The use of medicine for the treatment of health problems is a common practice among children. Most children form attitudes, beliefs and expectations about medicines through their past experience with medicines, and through observing their parents or family members taking medicines.
Objectives:
This study aimed to evaluate knowledge and attitudes toward medicines among primary schoolchildren and to evaluate the factors that may be associated with such knowledge and attitudes.
Method:
A cross-sectional survey was conducted among schoolchildren from the fifth and sixth grades (aged 11–12 years) in four conveniently selected primary schools in Penang Island. Self-administered questionnaires were used to collect data from the children and their parents. All schoolchildren from grades 5 and 6 in the four schools were recruited into the survey. The total sample size was 1000 children and 1000 of those children's parents.
Results:
The findings indicated that the average knowledge score was 7.36 ± 2.38 for 11-year olds and 8.09 ± 2.08 for 12-year olds, out of a maximum point score of 12. However, there was a significant difference between children related to their age and race (P < 0.05). Older children were more knowledgeable about medicines. Furthermore, the education level of the parents and their socioeconomic status influenced children's knowledge and attitude scores regarding medicines.
Conclusion:
This study indicated that children have limited knowledge about medicines and some negative attitudes toward medicines. This suggests that a plan for school-based health education is needed especially on the topic of medicine education.
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References
1.
KoganM.D., PappasG., YuS.M., KotelchuckM.Over-the-counter medication use among US preschool-age children. JAMA, 1994; 272:1025–1030.
2.
DenglerR., RobertsH.Adolescents’ use of prescribed drugs and over the counter preparations. J Public Health Med, 1996; 18:437–442.
3.
ChambersC.T., ReidG.J., McGrathP.J., FinleyG.A.Self administration of OTC medicines for pain among adolescents. Arch Pediatrics Adolesc Med, 1997; 151(5):449–455.
4.
StoelbenS., KrappweisJ., RosslerG., KirchW.Adolescents’ drug use and drug knowledge. Eur J Pediatr, 2000; 159:608–614.
5.
HansenE.H., HolsteinB.E., DueP., CurrieC.E.International survey of self-reported medicine use among adolescents. Ann Pharmacother, 2003; 37:361–366.
6.
HolsteinB.E., Holme HansenE., DueP., AlmarsdottirA.B.Self reported medicine use among 11- to 15-year old girls and boys in Denmark 1988-1998. Scand J Public Health, 2003; 31(5):334–341.
7.
HuottM.A., StorrowA.B.A survey of adolescents’ knowledge regarding toxicity of over-the-counter medications. Acad Emerg Med, 1997; 4(3):214–218.
8.
FuruK., SkurtveitS., RosvoldE.O.Self-reported medical drug use among 15-16 year-old adolescents in Norway. [In Norwegian]. Tidsskr Nor Laegeforen, 2005; 125(20):2759–2761.
9.
AbahussainE., MatoweL.K., NichollsP.J.Self-reported medication use among adolescents in Kuwait. Med Principles Pract, 2005; 14:161–164.
10.
KlaukkaT., MartikainenJ., KalimoE.Drug Utilization in Finland 1964–1987, 71. Helsinki: Publications of the Social Insurance Institution; 1990.
11.
RudolfM.C., AlarioA.J., YouthB., RiggsS.Self-medication in childhood: observations at a residential summer camp. Pediatrics, 1993; 91:1182–1184.
12.
MenackerF., AramburuzabalaP., MinianN., BushP.J., BibaceR.Children and medicines: what they want to know and how they want to learn. J Soc Adm Pharm, 1999; 16(1):38–52.
13.
GerritsT., Haaijer-RuskampF., HardonA.P.“Preferably half a tablet”: health-seeking behavior when Dutch children get ill. In: BushP.J., TrakasD.J., SanzE., WirsingR.L., VaskilampiT., ProutA., editors. Children, Medicines, and Culture. New York: Pharmaceutical Products Press; 1996. p. 209–228.
14.
BushPJ, JoshiM. Towards a universal curriculum for teaching children about medicines. In: Safe Systems – Safe Treatment – Safe Patients. Proceedings of the 62nd World Congress of Pharmacy FIP. Nice, France, 31st August – 5th September, 2002.
