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Published in: Asia Pacific Family Medicine 1/2012

Open Access 01-12-2012 | Research

Self-medication behaviors among Japanese consumers: sex, age, and SES differences and caregivers’ attitudes toward their children’s health management

Authors: Ikuko Aoyama, Shinichi Koyama, Haruo Hibino

Published in: Asia Pacific Family Medicine | Issue 1/2012

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Abstract

Background

Since 2009, when the revised Pharmaceutical Affairs Act was enacted in Japan, self-medication practices have increased. Because the concept of self-medication was recently introduced in Japan, few studies exist on this topic. Therefore, it is necessary to explore how self-medication is practiced. This study examined Japanese consumers’ self-medication practices and attitudes toward over-the-counter (OTC) medicines based on their sex, age, and socioeconomic status (SES).

Methods

The participants were 403 adults (M age= 41.1 years, SD = 16.22). A quota sampling method was employed based on age group, and participants completed an online questionnaire.

Results

Participants in the 20–29 age group reported medical costs as an obstacle in seeing a doctor; in contrast, transportation was a mitigating factor for elderly people. Regarding SES, people at lower SES levels chose to rest instead of seeing a doctor or purchasing over-the-counter (OTC) medicines when sick. They also placed more value on national brand OTC medicines than private brands (likely due to advertisements). This finding suggests individuals with a low SES do not select OTC medicines based on their effects or ingredients. Regarding attitudes toward OTC medicines, Japanese participants seemed to be unaware of the potential for abuse and side effects associated with OTC medicines. Finally, in relation to caregivers’ self-medication practices for their children, the majority of participants reported taking their children to the hospital since children tend to receive free medical care. Furthermore, caregivers with a high educational background are more confident in being able to help manage their children’s health.

