RESUMO
Objectives: This study aimed to determine self-medication prevalence and its associated factors. Methods: A community-based cross-sectional study was conducted in the urban and rural catchment areas of Uttar Pradesh, India, among 440 adults using a pretested, semistructured questionnaire. The Chi-square test and logistic regression were used to determine the association of self-medication prevalence with various independent variables. The associations were reported as adjusted odds ratios and 95% confidence intervals. Results: The prevalence of medication use was 66.4%. The majority of participants (45%) took medicine for fever, cough (40.1%), and cold (31.8%). Allopathy (83.2%) was the most common medicine system used for self-medication. More than half reported taking medicine such as paracetamol (52%), followed by cough syrup (21%) and antihistaminic (17%). Convenience (46%) and lack of time (35.3%) were commonly cited reasons for self-medication. Also, 64.4% of the respondents practiced self-medication on the pharmacist's recommendation. Urban participants (adjusted odds ratio: 9.85, 95% confidence interval: 5.32-18.23), females (adjusted odds ratio: 2.32, 95% confidence interval: 1.18-4.57), skilled workers (adjusted odds ratio: 5.62, 95% confidence interval: 1.80-17.5), and those who completed primary school (adjusted odds ratio: 2.48, 95% confidence interval: 1.16-5.25) were more likely to self-medicate than rural, male, unemployed, and illiterate participants, respectively. Also, participants whose income was 30,000 Indian rupees (adjusted odds ratio: 3.21, 95% confidence interval: 1.00-10.21) were more likely to self-medicate than those whose income was less than 4000. Conclusions: A high prevalence of self-medication was found, particularly in urban areas. Convenience and lack of time were commonly cited reasons for self-medication. Allopathy was the most widely used medicine system for self-medication. Antipyretics, cough syrups, and antiallergics were most commonly self-medicated. Gender, education, and income were associated with self-medication. The study highlighted the increased usage among females which could be further explored and role of pharmacists' recommendation as a major driver for self-medication.
RESUMO
Background: The study was aimed to study the practices related to breastfeeding among newborns in Aligarh and to assess the determinants of breastfeeding practices.Methods: A cross sectional study was carried out in the field practice areas of Department of Community medicine, AMU, Aligarh. All the live births in one-year study duration were included in the study. Verbal consent was obtained prior to the interview. Data was collected by interview technique using semi structured questionnaire and analysed in SPSS 20.Results: A total of 705 newborns were enrolled in the study. 5.3% of the mothers in our study didn't breastfeed their newborns even after 24 hours after the delivery. 6% of the mothers discarded their colostrum and 36.9% of mothers gave prelacteals to their newborns. Almost half of the newborns were exclusively breastfed. There is a significant association between being primiparous and not practicing exclusive breastfeeding (p=0.003). However, no significant association was found between breastfeeding practices and gender, birth order of newborn, age and education of mother.Conclusions: Present study shows that 64.2% of newborns received the right breastfeeding practices which is quite good as per the national average. This study emphasizes the need to address the practices like discarding the colostrum and use of prelacteal feed which are still widely prevalent.