Self-medication among Brazilian schoolchildren during the Covid-19 pandemic

frequency and associated factors

Authors

DOI:

https://doi.org/10.35699/2178-1990.2025.62482

Keywords:

self medication, COVID-19, child, adolescent

Abstract

Introduction: According to the World Health Organization (WHO), self-medication is defined as the use of medicinal products without medical indication or professional guidance, to treat self-diagnosed conditions. During the COVID-19 pandemic, this practice may have intensified among children due to social isolation, making it essential to investigate its associated factors. 

Aim: To assess the frequency of self-medication and the factors associated with this practice among Brazilian schoolchildren during the COVID-19 pandemic. 

Methods: A cross-sectional study was conducted with a convenience sample of 128 parents/guardians and their children aged 8–15 years from a public school in Maravilhas, Minas Gerais, Brazil. Participants were interviewed by a trained researcher via telephone call. Information was collected on sociodemographic characteristics of the children and their families, self-medication practices among schoolchildren and their parents/guardians during the Covid-19 pandemic, history of Covid-19 among household members, and the presence of social isolation. Fear of Covid-19 was assessed using the Brazilian version of The Fear of Covid-19 Scale. Descriptive analyses and unadjusted and adjusted Poisson regression analyses were performed (p < 0.05; 95% CI) using SPSS software, version 25. 

Results: Self-medication among children/adolescents was reported by 19.5% of the interviewed parents/guardians. The final model showed that children/adolescents whose parents/guardians practiced self-medication had a 6.80-fold higher frequency of self-medication (95% CI: 3.29–14.08; p < 0.001) compared with those whose parents/guardians did not self-medicate.

Conclusion: The frequency of self-medication among children and adolescents during the Covid-19 pandemic was 19.5% and was significantly associated with self-medication practices among their parents/guardians. 

References

World Health Organization. Guidelines for the regulatory assessment of medicinal products for use in self-medication. Geneva: WHO; 2000.

Airagnes G, Pelissolo A, Lavallée M, Flament M, Limosin F. Benzodiazepine misuse in the elderly: risk factors, consequences, and management. Curr Psychiatry Rep. 2016;18(10):89.

Rahmawati R, Bajorek BV. Self-medication among people living with hypertension: a review. Fam Pract. 2017;34(2):147-53.

Carvalho MF, Pascom ARP, Souza-Júnior PRB, Damacena GN, Szwarcwald CL. Utilization of medicines by the Brazilian population, 2003. Cad Saude Publica. 2005;21 Suppl 1:S100-8.

Lam CL, Catarivas MG, Munro C, Lauder IJ. Self-medication among Hong Kong Chinese. Soc Sci Med. 1994;39(12):1641-7.

Phalke VD, Phalke DB, Durgawale PM. Self-medication practices in rural Maharashtra. Indian J Community Med. 2006;31(1):34-5.

Kassie AD, Bifftu BB, Mekonnen HS. Self-medication practice and associated factors among adult household members in Meket district, Northeast Ethiopia, 2017. BMC Pharmacol Toxicol. 2018;19(1):15.

Pons ES, Pizzol TSD, Knauth DR, Mengue SS. Self-medication in children aged 0-12 years in Brazil: a population-based study. Rev Paul Pediatr. 2024;42:e2022137.

Ministério da Saúde. COVID-19. Brasília: Ministério da Saúde, 2020. Disponível em: https://www.gov.br/saude/pt-br/assuntos/saude-de-a-a-z/c/covid-19.

Sousa AR, Alencar DC, Silva AMM, Souza CS, Barros JF, Pereira A. Homens, necessidades de saúde e motivações para a automedicação. Cult Cuid (Internet). 2019;23(55):126-41.

Nasir M, Talha KA, Chowdhury AS, Zahan T, Perveen RA. Prevalence, pattern and impact of self medication of anti-infective agents during COVID-19 outbreak in Dhaka City. Glob J Med Res. 2020;20(B7):1-8.

Barros MBA, Lima MG, Malta DC, Szwarcwald CL, Azevedo RCS, Romero D, et al. Relato de tristeza/depressão, nervosismo/ansiedade e problemas de sono na população adulta brasileira durante a pandemia de COVID-19. Epidemiol Serv Saude. 2020;29(4):e2020427.

