巴基斯坦自我治疗的流行和模式:系统审查和元分析
Muhammad Saifullah1, Simin Sharafi2, Reza Ghanei Gheshlagh3,4
1Lahore school of nursing, The University of Lahore, Lahore, Pakistan.
BMC public health
|December 13, 2025
概括
巴基斯坦的自我治疗非常普遍,影响了64%的人口. 这种广泛的做法需要紧急的公共卫生干预和监管政策,以减轻抗菌素耐药性等风险.
科学领域:
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
- 流行病学 流行病学
背景情况:
- 自制药是发展中国家的一个重大公共卫生问题,可能导致抗菌素耐药性和延迟医疗护理.
- 了解巴基斯坦自我治疗的普遍性对于开发有针对性的干预措施至关重要.
- 这项研究探讨了在巴基斯坦广泛的自我治疗的做法及其影响.
研究的目的:
- 为了估计巴基斯坦自我治疗的综合患病率.
- 探索巴基斯坦不同的人口和地区的自我治疗患病率的变化.
- 为政策制定和公共卫生宣传活动提供证据.
主要方法:
- 根据PRISMA 2020指南进行了系统审查和元分析.
- 在多个数据库 (Ovid MEDLINE,Embase,CINAHL,Scopus,Web of Science,PakMediNet) 中对2000年至2025年8月期间发表的研究进行了搜索.
- 包括观察性研究报告自我治疗的患病率;采用随机效应元分析,子组分析和元回归.
主要成果:
- 根据65项研究和35,960名参与者,巴基斯坦的自我治疗的总体综合患病率为64% (95%CI:57-71).
- 观察到很高的异质性 (I2 = 99.7%),表明研究之间存在很大的差异;研究结果应谨慎解释.
- 在辛德省 (69.8%) 和大学生 (71.3%) 中,患病率最高. 超回归显示没有与出版年,样本大小或研究质量有显著的关联.
结论:
- 自我治疗在巴基斯坦是一个非常普遍的问题,强调需要立即关注.
- 这些发现强调了监管政策的关键要求,以控制非处方药的可获得性.
- 公共卫生干预措施对于教育人口了解与自我治疗相关的风险至关重要.
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