Authors :
Ian C. Abordo; Shella G. Dello; Raymond M. Salvador; Akikuh Shaira S. Codizar; Rayyan B. Sanguila; Alyssah N. Ali; Haifa S. Ananggo; Elyn Jay C. Bergado; Minette Gertrudes B. Bucio; John Michael C. Generol
Volume/Issue :
Volume 11 - 2026, Issue 5 - May
Google Scholar :
https://tinyurl.com/4ttbfma7
Scribd :
https://tinyurl.com/3krkw8e3
DOI :
https://doi.org/10.38124/ijisrt/26May351
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
This correlational quantitative study examined how media exposure and trust in healthcare providers relate to
self-medication practices with pain relievers among middle-aged to older adults in selected barangays of Iligan City. Selfmedication is a common health practice within this age group, influenced by both social and environmental factors,
making it important to understand its primary influencing factors. The study involved 350 respondents aged 40 years and
above from Barangay Bagong Silang, Tibanga, and Santiago. Data were collected using validated self-report
questionnaires, including the Media Exposure Scale (MES), Trust in Healthcare Provider Scale (THPS), and SelfMedication Practices Scale (SMPS). The statistical analysis was conducted using IBM SPSS to examine correlations and
determine key predictors through regression analysis. Media exposure, particularly media credibility, and trust in
healthcare institutions emerged as significant predictors of self-medication practices, while trust in healthcare providers
showed only a weak negative association with unsafe practices. These findings emphasize the influential role of media and
perceived healthcare trust in shaping self-medication practice, emphasizing the need to promote media literacy and
strengthen healthcare communication. Future research should explore additional psychological and contextual factors that
may further influence self-medication practices.
Keywords :
Media Exposure; Trust in Healthcare Providers; Self-Medication: Pain Relievers: Middle-Aged Adults: Older Adults.
References :
- Abdelwahed AE, Abd-elkader MM, Mahfouz A, Abdelmawla MO, Kabeel M, Elkot AG, Hamad MR, Ibrahim RAE, Ghallab MMI, Al-Dabagh JD. (2023). “Prevalence and influencing factors of self-medication during the COVID-19 pandemic in the Arab region: a multinational cross-sectional study”. BMC Public Health. doi:https://doi.org/10.1186/s12889-023-15025
- Alduraibi RK, Altowayan WM. (2022). “Knowledge, attitudes, and practices of self-medication in medical and pharmacy students: a cross-sectional survey”. BMC Health. https://doi.org/10.1186/s12913-022-07704-0.
- Alghamdi MS, Rayan, Saleh S, Rayan, Hanin, Dalal, Ali M, Fouad AA, Alzahrani RA, Alghamdi MA. (2023). “Self-medication practices among the general population in Al-Baha City, Saudi Arabia: A cross-sectional study”. https://doi.org/10.7759
- Alhaddad MS. (2018). “The use of social media among Saudi residents for medicines related information”. Saudi Pharmaceutical Journal https://doi.org/10.1016/j.jsps.2018.05.021.
- Al Rawwad T, Tata V, Wanat MA, Campbell D, Thornton D. (2023). “Evaluating the feasibility of implementing a prescription drug misuse prevention intervention in the community: a mixed methods study”. BMC Public Health. https://doi.org/10.1186/s12889-023-15608-9.
- Amenta E, Grigoryan L, Dillon L, Hines-Munson C, Van J, Trautner B. (2022). “A survey on self-medication for the prevention or treatment of COVID-19 and distrust in healthcare of veterans in a primary care setting in the United States”. https://doi.org/10.1177/20420986221143265
- Atkins N, Mukhida K. (2022). “The relationship between patients’ income and education and their access to pharmacological chronic pain management: a scoping review”. https://doi.org/10.1080/24740527.2022.2104699
- Bahari Z, Vosoghi N, Ramazanzadeh N, Moshfeghi S, Aghamohammadi M. (2024). “Patient trust in nurses: exploring the relationship with care quality and communication skills in emergency departments”. https://doi.org/10.1186/s12912-024
- Baracaldo-Santamaría D, Trujillo-Moreno MJ, Pérez-Acosta AM, Feliciano-Alfonso JE, Calderon-Ospina C-A, Soler F. (2022). “Definition of self-medication: a scoping review”. Therapeutic Advances in Drug Safety. https://doi.org/10.1177/20420986221127501
- Brown-Johnson CG, Boeckman LM, White AH, Burbank AD, Paulson S, Beebe LA. (2018). “Trust in health information sources: survey analysis of variation by sociodemographic and tobacco use status in Oklahoma”. JMIR Public Health https://doi.org/10.2196/publichealth.6260
- Chautrakarn S, Khumros W, Phutrakool P. (2021). “Self-medication with over-the-counter medicines among the working age population in metropolitan areas of thailand”. https://doi.org/10.3389/fphar.
