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TB 2019, 18(5): 1-14 |
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Behroozpour A, Shams M, Mousavi M, Ostovar R. Application of the Health Belief Model to Change Women's Self-Medication Behavior regarding Prescription-Only Medicines in Yasuj City, Iran. TB 2019; 18 (5) :1-14
URL: http://tbj.ssu.ac.ir/article-1-2723-en.html
URL: http://tbj.ssu.ac.ir/article-1-2723-en.html
yasouj university medical sciences , moshaisf@yahoo.com
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Application of the Health Belief Model to Change Women's Self-Medication Behavior regarding Prescription-Only Medicines in Yasuj City, Iran
Afsaneh Behroozpour(M.Sc.)1, Mohsen Shams(Ph.D.)2, Masumeh Mousavi(Ph.D.s)3, Rahim Ostovar(Ph.D.)4
1.M.Sc., Department of Health Education and Promotion, School of public Health, Yasuj University of Medical Sciences, Yasuj, Iran.
2. Corresponding Author: Associate Professor, Department of Health Education & Promotion, , School of public Health, Yasuj University of Medical Sciences, Yasuj, Iran. Email: moshaisf@yahoo.com Tel: 987433226850
3.Ph.D. Student, in Epidemiology, School of public Health,Shiraz University of Medical Sciences, Shiraz, Iran.
4.Associate Professor, Department of Health care Management, Social Determinants of Health Research Center,Yasuj University of Medical Sciences, Yasuj, Iran.
Abstract
Introduction: Self-medication is one of the challenging health issues among women throughout the world and Iran. Considering the main role of mothers in promoting health within the families, women play a key role in this regard. This study aimed at determining the effect of an educational intervention based on the Health Belief Model (HBM) to change the women's self-medication behavior about consuming Prescription-Only Medicines (POM) in Yasuj City, Iran.
Methods: This quasi-experimental study was conducted with a pre-test/post-test design over 192 women under the coverage of urban healthcare centers. These participants were selected by random sampling method and divided into the intervention and control groups. After measuring the constructs of HBM, a tailored intervention was designed and implemented in four weeks. The intervention program consisted of instructional sessions, pamphlet delivery, and short messages (SMS). After three months, educational contends were reevaluated and the results were compared with the pre-intervention data for both groups.
Results: No significant difference was observed between the interventional and control groups before and after the intervention (p> 0.05). Comparison of the data collected from the questionnaires administered before and three months after the intervention showed a significant difference between the two groups regarding the perceived susceptibility construct (P = 0.001).
Conclusion: Based on the results, the HBM was effective in changing women's self-medication behavior considering the prescription-only medicines. Self-medication can be reduced by increasing the women's perceived susceptibility to medication.
Keywords: Self-medication, Health Belief Model, Women
Conflict of interest: The authors declared that there is no Conflict interest.
References
1-Ahadian M. Self-medication and drug abuse. Journal of drug nedaye Mahya. 2007;1(3):14-35. [persian]
2-Okumura J, Wakai S, Umenai T. Drug utilization and self-medication in rural communities in Vietnam. Soc Sci Med.2002;54(12):1875-86.
3-Baghiani Moghadam M, Ehrampoush M. Evaluation of attitude and practice of students of Yazd University of medical sciences to self-medication. Zahedan Journal of Research in Medical Sciences. 2006;8(2):111-9. [Persian]
4-Sharifirad G, Pirzadeh A, Azadbakht L. Knowledge and practice in association with self-medication of nutrient supplements , herbal and chemical pills among women based on Health Belief Model. J Res Med Sci. 2011;16(6):852-3. [Persian]
5-Moayyeri A. Investigation Factors related to the indiscriminate use of medicines in referrers to clinics of Abbas Abad town, Mazandaran. Scientific- research Journal of University of Medical Sciences Ilam. 2014;22(19):11-9. [Persian]
6-Masoudi Alavi N, Izadi F, Ebadi A, Hajbagheri A. Self-treatment experience in diadetes mellitus type 2. Iran J Endocrinol Metab. 2009;10(6):580-9. [Persian]
7-Amarilles P, Gonzalez I, Giraldo N. 2006. Prevalence of self-treatment with complementary products and therapies for weight loss: A Randomized cross-sectional study in overweight and obese patients in Colombia. Curr Ther Res. 2006;67:66-78.
