Evidence map›Paper›PMID 30727984›Full record

ArticleBMC public health2019

Self-medication with over the counter drugs, prevalence of risky practice and its associated factors in pharmacy outlets of Asmara, Eritrea.

Sirak Tesfamariam, Indermeet Singh Anand, Ghide Kaleab, Samson Berhane, Biruck Woldai, Eyasu Habte, Mulugeta Russom

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed
12.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 173 citations in OpenAlex.

  1. Trial
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  4. Prescription-only medicine requests by clients: Insights from community pharmacies.Exploratory research in clinical and social pharmacy · 2026
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7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Sirak TesfamariamSchool of Pharmacy, Asmara College of Health Sciences, Asmara, Eritrea. sirakino2015@gmail.com.ORCID http://orcid.org/0000-0003-4348-5952
Indermeet Singh AnandPharmacology and Clinical Pharmacy Unit, School of Pharmacy, Asmara College of Health Sciences, Asmara, Eritrea.
Ghide KaleabSchool of Pharmacy, Asmara College of Health Sciences, Asmara, Eritrea.
Samson BerhaneSchool of Pharmacy, Asmara College of Health Sciences, Asmara, Eritrea.
Biruck WoldaiPharmacology and Clinical Pharmacy Unit, School of Pharmacy, Asmara College of Health Sciences, Asmara, Eritrea.
Eyasu HabteBiostatistics and Epidemiology Unit, School of Public Health, Asmara College of Health Sciences, Asmara, Eritrea.
Mulugeta RussomEritrean Pharmacovigilance Centre, National Medicine and Food Administration, Ministry of Health, Asmara, Eritrea.
University of Asmara · ER

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough over the counter (OTC) drugs are believed to be relatively safe, their inappropriate use could have serious implications. The aim of the study was to assess the practice of self-medication, prevalence of risky practice and its associated factors in pharmacy outlets of Asmara, Eritrea.

methodsA descriptive cross-sectional study was conducted among 609 customers in 20 pharmacy outlets in Asmara between August and September, 2017. Two-stage cluster sampling was employed and data were collected using a structured questionnaire through face to face exit interviews. Descriptive statistics and multivariate logistic regression were performed using SPSS (version 22).

resultsOf the 609 customers, 93.7% had practiced self-medication with OTC drugs; of which 81.8% were at risky practice. On average, each participant was using OTC drugs at least once a month (Median = 1, IQR = 3.67). Educational level (p < 0.0001), religion (p = 0.047), occupation (p = 0.027) and knowledge regarding OTC drugs (p = 0.019) were significantly associated with risky practice. Respondents with elementary and below educational level were fifteen times (AOR = 15.49, CI: 1.97, 121.80) at higher risk compared to those with higher education, and students were almost three times (AOR = 2.96, CI: 1.13, 7.73) at higher risk than governmental employees. Furthermore, respondents with below average score in knowledge were more likely to be engaged in risky practice (AOR = 1.83, CI: 1.11, 3.04) compared to those with above average score. The most frequently preferred OTC drug group was analgesics (34.3%) followed by antipyretics (15.7%) and cough and cold preparations (14.2%). About 14% of the respondents admitted that they had taken more than the recommended dose and 6.9% had experienced drug related problems following the consumption of OTC drugs. Always, 35% of the respondents read package insert(s) and 73.9% check expiry dates while purchasing OTC drugs. Refrigerating OTC drugs, where it is not recommended, was also one of the prominent risky practices.

conclusionsThis study revealed that inappropriate self-medication practice with OTC drugs was prevalent requiring early intervention to minimize the risks.

Indexed as

Health Risk BehaviorsAdolescentAdultAgedAged, 80 and overCross-Sectional StudiesEritreaFemaleHumansMaleMiddle AgedNonprescription DrugsPharmaciesPrevalenceRisk FactorsSelf MedicationNonprescription DrugsAsmaraOver the counter drugsPharmacy outletsRisky practiceSelf-medication

Identifiers

PMID30727984
PMCPMC6364400
OpenAlexW2921862974

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.