Highlighting the pivotal role of the pharmacist in influencing health behaviours during emergency crisis: A lesson from the COVID-19 pandemic

Authors

  • Katia Iskandar Department of Pharmaceutical Sciences, School of Pharmacy, Lebanese International University, Beirut, Lebanon & INSPECT-LB (Institut National de Santé Publique, d’Épidémiologie Clinique et de Toxicologie-Liban), Beirut, Lebanon
  • Souheil Hallit School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Jounieh, Lebanon & Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon & Applied Science Research Center, Applied Science Private University, Amman, Jordan
  • Chadia Haddad INSPECT-LB (Institut National de Santé Publique, d’Épidémiologie Clinique et de Toxicologie-Liban), Beirut, Lebanon & Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon & Department of Medical sciences, School of Medicine, Lebanese American University, Byblos, Lebanon
  • Irfan Mohammed Department of Restorative Dentistry, School of Dentistry, Federal University of Pelotas, Brazil
  • Feten Fekih-Romdhane Department of Psychiatry “Ibn Omrane”, Razi hospital, Manouba, Tunisia & Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
  • Rawshan Jabeen Department of Research & Development, Children's Hospital Karachi, Pakistan
  • Michelle Cherfane INSPECT-LB (Institut National de Santé Publique, d’Épidémiologie Clinique et de Toxicologie-Liban), Beirut, Lebanon & Department of Medical Sciences, School of Medicine, Lebanese American University, Byblos, Lebanon
  • Elise Makhoul Department of Pharmaceutical Sciences, School of Pharmacy, Lebanese International University, Beirut, Lebanon
  • Marwan Akel INSPECT-LB (Institut National de Santé Publique, d’Épidémiologie Clinique et de Toxicologie-Liban), Beirut, Lebanon
  • Sarah El Khatib INSPECT-LB (Institut National de Santé Publique, d’Épidémiologie Clinique et de Toxicologie-Liban), Beirut, Lebanon & Department of Health Sciences, Faculty of Public Health, Lebanese University, Tripoli, Lebanon
  • Rohul Amin James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh
  • Anna Brytek-Matera Eating Behavior Laboratory (EAT Lab), Institute of Psychology, University of Wroclaw, Wroclaw, Poland
  • Nebojša Pavlovic Department of Pharmacy, Faculty of Medicine, University of Novi Sad, Hajduk Veljkova, Serbia
  • Rula Darwish Department of Pharmaceutics and Pharmaceutical Technology, The University of Jordan, Amman, Jordan
  • Mainul Haque Faculty of Medicine and Defence Health, Universiti Pertahanan Nasional Malaysia (National Defence University of Malaysia), Kem Perdana Sungai Besi, Kuala Lampur, Malaysia
  • Jayaseelan Murugaiyan Department of Biological Sciences, SRM University AP, Andhra Pradesh, India
  • Shadrach Chinecherem Eze Federal Medical Centre, Makurdi Benue State, Nigeria
  • Randa Choueiry Department of Medicinal Sciences, Faculty of Medicine, Lebanese University, Beirut, Lebanon
  • Kenneth Egwu Faculty of Pharmaceutical Sciences, University of Nigeria, Nsukka, Nigeria
  • Nagham Khanafer Unité d’hygiène, épidémiologie et prévention, Hôpital Edouard Herriot, Hospices Civils de Lyon, Lyon, France & Equipe PHE3ID, Centre International de Recherche en Infectiologie (CIRI), Inserm U1111, CNRS UMR5308, ENS de Lyon, Université de Lyon1, Lyon, France
  • Magdalena Mróz Eating Behavior Laboratory (EAT Lab), Institute of Psychology, University of Wroclaw, Wroclaw, Poland
  • Vijaya Pavani Molli Department of Periodontics, School of Dentistry, Temple University Maurice H Kornberg, Philadelphia, United States
  • Tamires Furtado Rockenbach Department of Health Surveillance of Pelotas, Federal University of Pelotas, Brazil
  • Joanna Sitarska Eating Behavior Laboratory (EAT Lab), Institute of Psychology, University of Wroclaw, Wroclaw, Poland
  • Ana Tomas Department of Pharmacology and Toxicology, Faculty of Medicine, University of Novi Sad, Hajduk Veljkova, Serbia
  • Pascale Salameh INSPECT-LB (Institut National de Santé Publique, d’Épidémiologie Clinique et de Toxicologie-Liban), Beirut, Lebanon & Applied Science Research Center, Applied Science Private University, Amman, Jordan & Faculty of Pharmacy, Lebanese University, Hadat, Lebanon & Department of Primary Care and Population Health, University of Nicosia Medical School, Nicosia, Cyprus

DOI:

https://doi.org/10.46542/pe.2023.231.676692

Keywords:

COVID-19, Health behaviour, Pharmacist, Self-medication, Social media

Abstract

Background: The contribution of the pharmacist in influencing health behaviours and raising awareness of the impact of self-medication (SM) is valuable. During the COVID-19 pandemic, SM was triggered by multiple factors driven by the fear of becoming infected. This study aimed to identify the determinants of SM during the outbreak, with a focus on the role of social media, and to determine areas where the active contribution of the pharmacist needs strengthening.

