Self-medication Practices among Adolescents and Youth in India: A Systematic Scoping Review

Antibiotics are vital pharmaceutical agents used primarily for the treatment of bacterial infections, operating either by directly killing bacteria (bactericidal) or inhibiting their growth (bacteriostatic) [1]. Since their discovery, antibiotics have revolutionized medical care, enabling the effective treatment of infections that were once life-threatening. However, their widespread and often irrational use has led to a mounting global crisis — antimicrobial resistance (AMR), which threatens to undermine decades of progress in medicine [2]. Self-medication with antibiotics (SMA) is one of the key contributors to this crisis. The World Health Organization (WHO) defines self-medication as the selection and use of medicines by individuals to treat self-recognized conditions or symptoms without professional supervision [3]. Although responsible self-medication can ease the burden on healthcare systems by providing relief from minor ailments, inappropriate use — especially of antibiotics — can lead to misdiagnosis, adverse drug reactions, masking of serious conditions, and most significantly, the evolution of drug-resistant bacterial strains [4]. In developing countries like India, the practice of SMA is alarmingly common, driven by factors such as over-the-counter (OTC) availability of antibiotics, lack of regulatory enforcement, low health literacy, time constraints, and economic limitations [5]. The prevalence of antibiotic self-medication is particularly high among university students, including those studying in both medical and non-medical disciplines [6]. Paradoxically, while healthcare students are expected to possess greater knowledge about the prudent use of antibiotics, numerous studies have shown that they too engage in SMA, often influenced by convenience, prior prescriptions, and peer behavior [7]. The implications of this practice are severe. According to the WHO, antimicrobial resistance is projected to cause 10 million deaths annually by 2050 if left unchecked [8]. Studies from Europe and Asia have highlighted disturbing trends, such as increasing resistance to carbapenems, third-generation cephalosporins, and fluoroquinolones among organisms like Escherichia coli, Klebsiella pneumoniae, and Staphylococcus aureus [9]. In the Indian context, resistance to first-line antibiotics is already affecting treatment efficacy for common infections such as typhoid, tuberculosis, and pneumonia [10]. Given the critical role that education plays in shaping health behaviors, it becomes essential to assess and compare the knowledge, attitudes, and practices (KAP) related to antibiotic use among different student populations. Healthcare students, as future prescribers, must be equipped with sound knowledge and ethical practices to mitigate the threat of AMR. Likewise, educating non-healthcare students — who represent a large portion of the general public — is equally important, as they too influence drug consumption patterns and contribute to resistance trends [11]. This study aims to assess the KAP toward antibiotic self-medication among healthcare and non-healthcare students in Guntur, Andhra Pradesh, with the broader goal of identifying knowledge gaps and behavioral patterns that could be addressed through targeted educational interventions and policy reforms. A cross-sectional survey using a structured questionnaire was employed, covering awareness of antibiotic function and resistance, sources of self-medication, frequency of use, and perception of associated risks. Understanding these patterns will provide evidence to inform institutional curricula, national antibiotic stewardship programs, and community awareness initiatives. Moreover, by drawing comparisons between student groups, this study provides a critical lens into how academic background influences rational medicine use, a fundamental component in the global fight against AMR.

