Factors associated with self-medication in children and the decomposition of rural-urban disparities in China

Abstract Background Self-medication in children is one of the greatest threats to children health in China. Objectives The purpose of this study was to examine the potential factors associated with self-medication in children and explore rural-urban disparities. Methods A total of 2798 children enro...

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Autores principales:	Jingjing Ge, Xiaxia Sun, Hongdao Meng, Punam Ghimire Risal, Danping Liu
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Self-medication Children Rural-urban disparities China Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/eb676f061f38482badd66993e462fb3e
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spelling	oai:doaj.org-article:eb676f061f38482badd66993e462fb3e2021-11-21T12:11:16ZFactors associated with self-medication in children and the decomposition of rural-urban disparities in China10.1186/s12889-021-12137-11471-2458https://doaj.org/article/eb676f061f38482badd66993e462fb3e2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12137-1https://doaj.org/toc/1471-2458Abstract Background Self-medication in children is one of the greatest threats to children health in China. Objectives The purpose of this study was to examine the potential factors associated with self-medication in children and explore rural-urban disparities. Methods A total of 2798 children enrolled in the study. Informed consent was obtained from each primary caregiver following a detail explanation about the purpose of the study. Multivariable logistic regression analysis and Oaxaca–Blinder decomposition analysis were used. Results The results showed that 38.2% primary caregivers of rural areas self-medicated their children, compared to 18.7% of those in urban areas. The urban primary caregivers with college or above education were more likely to self-medicate their children, while rural primary caregivers with college or above education were less likely to self-medicate their children. Children having unhealthy eating habits were more likely to have been self-medicated by their primary caregivers in urban and rural areas. Urban primary caregivers who spend more than 10 min from home to the nearest medical institution were more likely to self-medicate their children. In rural areas, children aged 3–6 years old, primary caregivers with monthly household income per capita of 1001–3000 Yuan, and children with chronic diseases are another set of enabling factors which impacted on self-medication. Unhealthy eating habits of children were the largest contributor to the rural-urban self-medication gap. Conclusions Children’s factors explained the largest portion of the rural-urban difference in self-medication among children. The evidence presented in this study suggests that public health policies addressing rural-urban differences in children’ s factors could serve as an effective method for reducing rural-urban disparities in self-medication among children.Jingjing GeXiaxia SunHongdao MengPunam Ghimire RisalDanping LiuBMCarticleSelf-medicationChildrenRural-urban disparitiesChinaPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Self-medication Children Rural-urban disparities China Public aspects of medicine RA1-1270
spellingShingle	Self-medication Children Rural-urban disparities China Public aspects of medicine RA1-1270 Jingjing Ge Xiaxia Sun Hongdao Meng Punam Ghimire Risal Danping Liu Factors associated with self-medication in children and the decomposition of rural-urban disparities in China
description	Abstract Background Self-medication in children is one of the greatest threats to children health in China. Objectives The purpose of this study was to examine the potential factors associated with self-medication in children and explore rural-urban disparities. Methods A total of 2798 children enrolled in the study. Informed consent was obtained from each primary caregiver following a detail explanation about the purpose of the study. Multivariable logistic regression analysis and Oaxaca–Blinder decomposition analysis were used. Results The results showed that 38.2% primary caregivers of rural areas self-medicated their children, compared to 18.7% of those in urban areas. The urban primary caregivers with college or above education were more likely to self-medicate their children, while rural primary caregivers with college or above education were less likely to self-medicate their children. Children having unhealthy eating habits were more likely to have been self-medicated by their primary caregivers in urban and rural areas. Urban primary caregivers who spend more than 10 min from home to the nearest medical institution were more likely to self-medicate their children. In rural areas, children aged 3–6 years old, primary caregivers with monthly household income per capita of 1001–3000 Yuan, and children with chronic diseases are another set of enabling factors which impacted on self-medication. Unhealthy eating habits of children were the largest contributor to the rural-urban self-medication gap. Conclusions Children’s factors explained the largest portion of the rural-urban difference in self-medication among children. The evidence presented in this study suggests that public health policies addressing rural-urban differences in children’ s factors could serve as an effective method for reducing rural-urban disparities in self-medication among children.
format	article
author	Jingjing Ge Xiaxia Sun Hongdao Meng Punam Ghimire Risal Danping Liu
author_facet	Jingjing Ge Xiaxia Sun Hongdao Meng Punam Ghimire Risal Danping Liu
author_sort	Jingjing Ge
title	Factors associated with self-medication in children and the decomposition of rural-urban disparities in China
title_short	Factors associated with self-medication in children and the decomposition of rural-urban disparities in China
title_full	Factors associated with self-medication in children and the decomposition of rural-urban disparities in China
title_fullStr	Factors associated with self-medication in children and the decomposition of rural-urban disparities in China
title_full_unstemmed	Factors associated with self-medication in children and the decomposition of rural-urban disparities in China
title_sort	factors associated with self-medication in children and the decomposition of rural-urban disparities in china
publisher	BMC
publishDate	2021
url	https://doaj.org/article/eb676f061f38482badd66993e462fb3e
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Factors associated with self-medication in children and the decomposition of rural-urban disparities in China

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