Analisis Perilaku Swamedikasi Batuk Berdasarkan Tingkat Pengetahuan Menggunakan Regresi Logistik Multinomial pada Mahasiswa Non Kesehatan
Abstract
Self-medication for cough is a common practice among non-health students. Inappropriate self-medication behavior may increase the risk of medication errors, highlighting the need for a statistical approach capable of modeling behavioral categories simultaneously. This study aimed to analyze cough self-medication behavior based on knowledge level using multinomial logistic regression among non-health students. An analytical observational study with a cross-sectional design was conducted involving 233 non-health students. The dependent variable was cough self-medication behavior categorized into several levels, while the independent variable was the level of knowledge. Statistical analysis was performed using multinomial logistic regression with maximum likelihood estimation, with the lowest behavior category set as the reference. Model significance was assessed using the likelihood ratio test, and model performance was evaluated through pseudo R-square values. The results showed that knowledge level was not significantly associated with cough self-medication behavior. The likelihood ratio test yielded a p-value of 0.100, indicating that the overall model was not statistically significant. The pseudo R-square value of 0.012 suggested that knowledge level explained only 1.2% of the variance in cough self-medication behavior. The estimated odds ratios indicated a tendency toward a lower likelihood of inappropriate self-medication behavior among students with higher knowledge levels; however, these associations were not statistically significant (p > 0.05). In conclusion, although knowledge level demonstrates a theoretically plausible direction of association, it is not a dominant determinant of cough self-medication behavior among non-health students. Further studies are recommended to include additional variables such as attitudes, prior medication experience, and access to health information to improve the explanatory power of the model.
References
[2] WHO, Self-Care Interventions for Health: Guideline. World Health Organization., 2022.
[3] James et al., "Evaluation of the knowledge, attitude and practice of self-medication among first-year medical students.," Medical Principles and Practice,15(4),, p. 270–275., 2006.
[4] Badan Penelitian dan Pengembangan Kesehatan , Laporan Nasional Riskesdas 2018., Kementerian Kesehatan Republik Indonesia., 2018.
[5] Widayati et al., "Self-medication with antibiotics in Yogyakarta City," BMC Research Notes, pp. 4, 491, 2011.
[6] Sisay et al., "Evaluation of self-medication practice in Ethiopia," Frontiers in Pharmacology, pp. 9, 105., 2018.
[7] Pratama & Suryawati, "Self-medication behavior and associated factors in university students," Jurnal Farmasi Indonesia, pp. 14(2), 102–109, 2019.
[8] Khantzian et al, "Self-medication practices among university students: A cross-sectional study," International Journal of Pharmacy Practice, pp. 28(4), 356–362, 2020.
[9] Agresti, "Statistical Methods for the Social Sciences. Pearson," 2018.
[10] Setia, M. S., "Methodology series: Cross-sectional studies," Indian Journal of Dermatology, pp. 61(3), 261–264, 2016.
[11] Auta, A., Banwat, S. B., Dayom, D. W., & Shalkur, D., "Prevalence of self-medication among university students in Nigeria," Journal of Public Health and Epidemiology, pp. 4(3), 86–89, 2012.
[12] Creswell, J. W., & Creswell, J. D., Research Design: Qualitative, Quantitative, and Mixed Methods Approaches (5th ed.), Sage Publications, 2018.
[13] I. M. S. A. &. A. R. S. Etikan, "Comparison of Convenience Sampling and Purposive Sampling.," American Journal of Theoretical and Applied Statistics, pp. 5(1), 1–4., 2016.
[14] A. &. S. Y. Kanjee, In Handbook of International Large-Scale Assessment (pp. 11–28), Assessment in Sub-Saharan Africa: Challenges and Opportunities. . : Springer., 2013.
[15] A. K. S. C. S. &. P. D. K. Joshi, "Likert Scale: Explored and Explained.," British Journal of Applied Science & Technology,, pp. 7(4), 396–403., 2015.
[16] S. Notoatmodjo, Promosi Kesehatan dan Perilaku Kesehatan., Jakarta: Rineka Cipta., 2018.
[17] M. &. D. R. Tavakol, "Making Sense of Cronbach’s Alpha.," International Journal of Medical Education,, pp. 2, 53–55., 2011.
[18] World Medical Association, "World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects," JAMA, pp. 310(20), 2191–2194, 2013.
[19] McCullagh, P., & Nelder, J. A. , Generalized Linear Models (2nd ed.)., CRC.: Chapman & Hall, 1989.

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish in UJMC (Unisda Journal of Mathematics and Computer Science) agree to the following terms:
1.Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
2.Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
3.Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.