- Chen J, Wang Y. (2021). “Social media usage for health purposes: Systematic review”. Journal of Medical Internet Research. https://doi.org/10.2196/17917.
- ChenMed. (2024). “The role of trust in patient-provider collaboration”. https://www.chenmed.com/blog
- Chinn P. (2018). “Health promotion in nursing practice” https://nursology.net/nurse-theories
- Chou W-YS, Oh A, Klein WMP. (2018). “Addressing health-related misinformation on social media”. https://doi.org/10.1001/jama.2018.16865.
- Clark O, Reynolds TL, Ugwuabonyi EC, Joshi KP. (2024). “Exploring the impact of increased health information accessibility in cyberspace on trust and self-care practices”. https://doi.org/10.1145/3643650.3658611.
- Creswell, J.W. and Creswell, J.D. (2018) “Research design qualitative, quantitative, and mixed methods approaches”. 5th Edition, SAGE Publications. https://www.scirp.org/reference/refer
- Cruz LMS, Tapales MB. (2022). “A cross-sectional study of the prevalence and factors associated with self-medication among patients at the out-patient clinic of the department of dermatology in Rizal Medical Center”. Journal of the Philippine Dermatological Society. https://journals.lww.com/
- Darbyshire P, Thompson DR. (2021). “Can nursing educators learn to trust the world’s most trusted profession?”. https://doi.org/10.1111/nin.12412
- Darden M, Macis M. (2024). “Trust and healthcare-seeking behavior”. NBER Working Paper Series. https://doi.org/10.3386/w32028
- Dassieu L, Paul‐Savoie E, Develay É, Villela Guilhon AC, Lacasse A, Guénette L, Perreault K, Beaudry H, Dupuis L. (2021). “Swallowing the pill of adverse effects: A qualitative study of patients’ and pharmacists’ experiences and decision‐making regarding the adverse effects of chronic pain medications”. Health Expectations. doi:https://doi.org/10.1111/hex.13399.
- de Oliveira SBV, Barroso SCC, Bicalho MAC, Reis AMM. (2018). “Profile of drugs used for self-medication by elderly attended at a referral center”.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276811/.
- Doomra R, Goyal A. (2020). “NSAIDs and self-medication: A serious concern”. Journal of Family Medicine and Primary Care. https://doi.org/10.4103/jfmpc.jfmpc_201_20.
- Elwood WN. (2023). “Trust as a dyadic mechanism of action: a call to explore patient-provider relationships in the twenty-first century”. Journal of Communication in Healthcare. doi:https://doi.org/10.1080/17538068.2023.2267830
- Elkefi S., Asan O., Yu Z., Yen T., Rowley S. (2024). “Patient-centered communication’s association with trust, satisfaction, and perception of electronic health records use among newly diagnosed patients with cancer”. Frontiers in communication. https://doi.org/10.3389/fcomm.2024.13919
- Ephrem A, Thomas SE, Ravindran S. (2022). “A study to assess the effect of media in promoting self-medication use”. International Journal of Research and Review. https://doi.org/10.52403/ijrr.20220938.
- Fernández‐Martínez E, Pérez‐Corrales J, Palacios‐Ceña D, Abreu‐Sánchez A, Iglesias‐López MT, Carrasco‐Garrido P, Velarde‐García JF. (2021). “Pain management and coping strategies for primary dysmenorrhea: A qualitative study among female nursing students”. https://doi.org/10.1002/nop2.1111.