8-Bonnie J, Tesch MD. Herbs commonly used by women: an evidence–based review. American Journal of Obstetricas and Gynecology. 2013;188:44-55.
9-Karimi M, Heidarnia A, Ghofranipour F. Reasons affecting on self-medication in elderly covered by urban centers Zarandieh by using Health Belief Model. Journal of Arak University Medical Sciences. 2011;58(5):70-8.[Persian]
10-Shams M, Soleyman ekhteyari Y, Pariyani A. Essential skills for correction of behavior in health. Tehran: Mehr Matin.2011;112-3.[Persian]
11-Glanz K, Rimer B. Theory at a Glance: A Guide to Health Promotion Practice. Bethesda MD: National Cancer Institute. 2nd edition NIH Publ.2005;05:38-96.
12- Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the health belief model. Health education quarterly. https ://doi.org/10.1177/109019818801500203. PMid:3378902.
1988;15(2): 175-83.
13-Niksadat N, Solhi M, Shojaezadeh D, Gohari M R. Investigating the effect of education based on health belief model on improving the preventive behaviors of self-medication in the women under the supervision of health institutions of zone 3 of Tehran. Razi Journal of Medical Sciences. 2013;20(113):48-59.[Persian]
14- Kharghani Moghadam S M, Shojaiezadeh D, Mahmoudi M, Shojaiezadeh E, Farhandi H, Khalili S. Effect of education based on health belief model to prevent the arbitrary use of the drug in women referring to Health Centers sabzevar city. J Health Syst Res. Health Education supplement. 2013;1876-88. [Persian]
15-Jaberee S, Hassani L, Aghamolaei T, Mohseni S, Islamic H. Study on the Effect of Educational Intervention based on Health Belief Model to Prevent the Arbitrary Use of Drugs in Women Referring to Health Centers of Bandar Abbas. IJHEHP. 2018;6(1):1-11. [Persian]
16-Sayeedi M. The effect of educational based on Health Belief Model on preventive osteoporosis in students. MS Thesis Isfahan University of Medical Science.2004;87-90.[Persian]
17-Mohebi S, Sharifirad G, Hazaveyee S. The effect of educational program based on Health Belief Model on diabetic foot care. Int J Diab Dev Ctries. 2007;27:18-20.[Persian]
18-Shamsi M, Bayati A. The effect of education on knowledge Attitude and practice of pregnant woman refrring to health centers about self medication in arak city. Journal of gonabad.2009;15(3):27-36. [Persian]
19-Hanewinkel R, Aßhauer M. Fifteenmonth follow-up results of a school-based life-skills approach to smoking prevention. Health Edu Re. 2004;19(2):125.
20-SHamsi M, Tajik R, Mohammadbegee A. Effect of education based on Health Belief Model on self-medication in mothers referring to health centers of Arak. Arak University of Medical Sciences Journal. 2009;12(3):57-66. [Persian]
21-Kamrani A. The effect of educational diet on nutrition type2 diabetes based on Health Belief Model [Dissertation]. Faculty of public healh Isfahan University of Medical Science. 2006. [Persian]
22-Sharifi-rad G, Hazavei M, Hasan-zadeh A, Danesh-amouz A. The effect of health education based on health belief model on preventive actions of smoking in grade one. Middel school students. Rahavard Danesh Journal of Arak University of Medical Sciences. 2007;1(10):79-86. [Persian]
23-Landers T, Ferng Y, McLoughlin J, Barrett A, Larson E. Antibiotic identification, use, and self- medication for respiratory illnesses among urban Latinos. J Am Acad Nurse Pract. 2010;22(9): 488-95.
24-Rousounidis A, Papaevangelou V, Hadjipanayis A, Panagakou S, Theodoridou M, Syrogiannopoulos G, et al. Descriptive study on parents' knowledge, attitudes and practices on antibiotic use and misuse in children with upper respiratory tract infections in Cyprus. Int J Environ Res Public Health. 2011;8(8):3246-62.
