The future physicians of United Arab Emirates: how do they self-medicate?

Background: Health professions have been a predictive factor for self-medication (SM). SM practices of medical students, the future practitioners will have a bearing on their impending professional practice. The aims were to identify prevalence and practice of SM among the medical students of Gulf Medical University (GMU), United Arab Emirates and to assess the associating factors.Methods: The study was planned as a cross-sectional descriptive survey among 247 medical students of GMU. Students from 1st to 5th year were included in the study. Data were analyzed using SPSS version 19. Associations were tested with Chi-square test.Results: SM with both over-the-counter medications and prescription-only medicines was practiced by 65% of students. The prevalence of SM was associated with the year of study and age. The most common sources of drugs were private pharmacies and stocks at home. The students mostly relied on themselves and parents for drug selection. The self-reliance significantly increased with year of study. Common indications for SM were headache and flu symptoms and correspondingly, analgesics and antipyretics were frequently used. A high prevalence of misuse of antibiotics was also reported. SM was 2.9 times higher (95% CI=1.502-5.620) among students belonging to families practicing SM.Conclusion: The study revealed a fairly high rate of prevalence of SM among the medical students of GMU, which was associated with age and year of study. There is a need to emphasize responsible SM practices among the medical students by accentuating rational drug use in the curricula

Diabetes Mellitus-Related Knowledge among University Students in Ajman, United Arab Emirates

The aim of this study was to assess diabetes mellitus (DM)-related knowledge and practices among university students enrolled in non-health care related professional courses in the United Arab Emirates. Methods: A pre-tested questionnaire assessing the knowledge of DM was administered to the above-mentioned students. Data collected were transferred to PASW Statistics (Chicago, IL, USA, Version 18) and analysed. Results: Data on 168 university students (47 males and 121 females) were included in the analysis. Of the participants, 25% were overweight or obese and only 27% exercised regularly. Regarding their knowledge of DM, 70% knew that it is characterised by high blood sugar levels and identified family history as a major risk factor. Surprisingly, only just over half could link obesity and physical inactivity as risk factors for developing DM, or could identify an excessive feeling of thirst, frequent urination, and weight loss as symptoms. Knowledge of the complications of diabetes, including gangrene, loss of sensation in limbs, oral and dental complications, recurrent infections, and risk for cardiovascular disease got a moderate response. Knowledge of diabetes was found to be higher in females compared to males. No significant differences were observed in the health behaviour of participants with or without a family history of DM. Conclusion: Our study revealed that in spite of exposure to various sources of information, the participants’ level of DM-related knowledge was not adequate. We recommend the engagement of health professionals in educational settings in order to enhance health-related knowledge and inculcate healthy lifestyle practices in students.

Factors associated with self-medication among expatriate high school students: a cross-sectional survey in United Arab Emirates

The study aimed to assess factors associated with self-medication (SM) among expatriate high school students of United Arab Emirates using a validated questionnaire. Most common reasons for self-medication in 324 participating students were: presence of mild illness and previous experiences. High risk practices like altering the dose, discontinuation of medication and self-medication without adult guidance were observed. The likelihood of SM was 4.9 times (95%C.I.: 2.0-12.2) in students not utilizing private healthcare services than those who were utilizing these services. Increased efforts are needed to prevent the risks of self-medication in adolescents through healthcare education for both parents and adolescents

Does curricular change improve faculty perceptions of student experiences with the educational environment? A preliminary study in an institution undergoing curricular change

