Prevalence and Pattern of Analgesic Abuse Among Undergraduate Students of University of Port Harcourt, Rivers State, Nigeria.
Main Article Content
Keywords
Analgesic, Abuse, Prevalence, Pattern, Students
Abstract
Background: The habitual or excessive use of painkillers, including prescription and over-the-counter drugs, that deviates from medical guidelines is known as analgesic abuse, and this includes taking larger doses than recommended, using the drugs for non-medical purposes, or continuing to take the medication despite adverse effects on one's physical, mental, and social well-being. Devastating health effects may result from this. The prevalence and patterns of analgesic abuse among University of Port Harcourt undergraduate students were evaluated in this study.
Methodology: A descriptive cross-sectional study was conducted, and respondents were selected using a multistage sampling method. A self-administered, structured questionnaire was used to gather the data, and IBM Statistical Product for Service Solution (SPSS) version 25 was used to analyze the data; means, frequency, proportions, chi-square, and regression analysis were used to summarize the results. A p-value of less than 0.05 was deemed statistically significant.
Results: 384 students in all, with a median age of 20, were interviewed. The distribution of results showed that 207 (53.9%) of the respondents were males and 177 (46.1%) were females. The majority of responders, 339 (69.6%), used paracetamol, with headaches accounting for 316 (57.4%) of all uses. The findings also showed that the prevalence of analgesic abuse was 9.1%, with paracetamol being the most frequently abused medicine (42.9%).
Conclusion: Although the results indicated that the prevalence of analgesic abuse among University of Port Harcourt undergraduate students was low, most respondents used analgesic medication without a prescription from a doctor. The most common reasons for using analgesics were headaches, muscle pain, and menstrual cramps. It is crucial that the institution implements strategic plans to ensure that students are taught how to use analgesics properly.
References
2. Alharbi A, Lodhi F, Khan A. Prevalence and pattern of analgesic misuse among patients attending primary health care center in Makkah, Saudi Arabia. Med Sci. 2020; 24(105):3182-3190.
3. Inciardi JA, Surratt HL, Martin SS, Gealt R. Prevalence of narcotic analgesic abuse among students: individual or polydrug abuse? Arch Pediatr Adolesc Med. 2004 May;158(5):498-9. doi: 10.1001/archpedi.158.5.498-b. PMID: 15123486.
4. Khafagy M, Gomaa Z, Elwasify M. Substance use patterns among university students in Egypt. Middle East Curr Psychiatry 28. 2021;59. https://doi.org/10.1186/s43045-021-00140-6.
5. United Nations Office on Drugs and Crime (UNODC), Government of Nigeria’s Federal Ministry of Health (FMOH), European Union (EU). Drug use in Nigeria 2018. 1st edition. Vienna: Vienna International Centre; 2019.
6. Healththink. Drug Abuse: A Public Health Menace In Nigeria. 2021 Oct. 8 [cited 2024 June 16]. In: Adolescent health, Drug, Lifestyle, Tobacco [Internet]. Abuja: Healththink. 2021 Oct. 8. Available from: https://healththink.org/drug-abuse-a-public-health-menace-in-nigeria/
7. Chang WP, Stuart H, Chen SP. Alcohol Use, Drug Use, and Psychological Distress in University Students: Findings from a Canadian Campus Survey. Int J Ment Health Addiction 20. 2022; 2366–238. https://doi.org/10.1007/s11469-021-00519-w
8. Sugue, M. Current Addiction Statistics: 2024 Data on Substance Abuse & Trends [Internet]. 2024 [2024, June 12]. Available from: https://www.addictiongroup.org/resources/addiction-statistics/
9. Yusuf FA. Factors Influencing Substance Abuse among Undergraduate Students in Osun State, Nigeria. African Research Review. 2011;4(4). https://doi.org/10.4314/afrrev.v4i4.69233
10. Wikipedia contributors. University of Port Harcourt [Internet]. 2022 [2024, June 26]. Available from: https://en.wikipedia.org/wiki/University_of_Port_Harcourt
11. Bassi PU, Osakwe AI, Builders M., Ette E, Kola G, Binga B, et al. Prevalence and Determinants of Self Medication Practices among Nigerians. African Journal of Health Sciences. 2021; 34(5): 634-649
12. Owonaro AP, Eniojukan FJ. Pattern, knowledge and other contextual correlates of use of pain killers among students of Niger delta university. IOSR Journal of Pharmacy and Biological Sciences. Mar 2016; 11(2):28-36
13. Ekeleme NC, Chiemeka NJ, Ikonne UG, Dike CV. Prevalence, patterns, and determinants of self-medication among students of Abia State Polytechnic, Aba, Abia state. Abia State University Medical Students' Association Journal. 2021; 13(1).