- Figueiredo, M. S., Nepomuceno, A. F. S. F., Castro, C. T. de, Gama, R. S., & Oliveira, M. G. (2023). “Self-medication associated with toothache: A systematic literature review”. https://doi.org/10.21680/2446-7286.2023v9n3ID332
- Gelder MMHJ, Rog A, Bredie SJH, Kievit W, Nordeng H, Belt TH. (2019). “Social media monitoring on the perceived safety of medication use during pregnancy: A case study from the Netherlands”. British Journal of Clinical Pharmacology. https://doi.org/10.1111/bcp.14083.
- Ivakhnenko GA. (2024). “The influence of the media and the Internet on the formation of the attitude of Russians to their health: a sociological analysis”. https://doi.org/10.17816/socm559929
- Ji H, Dong J, Pan W, Yu Y. (2024). “Associations between digital literacy, health literacy, and digital health behaviors among rural residents: evidence from Zhejiang, China. Int J Equity Health”. https://doi.org/10.1186/s12939-024-02150-2
- Juneja K, Chauhan A, Shree T, Roy P, Bardhan M, Ahmad A, Pawaiya AS, Anand A. (2024). “Self-medication prevalence and associated factors among adult population in Northern India: A community-based cross-sectional study”. doi:https://doi.org/10.1177/20503121241240507.
- Karłowicz-Bodalska K, Sauer N, Jonderko L, Wiela-Hojeńska A. (2023). “Over the counter pain medications used by adults: a need for pharmacist intervention”. https://doi.org/10.3390/ijerph2005450
- Kim HK, Tandoc EC. (2022). “Consequences of online misinformation on COVID-19: Two potential pathways and disparity by eHealth literacy”. Frontiers in Psychology. doi:https://doi.org/10.3389/fpsyg.2022.783909.
- Krasniqi G, Ilirjeta Qeriqi, Genta Qeriqi, Rajmonda Borovci, Zenelaj D, Fehmi Rrahmani, Manushaqe Kryeziu-Rrahmani, Nderim Kryeziu. (2024). “Excessive self-medication with prescription NSAIDs: A cross-sectional study in Kosovo”. https://doi.org/10.3390/pharmacy
- Liu Y, Zheng Z, Wang X, Xia J, Zhu X, Cheng F, Liu Z. (2023). “Factors associated with the incidence and the expenditure of self-medication among middle-aged and older adults in China: A cross-sectional study”. Frontiers in Public Health. doi:https://doi.org/10.3389/fpubh.2023.1120101.
- Lu Y, Zhang J, Liu X, Zhou Y, Zhang H, Yan Q, Zeng N. (2024). “A qualitative study of patient competence for patient engagement in their safety from the perspective of nurses and patients”. https://doi.org/10.1186/s12912-024-02440-8.
- Malki LM, Patel D, Singh A. (2024). “The headline was so wild that I had to check: an exploration of women's encounters with health misinformation on social media” https://colab.ws/articles/10.1145%2
- Manuela E, Cotobal Calvo EM, Bocchino A, Concepción Mata-Pérez, Cruz-Barrientos A, María Naranjo-Márquez, José Luis Palazón-Fernández. (2024). “Content validation of the self-medication scale and trust in online resources: deepening digital access to health. ursing Reports”. https://doi.org/10.3390/nursrep14030141.
- Mohamed Z, NF Azman, Masud M, Rahim MA, Hassan MA. (2023). “Self-medication practice for dental pain: expectations and rationality”. Compendium of Oral Science. https://doi.org/10.24191/cos.v10i1.21625
- Musse I. (2020). “Employment shocks and demand for pain medication”. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.364654
- Nzeribe CA, Nwagwu U. (2023). “Impact of supply chain management on painkiller availability and patient access to pain relief”. https://journal.mediapublikasi.id/index.php
- Panda, PhD DS, Alotaibi, PhD NH. (2023). “COVID-19 self-medication treatment: media’s adverse effect based on people’s level of education”. Journal of Emergency Management. doi:https://doi.org/10.5055/jem.0696.
