Self-Medication in Nigeria According to Fadare et al, (2011) now a days Self-medication is growing in the population many counties as a common type of self-care behavior. Many global researches have explored the frequency and characteristics of self-medication practices at the residents level. In Nigeria, many studies conduct to find the frequency of self-medication in general still the frequency of antibiotic self-medication among medical undergraduates has not been conducted.The interest in canvass this practice among this select group is due to the fact that they are the future prescribes and health educators of the population of Nigeria. 2. 12 Evaluation of Self-Medication According to SD Sontakke et al, (2011) The World Health Organization has also identified that proper self-medication can help patients and treat illness that do not need medical consultation and gives a cheaper sub stitute for treating common diseases. With self-medication, the person takes primary accountability for the use of self-medication products.Every individual must be aware of advantages and disadvantages of self medication products who involved in self-medication practices . however many researches has been conducted in different populations to assess the frequency of self-medication there is a paucity of studies on self-medication among medical students. Support of self-care is considered as providing patients every opportunity to construct self-confidence in their capability to control their own health. Unlike other aspects of self-care, self-medication involves the use of drugs and drugs have the potential to do good as well as cause harm. . 13 Self-medication in Sri lanka According to Wijesinghe et al, (2012) Self medication growing with increasing literacy and it is even appreciated so as to have self-sufficiency for healing, preventive , primitives and rehabilitative care . If done properly, it is helpful to save expenses of health care seekers. therefore, considering the profit of self-medication, the World Health Organization (WHO) has focussed to develop strategy for regulatory estimation of the medicines suitable for self-medication. he frequency of Self-medication is very familiar among women, youngster, those individuals who living alone and the individuals who belongs to low financial status (SES), sufferers of chronic ailments and psychiatric conditions. Many researches in Sri Lanka were conducted to city areas which have well built-up health and hospitals networks. Substitute indicators such as self-medication prevalence for malaria indicate that self-medication is relatively low in rural areas. 2. 14 Self-Medication pattern in Punjab According to S Shveta et al, (2011) the frequency of self medication practices is common in the state.Fever, cough and cold are reasons for the use of self-medication. The most common drugs which is commonly used f or self-medication is tonics and food supplements and it is taken frequently without prescription. We recommend that holistic approach should be taken to prevent this problem, which contain correct knowledge and information regarding the self medication and strictness concerning pharmaceutical marketing. Furthermore especially in case of Punjab state ban must be implemented on counter sale of medicines. Dispensing modes in the state required to be enhanced by proper education, regulatory and administrative strategies. . 15 Self-Medication in Childrens According to Oshikoya et al, (2007) medicine use in children is of great anxiety worldwide and has received a lot of attention. Various researches have been performed in the urbanized and developing countries, and have all the countries faced many problems from mistreat and abuse of recommended medicines, and errors of medications. Children include a larger percentage of the residents in developing countries and are responsible to many illnesses as a effect of poverty. The majority of medicines in children are used outside of hospitals, both as recommended and non- recommended medicines.The primary reply by the majority families too many diseases in their children has been found to be use of non-prescribed medicines . Self-medication is very common among urban children in Nigeria. The presented laws concerning the use and sale of over the counter medicine, prescribed and non-prescribed drugs must be reinforced to ensure normal use of medicines. 2. 16 Self-medication practices for drug consumers According to Andualem et al, (2004) On Socio-demographic the respondents concealed the characteristic of drug consumers consist of all age category like both genders, pregnant women and breast-feeding mothers.Self-medication illnesses that reported very commonly in the respondents were headache, fever, cold, respiratory tract infection and gastrointestinal diseases. Education for the self-medication should be provided to p ublic as well as health care providers i. e this type of illnesses can be easily self-treated and diagnosed and the drug products to be used in promoting the responsible self-medication. 2. 17 Self-medication in West Uttarpradesh According to Ghosh et al, (2010) some students reported that they were alcoholic, smoker or involve in some chronic problems i. . non-communicable diseases, they have less awareness about the medicines that they use with smoking, alcohol or suffer problems with chronic diseases. Non-seriousness related to the disease is the most common reason reported for self-treated and for self-medication, previous experience on the medicine and emergency use. 2. 18 Assessment of Self-medication According to Sawalha, (2007) In An-Najah students the preference of self-medication in very common. Practice of treating this condition is done either simple or by previous experience.Even important self-medication predictors did present in the studied group, types of medications knowledge on the level of self-care orientation can be significant in analyzing the self-medication practices. 2. 19 Health care strategies According to Haider et al, (1995) treatment from some medical systems found in majority of cases. Health care behavior for childhood illnesses and assessment of the degree and the reasons for self-medication assess in Karachi, Pakistan. The main reason is the good past experience of self-medication. he main reason is the use of different medicines by health professional that influence the parents for self-medicate to their children. Self-medication is hard to reduce but some information can be made to discourage wrong use of harmful drugs. 