Analgesics Self-Medication and its Association with Sleep Quality among Medical Undergraduates
FC07-FC11
Correspondence
Dr. Ahmad Nadeem Aslami,
Assistant Professor, Department of Community Medicine,
Narayan Medical College & Hospital Near Bank of India,
Jamuhar Sasaram-821305, Bihar, India.
E-mail: ahmadnadeemaslami@gmail.com
Introduction: Self-medication especially with analgesics is a common practice among undergraduate medical students. Variation in analgesic self-medication prevalence and pattern is often seen due to geographical and target population differences. The mutual influence of pain and sleep quality might persuade students self medication behaviour.
Aim: To assess analgesic self-medication and its association with sleep quality among the medical undergraduates.
Materials and Methods: A cross-sectional questionnaire based study was conducted from December 2015 to February 2016 among 320 medical undergraduates. The information about socio-demographic profile, symptoms, types of analgesics, source of information and reason for analgesic self-medication was collected. The sleep quality of students was assessed by Pittsburgh Sleep Quality Index (PSQI). The qualitative variables were expressed as percentages. Odds Ratio (OR) with 95% Confidence Interval (CI) was also calculated. Chi-square test was used.
Results: Analgesic self-medication prevalence was 49.7%, more prevalence seen among males, seniors, urban residents and students of working parents. Headache (48.4%) was the most common cause and paracetamol (79.7%) was most frequent drug used, based on knowledge obtained through textbook and internet (47.1%). Mildness of symptoms (49.1%) was the most important motivation behind self-medication. Analgesic use was more (57.4%) among “poor sleepers” compared to “normal sleepers” (45.2%).
Conclusion: Despite having easy accessibility to expert consultations, high prevalence of analgesic self-medication among medical students and its association with poor sleep quality is a distressing issue. This indicates an urgent need of awareness programmes about harmful effects of self-medication and healthy sleep practices.