Makowska M, Boguszewski R, Nowakowski M, Podkowińska M. Self-medication-related behaviors and Poland’s COVID-19 lockdown. Int J Environ Res Public Health. 2020;17(22):8344.

Galhardi CP, Freire NP, Minayo MCS, Fagundes MCM. Fact or fake? An analysis of disinformation regarding the COVID-19 pandemic in Brazil. Cien Saude Colet. 2020; 25 Suppl 2:4201-10.

Beckhauser GC, Souza JM, Valgas C, Piovezan AP, Galato D. Utilização de medicamentos na pediatria: a prática de automedicação em crianças por seus responsáveis. Rev Paul Pediatr. 2010;28(3):262-8.

Batista EL. Grupo de médicos defende tratamento sem eficácia comprovada contra Covid-19 em jornais. Folha de S.Paulo. 23 Fev 2021.

Oliveira LAS, Souza AM, Custódio VM, Santos JSD, Castro LS, Zatta DT, et al. Automedicação no Brasil durante a pandemia da COVID-19 e o papel do profissional farmacêutico: uma revisão sistemática. Res Soc Dev. 2021;10(11):e496101119769.

Malta M, Cardoso LO, Bastos FI, Magnanini MF, Silva CM. STROBE initiative: guidelines on reporting observational studies. Rev Saude Publica. 2010; 44(3):559-65.

19. Ministério da Saúde (BR). Portaria n.º 356, de 11 de março de 2020. Dispõe sobre a regulamentação e operacionalização do disposto na Lei nº 13.979, de 6 de fevereiro de 2020, que estabelece as medidas para enfrentamento da emergência de saúde pública de importância internacional decorrente do coronavírus (COVID-19). Diário Oficial da União. 12 Mar 2020;Seção1:185.

20. Supremo Tribunal Federal (BR). Ação Direta de Inconstitucionalidade (ADI) n.º 6.341/DF. Decisão de 15 de abril de 2020. Reconhecimento de competência concorrente de estados e municípios para medidas de distanciamento, quarentena e restrições sanitárias. 2020.

21. Fundação Oswaldo Cruz; Universidade Federal de Minas Gerais; Universidade Estadual de Campinas. ConVid – Pesquisa de Comportamentos: resultados 2020-2021. Rio de Janeiro: Fiocruz; 2021.

20. Peres RS, Frick LT, Queluz FN, Fernandes SC, Priolo-Filho SR, Stelko-Pereira AC, et al. Evidências de validade de uma versão brasileira da Fear of COVID-19 Scale. Cien Saude Colet. 2021;26(8):3255-64.

21. Prudêncio JVL, Marques JHM. Riscos da automedicação durante a COVID-19. Revista Científica Unilago. 2021;1(1):1-11.

22. Mallhi TH, Khan YH, Alotaibi NH, Alzarea AI, Alanazi AS, Qasim S, et al. Drug repurposing for COVID-19: a potential threat of self-medication and controlling measures. Postgrad Med J. 2020;97(1153):742-3.

23. Onchonga D. A Google Trends study on the interest in self-medication during the 2019 novel coronavirus (COVID-19) disease pandemic. Saudi Pharm J. 2020;28(7):903-4.

24. Google. Google Trends. Automedicação no Brasil [Internet]. Disponível em: https://trends.google.com.br/trends/explore?q=automedicação&geo=BR

25. Molento MB. COVID-19 and the rush for self-medication and self-dosing with ivermectin: a word of caution. One Health. 2020;10:100148.

26. Scaramuzzo M. Venda de remédios do “kit covid” movimenta R$ 500 mi em 2020. Valor Econômico. 5 Fev 2021.

27. Instituto de Ciência, Tecnologia e Qualidade. Pesquisa – Automedicação no Brasil. Anápolis, GO: ICTQ; 2018.

28. Mergulhão A, Castro R. Aplicativo de Pazuello sugere “tratamento precoce” com cloroquina para sintomas de Covid-19. Época. 20 Jan 2021.

29. Auta A, Omale S, Folorunsho TJ, David S, Banwat SB. Medicine vendors: self-medication practices and medicine knowledge. N Am J Med Sci. 2012;4(1):24–8.

Published

2025-12-29

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Artigos

How to Cite

Self-medication among Brazilian schoolchildren during the Covid-19 pandemic: frequency and associated factors. (2025). Arquivos Em Odontologia, 61, 317-326. https://doi.org/10.35699/2178-1990.2025.62482

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