New Zealand parent’s perceptions of the use and safety of over the counter liquid analgesics

  • Sarah K. Bushby
  • Rachel J. Anderson
  • Rhiannon Braund
Keywords: Child, Poisoning, Analgesics, Nonprescription Drugs, Drug Packaging, New Zealand

Abstract

Objective: The objective of this study was to investigate the knowledge of parents and caregivers with respect to the purchase, use and storage of liquid analgesics purchased over the counter (OTC) from pharmacies. This would enable specific strategies to be identified to increase awareness of the potential risks of these products.

Methods: Questionnaires were developed and used a combination of Likert Scales, open ended questions and yes/no answers. Randomly chosen New Zealand pharmacies (463) were asked to approach a person purchasing liquid analgesics and ask them to complete the questionnaire. Of the 105 pharmacies that participated, 96 completed parent/caregiver questionnaires were returned.

Results: When choosing a product there was a statistically significant difference between the most important factors ‘safety’ and ‘active ingredient’ and the least important factors ‘cost’ and if the parent/caregiver ‘used it before’. All parents/caregivers claim to have received verbal information from pharmacy staff, with 40% stating that they ‘always’ receive information. The majority of parents/caregivers store medicines in a high place (n=61), in a cupboard (n=56) or a combination of these. Over half (52%) of the parents/caregivers thought that children could ‘never’ open child resistant closures.

Conclusion: Whilst parents and caregivers choose products based on perceived safety, there is an over estimation in the perception of the protection that a child resistant closure actually offers. The general public needs to continually be vigilant in the use, storage and administration when using medication in the vicinity of children.

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References

1. Lagerlov P, Helseth S, Holager T. Childhood illnesses and the use of paracetamol (acetaminophen): a qualitative study of parents' management of common childhood illnesses. Fam Pract. 2003;20(6):717-23.

2. Wazaify M, Shields E, Hughes CM, McElnay JC. Societal perspectives on over-the-counter (OTC) medicines. Fam Pract. 2005;22(2):170-176.

3. Chien C, Marriott JL, Ashby K, Ozanne-Smith J. Unintentional ingestion of over the counter medications in children less than 5 years old. J Paediatr Child Health. 2003;39(4):264-269.

4. Eiland LS, Salazar ML, English TM. Caregivers' perspectives when evaluating nonprescription medication utilization in children. Clin Pediatr (Phill). 2008;47(6):578-587.

5. Walsh A, Edwards H, Fraser J. Over-the-counter medication use for childhood fever: a cross-sectional study of Australian parents. J Paediatr Child Health. 2007;43(9):601-606.

6. Safe Kids New Zealand. Unintentional childhood poisoning. http://www.safekids.org.nz/Downloads/Safekids%20Factsheets/Safekids%20Poisoning%20Injury%20Factsheet%202006.pdf. Accessed 17th November 2009.

7. Ozanne-Smith J, Day L, Parsons B, Tibballs J, Dobbin M. Childhood poisoning: access and prevention. J Paediatr Child Health. 2001;37(3):262-265.

8. Kypri K, Chalmers DJ, Langley JD, Wright CS. Child injury morbidity in New Zealand, 1987-1996. J Paediatr Child Health. 2001;37(3):227-234.

9. Yates KM. Accidental poisoning in New Zealand. Emerg Med (Fremantle). 2003;15(3):244-249.

10. Reith D, PItt W, Hockey R. Childhood poisoning in Queensland: An analysis of presentation and admission rates. J Paediatr Child Health. 2001;37:446-450.

11. Abahussain E, Ball D. Pharmaceutical and chemical paediatric poisoning in Kuwait: a retrospective survey. Pharm Pract (Internet). 2010;8(1):43-49.

12. Dawood O, Ibrahim M, Palaian S. Parent's knowledge and management of their children's ailments in Malaysia. Pharm Pract (Internet). 2010;8(2):96-102.

13. Conroy S, Collier J, Birchley N, Neil K, Rodgers S, McIntyre J, Choonara I, Avery A. An examination of the risk management issues in the handling at home of over-the-counter medicines purchased for children. Pharm J. 2003;271:209-213.

14. Assargard U, Sjoberg G. The successful introduction of child resistant closures for liquid paracetamol preparations. Saf Sci. 1995;21:87-91.

15. Jepsen F, Ryan M. Poisoning in children. Current Paediatrics. 2005;15:563-568.

16. Emmerton L. Behavioural aspects surrounding medicine purchases from pharmacies in Australia. Pharm Pract (Internet). 2008;6(3):158-164.
Published
2010-12-20
Section
Original Research