تحلیل جامعه شناختی تفاوت های جنسیتی در مصرف خود سرانه دارو در شهر یاسوج
محورهای موضوعی : فصلنامه زن و جامعه
سیروس احمدی
1
,
مریم مختاری
2
,
سونیا کریمیان
3
1 - دانشیار گروه جامعه شناسی دانشگاه یاسوج
2 - دانشیاری گروه جامعه شناسی دانشگاه یاسوج.
3 - دانش آموخته کارشناسی ارشد جامعه شناسی دانشگاه یاسوج
کلید واژه: جنسیت, یاسوج, دارو, مصرف خودسرانه,
چکیده مقاله :
مصرف خودسرانه دارو در ایران فراتر از معیارهای جهانی است و جنسیت، نقشی مهم در این زمینه دارد. در حالی که رویکرد زیستی، رویکرد روانی- اجتماعی و رویکرد اجتماعی- ساختاری باور دارند، زنان، بیش‌تر مستعد مصرف خودسرانه دارو هستند، ولی رویکرد رفتاری، مردان را مستعدتر می‌داند. براین اساس، این پژوهش تلاش کرده است رابطه جنسیت و مصرف خودسرانه دارو را بررسی و به این سئوال پاسخ دهد که آیا جنسیت می‌تواند احتمال مصرف خودسرانه دارو را پیش‌بینی کند؟ این مطالعه به روش پیمایشی در مورد 400 نفر از جمعیت 55-18 ساله شهر یاسوج که به روش نمونهگیری تصادفی چندمرحلهای، انتخاب شدند، انجام گرفته است. از نمونه‌های مورد بررسی خواسته شد تا پاسخ دهند، آیا در دو ماه اخیر اقدام به مصرف خودسرانه دارو کرده‌اند؟ و اگر پاسخ مثبت است چه داروهایی؟ یافته‌های پژوهش نشان دادند که مصرف خودسرانه دارو در بین پاسخگویان بالاست، به گونه ای که 2/87% اقدام به مصرف خودسرانه داروی بدون نیاز به نسخه (OTC) و 2/70% اقدام به مصرف داروی نیازمند نسخه (POM) کرده اند. یافته‌های پژوهش با استفاده از مدل رگرسیون لجستیک نشان دادند، جنسیت قادر به پیش بینی نسبت شانس مصرف خودسرانه دارو نیست و تحصیلات نقشی مهم‌تر در پیش بینی نسبت شانس مصرف خودسرانه دارو دارد. نتیجه‌گیری این پژوهش این است که زنان و مردان در مصرف خودسرانه دارو از الگوی مشابهی پیروی می کنند و متفاوت نیستند.
Self-medication in Iran is beyond international standards and gender has an important role. Biological, psychosocial and social structure approaches believe that women are more prone to self-medication however; behavioral approaches suggest that men are more prone. Therefore, the present study aims to investigate the relationship between gender and self-medication and answer whether gender can predict the probability of the self-medication or not. The research uses cross–sectional survey method. The population includes all people aged 18 to 55 in Yasouj from whom 400 subjects were selected through random multi-stage sampling method. The respondents were asked to specify whether they have done self-medication in the last two months and if yes, what kind of medicines. The study results suggest that the self-medication is high, so that 87.2% of respondents have used OTC drugs and 70.2% POM. The study results also showed that, gender cannot significantly predict the self-medication and education has a more important role in predicting probability of the self-medication. The conclusion is that women and men follow from similar patterns in self-medication.
- Abbasi, A., & Abdzadeh, M. (2004).A study of self-medication in Ilam city. IlamUniversity of Medical Science, 42: 53-62. (Text in Persian)
- Ahmadi, S. (2014). Industrial sociology. Tehran, Sociologists Publication. (Text in Persian)
- Almasdy, D., & Sherrif, A. (2011). Self-medication practice with nonprescription medication among university student. Pharmacy Practice, 2: 95-100.
- Amani, F., Mohammadi, S., Shaker, A., & Shahbazzadegan, S. (2011). Study of arbitrary drug use among students in Universities of Ardabil City. Journal of ArdabilUniversity of Medical Sciences, 11(3): 2-1-207. (Text in Persian)
- Anderson, M.L., & Taylor, H.F. (2012).Sociology, The essentials. USA, Wadsworth.
- Ayoma,I., Koyama,S., & Hibino, H.(2012). Self-medication behaviors among Japanese consumers: sex, age, and SES differences and caregivers’ attitudes toward their children’s health management. AsiaPasific Family Medicine, 11(1): 1-7.
- Azadbakht, M., Mirjani, M., Yousofi, M., & Amini, M. (2015). Drugs prescription and consumption in Mazandaran Province. Journal of MazandaranUniversity of Medical Sciences, 122: 44-55. (Text in Persian)
- Blau, F.D.,Brinton, M.C., & Grusky, D.B. (2006). The declining significance of gender? NewYork, Russell Sage Foundation.
- Bolton, J., Cox, B., Clara, I., & Sareen, J. (2006). Use of Alcohol and Drugs to Self-Medicate Anxiety Disorders in a Nationally Representative Sample. The Journal of Nervous and Mental Disease, 194(11): 818-825.
- Carrasco-Garrido, P., Hernandez-Barrera, V., Lopez de Andres, A., & Jimenez-Garcia, R. (2010). Sex differences on self-medication in Spain. Pharmacoepidemiol Drug Safety, 19(12): 1293-1299.
- Davati, a., Jafari, F., Samadpour, M., & Tabar, K. (2007). A study of self-medication among the elderly in Tehran. (2007).
