Self-medication practices and risk factors for self-medication among medical students in Belgrade, Serbia
Jasminka Adzic Lukovic1, Vladimir Miletic2, Tatjana Pekmezovic1
1Institute of Epidemiology, School of Medicine, University of Belgrade, Belgrade, Serbia.
Introduction:
Self-medication among future health care professionals can represent a serious threat to professionalism in medicine and it has potential to put at risk public trust into this profession. The aim of this research was to investigate prevalence and risk factors for self-medication among population of medical students, because it was previously shown that their attitudes towards pharmacotherapy could affect the way they could prescribe medication in the future.
Material And Methods:
Research was performed as a cross-sectional study and it included 1296 (84.1%) 1st, 3rd and 6th year students of School of Medicine, University of Belgrade. Students filled out a demographic and self-medication questionnaire created for the purpose of this research and the Physical Health Questionnaire - 9 (PHQ-9). Questions about self-medication were related to the period of the previous year.
Results:
Self-medication was reported by 79.9% students. The most frequently self-prescribed medications were analgesics (55.4%). Independent risk factors for self-medication were possession of home-pharmacies (OR = 5.3, CI 95% 3.89-7.23), lower level of father's education (OR = 1.6, CI 95% 1.18-2.25), consumption of alcoholic beverages (OR = 1.5, CI 95% 1.13-2.08), less than 1 hour spent in physical activity per week (OR = 1.4, CI 95% 1.00-2.02), female gender (OR = 1.4, CI 95% 1.02-1.89), older age (OR = 1.1, CI 95% 1.07-1.21) and higher PHQ-9 score (OR = 1.09, CI 95% 1.05-1.12).
Conclusions:
Self-medication is an important issue among population of medical students. Prevalence of self-medication could be controlled through regulatory authorities and further education.
Related Concept Videos
Pharmaceutical Poisoning: Potential Scenarios
Drug Toxicity: Risk factors
Bioavailability Study Design: Healthy Subjects Versus Patients
Myocarditis III: Medical Management
Pharmacovigilance
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
Drug Abuse and Addiction: Pharmacological Phenomena