Tuberculosis (TB) is a bacterial infection. It mostly affects the lungs (pulmonary TB), but it can also affect other organs. This cross-sectional study evaluated knowledge, attitudes, and practices (KAP) related to TB among King Khalid University (KKU) students between October and November 2023. The objective of this study was to investigate current TB knowledge, attitudes, and practices of students at King Khalid University in Abha, Saudi Arabia. A self-administered, cross-sectional, descriptive, web-based questionnaire was conducted from October to December 2023 among the students of King Khalid University. We used a 29-item questionnaire with five sections. Section 1 contained five questions about sociodemographic factors, there were 13 knowledge questions in Section 2, Section 3 contained 7 attitude questions, Section 4 contained 3 practice questions, and Section 5 contained 1 source of information question. A chi-squared test was used to assess differences in participants' knowledge, attitude, and practices in relation to their demographic variables (p < 0.05). A total of 518 students completed the questionnaire. 53.66% were healthcare students and 46.33% non-healthcare students. The mean scores for healthcare and non-healthcare students, respectively, were as follows: knowledge 11.80 ± 4.81, 7.35 ± 4.96; attitude 6.94 ± 1.33, 5.05 ± 2.09; and practice 2.26 ± 0.85, 1.14 ± 0.87. The results of this study showed good knowledge (24.82 and 5.83% for healthcare and non-healthcare students, respectively) good attitude (67.62 and 46.25%) and good practice (45.32 and 9.58%). A total of 24.32% healthcare students and 28.18% non-healthcare students reported that most effective sources for obtaining information about TB were social networks, the internet and the radio. The current study concludes that the knowledge, attitude, and practice about TB among healthcare faculty students is better than their non-healthcare counterparts. However, there are still areas of poor knowledge, attitude and practice toward some aspects of TB among the two categories, which shows the necessity of educational intervention that aims at improving student understanding about the disease and its impact on public health.

Healthcare professionals, including students, may express stigmatising attitudes towards mental illness. Virtual reality is thought to provide a novel insight into the experiences of individuals with mental health conditions and to reduce stigma. This study aims to systematically review the evidence concerning the use of virtual reality as an educational tool to reduce mental health stigma in healthcare and non-healthcare students. Literature searches were conducted across four electronic databases. Studies were eligible if they targeted healthcare or non-healthcare students, used any form of virtual reality, focused on experiences of mental health conditions, and measured changes in stigma-related outcomes. Fifteen studies, of which eight on healthcare students, were included and synthesised narratively. Both immersive and non-immersive virtual reality technologies were used, and most focused on simulations of mental health symptoms. Different outcomes were measured, including stereotypes, prejudice, and discrimination, and all studies relied on self-report instruments. There is support for using virtual reality to reduce mental health stigma among healthcare students, but not among non-healthcare students. While non-immersive technologies might be as effective as immersive ones, a focus on psychopathology and a lack of educational information appear to increase stigma. Stereotypes and discriminatory intentions were the outcomes most susceptible to change.

Background: The World Health Organization (WHO) declared covid-19 as a pandemic on 11th march 2020. Since no treatment is available, following preventive measures is only the effective way to stop the spread of covid-19. This study aimed to assess knowledge regarding covid-19 and its preventive measures and to create awareness about covid-19 among healthcare students and non-healthcare students. Methods: An online cross sectional study was conducted in 2 months i.e., from 1st Aug. 2020 to 30th Sept. 2020 among healthcare students and non-health care students. To determine the scoring of questionnaire, mean of knowledge scores and standard deviation were calculated. Results: A total of 766 students were participated in this study. The age of participants ranged from 18 to 23. Males were 496 and females were 270. Health care students were 423 and 343 students are non-health care students. Overall knowledge about covid-19 infection was good among 480 students, average among 183 students and was poor among 103 students. The mean knowledge score of healthcare students (8.41) is higher than non-health care students (6.11) towards covid-19 infection and its preventive measures. Conclusion: This study reveals that majority of the students were knowledgeable about covid-19 infection and its preventive measures. The mean knowledge score of healthcare students (8.41) is higher than non-health care students (6.11) indicating that the health care students have more knowledge. Though the overall knowledge on covid-19 was good enough among health care students and non-health care students, still there is a need for education to increase knowledge especially among non-health care students. Keywords: SARS-COV 2 virus, Covid-19 infection, health care students, non-healthcare students, knowledge, awareness, India.