Journal of Medical Council of Islamic Republic of IRAN, 25(4): 450-456. (Text in Persian)
- Denton, M., Prus, S., & Walters, V.(2004). Gender differences in health: a Canadian study of the psychosocial, structural and behavioural determinants of health. Social Science Medicine, 58:2585–2600.
- Heshmati, P., & Asadinoghabi, A. (2008). Culture of generic and herbal drugs. Tehran, Rafie Publication. (Text in Persian)
- Horwitz, A.V., White, H.R., & Howell-White, S. (1996).Becoming married and mental health: a longitudinal study of a cohort of young adults. Journal of Marriage Fam, 58:895–907.
- Horwitz, A.V., Davies, L. (1994).Are emotional distress and alcohol problems differential outcomes to stress? An exploratory test. Social Science Quarterly, 75(3):607–621
- Jalilian, F., Hazavehei, M, M., Vahidinia, A, A., Jalilian, M., & Moghimbeig, A. (2013). Prevalence and related factors for choosing self-medication among pharmacies visitors based on health belief model in HamadanProvince, West of Iran. Journal of Research in Health Sciences, 20(2): 159-166. (Text in Persian)
- Kendall, D. (2012). Sociology in our times, The essentials. USA, Wadsworth.
- Keyes, C.L.M., & Goodman, S.H. (2006). Women and depression: a handbook for the social, behavioral, and biomedical sciences. CambridgeUniversity Press, New York
- Kimmel, M., & Aronson, A. (2012). Sociology now. Boston, Allyn& Bacon.
- Klemenc-Ketis, Z., Hladnik, Z., & Kresnik, J. (2011). A cross-sectional study of sex differences in self- medication practices among university students in Slovenia. Collegium Antropologicum, 35(2): 329-334.
- Landrine,H., & Klonoff, E.A. (2002). Health and health care: How gender makes women sick.Inencyclopedia of women and gender: Sex similarities and differences and the impact of society on gender.Edited by Judith Worell, NewYork, Academic Press.
- Macintyre, S., Hunt, K., & Sweeting, H. (1996). Gender differences in health: are things as simple as they seem? Social Sciences Medicine, 42:617–624
- Mahboobi, M., Ehsani, E., Ghiasi, M., & Afkar, A. (2010). A Survey on Drug Consumption in Chemical Ventures & Designing a Model for Reforming Consumption. Iranian Journal of War and Public Health, 2(6): 32-39. (Text in Persian)
- Masoudnia, E. (2009). Medical sociology. Tehran, TehranUniversity Press. (Text in Persian)
- Migeon, B.R. (2007). Females are mosaics, X inactivation and sex differences in disease. Oxford, OxfordUniversity Press.
- Newman, A.B., & Brach, J.(2001). Gender gap in longevity and disability in older persons. Epidemiol Review, 23(2):343–350.
- Obermeyer, C.M., Schulein,M.,Hardon,A.,Sievert,L.L.,Santiago,A.C., & Neuman, M. (2004). Gender and medication use: An exploratory, multi-site study. Women Health, 39(4): 57-73.
- Parsons, T. (1951). Social system. London, Routledge.
- Phelan, J.C., Link, B., Diez-Roux, A. Kawachi, I., & Levin, B. (2004).Fundamental causes of social inequalities in mortality:A test of the theory. Journal of Health Social Behavior, 45:265–285
- Purreza, A., Khalafi, A., Ghiasi, A., Mojahed, F., & Nurmohammadi, M. (2012). To identify self-medication practice among medical students of Tehran University of Medical Science. Iranian Journal of Epidemiology, 8(4): 40-46. (Text in Persian)
- Reaed, J.G., & Gorman, B.K. (2011). Gender and health revisited.In Handbook of the Sociology of Health,Illness and Healing. Edited by Pescosolido,B.A.,Martin,J.K.,Mcleod,J.D.,Rogers, A. NewYork,Springer, 411-430.
- Rieker, P.P., & Bird, C.E. (2000). Sociological explanations of gender differences in mental and physical health. In: Bird, C.,Conrad,P.,Fremont,A.(eds).The handbook of medical sociology. Prentice Hall,UpperSaddleRiver,NewJersey,pp 98–113
- Ross, C.E., & Bird, C. (1994). Sex stratification and health lifestyle: A consequence for men’s and women’s perceived health.Jornal of Health Social Behavior, 35:161–178.
- Sahebi, L., Seyyedi, A., Amini, S., & Moosakhani, M. (2009). Self-medication Status among referring patients to Tabriz pharmacies, Pharmaceutical Sciences, 14(4): 174-181. (Text in Persian)
- Shye, D., Mullooly, J.P., Freeborn, D.K., & Pope, C.R. (1995).Gender differences in the relation- ship between social network support and mortality: a longitudinal study of an elderly cohort. Social Science Medicine, 41:935–947.
- Statistical Center of Iran. (2012). National population and housing census, Tehran, SCI Pulication. (Text in Persian)
- Tabiei, S., Farajzadeh, Z. & Eizadpanah, A.M. (2012). Self-medication with drug amongst university students of Birjand. Modern Care Journal, 9(4): 371-378. (Text in Persian)
- Tesch, B.J. (2003). Herbs commonly used by women: an evidence-based review. American Journal of Obstetrics & Gynecology, 188(five Suppl): 44-55.
- Tischler, H.L. (2010). Introduction to sociology. USA, Wadsworth.
- Worell, J. (2002). Encyclopedia of women and gender, Sex similarities and differences and the impact of society on gender. New York, Academic Press.
- World Health Organization. (2006). The role of education in the rational use of medicines. New Delhi, Regional Office for South-East Asia.
- World Health Organization. (2001).The world health report. Mental health: new understanding, new hope. Availablw at: http://www.who.int/whr/2001/en/.
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