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      Prevalence and Factors Associated with Self-Medication in Dermatology in Togo

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          Abstract

          Objective

          This study aimed to determine the prevalence of and factors associated with self-medication in dermatology in Lomé, Togo.

          Methods

          We conducted an analytical cross-sectional study from February to April 2016 in 2 dermatology departments in Lomé. Univariate and multivariate logistic regression models were carried out to identify possible factors associated with self-medication.

          Results

          A total of 711 patients were included in the study. The mean age (±SD) of the patients was 26.6 ± 6.9 years and the sex ratio (male/female) was 0.6. The main dermatologic diseases recorded were immunoallergic dermatoses (39.7%) and infectious skin diseases (22.6%). Two-thirds (481/711; 66.7%) of the patients had practiced self-medication before consultation in dermatology units. In multivariate analysis, factors associated with self-medication were female sex (aOR = 1.44; 95% CI = [1.01, 2.05]), duration of dermatologic disease more than one year (aOR = 1.79; IC = [1.19, 2.68]), adnexal dermatoses (aOR = 2.31; 95% IC = [1.03–5.21]), keratinization disorders (aOR = 4.23; 95% CI = [1.36–13.13]), and fungal skin infections (aOR = 5.43; 95% CI = [2.20, 13.38]).

          Conclusion

          Our study confirms that self-medication practice is very common among patients with dermatologic diseases in Lomé and has identified associated factors.

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          Most cited references13

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          Self-medication in older urban mexicans : an observational, descriptive, cross-sectional study.

          Self-medication in older adults can be problematic, especially if remedies taken without prescription interact with prescribed medications or if they produce adverse effects. Before designing interventions to improve self-medication, it is important to characterize patterns of self-medicating in local populations. This can be easily achieved through the conduct of simple surveys.
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            Self-Medication in Older Urban Mexicans

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              [The behavioral determinants for health centers in health districts of urban Africa: results of a survey of households in Kinshasa, Congo].

              This study analyses the choice determinants of the population for health centres through a survey of the behaviour of families in a representative sample of 1,000 households in the health districts of Kinshasa, Congo in 1997. For the most recent episode of illness, the respondents turned to seven types of care: the health centre (37%), private dispensaries (26.5%), self-medication through a pharmacy (23.9%), traditional practitioner (21%), traditional self-medication (16.9%), private outpatients' clinic (16.7%) and a reference hospital (10.4%). Past logistics have shown that patients resort to a health centre rather than another type of care structure (P = 0.05) when looking for quality care, reasonable prices and the availability of varied services. On the other hand, concern about the geographical proximity in relation to the family's residence calls for using the private dispensary. When looking for a doctor or the existence of a 'convention', families are more inclined to choose a private officially recognized outpatients' clinic. Those who had been looking for a solution to a special type of illness opted primarily for a traditional practitioner. In conclusion, the results of this study show that if people choose the care offered by health centres, it is because they judge it to be of good quality. The integrated care offered by the same technician, with a required training, is a major asset in the acceptability of the first line of primary health care in Kinshasa. This study suggests that it would no doubt be beneficial to integrate non-official private care structures into the primary health care system, as far as it is possible for them to achieve a level of quality comparable to that of the health centres. In order that the traditional practitioner might play an important complementary role in the realization of primary health care, even in urban areas, the possibility of promoting sites of communication should be studied. Moreover, considering the weak buying power of the city's inhabitants and the previous existence of tontines out of solidarity, the 'conventions' providing relief of health care costs, under the leadership of the local communities, should be integrated into the organization of the urban health system.
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                Author and article information

                Contributors
                Journal
                Dermatol Res Pract
                Dermatol Res Pract
                DRP
                Dermatology Research and Practice
                Hindawi
                1687-6105
                1687-6113
                2017
                12 November 2017
                : 2017
                : 7521831
                Affiliations
                1Service de Dermatologie et IST, CHU Lomé, Université de Lomé, Lomé, Togo
                2Service de Dermatologie et IST, CHU de Kara, Université de Kara, Kara, Togo
                Author notes

                Academic Editor: Craig G. Burkhart

                Author information
                http://orcid.org/0000-0002-8889-2693
                Article
                10.1155/2017/7521831
                5702392
                29259625
                460b915c-bc05-435d-91b2-3737dac4fa78
                Copyright © 2017 Koussake Kombaté et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 28 June 2017
                : 19 October 2017
                Categories
                Research Article

                Dermatology
                Dermatology

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