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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.
Abstract:
It is well documented that injudicious antibiotic use and practicing self-medication with antibiotics (SMA) can lead to antibiotic resistance. The objective was to validate and develop an instrument in Bahasa Melayu to assess the awareness and practices towards SMA in the Malaysian population. A pilot study was conducted among 100 Malaysians participants. Reliability testing in terms of test-retest, internal consistency, and content validity was performed. One-way ANOVA and t-test were applied to determine significant differences between groups. A panel of nine experts evaluated the research instrument for content validity and it was found to have strong content item validity (Indices = 1). Each domain (level of knowledge and understanding about antibiotic use and antibiotic resistance: Practice towards self-medication) showed good internal consistency of Cronbach's alpha 0.658 and 0.90. While test-retest reliability value for each domain was 0.773 (p = 0.009), and 0.891 (p = 0.001. The mean ± standard deviation (SD) for level of knowledge about antibiotic use and antibiotic resistance was 21.8 ± 7.02 and for practice scores (SMA) 6.03 ± 2.30. The instrument established sound reliability and validity and, therefore, can be an effective tool for assessing public awareness, and practices toward self-medication with antibiotics in the Malaysian population.
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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