KNOWLEDGE, PATTERN, PRACTICE, AND FACTORS THAT INFLUENCE SELF MEDICATION AMONG ARTISANS IN A RURAL COMMUNITY IN OVIA-NORTH EAST LOCAL GOVERNMENT AREA.
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Abstract
Self-medication is a widespread public health concern, particularly in low- and middle-income countries where barriers to healthcare access persist. This study examined the prevalence, knowledge, patterns, and influencing factors of self-medication among artisans in Ovia North- East Local Government Area, Edo State, Nigeria. A descriptive cross-sectional design wasNemployed, and data were collected from 212 artisans using a structured questionnaire. The data were analyzed using descriptive statistics (frequencies, percentages, means, and standard deviations) and inferential statistics (Pearson’s correlation) at a 0.05 level of significance. The socio-demographic profile revealed that the respondents were predominantly young adults (34.0% aged 28–37 years), male (67.9%), and moderately educated, with secondary education constituting the highest proportion (41.5%). Findings on prevalence showed that 77.4% of respondents engaged in self-medication, with headaches (65.1%), malaria (57.5%), and body pain (53.8%) being the most common conditions treated. In terms of knowledge, while most respondents correctly defined self-medication (80.2%) and acknowledged its risks (90.1%), only 45.3% demonstrated awareness of drug side effects, resulting in a moderate mean knowledge score of 3.15 (SD = 1.12). The overall classification showed that 60.4% of respondents had good knowledge, while 39.6% had poor knowledge. Regarding patterns of practice, pain relievers (61.3%), antimalarials (51.9%), and antibiotics (46.2%) were the most commonly used drugs, with 66.0% of respondents adhering to full dosage. However, unsafe practices such as incomplete dosage and reliance on herbal drugs (35.4%) or informal drug sources (15.1%) were also reported. The mean pattern score was 3.73 (SD = 0.47), indicating a moderate balance between safe and unsafe practices. Factors influencing self- medication included easy access to drugs (72.6%), high cost of healthcare (67.9%), long waiting times at hospitals (60.4%), peer/family influence (40.6%), and prior experience with illness (56.6%). Hypothesis testing revealed significant relationships between knowledge and practice (r = 0.41, p = 0.001), socio-demographic factors and self-medication patterns (r = 0.312, p = 0.002), and accessibility to healthcare and frequency of practice (r = 0.46, p = 0.001). These results confirm that self-medication is influenced by a combination of knowledge, socio-economic factors, and systemic barriers. The study concludes that self-medication is highly prevalent among artisans and poses considerable health risks despite moderate knowledge levels. It highlights the need for targeted health education, regulation of drug accessibility, and improvement of healthcare affordability and efficiency to mitigate unsafe practices. The findings also have implications for nursing practice, particularly in community health education, preventive care, and patient advocacy
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