Methods: A pilot cross-sectional study using snowball sampling was conducted in thirteen countries.

Results: A total of 2369 participants with a mean age of 30.62±11.57 years were enrolled in the study. The determinants of SM were 1) sociodemographic characteristics, including developing countries (ORa= 0.670; 95%CI [0.49, 0.91]); 2) communication channels, where Facebook was the most used social media platform (ORa=1.624; 95%CI [1.29, 2.05]); and 3) content and sources of unverified information, i.e. television interviews (ORa=1.357; 95%CI [1.03, 1.78]) and videos with someone confirming the effectiveness of medication used (ORa=1.353; 95%CI [1.06, 1.73]). The perceived risk severity was associated with elderly polypharmacy (ORa= 2.468; 95%CI [1.87, 3.26]).

Conclusion: The pharmacist should collaboratively and actively contribute to the design and implementation of health promotion programmes and convert to positive the influence of social media.

References

Al-Dmour, H., Masa’deh, R., Salman, A., Al-Dmour, R., & Abuhashesh, M. (2022). The role of mass media interventions on promoting public health knowledge and behavioral social change against COVID-19 pandemic in Jordan. SAGE Open, 12(1), 21582440221082125. https://doi.org/10.1177/21582440221082125

Alvarez-Galvez, J., Suarez-Lledo, V., & Rojas-Garcia, A. (2021). Determinants of infodemics during disease outbreaks: A systematic review. Frontiers in Public Health, 9, 603603. https://doi.org/10.3389/fpubh.2021.603603

Amuzie, C. I., Kalu, K. U., Izuka, M., Nwamoh, U. N., Emma-Ukaegbu, U., Odini, F., Metu, K., Ozurumba, C., & Okedo-Alex, I. N. (2022). Prevalence, pattern and predictors of self-medication for COVID-19 among residents in Umuahia, Abia State, Southeast Nigeria: Policy and public health implications. Journal of Pharmaceutical Policy and Practice, 15(1), 34. https://doi.org/10.1186/s40545-022-00429-9

Andika, R., Kao, C. T., Williams, C., Lee, Y. J., Al-Battah, H., & Alweis, R. (2021). YouTube as a source of information on the COVID-19 pandemic. Journal of Community Hospital Internal Medicine Perspectives, 11(1), 39–41. https://doi.org/10.1080/20009666.2020.1837412

Anwar, A., Malik, M., Raees, V., & Anwar, A. (2020). Role of Mass Media and Public Health Communications in the COVID-19 Pandemic. Cureus, 12(9), e10453. https://doi.org/10.7759/cureus.10453

Arafat, S. M. Y., Kar, S. K., Menon, V., Kaliamoorthy, C., Mukherjee, S., Alradie-Mohamed, A., Sharma, P., Marthoenis, M., & Kabir, R. (2020). Panic buying: An insight from the content analysis of media reports during COVID-19 pandemic. Neurology, Psychiatry and Brain Research, 37, 100–103. https://doi.org/10.1016/j.npbr.2020.07.002

Arjomandi Rad, A., Vardanyan, R., & Tas, N. R. (2020). Ibuprofen and thromboembolism in SARS-COV2. Journal of Thrombosis and Haemostasis: JTH, 18(9), 2425–2427. https://doi.org/10.1111/jth.14901

Ataç, Ö., Özalp, Y. C., Kurnaz, R., Güler, O. M., İnamlık, M., & Hayran, O. (2020). Youtube as an information source during the Coronavirus Disease (COVID-19) pandemic: Evaluation of the Turkish and English content. Cureus, 12(10), e10795. https://doi.org/10.7759/cureus.10795

Axfors, C., Schmitt, A. M., Janiaud, P., Van't Hooft, J., Abd-Elsalam, S., Abdo, E. F., Abella, B. S., Akram, J., Amaravadi, R. K., Angus, D. C., Arabi, Y. M., Azhar, S., Baden, L. R., Baker, A. W., Belkhir, L., Benfield, T., Berrevoets, M. A. H., Chen, C. P., Chen, T. C., Cheng, S. H., … Hemkens, L. G. (2021). Mortality outcomes with hydroxychloroquine and chloroquine in COVID-19 from an international collaborative meta-analysis of randomized trials. Nature Communications, 12(1), 2349. https://doi.org/10.1038/s41467-021-22446-z

