Parental health-seeking behavior on self-medication, antibiotic use, and antimicrobial resistance in children

Aim and Objectives: The study sought to identify parental trends in children's self-medication, health-seeking behavior, knowledge of self-medication, antibiotic use, and antimicrobial resistance in Asir, Saudi Arabia. Methods: A web-based cross-sectional study was carried out by a survey quest...

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Main Authors: Premalatha Paulsamy, Krishnaraju Venkatesan, Shadia Hamoud Alshahrani, Maha Hamed Mohamed Ali, Kousalya Prabahar, Vinoth Prabhu Veeramani, Nahid Khalil Elfaki, Rasha Elsayed Ahmed, Hala Ahmed Elsayes, Yahya Hussein Ahmed Abdalla, Osman Babiker Osmsn Mohammed, Absar Ahmed Qureshi, Friyal Alqahtani, Sirajudeen Shaik Alavudeen
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Saudi Pharmaceutical Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1319016423002074
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author Premalatha Paulsamy
Krishnaraju Venkatesan
Shadia Hamoud Alshahrani
Maha Hamed Mohamed Ali
Kousalya Prabahar
Vinoth Prabhu Veeramani
Nahid Khalil Elfaki
Rasha Elsayed Ahmed
Hala Ahmed Elsayes
Yahya Hussein Ahmed Abdalla
Osman Babiker Osmsn Mohammed
Absar Ahmed Qureshi
Friyal Alqahtani
Sirajudeen Shaik Alavudeen
author_facet Premalatha Paulsamy
Krishnaraju Venkatesan
Shadia Hamoud Alshahrani
Maha Hamed Mohamed Ali
Kousalya Prabahar
Vinoth Prabhu Veeramani
Nahid Khalil Elfaki
Rasha Elsayed Ahmed
Hala Ahmed Elsayes
Yahya Hussein Ahmed Abdalla
Osman Babiker Osmsn Mohammed
Absar Ahmed Qureshi
Friyal Alqahtani
Sirajudeen Shaik Alavudeen
author_sort Premalatha Paulsamy
collection DOAJ
description Aim and Objectives: The study sought to identify parental trends in children's self-medication, health-seeking behavior, knowledge of self-medication, antibiotic use, and antimicrobial resistance in Asir, Saudi Arabia. Methods: A web-based cross-sectional study was carried out by a survey questionnaire. Snow Ball sampling technique was used to select the Eight hundred and sixteen parents with children in the Asir region by WhatsApp and email, and 650 participants who met the inclusion criteria consented to participate in the study. Results: There were 1809 episodes of childhood illnesses reported during the study period. The mean scores are on knowledge at 8.11 ± 2.43, favorable attitude at 17.60 ± 1.17, and practice was 7.72 ± 1.72, and a significant correlation was found between knowledge, attitude, and practice (KAP) at p = 0.01. Out of 624, the majority of parents showed strong knowledge and proficiency in antibiotics. However, the attitude scores of over 50% towards the usage of antibiotics were subpar. Around 54% of parents were self-medicating their children and 43% were unaware that skipping doses contributes to anti-microbial resistance (AMR). The facilitators for self-medication were male gender (aOR: 2.13; 95% CI: 1.26–3.98, p < 0.05), having more children (aOR: 2.78; 95% CI: 1.27–4.12 p < 0.01), professional qualification (aOR:3.07; 95% CI 1.57– 4.68; p < 0.01), residing in urban area (aOR: 3.17; 95% CI: 2.13–5.61, p < 0.05), working in health care (aOR: 5.99; 95% CI: 1.78–18.2, p < 0.01) and high income (aOR: 3.57; 95% CI: 2.08–6.34, p < 0.05). Conclusions: The findings indicated that the majority of parents had unfavorable views and improper practices of antibiotic usage. Strategic education programs to the targeted population, especially to the parents about side effects of antibiotics, dangerous consequences of self-medication, and crucial AMR concerns must be addressed immediately.