25-Shamsi M, Karimi M, Gholamnia Z, Araban M, Kasmaie P. Measuring health belief model constructs in preventive behavior about self-medication in pregnant women in Arak city. Qom U Med Sci J. 2011;5(3):64-70.[Persian]
Afsaneh Behroozpour(M.Sc.)1, Mohsen Shams(Ph.D.)2, Masumeh Mousavi(Ph.D.s)3, Rahim Ostovar(Ph.D.)4
1.M.Sc., Department of Health Education and Promotion, School of public Health, Yasuj University of Medical Sciences, Yasuj, Iran.
2. Corresponding Author: Associate Professor, Department of Health Education & Promotion, , School of public Health, Yasuj University of Medical Sciences, Yasuj, Iran. Email: moshaisf@yahoo.com Tel: 987433226850
3.Ph.D. Student, in Epidemiology, School of public Health,Shiraz University of Medical Sciences, Shiraz, Iran.
4.Associate Professor, Department of Health care Management, Social Determinants of Health Research Center,Yasuj University of Medical Sciences, Yasuj, Iran.
Abstract
Introduction: Self-medication is one of the challenging health issues among women throughout the world and Iran. Considering the main role of mothers in promoting health within the families, women play a key role in this regard. This study aimed at determining the effect of an educational intervention based on the Health Belief Model (HBM) to change the women's self-medication behavior about consuming Prescription-Only Medicines (POM) in Yasuj City, Iran.
Methods: This quasi-experimental study was conducted with a pre-test/post-test design over 192 women under the coverage of urban healthcare centers. These participants were selected by random sampling method and divided into the intervention and control groups. After measuring the constructs of HBM, a tailored intervention was designed and implemented in four weeks. The intervention program consisted of instructional sessions, pamphlet delivery, and short messages (SMS). After three months, educational contends were reevaluated and the results were compared with the pre-intervention data for both groups.
Results: No significant difference was observed between the interventional and control groups before and after the intervention (p> 0.05). Comparison of the data collected from the questionnaires administered before and three months after the intervention showed a significant difference between the two groups regarding the perceived susceptibility construct (P = 0.001).
Conclusion: Based on the results, the HBM was effective in changing women's self-medication behavior considering the prescription-only medicines. Self-medication can be reduced by increasing the women's perceived susceptibility to medication.
Keywords: Self-medication, Health Belief Model, Women
Conflict of interest: The authors declared that there is no Conflict interest.
References
1-Ahadian M. Self-medication and drug abuse. Journal of drug nedaye Mahya. 2007;1(3):14-35. [persian]
2-Okumura J, Wakai S, Umenai T. Drug utilization and self-medication in rural communities in Vietnam. Soc Sci Med.2002;54(12):1875-86.
3-Baghiani Moghadam M, Ehrampoush M. Evaluation of attitude and practice of students of Yazd University of medical sciences to self-medication. Zahedan Journal of Research in Medical Sciences. 2006;8(2):111-9. [Persian]
4-Sharifirad G, Pirzadeh A, Azadbakht L. Knowledge and practice in association with self-medication of nutrient supplements , herbal and chemical pills among women based on Health Belief Model. J Res Med Sci. 2011;16(6):852-3. [Persian]
5-Moayyeri A. Investigation Factors related to the indiscriminate use of medicines in referrers to clinics of Abbas Abad town, Mazandaran. Scientific- research Journal of University of Medical Sciences Ilam. 2014;22(19):11-9. [Persian]
6-Masoudi Alavi N, Izadi F, Ebadi A, Hajbagheri A. Self-treatment experience in diadetes mellitus type 2. Iran J Endocrinol Metab. 2009;10(6):580-9. [Persian]
7-Amarilles P, Gonzalez I, Giraldo N. 2006. Prevalence of self-treatment with complementary products and therapies for weight loss: A Randomized cross-sectional study in overweight and obese patients in Colombia. Curr Ther Res. 2006;67:66-78.
8-Bonnie J, Tesch MD. Herbs commonly used by women: an evidence–based review. American Journal of Obstetricas and Gynecology. 2013;188:44-55.