Ayosanmi, O. S., Alli, B. Y., Akingbule, O. A., Alaga, A. H., Perepelkin, J., Marjorie, D., Sansgiry, S. S., & Taylor, J. (2022). Prevalence and correlates of self-medication practices for prevention and treatment of COVID-19: A systematic review. Antibiotics (Basel, Switzerland), 11(6), 808. https://doi.org/10.3390/antibiotics11060808

Borges do Nascimento, I. J., Pizarro, A. B., Almeida, J. M., Azzopardi-Muscat, N., Gonçalves, M. A., Björklund, M., & Novillo-Ortiz, D. (2022). Infodemics and health misinformation: A systematic review of reviews. Bulletin of the World Health Organization, 100(9), 544–561. https://doi.org/10.2471/BLT.21.287654

Briand, S. C., Cinelli, M., Nguyen, T., Lewis, R., Prybylski, D., Valensise, C. M., Colizza, V., Tozzi, A. E., Perra, N., Baronchelli, A., Tizzoni, M., Zollo, F., Scala, A., Purnat, T., Czerniak, C., Kucharski, A. J., Tshangela, A., Zhou, L., & Quattrociocchi, W. (2021). Infodemics: A new challenge for public health. Cell, 184(25), 6010–6014. https://doi.org/10.1016/j.cell.2021.10.031

Bridgman, A., Merkley, E., Loewen, P. J., Owen, T., Ruths, D., Teichmann, L., & Zhilin, O. (2020). The causes and consequences of COVID-19 misperceptions: Understanding the role of news and social media. Harvard Kennedy School Misinformation Review, 1(3). https://doi.org/10.37016/mr-2020-028

Brown, J. D., Vouri, S. M., & Manini, T. M. (2021). Survey-reported medication changes among older adults during the SARS-CoV-2 (COVID-19) pandemic. Research in Social and Administrative Pharmacy, 17(8), 1478–1482. https://doi.org/10.1016/j.sapharm.2020.11.005

Butler, C. C., Dorward, J., Yu, L.-M., Gbinigie, O., Hayward, G., Saville, B. R., Hecke, O. V., Berry, N., Detry, M., Saunders, C., Fitzgerald, M., Harris, V., Patel, M. G., Lusignan, S. de, Ogburn, E., Evans, P. H., Thomas, N. P., & Hobbs, F. R. (2021). Azithromycin for community treatment of suspected COVID-19 in people at increased risk of an adverse clinical course in the UK (PRINCIPLE): A randomised, controlled, open-label, adaptive platform trial. The Lancet, 397(10279), 1063–1074. https://doi.org/10.1016/S0140-6736(21)00461-X

Cacciapuoti, F., & Cacciapuoti, F. (2021). Could low doses acetylsalicylic acid prevent thrombotic complications in COVID-19 patients? Clinical and Applied Thrombosis/Hemostasis, 27, 10760296211014592. https://doi.org/10.1177/10760296211014592

Chuang, H.-M., & Liao, Y.-D. (2022). Sustaining the benefits of social media on users’ health beliefs regarding COVID-19 prevention. Sustainability, 14(8), 4809. https://doi.org/10.3390/su14084809

Chung, Z. (2022). Social media and science: A double-edged sword of (mis)communication? A case study of the COVID-19 pandemic. University of Waterloo Journal of Undergraduate Health Research, 1(1 January), Article 1. https://doi.org/10.15353/juhr.v1i1.January.4418

Cinelli, M., Quattrociocchi, W., Galeazzi, A., Valensise, C. M., Brugnoli, E., Schmidt, A. L., Zola, P., Zollo, F., & Scala, A. (2020). The COVID-19 social media infodemic. Scientific Reports, 10(1), 16598. https://doi.org/10.1038/s41598-020-73510-5

Dare, S. S., Eze, E. D., Echoru, I., Usman, I. M., Ssempijja, F., Bukenya, E. E., & Ssebuufu, R. (2022). Behavioural response to self-medication practice before and during Covid-19 pandemic in Western Uganda. Patient Preference and Adherence, 16, 2247–2257. https://doi.org/10.2147/PPA.S370954

Eze, P., Mezue, K. N., Nduka, C. U., Obianyo, I., & Egbuche, O. (2021). Efficacy and safety of chloroquine and hydroxychloroquine for treatment of COVID-19 patients‒A systematic review and meta-analysis of randomized controlled trials. American Journal of Cardiovascular Disease, 11(1), 93–107. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8012280

