Abstract

Background and Aim: Use of over the counter (OTC) medications in children is a common practice by parents in developing countries. Specific doses for OTC medications are required, according to a child's age and weight. Parents' awareness about the risk of OTC is essential, and it needs to be raised to minimize OTC risk. This study aims to explore Saudi parents' knowledge, attitude and practice toward self- medicating their children. Methods: A cross-sectional survey was conducted among Saudi parents aged 18-50 years, for over a period of 3 months, from May 2018 to August 2018. The total Saudi parents participated in this study 481 from multiple cities in Qassim region, Saudi Arabia. Results: Synthetic medicines were predominantly administered by the parents to their children (86.1%), meanwhile 29.3% of the participants self-medicated their children more than four times a year. The most common symptoms for taking OTC medication were fever (64.7%), and flu (50.3%). With respect to parents' actions, in cases where the child did not improve with self-medication, 59.3 % of them attended a hospital. The primary sources of medicine were administered by the hospital (48.6%), and pharmacy (27.4%), with paracetamol being the most frequently used (82.5%). Top sources of information regarding medication for the parents were the doctor (81.6%), pharmacist (45.9%) and internet (26.4%). Conclusions: There is generous use for OTC medication for children by their parents in Qassim region, Saudi Arabia. Most of the respondents were educated but their knowledge about OTC is insufficient.

Keywords: Knowledge · Saudi · Medicine · Parents · Children

References

  1. 1.Lee D, Balasubramaniam K, Ali HM. Drug utilization studies: Their transferability between industrialized and developing countries. WHO REGIONAL PUBLICATIONS EUROPEAN SERIES. 1993:193-. Funding No funding Competing interest The author declared no conflict of interests. Acknowledgments We would like to thank all volunteers worked in data collection.
  2. 2.ESKERUD JR, LAERUM E, FAGERTHUN H, LUNDE PK, NAESS A. Fever in general practice I. Frequency and diagnoses. Family practice. 1992 Sep 1;9(3):263-9.
  3. 3.Zaki A, Abdel-Fattah M, Bassili A, Arafa M, Bedwani R. The use of medication in infants in Alexandria, Egypt. Eastern Mediterranean health journal= La revue de sante de la Mediterranee orientale= alMajallah al-sihhiyah li-sharq al-mutawassit. 1999 Mar;5(2):320-7.
  4. 4.Alele PM. Self-Medication Practices by Caretakers for Children. International Invention Journal of Medicine and Medical Sciences. 2015;2(11):165-71.
  5. 5.Maison P, Guillemot D, Vauzelle-Kervroedan F, Balkau B, Sermet C, Thibult N, Eschwege E. Trends in aspirin, paracetamol and non-steroidal anti-inflammatory drug use in children between 1981 and 1992 in France. European journal of clinical pharmacology. 1998 Nov 1;54(8):659-64.
  6. 6.Kai J. Parents and their child’s fever: do as I say, not as I do?. Family practice. Self-Medication Among Saudi Children by Parents in Al-Qassim Region, Saudi Arabia 62 Majmaah Journal of Health Sciences ,Vol. 8, Issue 1, January - 2020 , Jumadil Awwal - 1441 1998 Dec 1;15(6):505-6.
  7. 7.World Health Organization. The role of pharmacist in self-care and self-medication. Report of the 4th WHO Consultative Group on the role of pharmacist. Geneva (CH): WHO; 1998.
  8. 8.Qato DM, Alexander GC, Conti RM, Johnson M, Schumm P, Lindau ST. Use of prescription and over-the-counter medications and dietary supplements among older adults in the United States. Jama. 2008 Dec 24;300(24):2867-78.
  9. 9.Garofalo L, Di Giuseppe G, Angelillo IF. Self-medication practices among parents in Italy. BioMed Research International. 2015;2015.
  10. 10.Du Y, Knopf H. Self‐medication among children and adolescents in Germany: results of the National Health Survey for Children and Adolescents (KiGGS). British journal of clinical pharmacology. 2009 Oct 1;68(4):599-608.
  11. 11.Lokker N, Sanders L, Perrin EM, Kumar D, Finkle J, Franco V, Choi L, Johnston PE, Rothman RL. Parental misinterpretations of over-the-counter pediatric cough and cold medication labels. Pediatrics. 2009 Jun 1;123(6):1464-71.
  12. 12.Eldalo AS. Saudi parent’s attitude and practice about self-medicating their children. Archives of Pharmacy Practice. 2013 Apr 1;4(2):57-63. 63
  13. 13.Eldalo AS, El-Hadiyah TM, Yousif MA. Sudanese parents’ knowledge, attitudes and practice about self-medication to their children: Qualitative study.
  14. 14.Sawalha AF. A descriptive study of self-medication practices among Palestinian medical and nonmedical university students. Research in Social and Administrative Pharmacy. 2008 Jun 1;4(2):16472.
  15. 15.Tibdewal S, Gupta M. Mother’s use of medication in their children of preschool age. Indian journal of public health. 2005 Jan 1;49(1):27.
  16. 16.Hughes L, Whittlesea C, Luscombe D. Patients’ knowledge and perceptions of the side‐effects of OTC medication. Journal of clinical pharmacy and therapeutics. 2002 Aug;27(4):243-8.
  17. 17.Alkhayat M, Albouq N, Osailan A, Alharbi H, Alharbi H, Alharbi R. Prevalence of Parental Self Medication And Its Possible Effect To Their Children In AlMadinah, Kingdom Of Saudi Arabia. Int. J. Adv. Res. 2017 Jan;5(1), 1699-1707.
  18. 18.Aljadhey H, Assiri GA, Mahmoud MA, Al-Aqeel S, Murray M. Self-medication in Central Saudi Arabia: Community pharmacy consumers’ perspectives. Saudi medical journal. 2015;36(3):328.
  19. 19.Albsoul-Younes A, Tahaineh L, Moumani B. Parents’ knowledge, perception, and practices of over-the-counter medi- Self-Medication Among Saudi Children by Parents in Al-Qassim Region, Saudi Arabia Majmaah Journal of Health Sciences ,Vol. 8, Issue 1, January - 2020 , Jumadil Awwal - 1441 cines used for their children. Jordan Journal of Pharmaceutical Sciences. 2011 Sep;4(3):181-9.
  20. 20.Martín‐Pérez M, Lopez De Andres A, Barcenilla Gonzalez MA, Jiménez‐García R, Hernández‐Barrera V, Jiménez‐Trujillo I, Palacios‐Ceña D, Carrasco‐Garrido P. Parental administration of over‐the‐counter medication to Spanish children: A population‐based national study. Journal for Specialists in Pediatric Nursing. 2016 Apr;21(2):64-73. Self-Medication Among Saudi Children by Parents in Al-Qassim Region, Saudi Arabia 64

Peer review

Peer reviewed by 3 reviewers, who chose to remain anonymous.

Majmaah Journal of Health Sciences · eISSN 1658-8223 · Majmaah University · open access