Health hazards such as adverse drug reactions and prolonged morbidity are fallouts of self-medication among young people in sub-Saharan Africa. The aim of this study was to assess the prevalence, practice, determinants, and adverse effects of self-medication among young people living in a suburban community of Ekiti, Nigeria. This survey was a descriptive, cross-sectional study of 602 young people aged 16-24 years., who were randomly selected in the community. A predesigned self-administered questionnaire was used for data collection. The study was conducted from 1st March to 31st May 2023. The independent variables measured include the sociodemographic characteristics, while the dependent variables are the practice of self-medication and factors that predisposes to self-medication. The general characteristics of the participants were analyzed using descriptive statistics. The categorical variables were reported as frequency distribution and proportions with 95% confidence intervals and were compared using the Chi-square test or Fisher's exact test. A p-value of <0.05 was considered statistically significant. Over 30% (31.7%) of the participants engage in self-medication. A larger proportion of the people who practiced self-medication lived a trekking distance of less than 1 km from the nearest health facility with a doctor (p = 0.044). The practice of self-medication was statistically related with being a student when compared with gainfully employed and unemployed people (p = 0.006). Fever (39.8%), abdominal pain (17.3%) and headaches (16.2%) were the topmost three ailments that necessitated self-medication. Antimalarials (44.0%), antibiotics (25.1%), and antipyretics (16.8%) were high on the list of drugs used for self-medication. Headache (34.0%) was the most common adverse reaction from self-medication among the participants studied. Adverse reactions and drug addiction were negative fallouts of self-medication, which can affect the health of young people as they grow into adulthood. Therefore, monitoring of drug outlets must be taken seriously by government agencies to prevent the worsening of the negative effects of self-medication.

Objective: To determine the incidence of self-medication among University of Ljubljana students and the effect of the type of curriculum on the pattern of self-medication. Subjects and Methods: The study included a sample of 1,294 students who freely accessed a self-administered web-based questionnaire in the Slovene language that consisted of a preliminary letter introducing the term ‘self-treatment’ and 2 sections about self-medication. The preliminary letter asked participants to report the practice of self-treatment during the past year. The main outcome measures were percentages of those reporting self-medication during the past year, which were then used to compare healthcare and non-healthcare students. Results: A majority of students (1,195, 92.3%), both healthcare and non-healthcare, reported the use of some sort of self-medication during the study period. More healthcare students in their senior year (353, 94.1%) than those in their junior year (245, 89.4%) used self-medication (p = 0.04). Healthcare students (p = 0.05) thought that self-medication without improvement of the symptoms should last for 1 week or less. They acquired the drugs for self-medication from pharmacies; thought that previous doctors’ advice in a similar situation was a more important reason for self-medication; would seek the advice of a physician or pharmacist for different ways of self-treatment, and quite interestingly thought that self-medication was not very safe. On the other hand, non-healthcare students acquired the drugs from healers and friends. Conclusion: The study showed that self-medication was common among all University of Ljubljana students, but that healthcare-related education in students and young adults led to more responsible use of self-medication.

Backgrounnd: Dental anxiety can be a problem, both for dentists and patients. Basic Health Research statesthat as many as 57.6% of Indonesian people suffer from dental and mouth problems and only 10.2% of thatnumber goes to the dentist, which can be caused by dental anxiety. Someone who has dental anxiety willavoid and refuse to check the condition of their teeth, which will adversely affect the health of the oral cavity.Purposes: Examining the differences in levels of dental anxiety in healthcare and non-healthcare studentsat Universitas Airlangga.Method: This study uses a quantitative type of cross-sectional method involving healthcare and nonhealthcare students and is carried out througout on campus A and campus B of Universitas Airlangga byrandom sampling. Data collection procedures were carried out through the Corah Dental Anxiety Scale(DAS) questionnaire with a few modifications that were disseminated online. Then the data analysis wasperformed using the chi square method to get results.Result and Discussion: Based on research that has been done, healthcare students have a low percentageof dental anxiety levels of 64.6% where non-healthcare students have a high percentage of dental anxietylevels of 42.9%. Different levels of dental anxiety may be influenced by different levels of knowledge aboutoral health and dental health.Conclusion: There is a significant difference in the level of dental anxiety in healthcare and non-healthcarestudents at Universitas Airlangga.