Ferrer, R. A., & Klein, W. M. (2015). Risk perceptions and health behavior. Current Opinion in Psychology, 5, 85–89. https://doi.org/10.1016/j.copsyc.2015.03.012

Fetensa, G., Tolossa, T., Etafa, W., & Fekadu, G. (2021). Prevalence and predictors of self-medication among university students in Ethiopia: a systematic review and meta-analysis. Journal of Pharmaceutical Policy and Practice, 14(1), 107. https://doi.org/10.1186/s40545-021-00391-y

Gabarron, E., Oyeyemi, S. O., & Wynn, R. (2021). COVID-19-related misinformation on social media: A systematic review. Bulletin of the World Health Organization, 99(6), 455–463A. https://doi.org/10.2471/BLT.20.276782

Galhardi, C. P., Freire, N. P., Minayo, M. C. D. S., & Fagundes, M. C. M. (2020). Fato ou Fake? Uma análise da desinformação frente à pandemia da Covid-19 no Brasil. Ciência & Saúde Coletiva, 25, 4201‒4210. https://doi.org/10.1590/1413-812320202510.2.28922020

Gaviria-Mendoza, A., Mejía-Mazo, D. A., Duarte-Blandón, C., Castrillón-Spitia, J. D., Machado-Duque, M. E., Valladales-Restrepo, L. F., & Machado-Alba, J. E. (2022). Self-medication and the ‘infodemic’ during mandatory preventive isolation due to the COVID-19 pandemic. Therapeutic Advances in Drug Safety, 13, 20420986221072376. https://doi.org/10.1177/20420986221072376

Giri, S. P., & Maurya, A. K. (2021). A neglected reality of mass media during COVID-19: Effect of pandemic news on individual’s positive and negative emotion and psychological resilience. Personality and Individual Differences, 180, 110962. https://doi.org/10.1016/j.paid.2021.110962

Hamadeh, N., Van Rompaey, C., & Metreau, E. (2021, July 1). New World Bank country classifications by income level: 2021-2022. World Bank Blogs. https://blogs.worldbank.org/opendata/new-world-bank-country-classifications-income-level-2021-2022

Harnett, J. E., & Lam Ung, C. O. (2023). Towards defining and supporting pharmacists' professional role associated with traditional and complementary medicines - A systematic literature review. Research in Social and Administrative Pharmacy, 19(3), 356–413. https://doi.org/10.1016/j.sapharm.2022.11.001

Heshmatifar, N., Davarinia Motlagh Quchan, A., Mohammadzadeh Tabrizi, Z., Moayed, L., Moradi, S., Rastagi, S., & Borzooei, F. (2021). Prevalence and factors related to self-medication for COVID-19 prevention in the elderly. Iranian Journal of Ageing, 16(1), 112–127. https://doi.org/10.32598/sija.16.1.2983.1

Jankelson, L., Karam, G., Becker, M. L., Chinitz, L. A., & Tsai, M.-C. (2020). QT prolongation, torsades de pointes, and sudden death with short courses of chloroquine or hydroxychloroquine as used in COVID-19: A systematic review. Heart Rhythm, 17(9), 1472–1479. https://doi.org/10.1016/j.hrthm.2020.05.008

Jones, C. L., Jensen, J. D., Scherr, C. L., Brown, N. R., Christy, K., & Weaver, J. (2015). The Health Belief Model as an explanatory framework in communication research: Exploring parallel, serial, and moderated mediation. Health Communication, 30(6), 566–576. https://doi.org/10.1080/10410236.2013.873363

Karimy, M., Heidarnia, A., & Ghofrani, F. (2011). Factors influencing self-medication among elderly urban centers in Zarandieh based on Health Belief Model. Arak Medical University Journal, 14(58), 70–78. https://api.semanticscholar.org/CorpusID:57456836

Kazemioula, G., Golestani, S., Alavi, S. M. A., Taheri, F., Gheshlagh, R. G., & Lotfalizadeh, M. H. (2022). Prevalence of self-medication during COVID-19 pandemic: A systematic review and meta-analysis. Frontiers in Public Health, 10, 1041695. https://doi.org/10.3389/fpubh.2022.1041695

Khabour, O. F., & Hassanein, S. F. (2021). Use of vitamin/zinc supplements, medicinal plants, and immune boosting drinks during COVID-19 pandemic: A pilot study from Benha city, Egypt. Heliyon, 7(3), e06538. https://doi.org/10.1016/j.heliyon.2021.e06538

Kim, H. S., Ahn, J., & No, J. K. (2012). Applying the Health Belief Model to college students' health behaviours. Nutrition Research and Practice, 6(6), 551–558. https://doi.org/10.4162/nrp.2012.6.6.551

