Prevalence and influencing factors of self-medication during the COVID-19 pandemic in the Arab region: a multinational cross-sectional study

Abstract Background The novel coronavirus pandemic (COVID-19) has begun with a wave of misinformation and fear of infection. This may have led people to self-medicate inappropriately. The World Health Organization describes self-medication (SM) as utilizing medicines to relieve symptoms or health co...

Full description

Bibliographic Details
Main Authors: Aya Elsayed Abdelwahed, Mostafa Mahmod Abd-elkader, Amany Mahfouz, Mohammed Osama Abdelmawla, Marwa Kabeel, Amr Gabr Elkot, Mohamed Rabiea Hamad, Rahma Abd Elfattah Ibrahim, Marwa M. I. Ghallab, Collaborators group, Nouran Hamza
Format: Article
Language:English
Published: BMC 2023-01-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-023-15025-y
_version_ 1811175712056410112
author Aya Elsayed Abdelwahed
Mostafa Mahmod Abd-elkader
Amany Mahfouz
Mohammed Osama Abdelmawla
Marwa Kabeel
Amr Gabr Elkot
Mohamed Rabiea Hamad
Rahma Abd Elfattah Ibrahim
Marwa M. I. Ghallab
Collaborators group
Nouran Hamza
author_facet Aya Elsayed Abdelwahed
Mostafa Mahmod Abd-elkader
Amany Mahfouz
Mohammed Osama Abdelmawla
Marwa Kabeel
Amr Gabr Elkot
Mohamed Rabiea Hamad
Rahma Abd Elfattah Ibrahim
Marwa M. I. Ghallab
Collaborators group
Nouran Hamza
author_sort Aya Elsayed Abdelwahed
collection DOAJ
description Abstract Background The novel coronavirus pandemic (COVID-19) has begun with a wave of misinformation and fear of infection. This may have led people to self-medicate inappropriately. The World Health Organization describes self-medication (SM) as utilizing medicines to relieve symptoms or health conditions without consulting a physician. Inappropriate drug use is a burden on both health resources and patient health in the Arab region. This study aimed to detect the prevalence and influencing factors of self-medication among the general Arab population during the COVID-19 pandemic. Methods A multinational cross-sectional study was conducted among the general population of ten Arab countries from early August to late October 2021. Participants aged 18 years or older could join the study via social media platforms. A convenience sampling technique was used. A developed and validated web-based questionnaire was used to collect data on self-medication practice, associated influencing factors, information sources, commonly used medications, and commonly treated conditions. Descriptive, univariate, and multivariate regression analyses were applied using IBM SPSS v 26 and R v 4.0.0 software. Results A total of 8163 participants completed the questionnaire, and 518 participants were excluded from the analysis due to inconsistencies in their data. Almost two-thirds (62.7%) of participants reported practicing self-medication during the COVID-19 pandemic. At the country level, Egypt had the highest prevalence of self-medication practice (72.1%), while Palestine had the lowest prevalence (40.4%). The most commonly used drugs were analgesics, antipyretics, and vitamins (86, 65.1, and 57.1%, respectively), while antitussives and antibiotics scored 47.6 and 43.3%, respectively. Experience with similar health conditions (74.6%) and urgency of the problem (47.2%) were the most frequent factors that led to self-medication. Additionally, 38.2% of the self-medicated participants (SMPs) used drugs as prophylaxis against COVID-19. Pharmacist consultation was the most common source of information about self-medication (66.7%). Multivariate analysis showed that predictors of self-medication were older age (p = 0.008), presence of chronic illness (p = 0.015), and having monthly income or medical insurance that does not cover the treatment cost (p = 0.001, p < 0.001, respectively). Conclusion Self-medication is considered a common practice across the Arab population. It is necessary to regulate policies and raise awareness among the public about self-medication.
first_indexed 2024-04-10T19:40:12Z
format Article
id doaj.art-c5e406a1c607405598483ccf4fb5c60e
institution Directory Open Access Journal
issn 1471-2458
language English
last_indexed 2024-04-10T19:40:12Z
publishDate 2023-01-01
publisher BMC
record_format Article
series BMC Public Health
spelling doaj.art-c5e406a1c607405598483ccf4fb5c60e2023-01-29T12:23:51ZengBMCBMC Public Health1471-24582023-01-0123111110.1186/s12889-023-15025-yPrevalence and influencing factors of self-medication during the COVID-19 pandemic in the Arab region: a multinational cross-sectional studyAya Elsayed Abdelwahed0Mostafa Mahmod Abd-elkader1Amany Mahfouz2Mohammed Osama Abdelmawla3Marwa Kabeel4Amr Gabr Elkot5Mohamed Rabiea Hamad6Rahma Abd Elfattah Ibrahim7Marwa M. I. Ghallab8Collaborators groupNouran Hamza9Faculty of Medicine, Kafrelsheikh UniversityFaculty of Medicine, Kafrelsheikh UniversityFaculty of Medicine, Kafrelsheikh UniversityFaculty of Medicine, Kafrelsheikh UniversityFaculty of Medicine, Kafrelsheikh UniversityFaculty of Medicine, Kafrelsheikh UniversityFaculty of Medicine, Kafrelsheikh UniversityFaculty of Medicine, Kafrelsheikh UniversityDepartment of Medical Parasitology, Faculty of Medicine, KafrElsheikh UniversityMedical Agency for Research and StatisticsAbstract Background The novel coronavirus pandemic (COVID-19) has begun with a wave of misinformation and fear of infection. This may have led people to self-medicate inappropriately. The World Health Organization describes self-medication (SM) as utilizing medicines to relieve symptoms or health conditions without consulting a physician. Inappropriate drug use is a burden on both health resources and patient health in the Arab region. This study aimed to detect the prevalence and influencing factors of self-medication among the general Arab population during the COVID-19 pandemic. Methods A multinational cross-sectional study was conducted among the general population of ten Arab countries from early August to late October 2021. Participants aged 18 years or older could join the study via social media platforms. A convenience sampling technique was used. A developed and validated web-based questionnaire was used to collect data on self-medication practice, associated influencing factors, information sources, commonly used medications, and commonly treated conditions. Descriptive, univariate, and multivariate regression analyses were applied using IBM SPSS v 26 and R v 4.0.0 software. Results A total of 8163 participants completed the questionnaire, and 518 participants were excluded from the analysis due to inconsistencies in their data. Almost two-thirds (62.7%) of participants reported practicing self-medication during the COVID-19 pandemic. At the country level, Egypt had the highest prevalence of self-medication practice (72.1%), while Palestine had the lowest prevalence (40.4%). The most commonly used drugs were analgesics, antipyretics, and vitamins (86, 65.1, and 57.1%, respectively), while antitussives and antibiotics scored 47.6 and 43.3%, respectively. Experience with similar health conditions (74.6%) and urgency of the problem (47.2%) were the most frequent factors that led to self-medication. Additionally, 38.2% of the self-medicated participants (SMPs) used drugs as prophylaxis against COVID-19. Pharmacist consultation was the most common source of information about self-medication (66.7%). Multivariate analysis showed that predictors of self-medication were older age (p = 0.008), presence of chronic illness (p = 0.015), and having monthly income or medical insurance that does not cover the treatment cost (p = 0.001, p < 0.001, respectively). Conclusion Self-medication is considered a common practice across the Arab population. It is necessary to regulate policies and raise awareness among the public about self-medication.https://doi.org/10.1186/s12889-023-15025-ySelf-medicationArabCOVID-19DrugsCoronavirusAntibiotic
spellingShingle Aya Elsayed Abdelwahed
Mostafa Mahmod Abd-elkader
Amany Mahfouz
Mohammed Osama Abdelmawla
Marwa Kabeel
Amr Gabr Elkot
Mohamed Rabiea Hamad
Rahma Abd Elfattah Ibrahim
Marwa M. I. Ghallab
Collaborators group
Nouran Hamza
Prevalence and influencing factors of self-medication during the COVID-19 pandemic in the Arab region: a multinational cross-sectional study
BMC Public Health
Self-medication
Arab
COVID-19
Drugs
Coronavirus
Antibiotic
title Prevalence and influencing factors of self-medication during the COVID-19 pandemic in the Arab region: a multinational cross-sectional study
title_full Prevalence and influencing factors of self-medication during the COVID-19 pandemic in the Arab region: a multinational cross-sectional study
title_fullStr Prevalence and influencing factors of self-medication during the COVID-19 pandemic in the Arab region: a multinational cross-sectional study
title_full_unstemmed Prevalence and influencing factors of self-medication during the COVID-19 pandemic in the Arab region: a multinational cross-sectional study
title_short Prevalence and influencing factors of self-medication during the COVID-19 pandemic in the Arab region: a multinational cross-sectional study
title_sort prevalence and influencing factors of self medication during the covid 19 pandemic in the arab region a multinational cross sectional study
topic Self-medication
Arab
COVID-19
Drugs
Coronavirus
Antibiotic
url https://doi.org/10.1186/s12889-023-15025-y
work_keys_str_mv AT ayaelsayedabdelwahed prevalenceandinfluencingfactorsofselfmedicationduringthecovid19pandemicinthearabregionamultinationalcrosssectionalstudy
AT mostafamahmodabdelkader prevalenceandinfluencingfactorsofselfmedicationduringthecovid19pandemicinthearabregionamultinationalcrosssectionalstudy
AT amanymahfouz prevalenceandinfluencingfactorsofselfmedicationduringthecovid19pandemicinthearabregionamultinationalcrosssectionalstudy
AT mohammedosamaabdelmawla prevalenceandinfluencingfactorsofselfmedicationduringthecovid19pandemicinthearabregionamultinationalcrosssectionalstudy
AT marwakabeel prevalenceandinfluencingfactorsofselfmedicationduringthecovid19pandemicinthearabregionamultinationalcrosssectionalstudy
AT amrgabrelkot prevalenceandinfluencingfactorsofselfmedicationduringthecovid19pandemicinthearabregionamultinationalcrosssectionalstudy
AT mohamedrabieahamad prevalenceandinfluencingfactorsofselfmedicationduringthecovid19pandemicinthearabregionamultinationalcrosssectionalstudy
AT rahmaabdelfattahibrahim prevalenceandinfluencingfactorsofselfmedicationduringthecovid19pandemicinthearabregionamultinationalcrosssectionalstudy
AT marwamighallab prevalenceandinfluencingfactorsofselfmedicationduringthecovid19pandemicinthearabregionamultinationalcrosssectionalstudy
AT collaboratorsgroup prevalenceandinfluencingfactorsofselfmedicationduringthecovid19pandemicinthearabregionamultinationalcrosssectionalstudy
AT nouranhamza prevalenceandinfluencingfactorsofselfmedicationduringthecovid19pandemicinthearabregionamultinationalcrosssectionalstudy