Abstract
Objective The aim was to describe parental attitudes towards medicine use in children, and the factors associated with them. Setting A cross-sectional population survey of a random sample of children under 12 years of age (n = 6,000) was carried out in Finland in the spring of 2007, with a response rate of 67%. Method A questionnaire was sent to their parents. A Principal Component Analysis was conducted for the attitudinal scale to determine parental attitudes. Main outcome measure An attitudinal scale including 21 items on five-point Likert scale was used to determine parental attitudes towards medicines. Results Five principal components with 18 statements explained parental attitudes: General attitude towards medicines, Attitude towards prescription medicines, Attitude towards OTC medicines, Attitude towards the risks of medicines, and Attitude towards long-term use of pain-killers. These components were internally consistent and explained 54.7% of the total variance. Of the respondents, 15% were cautious towards medicine use, 84% agreed that prescription medicines are safe and effective, whereas 49% thought so about OTC medicines. Of the respondents, 69% were worried about the risks of medicines, especially parents older than 46 years, with a low level of education, who used medicinal herbs themselves, and had a child with a long-term illness. Moreover, 46% of the respondents were worried about the long-term use of pain-killers. Conclusion This population based study showed that the parental attitudes toward prescription medicines and toward OTC medicines are different: many parents consider prescription medicines as safe and effective, less think so of OTC medicines. A considerable proportion of parents had worries about side effects and interactions. This stresses the need to address these topics in encounters with parents.
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References
Horne R, Weinman J. Patients’ beliefs about prescribed medicines and their role in adherence to treatment in chronic physical illness. J Psychosom Res. 1999;47:555–67.
World Health Organization. Adherence to long-term therapies. Evidence for action. 2003. http://www.who.int/chp/knowledge/publications/adherence_report/en/index.html. Accessed 1 April 2009. ISBN 92-4-154599-2.
Bush PJ, Iannotti RJ. Origins and stability of children’s health beliefs relative to medicine use. Soc Sci Med. 1988;27:345–52.
Bush PJ, Iannotti RJ. A children’s health belief model. Med Care. 1990;28:69–83.
Garcia M, Sanz E, Aramburuzabala P, Almarsdottir AB. Concepts of adverse drug reactions among children in eight countries. In: Bush PJ, Trakas DJ, Sanz E, Wirsing RL, Vaskilampi T, Prout A, editors. Children, medicines, and culture. New York: Pharmaceutical products press; 1996. pp. 193–208. ISBN 1-56024-937-4.
Vaskilampi T, Kalpio O, Ahonen R, Hallia O. Finnish study on medicine use, health behavior and perceptions of medicines and health care. In: Trakas DJ, Sanz E, editors. Childhood and medicine use in a cross-cultural perspective: a European concerted action. Brussels: European Commission Report EUR 16646 EN; 1996. pp. 191–219. ISBN 92-827-4978-9.
Hämeen-Anttila K, Juvonen M, Ahonen R, Bush PJ, Airaksinen M. How well can children understand medicine related topics? Patient Educ Couns. 2006;60:171–8.
Divertie V. Strategies to promote medication adherence. Am J Matern Child Nurs. 2002;27:10–8.
Conn KM, Halterman JS, Lynch K, Cabana MD. The impact of parents’ medication beliefs on asthma management. Pediatrics. 2007;120:e521–6.
Hansen DL, Holme Hansen E. Caught in a balancing act: parents’ dilemmas regarding their ADHD child’s treatment with stimulant medication. Qual Health Res. 2006;16:1–19.
Simoni JM, Montgomery A, Martin E, New M, Demas PA, Rana S. Adherence to antiretroviral therapy for pediatric HIV infection: a Qualitative systematic review with recommendations for research and clinical management. Pediatrics. 2007;119:e1371–83.
Palmer DA, Bauchner H. Parents’ and physicians’ views on antibiotics. Pediatrics. 1997;99:e6.
Watson RL, Dowell SF, Jayaraman M, Keyserling H, Kolczak M, Schwartz B. Antimicrobial use for pediatric upper respiratory infections: reported practice, actual practice, and parent beliefs. Pediatrics. 1999;104:1251–7.
Britten N. Patients’ ideas about medicines: a qualitative study in a general practice population. Br J Gen Pract. 1994;44:465–8.
Horne R, Graupner L, Frost S, Weinman J, Wright SM, Hankins M. Medicine in a multi-cultural society: the effect of cultural background on beliefs about medications. Soc Sci Med. 2004;59:1307–13.
Britten N, Ukoumunne OC, Boulton MG. Patients’ attitudes to medicines and expectations for prescriptions. Health Expect. 2002;5:256–69.
Conrad P. The meaning of medications: another look at compliance. Soc Sci Med. 1985;20:29–37.
Donovan JL, Blake DR. Patient non-compliance: deviance or reasoned decision-making? Soc Sci Med. 1992;34:507–13.
