Factors Affecting Self-Medication

자가투약의 영향 요인

  • 양진선 (부산광역시 강서구 보건소) ;
  • 이기효 (인제대학교 보건대학원)
  • Published : 1996.11.01

Abstract

The aims of this study were to find out present situation of self-medication, and to explicate the factors affecting self-medication propensity. To explicate empirically the factors affecting self-medication propensity, a model containing five groups of determining factors such as attitudinal, behavioral, knowled해, and need of health care factors, and demographic factors were developed. Data were collected from 647 residents in Pusan and Kyungnam using the self-administered questionnaire. The major reslts obtained were as follows: First, self-medication was 32% of all utilization of pharmacy. The drugs used for self-medication most commonly were analgesics(16.2%), followed by antacids and stomachics(14.2%), dermatologic preparations(13.1%), tonics and drinks (12.6%). Second, the sources from which people obtained drug information at self-medication were label of the container(50.8%), pharmacist(32.4%), self-decision or lay person(16.8%). The experience of side effect was 10.6% of all self-medication and how people cope with was withdrawal(59.0%), consultation by pharmacist or doctor(35.9%). Third, the results of ANOVA showed a statistically significant relationship between self-medication propensity and 3 demograpic factors, such as sex(p<0.10), age(p<0.10) and job(p<0.05). Forth, the results of multiple regression analysis showed a statistically significant positive relationship betwee self-medication propensity and satisfaction of previous self-medication, knowledge of drug, drug dependency, the frequency of doctor visiting, confidence in drug advertisement, tendency toward self-treatment of the family, and job. And it showed negative relationship between self-medication propensity and confidence in the medical profession, and health behavior. The model explained 29.5% of the variance in self-medication(p<0.001).