The numbers of university students studying abroad increase every year. These students are not tourists as their studies require different types of travel that expose them to different risks. Moreover, health care students (HCSs) may be exposed to even greater risks according to their travel destinations and itineraries. Clearly, research-based pre-travel advice is needed. This study reports on a prospective survey conducted from April 2010 to January 2014 of health care and non-health care students from Swedish universities in Umeå, Stockholm and Gothenburg studying abroad. Of the 393 students included in the study, 85% responded. Over half (55%) were HCSs. Pre-travel health information was received by 79% and information on personal safety by 49% of HCSs. The rate of illness during travel was 52%. Health care students more often travelled to developing regions and were at increased risk for travellers' diarrhoea. One in 10 experienced theft and 3% were involved in traffic accidents. One in five met a new sexual partner during travel and 65% of these practised safe sex. Half of all participants increased their alcohol consumption while abroad; high alcohol consumption was associated with increased risk for being a victim of theft, as well as for meeting a new sexual partner during travel. University authorities are responsible for the safety and well-being of students studying abroad. This study supplies organisers and students with epidemiological data that will help improve pre-travel preparation and increase student awareness of the potential risks associated with studying abroad.

ObjectiveA limited number of educational interventions among health care providers and students have been made in Jordan concerning the pharmacovigilance. Therefore, the main aim of this study was to evaluate how an educational workshop affected the understanding of and attitudes toward pharmacovigilance among healthcare students and professionals in a Jordanian institution.MethodsA questionnaire was used before and after an educational event to evaluate the pre- and post-knowledge and perception of pharmacovigilance and reporting of adverse drug reactions (ADRs) among a variety of students and healthcare professionals at Jordan University Hospital.ResultsThe educational workshop was attended by 85 of the 120 invited healthcare professionals and students (a response rate of 70.8%). The majority of respondents were capable of defining ADRs (n = 78, 91.8%) and pharmacovigilance accurately (n = 74, 87.1%) in terms of their prior understanding of the topic. Around 54.1% of the participants (n = 46) knew the definition of type A ADRs while 48.2% of them (n = 41) knew the definition of type B ADRs. Additionally, around 72% of the participants' believed that only serious and unexpected ADRs should be reported (n = 61, 71.8%), also, 43.5% of them (n = 37) believed that ADRs should not be reported until the specific medication that caused it is known. The majority of them (n = 73, 85.9%) agreed that reporting of ADRs was their responsibility. The interventional educational session has significantly and positively impacted participants' perceptions (p value ≤ 0.05). The most reason for not reporting ADRs as stated by the study participants was the lack of information provided by patients (n = 52, 61.2%) and the lack of enough time to report (n = 10, 11.8%).ConclusionParticipants’ perspectives have been greatly and favorably impacted by the interventional educational session. Thus, ongoing efforts and suitable training programs are required to assess the effect of bettering knowledge and perception on the practice of ADRs reporting.

Rational self-medication (SM) practice among healthcare students is essential to promote the safe, effective, and economical use of medicines for self-diagnosed conditions. The study aimed to assess pharmacy students' knowledge, attitude, and practice about responsible self-medication. A cross-sectional online survey was conducted among Ugandan pharmacy students for one month from March 1 to March 31, 2024. The study included students enrolled in diploma, bachelor, and master of pharmacy programs in Uganda. Informed consent was obtainedonline by asking a question regarding willingness to participate. A non-probable snowball sampling technique was used to recruit students. A pre-validated questionnaire was used to obtain socio-demographics, self-medication practices, knowledge, attitudes, and practices about responsible self-medication. We used binary and multivariable logistic regression analysis to identify the factors associated with KAP regarding responsible self-medication. The prevalence of self-medication practice among pharmacy students was 96.73%. The self-medication is most common in headache (78.97%), cold, and cough (79.91%) illnesses. Painkillers (90.19%) and antibiotics (53.97%) are the most common medicines used for self-medication. Most pharmacy students have good knowledge (87.38%) and a positive attitude (96.03%) toward responsible self-medication. However, only 27.34% of students practice rational self-medication. Participants' university and parents' professions were significantly associated with good knowledge of responsible self-medication. Whereas factors such as gender, residence, and type of illness were significantly associated with rational self-medication practice. The prevalence of self-medication was high among pharmacy students in Uganda. Painkillers and antibiotics are the most preferred drugs for self-medication. About 87.38% of pharmacy students have good knowledge, and 96.03% have a positive attitude toward responsible self-medication. Rational self-medication practice was low among students. We recommended training sessions to enhance safe self-medication practices among pharmacy students.