Kouzy, R., Abi Jaoude, J., Kraitem, A., El Alam, M. B., Karam, B., Adib, E., Zarka, J., Traboulsi, C., Akl, E. W., & Baddour, K. (2020). Coronavirus goes viral: Quantifying the COVID-19 isimnformation epidemic on Twitter. Cureus, 12(3), e7255. https://doi.org/10.7759/cureus.7255

Kow, C. S., & Hasan, S. S. (2021). Use of antiplatelet drugs and the risk of mortality in patients with COVID-19: A meta‐analysis. Journal of Thrombosis and Thrombolysis, 52(1), 124–129. https://doi.org/10.1007/s11239-021-02436-0

Li, H. O.-Y., Bailey, A., Huynh, D., & Chan, J. (2020). YouTube as a source of information on COVID-19: A pandemic of misinformation? BMJ Global Health, 5(5), e002604. https://doi.org/10.1136/bmjgh-2020-002604

Limaye, D., Limaye, V., Krause, G., & Fortwengel, G. (2017). A systematic review of the literature on survey questionnaires to assess self-medication practices. International Journal Of Community Medicine And Public Health, 4(8), 2620–2631. https://doi.org/10.18203/2394-6040.ijcmph20173192

Malik, M., Tahir, M. J., Jabbar, R., Ahmed, A., & Hussain, R. (2020). Self-medication during Covid-19 pandemic: Challenges and opportunities. Drugs & Therapy Perspectives, 36(12), 565–567. https://doi.org/10.1007/s40267-020-00785-z

Mallhi, T. H., Liaqat, A., Abid, A., Khan, Y. H., Alotaibi, N. H., Alzarea, A. I., Tanveer, N., & Khan, T. M. (2020). Multilevel engagements of pharmacists during the COVID-19 pandemic: The way forward. Frontiers in Public Health, 8, 561924. https://doi.org/10.3389/fpubh.2020.561924

Meeks, L. (2018). Tweeted, deleted: Theoretical, methodological, and ethical considerations for examining politicians’ deleted tweets. Information, Communication & Society, 21(1), 1–13. https://doi.org/10.1080/1369118X.2016.1257041

Mehta, K. G., Patel, T., Chavda, P. D., & Patel, P. (2021). Efficacy and safety of colchicine in COVID-19: A meta-analysis of randomised controlled trials. RMD Open, 7(3), e001746. https://doi.org/10.1136/rmdopen-2021-001746

Mian, A., & Khan, S. (2020). Coronavirus: The spread of misinformation. BMC Medicine, 18(1), 89. https://doi.org/10.1186/s12916-020-01556-3

Miñan-Tapia, A., Conde-Escobar, A., Calderon-Arce, D., Cáceres-Olazo, D., Peña-Rios, A. J., & Donoso-Romero, R. C. (2020). Associated factors to self-medication with drugs related to COVID-19 in health science students from a peruvian city. In SciELO Preprints. https://doi.org/10.1590/SciELOPreprints.1225

Mirzaei, A., Kazembeigi, F., Kakaei, H., Jalilian, M., Mazloomi, S., & Nourmoradi, H. (2021). Application of health belief model to predict COVID-19-preventive behaviors among a sample of Iranian adult population. Journal of Education and Health Promotion, 10, 69. https://doi.org/10.4103/jehp.jehp_747_20

Moore, N., Bosco-Levy, P., Thurin, N., Blin, P., & Droz-Perroteau, C. (2021). NSAIDs and COVID-19: A Systematic review and meta-analysis. Drug safety, 44(9), 929–938. https://doi.org/10.1007/s40264-021-01089-5

Murai, I. H., Fernandes, A. L., Sales, L. P., Pinto, A. J., Goessler, K. F., Duran, C. S. C., Silva, C. B. R., Franco, A. S., Macedo, M. B., Dalmolin, H. H. H., Baggio, J., Balbi, G. G. M., Reis, B. Z., Antonangelo, L., Caparbo, V. F., Gualano, B., & Pereira, R. M. R. (2021). Effect of a single high dose of vitamin D3 on hospital length of stay in patients With Moderate to Severe COVID-19: A Randomized Clinical Trial. JAMA, 325(11), 1053–1060. https://doi.org/10.1001/jama.2020.26848

Ocan, M., Obuku, E. A., Bwanga, F., Akena, D., Richard, S., Ogwal-Okeng, J., & Obua, C. (2015). Household antimicrobial self-medication: A systematic review and meta-analysis of the burden, risk factors and outcomes in developing countries. BMC Public Health, 15(1), 742. https://doi.org/10.1186/s12889-015-2109-3