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spelling doaj.art-20caf4a977004c199b9d85c0510ad88e2023-09-09T04:54:41ZengElsevierSaudi Pharmaceutical Journal1319-01642023-09-01319101712Parental health-seeking behavior on self-medication, antibiotic use, and antimicrobial resistance in childrenPremalatha Paulsamy0Krishnaraju Venkatesan1Shadia Hamoud Alshahrani2Maha Hamed Mohamed Ali3Kousalya Prabahar4Vinoth Prabhu Veeramani5Nahid Khalil Elfaki6Rasha Elsayed Ahmed7Hala Ahmed Elsayes8Yahya Hussein Ahmed Abdalla9Osman Babiker Osmsn Mohammed10Absar Ahmed Qureshi11Friyal Alqahtani12Sirajudeen Shaik Alavudeen13College of Nursing, Mahala Branch for Girls, King Khalid University, Asir, Saudi ArabiaDepartment of Pharmacology, College of Pharmacy, King Khalid University, Abha, Asir, Saudi Arabia; Corresponding author.College of Nursing, Mahala Branch for Girls, King Khalid University, Asir, Saudi ArabiaFaculty of Medical and Applied Science, Public Health Department, King Khalid University, Asir, Saudi ArabiaDepartment of Pharmacy Practice, Faculty of Pharmacy, University of Tabuk, Tabuk, Saudi Arabia; Department of Pharmacy Practice, Faculty of Pharmacy, Dr. M.G.R. Educational and Research Institute, Velappanchavadi, Chennai, Tamil Nadu, IndiaDepartment of Pharmacy Practice, Faculty of Pharmacy, University of Tabuk, Tabuk, Saudi ArabiaCollege of Nursing, Najran University, Najran, Saudi ArabiaMedical-Surgical Nursing, College of Nursing, Tanta University, Egypt; College of Nursing, Mahala Branch for Girls King Khalid University, Asir, Saudi ArabiaPsychiatric and Mental Health Nursing, Faculty of Nursing, Tanta University, Egypt; Psychiatric and Mental Health Nursing, Faculty of Nursing, King Abdul Aziz University, Saudi ArabiaCollege of Nursing, Najran University, Najran, Saudi ArabiaPublic Health, Al-Baha University, Saudi ArabiaDepartment of Pharmacology, College of Pharmacy, King Khalid University, Abha, Asir Province, Saudi ArabiaDepartment of Community Nursing, College of Nursing, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaDepartment of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha, Saudi ArabiaAim and Objectives: The study sought to identify parental trends in children's self-medication, health-seeking behavior, knowledge of self-medication, antibiotic use, and antimicrobial resistance in Asir, Saudi Arabia. Methods: A web-based cross-sectional study was carried out by a survey questionnaire. Snow Ball sampling technique was used to select the Eight hundred and sixteen parents with children in the Asir region by WhatsApp and email, and 650 participants who met the inclusion criteria consented to participate in the study. Results: There were 1809 episodes of childhood illnesses reported during the study period. The mean scores are on knowledge at 8.11 ± 2.43, favorable attitude at 17.60 ± 1.17, and practice was 7.72 ± 1.72, and a significant correlation was found between knowledge, attitude, and practice (KAP) at p = 0.01. Out of 624, the majority of parents showed strong knowledge and proficiency in antibiotics. However, the attitude scores of over 50% towards the usage of antibiotics were subpar. Around 54% of parents were self-medicating their children and 43% were unaware that skipping doses contributes to anti-microbial resistance (AMR). The facilitators for self-medication were male gender (aOR: 2.13; 95% CI: 1.26–3.98, p < 0.05), having more children (aOR: 2.78; 95% CI: 1.27–4.12 p < 0.01), professional qualification (aOR:3.07; 95% CI 1.57– 4.68; p < 0.01), residing in urban area (aOR: 3.17; 95% CI: 2.13–5.61, p < 0.05), working in health care (aOR: 5.99; 95% CI: 1.78–18.2, p < 0.01) and high income (aOR: 3.57; 95% CI: 2.08–6.34, p < 0.05). Conclusions: The findings indicated that the majority of parents had unfavorable views and improper practices of antibiotic usage. Strategic education programs to the targeted population, especially to the parents about side effects of antibiotics, dangerous consequences of self-medication, and crucial AMR concerns must be addressed immediately.http://www.sciencedirect.com/science/article/pii/S1319016423002074Health seeking behaviorSelf-medicationAntimicrobial resistanceAntibioticsKnowledgeAttitude
spellingShingle Premalatha Paulsamy
Krishnaraju Venkatesan
Shadia Hamoud Alshahrani
Maha Hamed Mohamed Ali
Kousalya Prabahar
Vinoth Prabhu Veeramani
Nahid Khalil Elfaki
Rasha Elsayed Ahmed
Hala Ahmed Elsayes
Yahya Hussein Ahmed Abdalla
Osman Babiker Osmsn Mohammed
Absar Ahmed Qureshi
Friyal Alqahtani
Sirajudeen Shaik Alavudeen
Parental health-seeking behavior on self-medication, antibiotic use, and antimicrobial resistance in children
Saudi Pharmaceutical Journal
Health seeking behavior
Self-medication
Antimicrobial resistance
Antibiotics
Knowledge
Attitude
title Parental health-seeking behavior on self-medication, antibiotic use, and antimicrobial resistance in children
title_full Parental health-seeking behavior on self-medication, antibiotic use, and antimicrobial resistance in children
title_fullStr Parental health-seeking behavior on self-medication, antibiotic use, and antimicrobial resistance in children
title_full_unstemmed Parental health-seeking behavior on self-medication, antibiotic use, and antimicrobial resistance in children
title_short Parental health-seeking behavior on self-medication, antibiotic use, and antimicrobial resistance in children
title_sort parental health seeking behavior on self medication antibiotic use and antimicrobial resistance in children
topic Health seeking behavior
Self-medication
Antimicrobial resistance
Antibiotics
Knowledge
Attitude
url http://www.sciencedirect.com/science/article/pii/S1319016423002074
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