15.
NutbeamD.Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int, 2000; 15:259–267.
TomsonG., SterkyG.Self-prescribing by way of pharmacies in three Asian developing countries. Lancet, 1986; 2:620–622.
18.
US Pharmacopeia (USP) Ad Hoc Advisory Panel on Children and Medicines. Guide to Developing and Evaluating Medicine Education. Programs and Materials for Children and Adolescents. Rockville, MD: USP; 1998. 39 pp. Available at: http://www.usp.org/pdf/EN/consumers/guide.pdf [accessed Nov 6, 2004].
Hameen-AnttilaK., JuvonenM., AhonenR., BushP.J., AiraksinenM.How well can children understand medicine related topics?. Patient Educ Couns, 2006; 60:171–178.
BushP.J., IannottiR.J., DavidsonF.R.A longitudinal study of children and medicines. In: BreimerD.D., SpeiserP., editors. Topics in Pharmaceutical Sciences. Amsterdam: Elsevier Science Publishers (Biomedical Division); 1985. p. 391–403.
23.
Darmanin EllulR., CordinaM., BuhagiarA., FenechA., MifsudJ.Knowledge and sources of information about medicines among adolescents in Malta. Pharmacy Pract, 2008; 6(4):178–186.
24.
SanzE.J., BushP.J., GarciaM.Medicines at home: the contents of medicine cabinets in eight countries. In: BushP.J., TrakasD.J., SanzE.J., WirsingR.L., VaskilampiT., ProutA., editors. Children, Medicines and Culture. New York: Pharmaceutical Products Press; 1996. p. 77–104.
25.
MenackerF., AramburuzabalaP., MinianN., BushP., BibaceR.Children and medicines: what they want to know and how they want to learn. J Soc Adm Pharm, 1999; 16(1):38–52.
26.
GrayNJ, McPhersonA, MacFarlaneA. ‘Ask About Medicines’: An Online Quiz for Adolescents. London, UK: Health Services Research and Pharmacy Practice; 2005. Available from: http://www.hsrpp.org.uk/abstracts/2004_22.shtml [Accessed Jan 11, 2005].
27.
AlmarsdottirA.B., HartzemaA.G., BushP.J., SimpsonK.N., ZimmerC.Children's attitudes and beliefs about illness and medicines: triangulation of open-ended and semi-structured interviews. J Soc Adm Pharm, 1997; 14:26–41.
28.
ChristensenP. The Danish participation in the COMAC medicines and childhood project. In: TrakasD, SanzE (editors). Childhood and Medicine Use in a Cross-Cultural Perspective: A European Concerted Action. Brussels: European Commission Report EUR 16646 EN; 1996. Pp. 103–21.
29.
SchickedanzJ.A., SchickedanzD.I., ForsythP.D., ForsythP.A.Understanding Children and Adolescents. 3rd edition. Boston: Allyn and Bacon; 1998.
30.
BozoniK., KalmantiM., KoukouliS.Perception and knowledge of medicines of primary schoolchildren: the influence of age and socioeconomic status. Eur J Pediatr, 2006; 165:42–49.
31.
EggenA.E.Pattern of drug use in a general population, prevalence and predicting factors: The Tromso Study. Int J Epidemiol, 1994; 23:1262–1272.
32.
MetgeC., BlackC., PetersonS., KozyrskyjA.L.The population's use of pharmaceuticals. Med Care, 1999; 37:JS42–JS59.
33.
JacobBO. Fostered children's perception of their health care and illness treatment in Ekiti. Yoruba households, Nigeria. 1995. Graduate Studies in Demography. Canberra, ACT 0200, Australia: National Centre for Development Studies, the Australian National University; 1995.
34.
BushP.J., IannottiR.J.A children's health belief model. Med Care, 1990; 28:69–86.
35.
NadelV.Emergency departments: unevenly affected by growth and change in patient use. Washington DC: US General Accounting Office, Human Resources Division; 1993.
36.
Navarro-RubioM.D., JovellA.J., SchorE.L.Socioeconomic status and preventive health care use by children in Spain. Am J Prev Med, 1995; 11:256–262.
