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Self-medication in a Portuguese urban population: a prevalence study.

机译：葡萄牙城市人口中的自我用药：一项患病率研究。

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PURPOSE: To determine the prevalence of self-medication in a Portuguese urban population. To assess the feasibility of performing these studies in community pharmacies. METHODS: A cross-sectional study was chosen to collect information about demography, use of health services and drug utilization in a sample of pharmacy user-purchasers in a pre-determined period of time. RESULTS: The proportion of pharmacies which participated in the study was 18.3% (11 from 60 invited) in Lisbon and 37.5% (15 of 40 invited) in Porto. Among the 3312 selected patients, only 2.6% (n = 114) refused to participate. The prevalence of self-medication was found to be 26.2%. The distribution of self-medication by gender was 28.4% for males and 25.2% for females. Use of self-medication was statistically significantly higher (p < 0.001) among individuals aged between 10 and 49 years. The main therapeutic groups used for self-medication, according to the ATC classification, were throat preparations, cough and cold preparations, stomatological preparations (antiinfectives and corticosteroides for local oral treatment), laxatives, analgesics, dermatological preparations, vitamins, mineral supplements and other alimentary tract and metabolism products. CONCLUSIONS: In the urban areas under study the overall prevalence of self-medication was 26.2%. Predictive factors for self-medication seem to be, a high level of education, professional status and length of waiting times for a medical consultation in cases of a severe health problem. Further research on this subject is needed to confirm the reproducibility of these results, since potential selection bias could have been introduced due to the method used for patient selection. Pharmacoepidemiologic research is feasible in Portuguese community pharmacies.
机译：目的：确定葡萄牙城市人口中自我用药的普遍程度。评估在社区药房进行这些研究的可行性。方法：选择了一项横断面研究，以在预定的时间段内收集有关人口统计学，卫生服务使用和药物使用情况的信息。结果：参与研究的药房比例在里斯本为18.3％（应邀60家中的11家），在波尔图为37.5％（应邀40家中的15家）。在3312名入选患者中，只有2.6％（n = 114）拒绝参加。发现自我用药的患病率为26.2％。男性的自我服药分布为28.4％，女性为25.2％。在10至49岁之间的人群中，自我用药的使用在统计学上显着更高（p <0.001）。根据ATC分类，用于自我药物治疗的主要治疗组是咽喉制剂，咳嗽和感冒制剂，口腔用制剂（用于局部口服治疗的抗感染药和皮质类固醇），泻药，止痛药，皮肤病学制剂，维生素，矿物质补充剂和其他消化道和代谢产物。结论：在所研究的城市地区，自我用药的总体患病率为26.2％。自我用药的预测因素似乎是，高水平的教育，专业地位以及在严重健康问题中进行医疗咨询的等待时间。需要进一步对此问题进行研究，以确认这些结果的可重复性，因为由于用于患者选择的方法可能会引入潜在的选择偏差。药物流行病学研究在葡萄牙社区药店是可行的。

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