- Papasin KML, Comia RNM, Manalo ERR, Maramot MM, Silang JMM, Cobeng AD, de Guzman TAH. (2021). “Different factors influencing self-medication with NSAIDs among undergraduate students of College of Allied Medical Professions in LPU-Batangas”. The Steth. https://research.lpubatangas.edu.ph/wp-content
- Pathan SR, Bhende VV, Sharma KB, Patel VA, Gangoda DM, Sharma TS. (2024). “A growing concern: the prevalence of self-medication in pediatric healthcare in India”. https://doi.org/10.7759/cureus.53807
- Pawar L, Srikanth, Sc S. (2023). “Self-medication practice among medical students in the context of the COVID-19 pandemic”. International Journal of Nutrition, Pharmacology, Neurological Diseases. https://doi.org/10.4103/ijnpnd.ijnpnd_27_23
- Peh KQE, Kwan YH, Goh H, Ramchandani H, Phang JK, Lim ZY, Loh DHF, Østbye T, Blalock DV, Yoon S. (2021). “An adaptable framework for factors contributing to medication adherence: results from a systematic review of 102 conceptual frameworks”. Journal of General Internal Medicine. https://doi.org/10.1007/s11606-021-06648-1.
- Peng RX, Shen F. (2024). “Why fall for misinformation? Role of information processing strategies, health consciousness, and overconfidence in health literacy”. Journal of Health Psychology. https://doi.org/10.1177/13591053241273647.
- Perlis RH, Green J, Carnethon M, Rhodes E, Ettman CK, Galea S. (2024). “Trust in physicians and hospitals during the COVID-19 pandemic”. https://doi.org/10.1001/jamanetworkopen.2024
- Petrides M, Peletidi A, Petrou C, Nena E, Papavasili M, Constantinidis TC, Kontogiorgis C. (2023). “Exploring public knowledge and perceptions regarding per os OTC pain-relieving medications: the case of paracetamol (acetaminophen)”. Journal of Pharmaceutical Policy and Practice. https://doi.org/10.1186/s40545-023-00598-1.
- Prudhvi, V., Sravani, R., Beluha, D., & Anantha, C. H. (2020). “A prospective randomised study on prevalence and awareness of self-medication of analgesics among tertiary care hospital.” https://doi.org/10.37022/WJCMPR.2020.02016
- Rathod P, Sharma S, Ukey U, Sonpimpale B, Ughade S, Narlawar U, Gaikwad S, Nair P, Masram P, Pandey S. (2023). “Prevalence, pattern, and reasons for self-medication: a community-based cross-sectional study from Central India” https://doi.org/10.7759/cureus.33917
- Robredo JPG, Eala MAB, Paguio JA, Salamat MSS, Celi LAG. (2022). “The challenges of combatting antimicrobial resistance in the Philippines”. https://doi.org/10.1016/s2666-5247(22)00029-5
- Rojas-Torres IL, Garizábalo CM, Keidis S. Ruidíaz Gómez, Fernández SP, Perea-Rojas DM, Rodelo M, Liñán NI. (2025). “Effectiveness of nola pender’s health promotion model: A comprehensive approach for enhancing healthy behaviors and quality of life in adults”. International Journal of Environmental Research and Public Health. doi:https://doi.org/10.3390/ijerph22101506.
- Ross A, Gillett J. (2020). “Forms of trust and polypharmacy among older adults”. Ageing and Society. https://doi.org/10.1017/s0144686x20000
- Rotaru T-Ș, Puia A, Cojocaru Ș, Alexinschi O, Gavrilovici C, Oprea L. (2023). “Physicians’ trust in relevant institutions during the COVID-19 pandemic: A binary logistic model”. Healthcare. https://doi.org/10.3390/healthcare11121736.
- Saira Hanif Soroya, Adeel Ur Rehman, Faiola A. (2023). “Exploring the impact of Internet and media sources exposure on self-care behavior: mediating the role of health anxiety, literacy and information-seeking behavior”. https://doi.org/10.1108/k-06-2023-1003.
- Shaamekhi HR, Asghari Jafarabadi M, Alizadeh M. (2019). “Demographic determinants of self-medication in the population covered by health centers in Tabriz. Health Promotion Perspectives”. https://doi.org/10.15171/hpp.2019.26.
- Sharvit G, Schweinhardt P. (2022). “The influence of social signals on the self-experience of pain: A neuroimaging review”. Frontiers in Neurology. https://doi.org/10.3389/fneur.2022.856874.