Conclusions

Our results suggest that health and medical discrepancies among Japanese consumers pose new social problems. In Japan, universal health care is available, but the cost of receiving medical care is not completely free of charge. Thus, we hope that the government will attempt to meet the various needs of patients and support their well-being. Consumers also have to be more independent and aware of their health management, as self-medication practices will continue to play a more significant role in healthcare. More research is needed to find ways to teach Japanese consumers/patients of both the benefits and risks of over-the-counter (OTC) medicines.
Literature
1.
go back to reference Chewning B, Sleath B: Medication decision-making and management: A client-centered model. Soc Sci Med 1996, 42: 389–398. 10.1016/0277-9536(95)00156-5PubMedCrossRef Chewning B, Sleath B: Medication decision-making and management: A client-centered model. Soc Sci Med 1996, 42: 389–398. 10.1016/0277-9536(95)00156-5PubMedCrossRef
2.
go back to reference Bond C, Hannaford P: Issues Related to Monitoring the Safety of Over-The-Counter (OTC) Medicines. Dr Safe 2003, 26: 1065–1074. 10.2165/00002018-200326150-00001CrossRef Bond C, Hannaford P: Issues Related to Monitoring the Safety of Over-The-Counter (OTC) Medicines. Dr Safe 2003, 26: 1065–1074. 10.2165/00002018-200326150-00001CrossRef
3.
go back to reference Bradley PC, Riaz ASR, Tobias EJ, Kentre Dassu YD: Patient attitudes to over-the-counter drugs and possible professional responses to self-medication. Fam Prac 1998, 15: 44–50. 10.1093/fampra/15.1.44CrossRef Bradley PC, Riaz ASR, Tobias EJ, Kentre Dassu YD: Patient attitudes to over-the-counter drugs and possible professional responses to self-medication. Fam Prac 1998, 15: 44–50. 10.1093/fampra/15.1.44CrossRef
4.
go back to reference Du Y, Knopf H: Self-medication among children and adolescents in Germany: results of the National Health Survey for Children and Adolescents (KiGGS). Brit J Clin Pharm 2009, 68: 599–608. 10.1111/j.1365-2125.2009.03477.xPubMedCentralPubMedCrossRef Du Y, Knopf H: Self-medication among children and adolescents in Germany: results of the National Health Survey for Children and Adolescents (KiGGS). Brit J Clin Pharm 2009, 68: 599–608. 10.1111/j.1365-2125.2009.03477.xPubMedCentralPubMedCrossRef
5.
go back to reference Wazaify M, Shields E, Hughes MC, McElnay CJ: Societal perspectives on over-the-counter (OTC) medicines. Fam Prac 2005, 22: 170–176. 10.1093/fampra/cmh723CrossRef Wazaify M, Shields E, Hughes MC, McElnay CJ: Societal perspectives on over-the-counter (OTC) medicines. Fam Prac 2005, 22: 170–176. 10.1093/fampra/cmh723CrossRef
6.
go back to reference Nielsen WM, Hansen HE, Rasmussen KN: Patterns of psychotropic medicine use and related diseases across educational groups: national cross-sectional survey. Eur J Clin Pharm 2004, 60: 199–204. 10.1007/s00228-004-0741-4CrossRef Nielsen WM, Hansen HE, Rasmussen KN: Patterns of psychotropic medicine use and related diseases across educational groups: national cross-sectional survey. Eur J Clin Pharm 2004, 60: 199–204. 10.1007/s00228-004-0741-4CrossRef
7.
go back to reference Kogan DM, Pappas G, Yu MS, Kotelchuck M: Over-the counter medication use among US preschool-age children. JAMA 1994, 272: 1025–1030. 10.1001/jama.1994.03520130063034PubMedCrossRef Kogan DM, Pappas G, Yu MS, Kotelchuck M: Over-the counter medication use among US preschool-age children. JAMA 1994, 272: 1025–1030. 10.1001/jama.1994.03520130063034PubMedCrossRef
8.
go back to reference Eiland L, Salazar M, English T: Caregivers’ perspectives when evaluating nonprescription medication utilization in children. Clin Ped 2008, 47: 578–587. 10.1177/0009922807310244CrossRef Eiland L, Salazar M, English T: Caregivers’ perspectives when evaluating nonprescription medication utilization in children. Clin Ped 2008, 47: 578–587. 10.1177/0009922807310244CrossRef
9.
go back to reference Birchley N, Conroy S: Parental management of over-the-counter medicines. Paed Nur 2002, 14: 24. Birchley N, Conroy S: Parental management of over-the-counter medicines. Paed Nur 2002, 14: 24.
10.
go back to reference Narui K, Suetsugu D, Watanabe K: Survey of consumer views on non-prescription drugs and self-medication before enactment of revised pharmaceutical affairs law in 2009 [In Japanese]. JJPHCS 2010, 36: 240–251. 10.5649/jjphcs.36.240CrossRef Narui K, Suetsugu D, Watanabe K: Survey of consumer views on non-prescription drugs and self-medication before enactment of revised pharmaceutical affairs law in 2009 [In Japanese]. JJPHCS 2010, 36: 240–251. 10.5649/jjphcs.36.240CrossRef
12.
go back to reference Trajanovska M, Manias E, Cranswick N, Johnston L: Parental management of childhood complaints: Over-the-counter medicine use and advice-seeking behaviours. J Clin Nur 2010, 19: 2065–2075. 10.1111/j.1365-2702.2009.03092.xCrossRef Trajanovska M, Manias E, Cranswick N, Johnston L: Parental management of childhood complaints: Over-the-counter medicine use and advice-seeking behaviours. J Clin Nur 2010, 19: 2065–2075. 10.1111/j.1365-2702.2009.03092.xCrossRef
13.
go back to reference Maiman AL, Becker HM, Cummings KM, Drachman HR, O’Connor AP: Effects of sociodemographic and attitudinal factors on mother-initiated medication behavior for children. PHR 1982, 94: 140–149. Maiman AL, Becker HM, Cummings KM, Drachman HR, O’Connor AP: Effects of sociodemographic and attitudinal factors on mother-initiated medication behavior for children. PHR 1982, 94: 140–149.
14.
go back to reference Green BS, Salkind WJ: Using SPSS for Windows and Macintosh: Analyzing and Understanding Data. 4th edition. London: Pearson; 2004. Green BS, Salkind WJ: Using SPSS for Windows and Macintosh: Analyzing and Understanding Data. 4th edition. London: Pearson; 2004.
15.
go back to reference Hanibuchi K: Inequalities in health and health care access: Analysis of access to medical care using JGSS-2008 [In Japanese]. JGSS Research Series 2010, 10: 99–110. Hanibuchi K: Inequalities in health and health care access: Analysis of access to medical care using JGSS-2008 [In Japanese]. JGSS Research Series 2010, 10: 99–110.
18.
go back to reference Raynor D, Blenkinsopp A, Knapp P, Grime J, Nicolson D, Pollock K, Spoor P: A systematic review of quantitative and qualitative research on the role and effectiveness of written information available to patients about individual medicines. Health Tech Assess (Winchester, England) 2007, 11: 1–160. Raynor D, Blenkinsopp A, Knapp P, Grime J, Nicolson D, Pollock K, Spoor P: A systematic review of quantitative and qualitative research on the role and effectiveness of written information available to patients about individual medicines. Health Tech Assess (Winchester, England) 2007, 11: 1–160.
19.
go back to reference Kawase A, Sembiring ET, Choi J, Koyama S, Hibino H: The evaluation of consumers’ attention to risk and benefit information on OTC medicine packages [In Japanese]. Hyogo, Japan: Paper presented at Japan Association for Consumer Studies Conference; 2010. Kawase A, Sembiring ET, Choi J, Koyama S, Hibino H: The evaluation of consumers’ attention to risk and benefit information on OTC medicine packages [In Japanese]. Hyogo, Japan: Paper presented at Japan Association for Consumer Studies Conference; 2010.
23.
go back to reference MacLennan HA, Sturdee WD: Time for evidence-based labeling of over-the-counter medicines. Climacteric 2007, 10: 179–180. 10.1080/13697130701371508PubMedCrossRef MacLennan HA, Sturdee WD: Time for evidence-based labeling of over-the-counter medicines. Climacteric 2007, 10: 179–180. 10.1080/13697130701371508PubMedCrossRef
Metadata
Title
Self-medication behaviors among Japanese consumers: sex, age, and SES differences and caregivers’ attitudes toward their children’s health management
Authors
Ikuko Aoyama
Shinichi Koyama
Haruo Hibino
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Asia Pacific Family Medicine / Issue 1/2012
Electronic ISSN: 1447-056X
DOI
https://doi.org/10.1186/1447-056X-11-7

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