Purpose: College of Medicine, Gulf Medical University, United Arab Emirates, underwent a major curriculum change from a discipline-based to an organ system-based integrated curriculum. However, it was not known how the faculty perceived the changes in the educational environment as experienced by the students. In this context, we aimed to compare the faculty perceptions of the student experiences in the discipline-based curriculum with those in the organ system-based integrated curriculum. Methods: The Dundee Ready Education Environment Measure (DREEM) questionnaire was modified to assess faculty perceptions of the student experiences, pilot-tested, and administered to all faculty members (n=28) involved in the discipline-based curriculum (FDC) in January 2009. In the subsequent year, data were collected from the same faculty involved in the new integrated curriculum (FIC). Collected data were transferred to Predictive Analytics Software version 18. Total, domain, and individual statement scores were assessed with the Wilcoxon signed rank test. Percentage agreement, disagreement, and uncertainty were assessed by the McNemar’s test for proportion. Results: The mean total DREEM score was significantly higher (P<0.001) for FIC (139/200) as compared to FDC (119/200). The FIC perceived significantly more positive student experiences with the educational environment as indicated by the domain scores and statement scores. The differences in proportions of agreement between FIC and FDC also reinforced that the FIC perceived more positive student experiences with the educational environment. Conclusion: The study showed that the faculty perceived the organ system-based integrated curriculum as providing a better educational environment for the students than the discipline based curriculum

The future physicians of United Arab Emirates: how do they self-medicate?

Background: Health professions have been a predictive factor for self-medication (SM). SM practices of medical students, the future practitioners will have a bearing on their impending professional practice. The aims were to identify prevalence and practice of SM among the medical students of Gulf Medical University (GMU), United Arab Emirates and to assess the associating factors.Methods: The study was planned as a cross-sectional descriptive survey among 247 medical students of GMU. Students from 1st to 5th year were included in the study. Data were analyzed using SPSS version 19. Associations were tested with Chi-square test.Results: SM with both over-the-counter medications and prescription-only medicines was practiced by 65% of students. The prevalence of SM was associated with the year of study and age. The most common sources of drugs were private pharmacies and stocks at home. The students mostly relied on themselves and parents for drug selection. The self-reliance significantly increased with year of study. Common indications for SM were headache and flu symptoms and correspondingly, analgesics and antipyretics were frequently used. A high prevalence of misuse of antibiotics was also reported. SM was 2.9 times higher (95% CI=1.502-5.620) among students belonging to families practicing SM.Conclusion: The study revealed a fairly high rate of prevalence of SM among the medical students of GMU, which was associated with age and year of study. There is a need to emphasize responsible SM practices among the medical students by accentuating rational drug use in the curricula

Self-medication and related health complaints among expatriate high school students in the United Arab Emirates

Background: Self-medication, often without adult guidance, has been reported to be a common practice during adolescence. Similar to other preventable health-risk behaviors initiated in early adolescence, it has become a cause for concern universally.Objectives: This study examines the prevalence of self-medication with both prescribed and non-prescribed (OTC) medications, related health complaints, sources of drugs, and sources of drug recommendation, and gender differences related to self-medication among expatriate high school students in the United Arab Emirates (UAE).Methods: A cross-sectional survey was conducted among 324 expatriate students through a validated, self-administered questionnaire and data was analyzed using SPSS 19 version. Means and proportions were calculated and Pearson Chi-square test of significance was used to analyze association among variables.Results: Majority of the participating students, almost equally distributed by gender, was aged 16 to 17 years. The period prevalence rate of self-medication with prescribed and OTC medications were 89.2%, which did not vary with age, gender, ethnicity or parents’ educational level. The most common sources of drug and drug recommendation were community pharmacies and parents respectively. Headache and fever were the common self-medicated conditions and consequently, analgesics and antipyretics were most commonly used both in the previous two weeks and the previous year prior to the survey. A high prevalence of self-medication with antibiotics (53%) and sedative/hypnotics (27%) was also observed. A female excess emerged for certain health complaints and use of medicines except for the use of anti-allergic and herbal/homeopathic drugs.Conclusion: This is the first study to explore self-medication practices among high school students in UAE and provides baseline data critical in creating awareness about the risks and benefits of self-medication. Health care providers, educators and parents should be actively involved in health education strategies for inculcating responsible self-medication practices in the adolescent population of UAE