Pakpour, A. H., & Griffiths, M. D. (2020). The fear of COVID-19 and its role in preventive behaviors. Journal of Concurrent Disorders, 2(1), 58–63. https://doi.org/10.54127/WCIC8036

Parker, C., Scott, S., & Geddes, A. (2019). Snowball sampling. SAGE Publications Ltd. https://doi.org/10.4135/9781526421036831710

Parulekar, M., Mekoth, N., Ramesh, C. M., & Parulekar, A. (2016). Self medication in developing countries a systematic review. Journal of Pharmaceutical Technology, Research and Management, 4(2), 103–127. https://doi.org/10.15415/JPTRM.2016.42007

Quincho-Lopez, A., Benites-Ibarra, C. A., Hilario-Gomez, M. M., Quijano-Escate, R., & Taype-Rondan, A. (2021). Self-medication practices to prevent or manage COVID-19: A systematic review. PLOS ONE, 16(11), e0259317. https://doi.org/10.1371/journal.pone.0259317

Quispe-Cañari, J. F., Fidel-Rosales, E., Manrique, D., Mascaró-Zan, J., Huamán-Castillón, K. M., Chamorro–Espinoza, S. E., Garayar–Peceros, H., Ponce–López, V. L., Sifuentes-Rosales, J., Alvarez-Risco, A., Yáñez, J. A., & Mejia, C. R. (2021). Self-medication practices during the COVID-19 pandemic among the adult population in Peru: A cross-sectional survey. Saudi Pharmaceutical Journal, 29(1), 1–11. https://doi.org/10.1016/j.jsps.2020.12.001

Radwan, E., Radwan, A., Radwan, W., & Pandey, D. (2021). Prevalence of depression, anxiety and stress during the COVID-19 pandemic: A cross-sectional study among Palestinian students (10–18 years). BMC Psychology, 9(1), 187. https://doi.org/10.1186/s40359-021-00688-2

Rismanbaf, A. (2021). Social media as a double-edged sword: Lessons from COVID-19 Outbreak. International Journal of Preventive Medecine, 12, 87.

https://doi.org/10.4103/ijpvm.IJPVM_173_20

Roozenbeek, J., Schneider, C. R., Dryhurst, S., Kerr, J., Freeman, A. L. J., Recchia, G., van der Bles, A. M., & van der Linden, S. (2020). Susceptibility to misinformation about COVID-19 around the world. Royal Society Open Science, 7(10), 201199. https://doi.org/10.1098/rsos.201199

Sadio, A. J., Gbeasor-Komlanvi, F. A., Konu, R. Y., Bakoubayi, A. W., Tchankoni, M. K., Bitty-Anderson, A. M., Gomez, I. M., Denadou, C. P., Anani, J., Kouanfack, H. R., Kpeto, I. K., Salou, M., & Ekouevi, D. K. (2021). Assessment of self-medication practices in the context of the COVID-19 outbreak in Togo. BMC Public Health, 21(1), 58. https://doi.org/10.1186/s12889-020-10145-1

Saleem, R. T., Butt, M. H., Ahmad, A., Amin, M., Amir, A., Ahsan, A. & Zaman, M. (2021). Practices and attitude of self-medication during COVID-19 pandemic in university students with interventional role of pharmacist: A regional analysis. Latin American Journal of Pharmacy, 40(8), 1946-1953. ID: covidwho-1350821

Saleem, R. T., Butt, M. H., Ahmad, A., Amin, M., Amir, A., Ahsan, A., Fayyaz, F., Saleem, R., Riaz, T., Waheed, U., Zaman, M., Khan, Y. H., & Mallhi, T. H. (2021). Practices and attitude of self-medication during COVID-19 pandemic in university students with interventional role of pharmacist: A regional analysis. Latin American Journal of Pharmacy, 40(8), 1946–1953. https://pesquisa.bvsalud.org/global-literature-on-novel-coronavirus-2019-ncov/resource/pt/covidwho-1350821

Savadori, L., & Lauriola, M. (2021). Risk perception and protective behaviors during the rise of the COVID-19 outbreak in Italy. Frontiers in Psychology, 11, 577331. https://doi.org/10.3389/fpsyg.2020.577331

Shafie, M., Eyasu, M., Muzeyin, K., Worku, Y., & Martín-Aragón, S. (2018). Prevalence and determinants of self-medication practice among selected households in Addis Ababa community. PLOS ONE, 13(3), e0194122. https://doi.org/10.1371/journal.pone.0194122

