{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T11:12:45Z","timestamp":1790248365061,"version":"4.1.0"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":266,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Pediatrics"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Self\u2010medication and the irrational use of drugs are major public health concerns worldwide. The concept of self\u2010medication involves the use of medicines for curative purposes without professional advice. This practice is more disastrous in children, where dosages vary with weight, age, or body surface area. This study is aimed at assessing the determinants of maternal self\u2010medication practice in children under 5 years of age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Community\u2010based cross\u2010sectional study was conducted at Dessie Town. A semistructured questionnaire was used to interview mothers of under\u2010five children. Data entry was done using Epi Data 3.1 and analyzed using SPSS Version 20. Logistic regression was done to identify association between the dependent and independent variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>The overall prevalence of maternal self\u2010medication practice for under\u2010five children was 78.0% (95% CI: 74.7%\u201381.3%). In the multivariable analysis, mothers with children aged older than 1 year (AOR = 2.74, 95% CI: 1.31\u20135.72), mothers aged &gt;\u200935 years (AOR = 8.78, 95% CI: 3.28\u201323.54), mothers with primary education (AOR = 2.94, 95% CI: 1.07\u20138.05), student mothers (AOR = 6.52, 95% CI: 1.68\u201325.27), and mothers with poor knowledge (AOR = 1.83, 95% CI: 1.11\u20133.01) had significantly higher odds of practicing self\u2010medication. Parity exhibited bidirectional associations: Having two children increased the odds of self\u2010medication (AOR = 2.20, 95% CI: 1.32\u20133.65), whereas having three or more children decreased the odds (AOR = 0.34, 95% CI: 0.16\u20130.74) relative to mothers with one child.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Maternal self\u2010medication practice was high.. Hence, measures should be taken to improve mothers\u2032 knowledge, such as health education and awareness creation campaigns for mothers on the risks and potential consequences of self\u2010medicating under\u2010five children.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/ijpe\/5464338","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T10:49:04Z","timestamp":1790246944000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Determinants of Maternal Self\u2010Medication Practice for Children Under 5 Years of Age: A Community\u2010Based Study in Dessie, Ethiopia"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3585-4570","authenticated-orcid":false,"given":"Debrnesh","family":"Goshiye","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6486-9125","authenticated-orcid":false,"given":"Sisay","family":"Gedamu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5141-5095","authenticated-orcid":false,"given":"Mitaw","family":"Girma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8863-9719","authenticated-orcid":false,"given":"Mulusew","family":"Zeleke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-5075-9407","authenticated-orcid":false,"given":"Birhanu","family":"Goshiye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"e_1_2_14_1_2","volume-title":"The Role of the Pharmacist in Self-Care and Self-Medication: Report of the 4th WHO Consultative Group on the Role of Pharmacist","author":"World Health Organization","year":"1998"},{"key":"e_1_2_14_2_2","first-page":"990","article-title":"Responsible Self-Medication","volume":"56","author":"International Pharmaceutical Federation","year":"1999","journal-title":"Arhiv za Farmaciju"},{"key":"e_1_2_14_3_2","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/9021819"},{"key":"e_1_2_14_4_2","first-page":"136","article-title":"Predictors of Self-Medication Behavior: A Systematic Review","volume":"43","author":"Shaghaghi A.","year":"2014","journal-title":"Iranian Journal Of Public Health"},{"key":"e_1_2_14_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsps.2015.02.011"},{"key":"e_1_2_14_6_2","doi-asserted-by":"crossref","first-page":"862","DOI":"10.1111\/tmi.13600","article-title":"Comparative Assessment of the Prevalence, Practices and Factors Associated With Self-Medication With Antibiotics in Africa","volume":"26","author":"Yeika E. 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