Keywords

References

  1. 의약품광고가 의약품구매동기에 미치는 영향 김경호
  2. 의약품에 대한 소비자의 구매태도 김경한
  3. 농어촌 주민의 매약 자가수료 행위에 관한 연구 김진원
  4. 공중보건잡지 v.11 no.11 서울시내 일부약국의 의약품이용실태에 관한 조사 노영근
  5. 한국의료보험론 문옥륜;박세택;이재형;조형원;노운녕;우영국
  6. 약사의 약품선택모델 박상태
  7. 의약품 광고에 대한 소비자 의식의 조사연구 박용희
  8. 우리나라 의약품의 대중광고 현황과 광고대선방안에 관한 연구 박창환
  9. 광고가 의약품구매동기에 미치는 영향에 관한 실증적 연구 박철응
  10. 약국이용자들의 자가투약행위에 관한 연구 박현경
  11. 의약품 구매자의 의사결정에 관한 연구 사공환
  12. 공중보건잡지 v.7 no.1 서태영
  13. 한국의약업계 광고의 소비자의식에 관한 조사연구 윤석중
  14. 제약산업의 정치경제학적 연구 이기효
  15. 서울시내 일부 남녀 중고등학생들의 습관성 약품사용 실태조사 이문자
  16. 서울약사회지 v.11 no.2 기획 특집, 의약품광고 이대로 좋은가? 과장된 광고 아무도 안 믿어 이재희
  17. 서울약사회지 v.11 no.2 기획 특집, 의약품광고 이대로 좋은가? 의약품광고의 실태 인형식
  18. Soc. Sci. Med. v.19 no.7 Self-medication: an important aspect of primary healthcare Abosede, O. A.
  19. Prev. Med. v.1 Relationship of Physical Health Status and Health Practics Belloc, N. B.;Breslow, L.
  20. J. Clin. Epidemiol. v.47 no.2 Antibiotic misuse in diarrhea. A household survey in a Mexican community Bojalil, R.;Calva, J. J.
  21. Med. Care. v.14 no.12 Who's using nonprescribed medicines? Bush, R. J.;Rabin, D. L.
  22. Can. Med. Assoc. J. v.114 no.1 Patterns of medical drug use-a community focus Chation, A.;Spitzer, W. O.;Robert, R. S.;Delmore, T.
  23. Sociology of Medicine(2nd ed.) Coc, R. M.
  24. J. Gen. Intern. Med. v.8 no.5 Polypharmacy: the cure becomes the disease Colley, C. A.;Lucas, L. M.
  25. Drug. Saf. v.5 no.Suppl 1 Over-the-counter drugs. The issues Cranz, H.
  26. Br. J. Clin. Pract. v.48 no.6 Undisclosed self-medication-a clinical pitfall Davies, P.;Fattah, H.;Clee, M. D.
  27. Med. Care. v.21 no.10 Self-care of common illnesses in Denmark Dean, K. J.;Holst, E.;Wagner, M. G.
  28. Journal of American Phamaceutical Asso Non-prescription drug Done, A. K.
  29. Med. Clin. North Am. v.75 no.3 Drug abuse and headache Elkind, A. H.
  30. Med. Care. v.22 no.10 Self-care. Substitute, supplement, or stimulus for formal medical care services? Fleming, G. V.;Giachello, A. L.;Andersen, R. M.;Andrade, P.
  31. Panel on Self-care Self-care--Its place in the total health care system Fry;Farndale
  32. J. Public Health v.17 no.1 Medication use and its correlates among the elderly, August Gilbert, A.;Luszcz, M.;Owen, N.
  33. J. Community Health v.15 no.5 Common illnesses and self-care Green, K. E.
  34. Ann. A cad. Med. Singapore. v.22 no.1 Prevention of adverse drug reactions: role of the patient (consumer) Gwee, M. C.
  35. J. Miss. State. Med. Assoc. v.34 no.6 Common patient symptoms: patterns of self-treatment and prevention Habeeb, G. J.;Gearhart, J. G.
  36. Problem Drugs Herxheimer, A.
  37. The prctitioner Without prescription Horder, J.;Horder, E.
  38. Royal Society of health journal v.97 no.4 Self diagnosis, Self medicationi. Method ancient and modern Inglis, B.
  39. Soc. Sci. Med. v.16 no.23 Hy-R An investigation of prescribed and nonprescribed medicine use behavior within the household context Jackson, J. D.;Smith, M. C.;Sharpe, T. R.;Freeman, R. A.
  40. Am. J. Hosp. Pharm. v.33 no.12 Reported use of nonprescribed drugs in health maintenance Johnson, R. E.;Pope, C.R.;Campbell, W. H.;Azevedo, D. J.
  41. Med. Care. v.21 no.2 Health status and social factors in nonprescribed drug use Johnson, R. E.;Pope, C. R.
  42. Cent. Afr. J. Med v.37 no.6 Epidemiology of household medications in urban Gweru and Harare Kasilo, O. J.;Nhachi, C. F.;Mutangadura, E. F.
  43. World Health Forum v.14 no.4 Drugs in the home: danger and waste Kiyingi, K. S.;Lauwo, J. A.
  44. Am. J. Hos. Pha. v.29 Decision making and Self-medication: Preliminary findings Knapp, D. A.;Knapp, D. E.
  45. J. Am. Pha. Asso. v.NS6 The Public, The Phamist and Self-medication Knapp, D. A.;Knapp, D. E.;Engel, J. F.
  46. Soc-Sci-Med. v.39 no.12 Self-medication among Hong Kong Chinese Lam, C. L.;Catarivas, M. G.;Munro, C.;Lauder, I. J.
  47. J. Am. Geriatr. Soc. v.30 no.11 Suppl Over-the-counter medication: the drug interactions we overlook Lamy, P. P.
  48. Int. J. Clin. Pharmacol. Ther. Toxicol. v.31 no.2 A survey on drug-related hospitalization in a community teaching hospital Lin, S. H.;Lin, M. S.
  49. Public Health Rep. v.97 no.2 Effects of sociodemographic and attitudinal factors on mother- initiated medi - cation behavior for children Maiman, L. A.;Becker, M. H.;Cummings, K. M.;Drachman, R. H.;O'Connor, P. A.
  50. World Health Forum v.12 no.1 Drugs: towards sound prescribing and pricing Mariko, M.
  51. essential drugs for primary health care, Dxfam Bitter bills: Medicine and the Third World Poor Melrose, D.
  52. Int. Dent. J. v.41 no.6 Multiple medication: problems of the elderly patient Oh, V. M.
  53. East. Afr. Med. J. v.72 no.4 A longitudinal health interview survey in rural Kenya: potentials and limitations for local planning Oranga, H. M.;Nordberg, E.
  54. Practitioner v.227 no.1384 Trends in self-prescribing and attitudes to self-medication Peach, H.
  55. Ann. Trop. Med. Parasitol v.70 no.2 A preliminary study of the health of a population staying in apartments of varying sizes in Singgapore Phoon, W.;Quah, S. R.;Tye, C. Y.;Leong, H. K.
  56. J. Community Health. Winter v.1 no.2 Who's using medicines? Rabin, D. L.;Bush, P. J.
  57. Can. Fam. Physician v.39 Pain relief for headaches, Is self - medication a problem? Robinson, R. G.
  58. Soc. Sci. Med. v.27 no.3 Self-medication among primary care patients in Farazdak Clinic in Riyadh Saeed, A. A.
  59. Arch. Toxicol. v.17 no.Suppl. The safety assessment of over-the- counter (OTC) products Schmid, B.
  60. Soc. Sci. Med. v.29 no.2 Exploring the correlates of self-provided health care bahaviour Segall, A.
  61. Med. Care. v.28 no.4 A community survey of self-medication activities Segall, A.
  62. Soc. Sci. Med. v.29 no.2 Exploring the correlates of self-provided health care bahaviour Segall, A.;Goldstein, J.
  63. Br. J. Clin. Pharmacol. v.27 no.6 Self-medication in urban and rural Zimbabwean communities Stein, C. M.;Gora, N. P.;Mackeka, B. M.
  64. Journal of Health and Social Behavior v.6 Stages of Illness and Medical Care Suchman, E. A.
  65. Drug. Intell. Clin. Pharm. v.18 no.9 The use of unprescribed medicine in Warsaw during the years Szyllejko, O. J.
  66. Fam-Pract v.6 no.4 Self-medication among secondary school pupils in Hong Kong: a descriptive study Tse, M. H.;Chung, J. T.;Munro, J. G.
  67. International Journal of Health Services v.16 no.3 Principles of drug therary Vance, M. A.;Millinton, W. A.
  68. S. Afr. Med. J. v.83 no.5 Self-medication in three Orange Free State communities Vanzyl, S. C.
  69. Arch. Fam. Med. v.4 no.7 Frequent use of medical services. Patient reports of intentions to seek care Wagner, P. J.;Phillips, W.;Radford, M.;Hornsby, J. L.
  70. R. Soc. Health J. v.94 no.4 Self-medication: in whose interest? (b)The view of indu stry Wellis, J. P.
  71. Clin. Infect. Dis. v.17 no.Suppl2 Use and misuse of antibiotics in Latin America Wolff, M. J.