BackgroundGlobally, self-medication is a common practice, and an increasingly perceived necessity to relieve burdens on health services. However, inappropriate self-medication may result to reduced health outcomes, increased antimicrobial resistance and economic waste. Healthcare students are the future health professionals who will be consistently responsible for educating the public on rational use of medication. This study therefore aimed to assess the prevalence, knowledge and perception of self-medication practices among healthcare students.MethodsA cross-sectional study was carried out among 866 healthcare students in a Nigerian University, comprising medical, nursing and pharmacy students. Information was garnered from respondents using a self-administered questionnaire. Data were summarized with descriptive statistics, while Chi-square and logistic regression tests were used for categorical variables at p < 0.05.ResultsMean age was 21 ± 2.8 years, and female respondents were 447 (51.6%). Prevalence of self-medication among respondents was 473 (54.6%). A total of 288 (55.3%) demonstrated good knowledge of self-medication practices, comprising 250 (52.2%) among those who have previously self-medicated and 229 (47.8%) among those who had not. Reasons for engaging in self-medication practices were mentioned to include treatment of minor ailments (357; 32.4%), while 248 (22.5%) believed they had the medical knowledge of what to use. Analgesic (353; 30.1%), antimalarial (352; 30.0%), and antibiotics (182; 15.5%) were the commonest classes of medication used for self-medication. Headache (363; 18.4%), malaria (334; 16.9%), and cough (184; 9.3%) were the most frequently treated conditions. More than half (281; 59.4%) of the respondents’ purchased their self-medicated drugs from the community pharmacy. Gender and respondents’ disciplines were found to be the independent predictors for good knowledge of self-medication practice.ConclusionPrevalence of self-medication among the studied healthcare students is moderately high, while approximately half demonstrates good knowledge and perception of self-medication practices. Stimulation for self-medication practice largely arise from the perception of treating minor ailments. This underscores a need for advocacy on responsible self-medication practice during the formal training of these future health professionals, in order to avert its imminent/widespread negative consequences.

Background: Self-medication is widespread among healthcare students, raising concerns about irrational drug use, antimicrobial resistance, and professional boundary violations. Nursing students are a critical group given their foundational pharmacological knowledge and future patient care responsibilities. Understanding their knowledge, attitudes, and practices (KAP) is essential to inform educational and policy interventions. Objective: To assess the prevalence, determinants, and patterns of self-medication among undergraduate nursing students in Malakand Division, Pakistan, and to evaluate associated knowledge, attitudes, and misconceptions. Methods: A cross-sectional observational study was conducted from February to October 2024 among 267 third- and fourth-year Bachelor of Science in Nursing students across multiple institutions in Malakand Division. Data were collected through a structured, validated, self-administered questionnaire and analyzed in Jamovi using descriptive statistics, chi-square tests, and logistic regression. Odds ratios with 95% confidence intervals were calculated, and p&lt;0.05 was considered significant. Ethical approval and informed consent were obtained. Results: The prevalence of self-medication was 78.3%. Painkillers (41.6%) were most frequently used, followed by antibiotics (14.2%) and combined polypharmacy (22.1%). Convenience (46.1%) and limited healthcare access (18.0%) were leading motivators. Female students (95.7%) and fourth-year students (83.2%) reported higher prevalence. Despite high awareness of drug side effects (97.8%) and antibiotic resistance (88.0%), misconceptions persisted regarding herbal remedies (39.7%) and dietary supplements (66.3%). Conclusion: Self-medication is highly prevalent among nursing students, influenced by academic seniority and gender. Persistent misconceptions and boundary issues highlight the urgent need for curricular reforms, stewardship training, and regulatory interventions.