Townsend A, Hunt K, Wyke S. Managing multiple morbidity in mid-life: a qualitative study of attitudes to drug use. BMJ. 2003;327:837–42.
Hansson Scherman M, Löwhagen O. Drug compliance and identity: reasons for non-compliance, experiences of medication from persons with asthma/allergy. Patient Educ Couns. 2004;54:3–9.
Isacson D, Bingefors K. Attitudes toward drugs—a survey in the general population. Pharm World Sci. 2002;24:104–10.
Mårdby A-C, Åkerlind I, Jörgensen T. Beliefs about medicines and self-reported adherence among pharmacy clients. Patient Educ Couns. 2007;69:158–64.
Hämeen-Anttila K, Lindell-Osuagwu L, Sepponen K, Vainio K, Halonen P, Ahonen R. Factors associated with medicine use among children aged under 12 years—a population survey in Finland. Pharmacoepidemiol Drug. 2010;19:400–7.
Horne R, Weinman J, Hankins M. The beliefs about medicines questionnaire: the development and evaluation of a new method for assessing the cognitive representation of medication. Psychol Health. 1999;14:1–24.
Kaiser HF. An index of factorial simplicity. Psychometrika. 1974;39(1):31–6.
Nunnally JC, Bernstein IH. Psychometric theory. 3rd ed. New York: McGraw-Hill; 1994. pp. 473–476. ISBN 0-07-047849-X.
Pett MA, Lackey NR, Sullivan JJ. Making sense of factor analysis. Thousand Oaks: Sage Publications; 2003. p. 87. ISBN 0-7619-1950-3.
Sirkin RM. Statistics for the social sciences. 3rd ed. Thousand Oaks: Sage Publications; 2006. p. 238. ISBN 1-4129-0546-X.
Ylinen S, HämeenAnttila K, Sepponen K, Kettis Lindblad Å, Ahonen R. The use of prescription medicines and self medication among Finnish children under 12 years. Pharmacoepidemiol Drug. 2010;19:1000–8.
Ahonen R, Kalpio O, Vaskilampi T, Hallia O. Self-medication among families with children in Jyväskylä, Finland. In: Bush PJ, Trakas DJ, Sanz EJ, Wirsing RL, Vaskilampi T, Prout A, editors. Children, medicines, and culture. New York: Pharmaceutical Products Press; 1996. pp. 275–93. ISBN 1-56024-937-4.
Enlund H, Vainio K, Wallenius S, Poston JW. Adverse drug effects and the need for drug information. Med Care. 1991;29:558–64.
Lyons RF, Rumore MM, Merola MR. An analysis of drug information desired by the patient. (Are patients being told everything they wish to know under OBRA`90?). J Clin Pharm Ther. 1996;21:221–8.
Smith F, Francis S-A, Rowley E. Group interviews with people taking long-term medication: comparing the perspectives of people with arthritis, respiratory disease and mental health problems. Int J Pharm Pract. 2000;8:88–96.
Fisher HR. The needs of parents with chronically sick children: a literature review. J Adv Nurs. 2001;36:600–7.
Jackson C, Cheater FM, Reid I. A systematic review of decision support needs of parents making child health decisions. Health Expect. 2008;11:232–51.
Vainio K. Lääkeneuvonnan kehittäminen suomalaisissa apteekeissa (Developing patient counseling in Finnish community pharmacies). Kuopio University Publications A. Pharmaceutical Sciences 78, Kuopio (in Finnish with English summary). 2004. ISBN 951-781-296-5.
Airaksinen M, Vainio K, Koistinen J, Ahonen R, Wallenius S, Enlund H. Do the public and pharmacists share opinions about drug information. Int Pharm J. 1994;8:168–71.
Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. New York: Academic Press; 1988. pp. 20–27. ISBN 0-8058-0283-5.
Menacker F, Aramburuzabala P, Minian N, Bush PJ, Bibace R. Children and medicines: what they want to know and how they want to learn. J Soc Adm Pharm. 1999;16:38–52.
Chambers CT, Reid GJ, McGrath PJ, Finley GA. Self-administration of over-the-counter medication for pain among adolescents. Arch Pediatr Adolesc Med. 1997;151:449–55.
Hämeen-Anttila K, Englund A, Ahonen R. Miten usein koululaiset käyttävät itsehoitolääkkeitä? (How often schoolchildren use OTC-medicines?). Dosis 2005;21:182–190 (In Finnish with an English summary).
Funding
No external funding was obtained to conduct this population survey. All the work was done at the School of Social Pharmacy, University of Eastern Finland. The costs have been covered by the School.
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The authors do not have any conflicts of interests.
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Hämeen-Anttila, K., Halonen, P., Siponen, S. et al. Parental attitudes toward medicine use in children in Finland. Int J Clin Pharm 33, 849–858 (2011). https://doi.org/10.1007/s11096-011-9549-3
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DOI: https://doi.org/10.1007/s11096-011-9549-3