Silva, M., Tallman, P., Stolow, J., Yavinsky, R., Fleckman, J., & Hoffmann, K. (2022). Learning from the past: The role of social and behavior change programming in public health emergencies. Global Health: Science and Practice, 10(4). https://doi.org/10.9745/GHSP-D-22-00026

Singh, L., Bansal, S., Bode, L., Budak, C., Chi, G., Kawintiranon, K., Padden, C., Vanarsdall, R., Vraga, E., & Wang, Y. (2020). A first look at COVID-19 information and misinformation sharing on Twitter (arXiv:2003.13907). arXiv. https://doi.org/10.48550/arXiv.2003.13907

Smailhodzic, E., Hooijsma, W., Boonstra, A., & Langley, D. J. (2016). Social media use in healthcare: A systematic review of effects on patients and on their relationship with healthcare professionals. BMC Health Services Research, 16(1), 442. https://doi.org/10.1186/s12913-016-1691-0

Sousa, V. D., & Rojjanasrirat, W. (2011). Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: A clear and user-friendly guideline. Journal of Evaluation in Clinical Practice, 17(2), 268–274. https://doi.org/10.1111/j.1365-2753.2010.01434.x

Srivastava, R., & Kumar, A. (2021). Use of aspirin in reduction of mortality of COVID-19 patients: A meta-analysis. International Journal of Clinical Practice, 75(11), e14515. https://doi.org/10.1111/ijcp.14515

Stewart, R., Madonsela, A., Tshabalala, N., Etale, L., & Theunissen, N. (2022). The importance of social media users’ responses in tackling digital COVID-19 misinformation in Africa. Digital Health, 8, 20552076221085070. https://doi.org/10.1177/20552076221085070

Suarez-Lledo, V., & Alvarez-Galvez, J. (2021). Prevalence of health misinformation on social media: Systematic review. Journal of Medical Internet Research, 23(1), e17187. https://doi.org/10.2196/17187

Sudhewa, S. P. B. V. D., Widowati, I. G. A. R., Empuadji, P. P., Suryaningsih, N. P. A., & Sutema, I. A. M. P. (2023). Self-medication in the pandemic era: Factors to consider based on the theory of Health Belief Model. Jurnal Farmasi Indonesia (Pharmaceutical Journal of Indonesia), 20(1), 59-63. https://jurnalnasional.ump.ac.id/index.php/PHARMACY/article/view/15071/6036

Tang, L., Bie, B., Park, S.-E., & Zhi, D. (2018). Social media and outbreaks of emerging infectious diseases: A systematic review of literature. American Journal of Infection Control, 46(9), 962–972. https://doi.org/10.1016/j.ajic.2018.02.010

Temple, C., Hoang, R., & Hendrickson, R. G. (2021). Toxic effects from ivermectin use associated with prevention and treatment of Covid-19. New England Journal of Medicine, 385(23), 2197–2198. https://doi.org/10.1056/NEJMc2114907

Thomas, S., Patel, D., Bittel, B., Wolski, K., Wang, Q., Kumar, A., Il’Giovine, Z. J., Mehra, R., McWilliams, C., Nissen, S. E., & Desai, M. Y. (2021). Effect of high-dose zinc and ascorbic acid supplementation vs usual care on symptom length and reduction among ambulatory patients with SARS-CoV-2 infection: The COVID A to Z randomized clinical trial. JAMA Network Open, 4(2), e210369. https://doi.org/10.1001/jamanetworkopen.2021.0369

Torres, N. F., Chibi, B., Kuupiel, D., Solomon, V. P., Mashamba-Thompson, T. P., & Middleton, L. E. (2021). The use of non-prescribed antibiotics; Prevalence estimates in low-and-middle-income countries. A systematic review and meta-analysis. Archives of Public Health, 79(1), 1–15. https://doi.org/10.1186/s13690-020-00517-9

Toscano, G. A. da S., de Araújo, I. I., de Souza, T. A., Barbosa Mirabal, I. R., & de Vasconcelos Torres, G. (2021). Vitamin C and D supplementation and the severity of COVID-19: A protocol for systematic review and meta-analysis. Medicine, 100(26), e26427. https://doi.org/10.1097/MD.0000000000026427

Valliant, S. N., Burbage, S. C., Pathak, S., & Urick, B. Y. (2022). Pharmacists as accessible health care providers: Quantifying the opportunity. Journal of Managed Care & Specialty Pharmacy, 28(1), 85–90. https://doi.org/10.18553/jmcp.2022.28.1.85

Wang, Y., McKee, M., Torbica, A., & Stuckler, D. (2019). Systematic literature review on the spread of health-related misinformation on social media. Social Science & Medicine, 240, 112552. https://doi.org/10.1016/j.socscimed.2019.112552

