International Journal of Community Medicine and Public Health | February 2018 | Vol 5 | Issue 2 Page 811
International Journal of Community Medicine and Public Health
Jain S et al. Int J Community Med Public Health. 2018 Feb;5(2):811-817
http://www.ijcmph.com
pISSN 2394-6032 | eISSN 2394-6040
Original Research Article
Prevalence of self-medication practices among the residents of urban
slums located near govt. medical college, Jabalpur
Shubham Jain
1
, Aditya Thakur
2
*, Kunal Peepre
2
, Shivika Kaushal
1
, Pradeep Kasar
2
INTRODUCTION
Self-medication is defined as medication taken on the
patient’s own initiative or on the advice of pharmacist or
any other lay person. The World Health Organization
(WHO) has defined self-medication as the practice
whereby individuals treat their ailments and conditions
with medicines that are approved and available without
prescription, and which are safe and effective when used
as directed.
1
But self-medication can be described as a
double edged sword for its users, because it has both
beneficial and harmful effects.
2
Antibiotic resistance is
rising to dangerously high levels in all parts of the world.
New resistance mechanisms are emerging and spreading
ABSTRACT
Background: Self-medication is defined as medication taken on the patient’s own initiative or on the advice of
pharmacist or any other lay person. Self-medication can be described as a double edged sword for its users, because it
has both beneficial and harmful effects. According to recent community based study in 2016 prevalence of self-
medication in developing countries varies from 12% to as high as 73% in different communities. The objectives of the
study were to assess the prevalence of self-medication among the residents of urban slums located near Govt. medical
college, Jabalpur and to identify the factors associated with the practice of self-medication.
Methods: It was a descriptive cross sectional study conducted in 412 families residing in slum areas around the
medical college for duration of 2 months [1st July to 31st august 2017]. One participant from each family was
interviewed. Data on socio demographic details (age, gender, education, occupation, and income), practice of self-
medication, and reasons for use of self-medication were collected.
Results: Among the total 412 participants, 176 (42.7%) practiced self-medication out of which 43.6% were Females.
Highest prevalence of 58.1% amongst 18-40 years of age group, 69.3% was literates. Major reason for self-
medication being disease is simple (56.5%). Majority took self-medication occasionally (72.5%) and most common
source were Pharmacists (87.42%) through OTC (81.14%). Most widely used drugs were Analgesics (66.28%) and
main indications were headache, body ache and other pains (25.2%). Associations were compared with chi-square test
Socio economic status of participants and Vicinity distance from hospital revealed statistically significant result.
Socio-economically upper class (p꞊0.018) and participants living more than 500 m away from hospital (p=0.010)
tends to take more self medication.
Conclusions: There was a heterogeneous spread in the practices. Easy availability of over the counter (OTC) drugs is
a major factor responsible for irrational drug use. Community awareness programme, educational interventions
should be conducted about side effects of self-medication.
Keywords: Slums, Self-medication, Practice, Reason
1
Netaji Subhash Chandra Bose Medical College, Jabalpur, M.P., India
2
Department of Community Medicine, Netaji Subhash Chandra Bose Medical College, Jabalpur, M.P., India
Received: 22 December 2017
Accepted: 11 January 2018
*Correspondence:
Dr. Aditya Thakur,
E-mail: adityathakur701@gmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20180274