Awareness, Knowledge, Perception and Attitude towards Prescription Medicines Abuse among Medicines Prescribers and Dispensers in Nnewi Nigeria
- 1 Consultant Public Health Physician (MBBS, FWACP, FMCPH), Department of Community Medicine, NAU/NAUTH, Nnewi, Nigeria
- 2 Consultant Public Health Physician, (MBBS, MPH, FWACP), Department of Community Medicine, NAUTH, Nnewi, Nigeria
- 3 Consultant Public Health Physician (MBBS, MPH, FMCPH), Department of Community Medicine, University of Abuja, Abuja, Nigeria
- 4 Consultant Public Health Physician (MBBS, FMCPH), Department of Community Medicine, NAU/NAUTH, Nnewi, Nigeria
- 5 Consultant Public Health Physician (MBBS, FWACP), Department of Community Medicine, NAU/NAUTH, Nnewi, Nigeria
Abstract
Background: Abuse of medicines is becoming a serious problem in many parts of the world, with negative consequences ranging from addiction, psychosis, cardiovascular complications, and premature deaths from unintentional overdose. Objectives: The objective of this study is to assess awareness, knowledge, perception and attitudes toward the abuse of prescription medicines (PM) among medicines prescribers and dispensers in Nigeria. Design and Participants: A descriptive cross-sectional study was carried out among pharmacists, other pharmacy staff in retail pharmacies, licensed patent medicines vendors (chemical sellers), and medical doctors in Nnewi, Nigeria. Data were collected through self-completed questionnaire supervised by trained research assistants, between December 2013 and April 2014. Three hundred and seventy-five participants were recruited for this study. Data Analysis: The Statistical Package for the Social Sciences (SPSS) version 17 for windows was used for data analysis. Bivariate and multivariate analyses were carried out to evaluate differences and associations based on selected variables. Results: The perception was high 294 (78.4%) among respondents that PM abuse was a problem in the community. Knowledge of health problems associated with PM abuse was also high at 226 (60.3%). However the attitude of the respondents towards early detection of PM abuse among their patients/clients was discouraging. Education, educational status, work status and gender significantly predict good knowledge and positive attitude about PM abuse. Conclusion: Findings from this study will assist health authorities to formulate appropriate health promotion interventions to control and prevent abuse of prescription medicines. Actions directed at early intervention, capacity building, education, public health initiatives and law enforcements will hopefully curb the menace of PM abuse in Nnewi, Nigeria.
- NIDA (2013) Drug Facts: Prescription and Over-the-Counter Medications. http://www.drugabuse.gov/publications/drugfacts/prescription-over-counter-medications
- Substance Abuse and Mental Health Services Administration (2011) Results from the 2010 National Survey on Drug Use and Health: Summary of National Findings, NSDUH Series H-41, HHS Publication No. (SMA) 11-4658. Substance Abuse and Mental Health Services Administration, Rockville. http://store.samhsa.gov/home
- National Survey on Drug Use and Health (2004) Characteristics of Primary Prescription and OTC Treatment Admissions: 2002. Office of Applied Studies, Substance Abuse and Mental Health Services Administration, Washington DC.
- Orhii, P. (2012) Prescription of Medicines in Nigeria…Abuse and implications for the Health of Nigerians’ A Presentation by Director General (NAFDAC) at the Physicians Week 2012 organized by Nigerian Medical Organization (NMA) Oyo State Branch, 23rd October 2012.
- Drug Abuse Warning Network (2006) Emergency Department Visits Involving ADHD Stimulant Medications. Office of Applied Studies, Substance Abuse and Mental Health Services Administration, Washington DC.
- Lessenger, J.E. and Feinberg, S.D. (2008) Abuse of Prescription and Over-the-Counter Medications. Journal of the American Board of Family Medicine, 21, 45-54. http://dx.doi.org/10.3122/jabfm.2008.01.070071
- NIDA (2011) Research Report Series: Prescription Drugs: Abuse and Addiction. www.erikbohlin.net/Handouts/personality...of_addiction.htm
- Onyeka, I.N., Uosukainen, H., Korhonen, M.J., Beynon, C., Bell, J.S., Rönkainen, K., Föhr, J., Tiihonen, J. and Kauhanen, J. (2012) Sociodemographic Characteristics and Drug Abuse Patterns of Treatment-Seeking Illicit Drug Abusers in Finland, 1997-2008: The Huuti Study. Journal of Addictive Diseases, 31, 350-362. http://dx.doi.org/10.1080/10550887.2012.735563
- McCabe, S.E. and Boyd, J.C. (2005) Sources of Prescription Drugs for Illicit Use. Addictive Behaviors, 30, 1342-1350. http://dx.doi.org/10.1016/j.addbeh.2005.01.012
- Gianutsos, G. (2009) Prescription Drug Abuse: Strategies to Reduce Diversion. http://www.uspharmacist.com/continuing_education/ceviewtest/lessonid/106448
- Lafferty, L., Hunter, T.S. and Marsh, W.A. (2006) Knowledge, Attitudes, and Practices of Pharmacists Concerning Prescription Drug Abuse. Journal of Psychoactive Drugs, 38, 229-232. http://dx.doi.org/10.1080/02791072.2006.10399848