14. Fetensa, G, Tolossa, T, Etafa, W, Fekadu G. Prevalence and predictors of self-medication among university students in Ethiopia: a systematic review and meta-analysis. J of Pharm Policy and Pract. 2021; 14(107). https://doi.org/10.1186/s40545-021-00391-y
15. Olugbake OA, Akinola AA, Ekiran OO. Knowledge and Use of over-the-counter analgesics among medical and nonmedical students of the University of Lagos. Journal of Basic and Social Pharmacy Research. 2019; 1(1):37-45.
16. Owonaro PA, Eniojukan, JF. Prevalence, Patterns and other Contextual Correlates of Self-medication with Pain Relievers in Opokuma Community in Bayelsa State, Nigeria. Sch. Acad. J. Pharm., 2015; 5(2): 34-43.
17. Golar SK. Use and understanding of analgesics (painkillers) by Aston University students. Bioscience Horizons: The International Journal of Student Research. March 2011; 4(1):71–78. https://doi.org/10.1093/biohorizons/hzr009
18. Nahla KI, Banan MA, Wejdan OB, Rajaa MA. Self-medication with analgesics among medical students and interns in King Abdulaziz University, Jeddah, Saudi Arabia. Pak J Med Sci. 2015 Jan-Feb; 31(1): 14–18. doi: 10.12669/pjms.311.6526PMCID: PMC4386150PMID: 25878607
19. Farah Y, Muhammad SA, Unaiza N, Hala N, Hamza N, Muhammad NA, et al. Self-Medication Practices in Medical Students During the COVID-19 Pandemic: A Cross-Sectional Analysis Front. Public Health. 09 March 2022; Sec. 10:803937 https://doi.org/10.3389/fpubh.2022.803937
20. Awosusi OA., Konwea PE. Self-Medication Practice Among Secondary School Students in Ekiti State, Southwest Nigeria. Journal of Advances in Medical and Pharmaceutical Sciences. 2015; 3(2):61-68. https://doi.org/10.9734/JAMPS/2015/16083
21. Agaba EI, Agaba PA, Wigwe CM. Use and abuse of analgesics in Nigeria: a community survey. Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria. 2004; 13(4):379-382.
22. Alhassan JAK. Here in Ghana hard work don't deserve money: The uncertainty and precarity of youth who use tramadol. SSM - Qualitative Research in Health. 2022; 2(4): 100165. http://doi.org/10.1016/j.ssmqr2022.100165
23. Ishino MFA, McNab PR., Gilreath T, Salmeron B, Williams F. A comprehensive multivariate model of biopsychosocial factors associated with opioid misuse and use disorder in a 2017–2018 United States national survey. BMC Public Health. 2020; 20(1):1740. https://doi.org/10.1186/s12889-020-09856-2
24. Mbanga CM, Efie DT, Aroke, D, Njim T. Prevalence and predictors of recreational drug use among medical and nursing students in Cameroon: a cross-sectional analysis. BMC Res Notes. 2018;11(1). https://doi.org/10.1186/s13104-018-3631-z
25. Amin DM., Elnagdi SA, Amer SA. Drug Abuse in Zagazig University students, Egypt: Cross Sectional Study. Occupational Disease and Environmental Medicine. 2018; 7(2): 37-49. DOI:10.4236/odem.2019.72004
26. Olalekan A, Obafemi S, Adaraniwon A, Ajao IO. Comparative study of drug abuse among students of tertiary institutions in Ekiti State, Nigeria. International journal of scientific research updates.2022; 3(40):40-47. DOI:10.53430/ijsru.2022.3.1.0030.