During the COVID-19 pandemic, healthcare professionals have often faced moral challenges, which required them to choose between endorsing self- or other-sacrifice for the greater good. Drawing on the altruistic rationalization hypothesis and trait-activation theory, this study investigates (a) whether healthcare students’ endorsement of utilitarian solutions to sacrificial moral dilemmas varies when they are confronted with the minority group, majority group, or third-person perspective on the given dilemma and (b) whether individual differences in utilitarian thinking, as measured by the Oxford Utilitarianism Scale (both instrumental harm and impartial beneficence), predict endorsement of utilitarian solutions to moral dilemmas. The study population was divided into a group of healthcare students and a group of non-healthcare students. It was found that the members of both groups expressed a stronger pro-utilitarian position when making moral dilemma judgments from a majority perspective than from the two other perspectives. However, a difference was observed with healthcare students being more reluctant to endorse the utilitarian action than their non-healthcare counterparts in the self-in-majority context. The instrumental harm component was a significant predictor of utilitarian judgments in the healthcare group, but impartial beneficence significantly predicted utilitarian judgments in the non-healthcare group in the self-in-majority context.

Background and Objectives: Self-medication with over-the-counter (OTC) medicines is becoming an increasingly popular practice around the world. The global prevalence rate of self-medication ranges from 11.2% to 93.7%, depending on the target population and country. However, there is a lack of data on the prevalence and practices of self-medication among the working-age population, particularly in Thailand metropolitan areas. The current study describes the prevalence of self-medication practices, adverse drug reactions and severity, reasons for self-medication, and basic medication knowledge among people of working age in metropolitan areas in Thailand.Methods: We conducted an online cross-sectional study between December 2020 and January 2021. Descriptive statistics were used to analyze self-medication data. A chi-square test was used to assess the association between self-medication and sociodemographic characteristics.Results: This study found high prevalence of self-medication among the working-age population in metropolitan areas of Thailand (88.2%). The most commonly used drug groups were NSAIDs (34.8%) and antibiotics (30.2%). Minor illness and easy access to pharmacies were the most common reasons for self-medication. Almost half of the participants' illnesses (42.6%) for which they self-medicated were not always completely cured, necessitating treatment at a hospital or clinic. Although only a small number of participants (ranged from 0.6 to 6.6%) experienced adverse drug reactions as a result of self-medication, some had severe symptoms that disrupted their daily lives or required hospitalization. In terms of basic medication knowledge, we discovered that study participants misunderstood some antibiotic drug concepts.Conclusions: According to the study findings, it is recommended that more information about the risks of self-medication, drug adverse reactions, antibiotic stewardship, more supervision of the prohibition of over-the-counter drugs and selling practices, and adequate facilities for peoples access to medical services be provided at the policy level.

BackgroundKnowledge of pharmacovigilance (PV) and adverse drug reactions (ADRs) are the core competencies that healthcare students should acquire during their studies. The objective of this study was to assess attitudes towards and knowledge of PV and ADRs among healthcare students in China.MethodsAn online, cross-sectional survey was conducted nationally among healthcare students in China from April through October 2023. Knowledge of PV and ADRs was assessed using a questionnaire based on current PV guidelines. We performed logistic regression analysis to determine the potential factors related to knowledge of and attitudes towards PV and ADRs.ResultsA total of 345 students were included in the analysis. Among the healthcare students who participated in the survey, 225 (65.22%) students correctly defined PV, while only 68 (19.71%) had a correct understanding of ADRs. Among all respondents included in the analysis, only 71 (20.58%) reported having taken a PV course. Pharmacy students were more likely to have taken PV courses at a university and to demonstrate superior knowledge compared to other healthcare students. The logistic regression model revealed that the significant predictors of a higher level of PV knowledge were being female (odds ratio [OR]: 1.76; 95% confidence interval (CI): 1.06–2.92; P value: 0.028) and having previously taken PV-related courses (OR: 2.00; 95% CI: 1.06–3.80; P value: 0.034).ConclusionsThis study revealed that healthcare students’ knowledge of PV and ADRs is unsatisfactory. However, there were a limited number of universities providing PV education. Given the vital role of healthcare professionals in identifying and reporting ADRs, our findings raise significant concerns. Hence, more efforts should be made to enhance PV education for future healthcare professionals.