Self-medication profile of dental patients in Ondo State, Nigeria.

BACKGROUND: The practice of self medication has been extensively researched but there is dearth of information about its modality among dental patients in developing countries. Hence, this study was designed to determine the proportion of dental patients who practice, medications employed and the reasons for resorting to self medication in general dental populations in Ondo State, Nigeria and to make appropriate recommendations. METHODS: This study was conducted between June 2007 and June 2008 at the Federal Medical Centre, Owo and State Specialist Hospital, Akure, Ondo State, Nigeria. Five hundred and thirty six consenting respondents were selected by multistage sampling technique and interviewed with the aid of semi structured questionnaire. RESULTS: Almost half of the respondents (42% or n=225) admitted to self medication while the majority (58%) did not practice it. Drugs utilized are usually singly (56.4%) rather than in combination (43.6%), commonly analgesics (50.1%) and antibiotics (30.4%), with the majority (45.8%) using the medications for at least one week. The reasons cited by respondents for self medication were their perception that they know what to do and it saves time and money. CONCLUSION: A sizable majority of the respondents admitted to self-medication usually with analgesics. Adequate health education of the populace on the use and misuse of analgesics needs to be mounted, while dental services should be made readily available and affordable so that self medication among dental patients can be reduced to the barest minimum.

[Oral health care practices in Abidjan]. / Itinéraire thérapeutique en Odonto-Stomatologie à Abidjan.

Abidjan, the economical capital of Ivory Coast has a CAO of 2.7 with index O practically nil. The professional density is one surgeon for 12.000 inhabitants. Abidjan population, despite the requirements in increasing care has not recourse to the dental surgeons for their assumption of responsibility. The general objective of our study is to describe the therapeutic itinerary in odonto-stomatology of the Abidjan population. We have realised a questionnaire survey beside of population sample. The results show that 25 per cent of our population gives up care despite the presence of pain or embarrassment. Our study has allowed highlighting all the other recourses to the care. Indeed, the people who give up the care have much other recourse which has be identified in order of importance: the modern and traditional self-medication. Let us note in our study, that the choice of dental surgeon knows a constant evolution from the first to the third recourse. The lack of financial means constitutes however the first obstacle at the accessibility to the oral care in Ivory Coast.

Self-medication patterns in Amman, Jordan.

OBJECTIVE: The classification of medicine as Prescription-Only-Medicine (POM) and Over-The-Counter (OTC) drugs in Jordan is present but not yet enforced on community pharmacies, the fact that allows access of the public to a wider range of medications that otherwise are provided only on prescription. This, of course, has its implications on safety and effectiveness of the pharmacotherapy in question. This research aims to establish a baseline data concerning the extent of self-medication among Jordanians, and to assess possible factors associated with self-medication, so that future interventions can be documented and planned. SETTING: A total of 155 out of Amman's 900 community pharmacies. METHODS: A cross-sectional observational study using a pre-piloted questionnaire was conducted. Over 800 customers who visited the pharmacies over a period of 4 months were interviewed and their non-prescription drug requests patterns were recorded to assess the prevalence of self-medication and offered justification. RESULTS: Self-medication was a common practice among Jordanians (42.5%). The variable that was associated with extent of self-medication was respondents' age, where patients younger than 16 years and those older than 60 years were less likely to self-treat. The most common reasons for self-medication were that the ailments were too minor to see a doctor (46.4%), the long waiting time to be seen by doctors (37.7%) and avoiding the cost of doctors' visits (31.4%). People tended to select medication based on advice received from pharmacy staff (14.2%), friends/neighbors (17.6%) or informal advice from other health professionals like dentists and nurses (21.9%). Alternatively, patients selected products based on their previous experiences with similar symptoms (27%) or similar diseases (33.5%). CONCLUSIONS: Self-medication is a common health care practice in Jordan, where people are becoming increasingly familiar with drugs and their brand names. Self-medication behavior varied significantly with a number of socio-economic factors. Unfortunately, only a small percentage of patients engaged pharmacy personnel in therapeutic consultations beyond briefly mentioning a symptom.