9-Karimi M, Heidarnia A, Ghofranipour F. Reasons affecting on self-medication in elderly covered by urban centers Zarandieh by using Health Belief Model. Journal of Arak University Medical Sciences. 2011;58(5):70-8.[Persian]
10-Shams M, Soleyman ekhteyari Y, Pariyani A. Essential skills for correction of behavior in health. Tehran: Mehr Matin.2011;112-3.[Persian]
11-Glanz K, Rimer B. Theory at a Glance: A Guide to Health Promotion Practice. Bethesda MD: National Cancer Institute. 2nd edition NIH Publ.2005;05:38-96.
12- Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the health belief model. Health education quarterly. https ://doi.org/10.1177/109019818801500203. PMid:3378902.
1988;15(2): 175-83.
13-Niksadat N, Solhi M, Shojaezadeh D, Gohari M R. Investigating the effect of education based on health belief model on improving the preventive behaviors of self-medication in the women under the supervision of health institutions of zone 3 of Tehran. Razi Journal of Medical Sciences. 2013;20(113):48-59.[Persian]
14- Kharghani Moghadam S M, Shojaiezadeh D, Mahmoudi M, Shojaiezadeh E, Farhandi H, Khalili S. Effect of education based on health belief model to prevent the arbitrary use of the drug in women referring to Health Centers sabzevar city. J Health Syst Res. Health Education supplement. 2013;1876-88. [Persian]
15-Jaberee S, Hassani L, Aghamolaei T, Mohseni S, Islamic H. Study on the Effect of Educational Intervention based on Health Belief Model to Prevent the Arbitrary Use of Drugs in Women Referring to Health Centers of Bandar Abbas. IJHEHP. 2018;6(1):1-11. [Persian]
16-Sayeedi M. The effect of educational based on Health Belief Model on preventive osteoporosis in students. MS Thesis Isfahan University of Medical Science.2004;87-90.[Persian]
17-Mohebi S, Sharifirad G, Hazaveyee S. The effect of educational program based on Health Belief Model on diabetic foot care. Int J Diab Dev Ctries. 2007;27:18-20.[Persian]
18-Shamsi M, Bayati A. The effect of education on knowledge Attitude and practice of pregnant woman refrring to health centers about self medication in arak city. Journal of gonabad.2009;15(3):27-36. [Persian]
19-Hanewinkel R, Aßhauer M. Fifteenmonth follow-up results of a school-based life-skills approach to smoking prevention. Health Edu Re. 2004;19(2):125.
20-SHamsi M, Tajik R, Mohammadbegee A. Effect of education based on Health Belief Model on self-medication in mothers referring to health centers of Arak. Arak University of Medical Sciences Journal. 2009;12(3):57-66. [Persian]
21-Kamrani A. The effect of educational diet on nutrition type2 diabetes based on Health Belief Model [Dissertation]. Faculty of public healh Isfahan University of Medical Science. 2006. [Persian]
22-Sharifi-rad G, Hazavei M, Hasan-zadeh A, Danesh-amouz A. The effect of health education based on health belief model on preventive actions of smoking in grade one. Middel school students. Rahavard Danesh Journal of Arak University of Medical Sciences. 2007;1(10):79-86. [Persian]
23-Landers T, Ferng Y, McLoughlin J, Barrett A, Larson E. Antibiotic identification, use, and self- medication for respiratory illnesses among urban Latinos. J Am Acad Nurse Pract. 2010;22(9): 488-95.
24-Rousounidis A, Papaevangelou V, Hadjipanayis A, Panagakou S, Theodoridou M, Syrogiannopoulos G, et al. Descriptive study on parents' knowledge, attitudes and practices on antibiotic use and misuse in children with upper respiratory tract infections in Cyprus. Int J Environ Res Public Health. 2011;8(8):3246-62.
25-Shamsi M, Karimi M, Gholamnia Z, Araban M, Kasmaie P. Measuring health belief model constructs in preventive behavior about self-medication in pregnant women in Arak city. Qom U Med Sci J. 2011;5(3):64-70.[Persian]
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Received: 2019/06/2 | Accepted: 2019/09/24 | Published: 2020/04/26
Received: 2019/06/2 | Accepted: 2019/09/24 | Published: 2020/04/26
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