Public Awareness and Practices towards Self-Medication with Antibiotics among the Malaysian Population. A Development

Adeel Aslam1, Márió Gajdács2,3, Che Suraya Zin1

  • 1Department of Pharmacy Practice, Kulliyyah of Pharmacy, International Islamic University Malaysia, Kuantan, Pahang 25200, Malaysia.

Insights

This study developed a reliable and valid instrument in Bahasa Melayu to assess public awareness and practices regarding self-medication with antibiotics (SMA) in Malaysia, crucial for combating antibiotic resistance.

Area of Science:

  • Pharmacology
  • Public Health
  • Health Education

Background:

  • Injudicious antibiotic use and self-medication with antibiotics (SMA) contribute significantly to the global challenge of antibiotic resistance.
  • Assessing public awareness and practices is vital for developing targeted interventions to mitigate SMA.

Purpose of the Study:

  • To validate and develop an instrument in Bahasa Melayu to assess awareness and practices towards SMA in the Malaysian population.
  • To establish the reliability and validity of the developed instrument for future research and public health initiatives.

Main Methods:

  • A pilot study involving 100 Malaysian participants was conducted.
  • The instrument underwent rigorous reliability testing (test-retest, internal consistency) and content validity assessment by nine experts.
  • Statistical analyses including one-way ANOVA and t-test were employed to determine group differences.

Main Results:

  • The instrument demonstrated strong content validity (Indices = 1) and good internal consistency (Cronbach's alpha 0.658 and 0.90).
  • Test-retest reliability was high, with values of 0.773 (p = 0.009) and 0.891 (p = 0.001) for the respective domains.
  • Mean scores indicated varying levels of knowledge and practice regarding antibiotic use and SMA.

Conclusions:

  • The developed Bahasa Melayu instrument is reliable and valid for assessing public awareness and practices related to self-medication with antibiotics in Malaysia.
  • This validated tool can effectively inform public health strategies aimed at reducing inappropriate antibiotic use and combating antibiotic resistance.

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