The determinants of self-medication: Evidence from urban Vietnam

Hoài, Nguyễn Trọng; Dang, Thang

doi:10.1080/00981389.2016.1265632

Cited by 21 publications

(24 citation statements)

References 17 publications

(6 reference statements)

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“…Males are more involved in this practice than females, which was in line with previous findings in India and Nepal 33–35. However, it was different from a study in Vietnamese urban area, which revealed that no association between self-medication and gender 23. This difference might be due to the role of each gender in different settings.…”

Section: Discussionsupporting

confidence: 70%

“…The 12-month prevalence of self-medication in our study was 83.3%, which was much higher than this rate in other settings in the world such as Spain (12.7–18%),10,11 China (32–45.4%),12,13 Mexico (53%),14 the United Kingdom and Chile (75%) 15,16. This result was also higher than a prior study in rural Vietnam (40–60%)22 and approximately equaled to that in urban areas (76.0%) 23. The differences might be explained by the variations of recall time period, socio-cultural-economic as well as health care accessibility among different settings.…”

Section: Discussioncontrasting

confidence: 53%

“…Self-medication has been recognized as a common issue in Vietnam. The self-medication rate in the general population has ranged from 40% to 60% in rural areas22 to 76% in urban areas 23. However, none of the evidence was found among individuals in highland areas of Vietnam.…”

Section: Introductionmentioning

confidence: 99%

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<p>Self-medication practices among Vietnamese residents in highland provinces</p>

Nguyen

2019

JMDH

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Background: Monitoring self-medication practice, which refers to individuals using medicine without instructions of physicians, is critical to control its harmful effects. However, in Vietnam, evidence about self-medication among individuals in highland areas is constrained. This study examined self-medication practice among residents living in highland areas in Vietnam and determined associated factors. Materials and methods: A cross-sectional study was performed in five highland provinces with 1000 individuals. Information about individual and household’s socioeconomic status and self-medication practice in the last 12 months was surveyed. Multivariate logistic and Poisson regressions were used to identify associated factors with self-medication. Results: 83.3% reported self-medication in the last 12 months, with the mean times of self-medication being 4.5 times (SD=4.1). Female (OR=0.62, p <0.01), ethnic minorities, higher number of members having health insurance in family (OR=0.82, p <0.01) and higher annual household income (OR=0.78, p <0.05) were associated with the lower likelihood of “Only buy medicines at pharmacy stores when having illness in the last 12 month”. Moreover, people who were females (OR=0.59, p <0.05), white-collar worker (OR=0.25, p <0.01) and had higher number of children in the family (OR=0.68, p <0.05) were less likely to practice self-medication. People who were ethnic minorities, white-collar worker (Coef.=−0.32, p <0.01) and higher number of members having health insurance in family had lower times of self-medication in the last 12 months compared to other groups. Meanwhile, individuals having higher number of members in the family (Coef.=0.07, p <0.01) and higher annual household income (Coef.=0.08, p <0.01) had highertimes of self-medication in the last 12 months. Conclusion: Residents in highland areas in Vietnam had a considerably high 12-month prevalence of self-medication. Medical products quality management and self-medication guideline are potential to maximize the effects of self-medication. Moreover, promoting the use of health insurance should also be concerned as a solution to address this issue.

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Section: Discussionsupporting

confidence: 70%

Section: Discussioncontrasting

confidence: 53%

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<p>Self-medication practices among Vietnamese residents in highland provinces</p>

Nguyen

2019

JMDH

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“…Previous studies claimed that insurance is a key determinant for self-treatment [ 7 , 32 ]. However, this correlation was not found in self-medication analysis, a possible reason is that most OTC drugs (90%) used for self-medication in China were not covered by medical insurance.…”

Section: Discussionmentioning

confidence: 99%

Self-Medication Practice and Associated Factors among Residents in Wuhan, China

Lei

Jiang

Liu

et al. 2018

IJERPH

102

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Background: This study aims to examine the prevalence and predictors associated with self-medication, and related consequences in Wuhan, China. Methods: Two-hundred-sixty residents were interviewed from randomly selected four districts of Wuhan, China. A modified version of Anderson’s health behavioral model was used in the survey to collect information of self-medication behavior. Multivariable logistic regression analyses were used to measure correlates of the prevalence of self-medication. Results: Nearly half of the respondents would select self-medication, and 39.1% would see a doctor if they felt sick. The most common self-medicated illnesses were cold and cough, cardiovascular disease and gastrointestinal disease. The main reasons for self-medication were that the illness was not severe (enough) to see the doctor (45%); the patient did not think that the trouble of seeing a doctor was worth the effort (23%); the patient had no time to see the doctor (12%), and the patient did not want to pay high medical costs (15%). Logistic regression results suggested that respondents tended to select self-medication if the illness was minor or short-term (less than seven days). Conclusions: Our findings suggest that more strict regulation on over-the-counter medicines may be required to reduce health risks related to self-medication. Targeted health education on the risks of self-medication should be considered.

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“…Moreover, the capability of health care service provision was therefore expanded considerably in both the quantity, (Lönnroth et al, 1998). The market-based or non-state health care practices have been more impetuously functioned and increasingly utilized as chosen approaches to medical treaments in Vietnam as an apparent consequence of the partial privatization of health care system (Hoai & Dang, 2017;Ladinsky et al, 2000;Wolffers, 1995). The development of private health care sector has been treated as a very neccessary complementary part to the public health sector to sufficiently provide health care services in terms of both the volume and the quality of services, especially in low-and middle-income countries (Uplekar, 2000).…”

Section: Context Of the Studymentioning

confidence: 99%

Does the More Educated Utilize More Health Care Services? Evidence from Vietnam Using a Regression Discontinuity Design

Dang

2017

SSRN Journal

Self Cite

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In 1991 Vietnam implemented a compulsory schooling reform that provides this paper a natural experiment to estimate the causal effect of education on health care utilization measured by the probability of doctor visit, the frequency of doctor visit and per visit out-of-pocket expenditure with a regression discontinuity design. The paper finds that schooling induces considerable impacts on health care utilization although the signs of the impacts changes with specific types of health care service examined. In particular, increased education aggrandizes inpatient utilization whereas it reduces outpatient health care utilization for both public and private health sectors. The estimates are strongly robust to various windows of the sample choice. The paper also discovers that the links between education and health insurance or income play very essential roles as potential mechanisms to explain the causal impacts of education on health care utilization in Vietnam.

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The determinants of self-medication: Evidence from urban Vietnam

Cited by 21 publications

References 17 publications

<p>Self-medication practices among Vietnamese residents in highland provinces</p>

<p>Self-medication practices among Vietnamese residents in highland provinces</p>

Self-Medication Practice and Associated Factors among Residents in Wuhan, China

Does the More Educated Utilize More Health Care Services? Evidence from Vietnam Using a Regression Discontinuity Design

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