Assessment of Self-Medication With Analgesics Among Farmers:A Community Survey in North-Western Nigeria
Keywords:
Analgesics, Farmers, Self-medication, Side-effectAbstract
Self-medication has emerged as a growing public health concern, particularly with the use of analgesics for both medical and non-medical purposes; this trend is exacerbated by the widespread availability of a broad range of over-the-counter (OTC) analgesics. As their use becomes more pervasive, the incidence of associated adverse effects continues to rise. The aim of this study is to determine the prevalence of analgesic use and related side effects among farmers in the community. A cross-sectional descriptive study of 139 respondents aged 17 to 70 years, recruited through a multi-staged sampling technique was carried out. A semi structured interviewer administered questionnaire was used to collect relevant demographic and analgesic use history, data was cleaned, entered and analysed using SPSS version 25. Univariate variables were summarised and presented as proportions and percentages on tables, while Chi square test of association and other appropriate tests were done for bivariate variables and those found with p<0.05 were taken to be significant. All respondents were male, with 39.6% aged between 17 and 24 years, and a mean age of 30.72 ± 2 standard deviations. The majority (93.5%) identified as Hausa, and 99.3% practiced Islam. However, only 39.3% had attained secondary education. The prevalence of current use of analgesic amongst farmers in the community was found to be (59.7%) with Paracetamol as the most used analgesic (81.3%). Others include diclofenac (67.6%) aspirin (51%), really extra (47.9%), tramadol (42.2%) and codeine (33.5%), Additionally, majority (74.8%) of respondents reported engaging in self-medication by acquiring analgesics directly over the counter (OTC) without prescription from medical personnel. The Knowledge of side effects of analgesics use was found to be poor amongst 97.8% of the respondents. Statistically significant association was found between Knowledge of side effect and level of education of respondents (p=0.025). The prevalence of analgesic use among farmers in the Community was found to be high with corresponding low Knowledge of side effects of use of analgesics. The commonly used analgesics were paracetamol, diclofenac, aspirin and codeine. Promoting appropriate health-seeking behaviour and encouraging the rational use of analgesics are critical steps to prevent the impending rise in side-effects associated with analgesic use, also there is an urgent need to raise awareness and enhance the knowledge of farmers within the community regarding the potential side effects of analgesic use.
References
1. Essential Medicines List 8th Edition, 2024 Federal Ministry of Health and Social Welfare. Abuja. Nigeria
2. Tripathi K. Essentials of medical Pharmacology. Tripathy M, editor. Vol. 7edtn. New Delhi, India: Jaypee Brothers Medical Publishers; 2013.
3. Ike TE., Chiejine GI., Chinelo CN., Ita SE., Chigozie I., Chika O, et al. Prevalence of self-medication with analgesics among artisan in Nnewi, Anambra state, Nigeria. Global Professional multidisciplinary Practice Journal GPMPJ. 2025 Feb;2(1).
4. Parks, K. Parks Textbook of Preventive and Social medicine. 27 edtn. BHanot,India: M/s Banasidas BHanot; 2023.
5. Oluwole AB., Joseph OF, Olujide JO, Kabir AD, Oladele AA, Paul OA, et al. Self-medication among health workers in a tertiary institution in South-West Nigeria. Pan Afr Med J. 2016 Aug;24(312).
6. Madukwe AU, Klein A. Tramadol as a pain relieving and physical work performance enhancement medication. Drugs and Alcohol Today. 2019 Dec 31;20(1):27–35.
7. Owonikoko SB, Suleiman JBA, Maibaka WK, Tasiu N. “What a man can do, a woman can do better”: women farmers, livelihood and drug abuse in Adamawa State, northeastern Nigeria. Journal of Ethnicity in Substance Abuse. 2023 Feb 1;22(1):3–28.
8. Nwafor CE, Okoye CFA, Nwankwo NI, Ugwu PC. “It worked for my friend”: non-medical use of tramadol among manual labourers in Anambra state, Nigeria. Drugs, Habits and Social Policy. 2023 Nov 28;24(4):285–95.
9. Isacson D, Bingefors K. Epidemiology of analgesic use: a gender perspective. European Journal of Anaesthesiology. 2002;19:5–15.
10. Antonov KI, Isacson DG. Prescription and Nonprescription Analgesic Use in Sweden. Annals of Pharmacotherapy. 1998 Apr 1;32(4):485–94.
11. Juha HO, Turunen PT, Mäntyselkä EA, Kumpusalo RS, Ahonen. Frequent analgesic use at population level: Prevalence and patterns of use, Pain,. Science Direct Elservier. 2005 Jun;115(3):374–81.
12. Giselle S., Amanda KB., Wanli Z., Ingrid-Katharina W., Daniel G., Angelika S.R, et al. Prevalence, trends, patterns and associations of analgesic use in Germany. BMC Pharmacology and Toxicology. 2015;16(28).
13. Owonaro PA, Joshua E. Prevalence, Patterns and other Contextual correlates of Self-Medication with pain Relievers in Opokuma Community in Bayelsa State, Nigeria. Sch Ada J Pharm. 2015;2(5):33–43.
14. Builders MI, Aguwa CN. Patients' attitudes towards analgesic usage in Nsukka community. Der pharmacia lentre. 2012;4(2):641–8.
15. Palos GR., Mendoza TR., Cantor SB., Aday LA., Cleeland CS. Perceptions of analgesic use and side effects: what the public values in pain management. Journal of pain and symptom management, 2004;28(5):460–73.
16. Suleiman W, Seung OP, Ismail R. Patients' knowledge and perception towards the use of non-steroidal anti-inflammatory drugs in rheumatology clinic in Northern Malaysia. Oman Medical Journal. 2012;27(6).
17. Ebenezer OA., Deborah FO, Oluseyi AA.,and Bede CA. Self-Medication with Over-the-Counter and Prescription Drugs and Illness Behavior in Nigerian Artisan. Int J High Risk Behav Addict InPress(InPress):e107221. 2021 Mar 7;
18. Mbada CE, Adeyemi TL, Adedoyin RA, Badmus HD, Awotidebe TO, Arije OO, et al. Prevalence and modes of complementary and alternative medicine use among peasant farmers with musculoskeletal pain in a rural community in South-Western Nigeria. BMC Complementary and Alternative Medicine. 2015 Dec 6;15(1):164.
19. Araoye MO. Research methodology with statistics for health and social sciences. 9th ed. Vol. 115. Ilorin: Nathadex Publisher.; 2003. 118–121.
20. National Population Commission Abuja Nigeria, ICF International. Nigeria Demographic and Health Survey 2023-24 Key Indicators. Rockville, Maryland USA; 2024.pgs. 9-10
21. Online: Literacy rate in Nigeria in 2018, by zone and gender available at http://www.stattistica.com/statistica/12475/literacy rate by zone and gender in Nigeria /Statista accessed 23/09/25.
