Systematic Review and Meta-Analysis of Factors Influencing Self-Medication in Children.

To evaluate the prevalence, influencing factors, and behavior rules of self-medication in children. Articles on self-medication in children from various electronic databases (PubMed, Cochrane Library, Web of Science, the WHO website (https://www.who.int/), ABI, CNKI, and Wanfang), were searched to A...

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Publicado en:Inquiry (00469580) pp. 1 - 14
Autores principales: Bi, Bingqing, Qin, Jiangmei, Zhang, Lifang, Lin, Chunmei, Li, Shugang, Zhang, Yanchun
Formato: Artículo
Publicado: Sage Publications Inc. 3/30/2023
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Systematic Review and Meta-Analysis of Factors Influencing Self-Medication in Children.
      aug:
        au:
          Bi, Bingqing
          Qin, Jiangmei
          Zhang, Lifang
          Lin, Chunmei
          Li, Shugang
          Zhang, Yanchun
        affil:
          School of Public Health, Capital Medical University, Beijing, China
          China National Health Development Research Center, Beijing, China
          China Health Economics Association, Beijing, China
      su:
        Online information services
        Medical databases
        Health education
        Meta-analysis
        Confidence intervals
        Systematic reviews
        Economic status
        Age distribution
        Nonprescription drugs
        Child behavior
        Self medication
        Sex distribution
        Health literacy
        Disease prevalence
        Descriptive statistics
        Psychology of caregivers
        Research funding
        MEDLINE
        Data analysis software
        Residential patterns
        Statistical models
        Drug side effects
        Educational attainment
        Antibiotics
        Children
      sug:
        subj:
          Online information services
          Medical databases
          Health education
          Meta-analysis
          Confidence intervals
          Systematic reviews
          Economic status
          Age distribution
          Nonprescription drugs
          Child behavior
          Self medication
          Sex distribution
          Health literacy
          Disease prevalence
          Descriptive statistics
          Psychology of caregivers
          Research funding
          MEDLINE
          Data analysis software
          Residential patterns
          Statistical models
          Drug side effects
          Educational attainment
          Antibiotics
          Children
      keyword:
        behavior rules
        children
        current situation
        influencing factors
        Self-medication
      ab: To evaluate the prevalence, influencing factors, and behavior rules of self-medication in children. Articles on self-medication in children from various electronic databases (PubMed, Cochrane Library, Web of Science, the WHO website (https://www.who.int/), ABI, CNKI, and Wanfang), were searched to August 2022. The single-group meta-analyses of the prevalence, influencing factors, and behavior rules of self-medication in children were performed using Revman 5.3 and Stata 16.0. The overall pooled prevalence of self-medication in children was 57% (95% CI: 0.39-0.75, I² = 100%, P <.00001 Z = 6.22). The pooled prevalence for main influencing factors, in terms of caregivers, was: 73% (95% CI: 0.72-0.75, I² = 100%, P <.00001, Z = 111.18) for those in rural areas; 55% (95% CI: 0.51-0.59, P =.04, Z = 26.92, I² = 68%, P <.00001) for females; 75% (95% CI: 0.74-0.76, I² = 68%, P <.00001, Z = 106.66) for those whose income was less than 716 dollars; 77% (95% CI: 0.75-0.79, I² = 99%, P <.000001, Z = 92.59) for the middle-aged and elderly; and 72% (95% CI: 0.58-87, I² = 99%, P <.00001, Z = 9.82) for those with a degree below bachelor. In the process of self-medication for children, 19% (95% CI: 0.06-0.32, I² = 99%, P <.00001, Z = 2.82) of the caregivers did not read the instructions, 28% (95% CI: −0.03-0.60, I² = 100%, P <.000001, Z = 1.77) neglected adverse effects, 49% (95% CI: 0.11-0.87, I² = 100%, P =.01, Z = 2.51) spontaneously increased or decreased the dosages, 49% (95% CI: 0.48-0.55, I² = 65%, P <.00001, Z = 16.51) had an awareness of over-the-counter (OTC) drugs, and 41% (95% CI: 0.18-0.64, I² = 99%, P <.00001, Z = 3.49) misrecognized the antibiotics. Self-medication for children was common, although the overall prevalence was not very high. The prevalence of self-medication in children was relatively higher among those caregivers who were female, rural, had low-income, were elder, or had a degree below bachelor. Common behaviors during self-medication in children included spontaneous dose increase or decrease, a lack of awareness of OTC drugs, and misconception of antibiotics. Government departments should formulate corresponding policies to provide quality health education resources for the caregivers of children.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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