2. 20 Self-medication (WHO). According to WHO (1988) The WHO pointed that Self medication can help and treat illness that does not require any consultation of medication and provides a cheaper option for treat such common diseases. Yet, the person bears basic responsibility for the use of self-medication prod ucts.Due to self-medication products parties should be aware about the benefits and risks of self-medication. 3 METHADOLOGY This part presents an overview of the methods to be used in the study. Areas covered in this part include data collection, variables, sample and sampling techniques and model for analyzed the data. 3. 1 Data In this study primary data is used for gathering information. A survey was conducted in 4 areas of Karachi, Pakistan during May 2012. Data collection was entered using SPSS version 17 to generate descriptive statistics.Data analyzed complete using chi-square test to check the associations between variables. 3. 2 Variables Variables used in this study are 1. Age 2. Gender 3. Qualification 3. 3 Sample and Sampling techniques Convenience sampling techniques is use to select respondents from Gulshan-e-iqbal area. A convenience sample of 100 participants was taken. A questionnaire was distributed among participants after explaining the background of the study an d objective. 3. 4 Model The model we are used. To summarize the questionnaires we used statistical model of chi-square.According to Zafar et al (2008) the author used Chi-square in his study. 4 RESULT Table 1 QUALIFICATION v/s VARIABLES DESCRIPTION CHI SQUARE SIG VALUE RESULTS MY ILLNESS 29. 354 0. 007 Reject SELF MEDICATION 6. 425 0. 6 Accept PRESCRIBE 11. 48 0. 321 Accept LACK OF TIME 16. 431 0. 37 Accept HIGH FEES 7. 423 0. 492 Accept SIDE EFFECT 12. 461 0. 132 Accept DANGEROUS 10. 582 0. 221 Accept YOUNGSTERS 12. 285 0. 139 Accept COMMUNICATION CHAIN 16. 846 0. 032 Reject It is found that the chi-square and sig. alue shows that the self medication is increasing in youngsters. the sig. value of the qualification shows that self medication (0. 6), prescribe (0. 321), lack of time (0. 37), high fees (0. 492), side effects (0. 132), dangerous (0. 221), youngsters (0. 139) these all variables were accepted and shows that are independent to the qualification Table 2 GENDER v/s VAR IABLES DESCRIPTION CHI SQUARE SIG VALUE RESULTS MY ILLNESS 6. 053 0. 195 Accept SELF MEDICATION 3. 334 0. 504 Accept PRESCRIBE 9. 368 0. 095 Accept LACK OF TIME 14. 038 0. 007 Reject HIGH FEES 2. 38 0. 71 Accept SIDE EFFECT 5. 008 0. 286 Accept DANGEROUS 8. 898 0. 064 Accept YOUNGSTERS 2. 356 0. 671 Accept COMMUNICATION CHAIN 1. 361 0. 851 Accept It is found that the chi-square and sig. value shows that the self medication is increasing in youngsters. the sig. value of the gender that My illness (0. 195), self medication(0. 504), Prescribe (0. 095)high fees(0. 71),side effects(0. 286), dangerous(0. 064), youngsters(0. 671), Communication chain (0. 851) these all variables were accepted and shows that are independent to the gender. Table 3 AGE v/s VARIABLESDESCRIPTION CHI SQUARE SIG VALUE RESULTS MY ILLNESS 12. 914 0. 115 Accept SELF MEDICATION 7. 128 0. 523 Accept PRESCRIBE 7. 612 0. 667 Accept LACK OF TIME 9. 468 0. 304 Accept HIGH FEES 12. 789 0. 119 Accept SIDE EFFECT 2. 677 0. 953 Accept DANGEROUS 11. 182 0. 192 Accept YOUNGSTERS 19. 388 0. 013 Reject COMMUNICATION CHAIN 15. 794 0. 045 Reject It is found that the chi-square and sig. value shows that the self medication is increasing in youngsters. the sig. value of the age that my illness (0. 115), self medication (0. 23), prescribe (0. 667), lack of time (0. 304), high fees (0. 119), side effects (0. 953), dangerous (0. 192) these all variables were accepted and shows that are independent to the age. 5 DISCUSSION In the light of the literature review self medication is a most common practice. In this study mostly males involve in self medication. The number of youngsters participate in this study were 100, having age range of 14-27 years, the overall reply is positive. There females were 37 (37%) and males were 63 (63%). This shows that the greater part of the samples was undergraduate youngsters.In term of gender, majority of the youngsters who adept self-medication are males. Moreover, the sampl ing methods were varied among the studies, range from convenience. The trend of self-medication is high in undergraduate youngsters as compared to the inter and metric level youngsters. Mostly Youngsters have a preference of self-medication, 63% of undergraduates, 18% of inter and only 19% of metric youngsters involve in self medication. By the research we get the result that people think that they could understand their own illness themselves and that leads them to self medication.Qualification and understanding own illnesses are not independent. So we accepted alternative hypothesis. Increasing communication chain is also one of the major reasons of increment of self medication in well qualified too. The above data was found to be good sufficient to maintain from literature review that the trend towards self medication is increasing literally. 6 CONCLUSION Self medication practice increasing in the youngsters of Karachi, Pakistan mostly in males and undergraduate youngsters under age of 18-22.The reason is lack of time or not consulting to the doctor. Need to educate the youngsters to avoid such practice majority know that self medication is incorrect and some time cause side effect. 7 BIBLOGRAPHY Almasdy Dedy & Azmi Sherrif , (2011 ), Self-Medication Practice with Nonprescription Medication among University Students a review of the literature, Archives of Pharmacy Practice, Vol 2, No 3, pp 95-100. Andualem Tenaw, B. 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Zafar Syed Nabeel, Reema Syed, Sana Waqar, et al, (2008), Self medication amongst university students of Karachi prevalence, knowledge and attitudes, J Pak Med Assoc, Vol 58, No 4, pp 214-217. http//apps. who. int/medicinedocs/pdf/whozip32e/whozip32e. pdf
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