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Predictors of Self-Medication Behavior: A Systematic Review

机译:自我用药行为的预测因素:系统评价

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Background: Self-medication with over the counter (OTC) and non OTC drugs may provoke serious consequences for users and societies. Recognition of its predictors therefore, is pivotal in plans to hinder the aggregating behavior. This study aimed to identify possibly all predictors of self-medication and the range of its prevalence among different populations. Methods: Medline, Amed, Scopus, Medlib, SID, Pub Med, Science Direct, and super searcher of Google Scholar were scrutinized using "self-medication", "self-prescription" and "self-treatment" key words without a time limit with special focus on Iranian studies. Authors independently assessed the title, abstract and full text of identified articles for inclusion and any disagreement was resolved with consensus. Results: The range of reported self-medication in the 70 included publications was 8.5-98.0%. Having a minor illness (15 studies), health care costs (9 studies), lack of adequate time to visit a physician (11 studies), prior experience (7 studies) in using a drug and long waiting time to visit a qualified practitioner (5 studies) were most frequently reported reasons of self-medication. Conclusion: The observed diversity in the reported prevalence and reasons of self-medication among different subgroups of populations (e.g. males vs. females) and between developed and developing countries highlights the importance of explanatory behavioral chain analysis of self-medication in different population groups and countries. Even within a single country, predictors of this harmful practice could be inconsistent. Lack of sufficient quality research to identify precipitating factors of self-medication in developing countries is paramount.
机译:背景:使用非处方药和非处方药进行自我药物治疗可能会给使用者和社会带来严重后果。因此,在计划阻碍聚集行为的过程中,识别其预测变量至关重要。这项研究旨在确定自我用药的所有预测因素及其在不同人群中的流行程度。方法:使用“自我用药”,“自我处方”和“自我治疗”这些没有时间限制的关键词对Medline,Amed,Scopus,Medlib,SID,Pub Med,Science Direct和Google Scholar的超级搜索者进行审查特别关注伊朗研究。作者独立评估了已确定文章的标题,摘要和全文,以供收录,任何分歧均得到共识解决。结果:在包括在内的70种出版物中,据报道自我用药的范围为8.5-98.0%。患有小病(15个研究),医疗保健费用(9个研究),缺乏足够的时间去看医生(11个研究),在使用药物方面的先前经验(7个研究)和漫长的等待时间去拜访合格的医生( 5项研究)是最经常报道的自我用药原因。结论:观察到的不同人群(例如男性与女性)之间以及发达国家与发展中国家之间在报告的普遍使用率和自我用药原因上的差异,突出说明了在不同人群和群体中自我用药的行为解释链分析的重要性。国家。即使在一个国家内,这种有害做法的预测因素也可能不一致。缺乏足够的高质量研究来确定发展中国家自我用药的促成因素是至关重要的。

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