背景:如今,自我药物治疗是许多国家最常见的公共卫生问题之一,以及在伊朗。根据有关自我药疗的流行病学信息的需要,本研究的目的是对伊朗社区自我药疗的患病率和原因进行系统评价和荟萃分析.
方法:收集所需数据,搜索以下关键词:药物,自我药疗,非处方药,非处方,患病率,流行病学,病因学,谷歌学者中的事件和伊朗,PubMed,Scopus,马吉兰,SID和IranMedex(从2000年到2015年)。为了估计整体的自我药疗患病率,计算机软件CMA:2应用。为了报告结果,森林地块被采用。
结果:在1256篇文章中,25篇文章进入研究。基于随机效应模型的自我药疗的总体患病率估计为53%(95%CI,最低=42%,最高=67%)。学生自我药疗的患病率为67%(95%CI,最低=55%,最高=81%),在家庭中,36%(95%CI,最低=17%,最高=77%),老年人为68%(95%CI,最低=54%,最高=84%)。自我药物治疗的最重要原因是轻微的疾病症状。患者自我用药的最重要的一组疾病是呼吸系统疾病,最重要的一组药物是镇痛药。
结论:结果显示,与其他国家相比,伊朗社区中自我药疗的患病率相对较高。提高公众意识,文化建设和控制医生和药房的表现可以对降低自我药疗的患病率产生有益的影响。
BACKGROUND: Nowadays self-medication is one of the most common public health issues in many countries, as well as in Iran. According to need to epidemiological information about self-medication, the aim of this study was to systematic
review and meta-analysis of prevalence and
cause of self-medication in community setting of Iran.
METHODS: Required data were collected searching following key words: medication, self-medication, over-the-counter, non-prescription, prevalence, epidemiology, etiology, occurrence and Iran in Google Scholar, PubMed, Scopus, Magiran, SID and IranMedex (from 2000 to 2015). To estimate the overall self-medication prevalence, computer software CMA: 2 applied. In order to report the results, forest plot was employed.
RESULTS: Out of 1256 articles, 25 articles entered to study. The overall prevalence of self-medication based on the random effect model was estimated to be 53% (95% CI, lowest= 42%, highest=67%). The prevalence of self-medication in students was 67% (95% CI, lowest=55%, highest=81%), in the household 36% (95% CI, lowest=17%, highest= 77%) and in the elderly people 68% (95% CI, lowest=54%, highest=84%). The most important
cause of self-medication was mild symptoms of disease. The most important group of disease in which patients self-medicated was respiratory diseases and the most important group of medication was analgesics.
CONCLUSIONS: The results show a relatively higher prevalence of self-medication among the Iranian community setting as compared to other countries. Raising public awareness, culture building and control of physicians and pharmacies\' performance can have beneficial effects in reduce of prevalence of self-medication.