• Khalid Awad Al-kubaisi Department of Paediatric Sport and Exercise, University of Gloucestershire, The Park, Cheltenham, England
  • Mark De Stecroix Department of Paediatric Sport and Exercise, University of Gloucestershire, The Park, Cheltenham, England
  • Don Vinson Department of Sport and Exercise Science, University of Worcester, St John’s Campus, Henwick Grove, Worcester, WR2 6AJ, United Kingdom.
  • Abduelmula Rajab Abduelkarem Department of Clinical Pharmacy and Pharmacy Practice, University of Sharjah, Sharjah, UAE.



 Objective: The aim of this research is to identify risk factors for incautious use of oral non-prescription drugs (ONPD) and inform recommendations that promote cautious ONPD use among HEI students in the UAE.

Methods: A cross-sectional survey-based study was conducted with 2875 students in three randomly selected UAE universities between January and April 2014.

Results: More than half (1348; 57%) of participants reported using of ONPD in the past 90 days before study commencement. Of 1348 participants reported using ONPD, one-quarter (1348; 22.2%) of ONPD was classified as incautious ONPD usage. Analgesic/antipyretic (84.9%), non-steroidal anti-inflammatory drugs (NSAIDs) (1028; 76.3%), and cough and cold drugs (562; 41.7%) were reported by the majority of participants as the most commonly used ONPD. 10 risk factors were identified for incautious ONPD use. Participants with age group of 21 years and older (OR=0.554, 95%; CI=0.373-0.823; p<0.001), female (OR=0.339, 95%; CI=0.236-0.486; p<0.001), and students from medical schools (OR=0.619, 95%; CI=0.435-0.882; p=0.008) had lower odds of being incautious users compared to lower age group, males, and students from non-medical schools. Furthermore, participants with a polypharmacy behavior had higher odds of being irresponsible ONPD user than monopharmacy users (OR=1.400, 95%; CI=1.030- 1.02; p<0.001).

Conclusion: One of five students is an incautious ONPD user. There is a need for an educational and behavioral intervention to motivate students to be cautious users.


Keywords: Oral non-prescription drugs, Higher education institution, Cautious drug use, Risk factors, UAE.

Author Biography

Khalid Awad Al-kubaisi, Department of Paediatric Sport and Exercise, University of Gloucestershire, The Park, Cheltenham, England

Associate Professor of Clinical Pharmacy and Pharmacy Practice

Pharmacy Practice and Pharmacotherapeutics Department



1. Food and Drug Administration (FDA). Drugs@ Instructions: Health Information. Available from: [Last accessed on 2016 Nov 15].
2. Bolaños H. Responsible self-medication in Latin America. Drug Inf J 2005;39(1):99-107.
3. Food Drug Administration (FDA). OTC Drug Facts Label. Available from: 143551.htm. [Last accessed on 2016 Dec 19].
4. Ellen PS, Bone PF, Stuart EW. How well do young people follow the label? An investigation of four classes of over-the-counter drugs. J Public Policy 1998;17(1):70-85.
5. Daniel WW. Biostatistics: A Foundation for Analysis in the Health Sciences. 7th ed. New York: R Wiley; 1999.
6. Sawalha AF. A descriptive study of self-medication practices among Palestinian medical and nonmedical university students. Res Social Adm Pharm 2008;4(2):164-72.
7. Ross K. Sample Design for Educational Survey Research. France: UNESCO International Institute for Educational Planning; 2005. Available from: [Last accessed on 2016 Oct 20].
8. George D, Mallery P. Reliability analysis. SPSS for Windows, Step by Step: A Simple Guide and Reference. 14th ed. Boston: Allyn & Bacon; 2003. p. 222-32.
9. Lo YN. Consumers’ Expectations of Over the Counter (OTC) Medicines: Location of Sale (Doctoral Dissertation, University of Saskatchewan Saskatoon). Available from: [Last accessed on 2016 Sep 25].
10. Andersen R. A Behavioral Model of Families’ Use of Health Services. Vol. 25. Center for Health Administration Studies Research Series; 1968. p. 111. Available from: [Last accessed on 2016 Aug 11].
11. Awad A, Eltayeb I, Matowe L, Thalib L. Self-medication with antibiotics and anti-malarials in the community of Khartoum State, Sudan. J Pharm Pharm Sci 2005;8(2):326-31.
12. James H, Handu SS, Al Khaja KA, Otoom S, Sequeira RP. Evaluation of the knowledge, attitude and practice of self-medication among first-year medical students. Med Princ Pract 2006;15(4):270-5.
13. James H, Handu SS, Khaja KA, Sequeira RP. Influence of medical training on self-medication by students. Int J Clin Pharmacol Ther 2008;46(1):23-9.
14. Fuchs J, Heyer T, Langenhan D, Hippius M. New font size requirements in package inserts of medicines. Pharm Ind 2010;72(12):2032-6.
15. Vinker S, Eliyahu V, Yaphe J. The effect of drug information leaflets on patient behavior. Isr Med Assoc J 2007;9(5):383-6.
16. Akici A, Basaran NF. University students’ attitudes concerning OTC drug use; Survey from Istanbul. ARPN J Sci Technol 2013;3(3):309-15.
17. Verma RK, Mohan L, Pandey M. Evaluation of self-medication among
professional students in North India: Proper statutory drug control must be implemented. Evaluation 2010;3(1):60-4.
18. Case DO. Looking for Information: A Survey of Research on Information Seeking, Needs and Behavior. Emerald Group Publishing; 2012. Available from:
19. Cusack L, de Crespigny C, Wilson C. Over-the-counter analgesic use by urban Aboriginal people in South Australia. Health Soc Care Community 2013;21(4):373-80.
20. Iffat WA, Shakeel SA, Naseem SA, Imam SH, Khan MA. Attitudinal survey to assess medical and dental students’ belief of ADR reporting in Pakistan. Int J Pharm Pharm Sci 2014;6(5):279-83.
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How to Cite
Al-kubaisi, K. A., M. D. Stecroix, D. Vinson, and A. R. Abduelkarem. “IDENTIFYING RISK FACTORS FOR INCAUTIOUS USE OF NON-PRESCRIPTION DRUGS AMONG HIGHER EDUCATION INSTITUTIONS’ STUDENTS IN EMIRATES”. Asian Journal of Pharmaceutical and Clinical Research, Vol. 10, no. 10, Sept. 2017, pp. 296-00, doi:10.22159/ajpcr.2017.v10i10.17290.
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