Washburn, L. (2020). Understanding the Health Belief Model. Tennesse: Department of Family and Consumer Sciences, University of Tennessee. https://extension.tennessee.edu/publications/Documents/W931-C.pdf

Wegbom, A. I., Edet, C. K., Raimi, O., Fagbamigbe, A. F., & Kiri, V. A. (2021). Self-medication practices and associated factors in the prevention and/or treatment of COVID-19 virus: A population-based survey in Nigeria. Frontiers in Public Health, 9, 606801. https://doi.org/10.3389/fpubh.2021.606801

Welch, V., Petkovic, J., Pardo Pardo, J., Rader, T., & Tugwell, P. (2016). Interactive social media interventions to promote health equity: An overview of reviews. Health Promotion and Chronic Disease Prevention in Canada: Research, Policy and Practice, 36(4), 63–75. https://doi.org/10.24095/hpcdp.36.4.01

Wilhelm, E., Ballalai, I., Belanger, M.-E., Benjamin, P., Bertrand-Ferrandis, C., Bezbaruah, S., Briand, S., Brooks, I., Bruns, R., Bucci, L. M., Calleja, N., Chiou, H., Devaria, A., Dini, L., D’Souza, H., Dunn, A. G., Eichstaedt, J. C., Evers, S. M. A. A., Gobat, N., … Purnat, T. D. (2023). Measuring the burden of infodemics: Summary of the methods and results of the fifth WHO infodemic management conference. JMIR Infodemiology, 3(1), e44207. https://doi.org/10.2196/44207

World Health Organisation (WHO). (n.d.). Infodemic. WHO Health Topics. Retrieved September 1, 2023, from https://www.who.int/health-topics/infodemic

World Health Organisation. (‎2000)‎. Guidelines for the regulatory assessment of medicinal products for use in self-medication. World Health Organisation. https://iris.who.int/handle/10665/66154

World Health Organisation. (2022, September 1). Infodemics and misinformation negatively affect people’s health behaviours, New WHO review finds. World Health Organisation. https://www.who.int/europe/news/item/01-09-2022-infodemics-and-misinformation-negatively-affect-people-s-health-behaviours--new-who-review-finds

World Health Organisation. (2023). Global celebrations of world patient safety day, 17 September2022. World Health Organisation. https://www.who.int/publications/i/item/WHO-UHL-IHS-2023.1

Yakunin, K., Mukhamediev, R. I., Zaitseva, E., Levashenko, V., Yelis, M., Symagulov, A., Kuchin, Y., Muhamedijeva, E., Aubakirov, M., & Gopejenko, V. (2021). Mass media as a mirror of the COVID-19 Pandemic. Computation, 9(12), 140. https://doi.org/10.3390/computation9120140

Yang, K.-C., Pierri, F., Hui, P.-M., Axelrod, D., Torres-Lugo, C., Bryden, J., & Menczer, F. (2021). The COVID-19 infodemic: Twitter versus Facebook. Big Data & Society, 8(1), 20539517211013861. https://doi.org/10.1177/20539517211013861

Yasmin, F., Asghar, M. S., Naeem, U., Najeeb, H., Nauman, H., Ahsan, M. N., & Khattak, A. K. (2022). Self-medication practices in medical students during the COVID-19 pandemic: A cross-sectional analysis. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.803937

Yoo, S.-J., Ryu, S., Kim, S., Golebiowski, J., Han, H. S., & Moon, C. (2017). Smell. In Reference Module in Neuroscience and Biobehavioral Psychology. Elsevier. https://doi.org/10.1016/B978-0-12-809324-5.04212-7

Zheng, Y., Liu, J., Tang, P. K., Hu, H., & Ung, C. O. L. (2023). A systematic review of self-medication practice during the COVID-19 pandemic: Implications for pharmacy practice in supporting public health measures. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1184882

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12-11-2023

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Iskandar, K., Hallit, S., Haddad, C., Mohammed, I., Fekih-Romdhane, F., Jabeen, R., Cherfane, M., Makhoul, E., Akel, M., El Khatib, S., Amin, R., Brytek-Matera, A., Pavlovic, N., Darwish, R., Haque, M., Murugaiyan, J., Chinecherem Eze, S., Choueiry, R., Egwu, K., Khanafer, N., Mróz, M., Pavani Molli, V., Furtado Rockenbach, T., Sitarska, J., Tomas, A., & Salameh, P. (2023). Highlighting the pivotal role of the pharmacist in influencing health behaviours during emergency crisis: A lesson from the COVID-19 pandemic. Pharmacy Education, 23(1), p. 676–692. https://doi.org/10.46542/pe.2023.231.676692

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