ความชุกและปัจจัยที่สัมพันธ์กับการจำหน่ายยาอันตรายในร้านขายของชำ อำเภอเมืองลำปาง จ.ลำปาง

Abstract

Prevalence and factors associated with the sale of dangerous drugs in grocery stores, Mueang Lampang District, Lampang Province

Noppamas Chanla-or

Pharmacy Department, Lampang Hospital, Lampang Province

Abstract

Objective: To study the prevalence and factors affecting the sale of dangerous drugs in grocery stores in Muang Lampang District, Lampang Province. Methods:This was a mixed method research in 131 grocery stores that had  sales drug during July - August 2022.  it was conducted through interview grocery store operators and surveying grocery stores with a record form developed in this research. Two phases of data were collected, with phase 1 an in-depth individual interview. to find motives that resulted in the sale of dangerous drugs. Phase 2 explored drug distribution in grocery stores.Results: The dangerous drugs were found in 78.6%.The most of antibiotic group was Tetracycline(24.4%).The most of NSAIDs was Aspirin(19.1%). Steroid cream was found in 25.2%. Painkiller packs was found in 3.8%.. The most common sources of drug distribution in grocery stores are a drugstore owned by a pharmacy .Grocery stores that have more knowledge about pharmaceutical sales in grocery stores have a statistically significant proportion of dangerous drug sales in grocery stores with Adjusted OR = 0.138 (95%CI = 0.038-0.510, p = 0.003. ), that is, if grocery store operators have increased knowledge of pharmaceutical sales in grocery stores. This could result in an 86.2% reduction in the sale of dangerous drugs compared to less knowledgeable grocers, with an ROC curve=0.8415. Conclusion: The operators's knowledge of selling drugs in grocery stores was correlated with the sale of dangerous drugs. That is, more knowledgeable entrepreneurs reduce the chances of selling dangerous drugs.

Keywords: Grocery store, dangerous drug, steroid drug, primary care pharmacy