Self-Medication Practices among Adult Population in Bangladesh: A Cross-Sectional Study.

ABSTRACT

BACKGROUND: The practice of self-medication (SM) is common worldwide and is an important component of medical self-care. However, improper practice can be dangerous. This study aimed to estimate the prevalence of SM and the factors associated with it among Bangladeshi adults. METHODS: A cross-sectional survey was conducted between April and June 2021 among Bangladeshi adults (aged > 19 years) using convenient sampling. A total of 1320 subjects were collected through face-to-face interviews using a standardized questionnaire. Multivariable logistic regression analysis was used to identify factors associated with the practice of SM. RESULTS: Overall, 41% of adults in our survey reported SMP. The most common illnesses that prompted SM were common cold/flu (66.4%), gastric problems (65%), and headache (64.4%). The most frequent reasons for SM were to get better-perceived quality of care (30.6%), perceiving SM without side effects (23.3%), and saving time with effectiveness (14.56%). Potential risk factors included 10 years (AOR = 1.91; 95% CI 1.04-3.50) and >12 years of schooling (AOR = 5.03; 95% CI 2.27-11.15), being a businessman (AOR = 4.64; 95% CI 1.74-12.37), having ≤6 family members (AOR = 2.13; 95% CI 1.40-3.24), being a member of a social group (AOR = 1.53; 95% CI 1.10-2.12), a health status check after every six months (AOR = 1.52; 95% CI 1.08-2.13), and current ill-health (AOR = 1.41; 95% CI 1.06-1.87). Protective factors identified included ≤30 years of age (AOR = 0.40; 95% CI 0.17-0.93), and practice of modern (AOR = 0.39; 95% CI 0.22-0.69) and herbal (AOR = 0.45; 95% CI 0.21-0.97) treatment modality. CONCLUSION: More than one-third of the study participants reported practicing SM. Increasing the community's awareness of the adverse outcomes of SM and not just the average experience might sway individuals away from SM, and implementing strict jurisdiction could be a way to minimize inappropriate SM.