- Shukla M, Schilt-Solberg M, Gibson-Scipio W. (2025). Medical Mistrust: A Concept Analysis. https://doi.org/10.3390/nursrep15030103
- Singh J. (2023). “How digital technologies are changing health care”. Harvard Medicine Magazine. https://magazine.hms.harvard.edu/articles
- Soroya, S. H., Rehman, A. U., Faiola A. (2023). “Exploring the impact of Internet and media sources exposure on self-care behavior: mediating the role of health anxiety, literacy and information-seeking behavior”. https://doi.org/10.1108/K-06-2023-1003
- Sulaturrahma F., Kadang, Y. (2024). “The patient’s level of knowledge about analgesic drug self-medication. Jurnal Edukasi Ilmiah Kesehatan”. doi:https://doi.org/10.61099/junedik.v2i3.62.
- Syed R, Shinde A. (2023). “Investigation of health misinformation during the Covid-19 pandemic: a study on social media”. https://doi.org/10.24251/HICSS.2023.671
- Szilagyi, I. S., Ullrich, T., Lang-Illievich, K., Klivinyi, C., Schittek, G. A., Simonis, H., Bornemann-Cimenti, H. (2021). “Google trends for pain search terms in the world’s most populated regions before and after the first recorded COVID-19 case: Infodemiological study”. https://doi.org/10.2196/27214
- Tian L, Yu W, Dai Q. (2022). “Building Patient Trust in Nurses Can Improve Respiratory Function, Quality of Life and Self-Management Ability in Patients with Bronchopneumonia. Alternative Therapies in Health and Medicine. https://pubmed.ncbi.nlm.nih.gov/35452414/.
- 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”. https://doi.org/10.1016/j.socscimed.2019.112552
- Waqar, M. A., Riaz, T., Munir, M., Abid, S. Z., Tayyab, S., Razaq, A., Iqbal, S., & Yousaf, A. (2023). “Self-medication in general ailments and its potential risks”. Anaesthesia, Pain & Intensive Care. https://doi.org/10.35975/apic.v27i4.2089
- Weisman, S. M., Ciavarra, G., & Cooper, G. (2024). “What a pain in the back: A review of current treatment options with a focus on naproxen sodium”. Journal of Pharmacy and Pharmaceutical Sciences. https://doi.org/10.3389/jpps.2024.12384
- Wong FHC, Liu T, Leung DKY, Zhang YA, Au WSH, Kwok WW, Shum AK, Wong GHY, Lum TY-S. (2020). “Consuming information related to COVID-19 on social media among older adults and its associations with anxiety, social trust in information, and COVID-safe behaviours: Cross-sectional survey”. Journal of Medical Internet Research. https://doi.org/10.2196/26570.
- World Health Organization. (2022). WHO guidelines on physical activity and sedentary behaviour. https://www.who.int/publications/i/item
- World Health Organization. (2024). Medication Without Harm. https://www.who.int/initiatives
- Yee, J., Salaverria, L., & Ramos, M. (2019). “Sickening corruption: PhilHealth loses ₱154 billion to fraud and overpayments". Philippine Daily Inquirer. https://newsinfo.inquirer.net/1173721/
- Yoshikawa A, Fortinsky RH. (2024). “Pain medication frequency and fall risk among community-dwelling older adults with arthritis”. Journal of Applied Gerontology. https://doi.org/10.1177/07334648241261425.
- Zhang B, Chen L, Moe A. (2024). “Examining the effects of social media warning labels on perceived credibility and intent to engage with health misinformation: the moderating role of vaccine hesitancy”. Journal of Health Communication. https://doi.org/10.1080/10810730
- Zheng, F., Ding, S., Lai, L., Liu, X., Duan, Y., Shi, S., & Zhong, Z. (2020). “Relationship between medication literacy and medication adherence in inpatients with coronary heart disease in Changsha, China”. Frontiers in Pharmacology, 10. https://doi.org/10.3389/fphar.2019.01537
- Zheng Y, Tang PK, Hu H, Oi C. (2024). “Patterns of self-medication and intention to seek pharmacist guidance among older adults during the COVID-19 pandemic in Macao: a cross-sectional study”. https://doi.org/10.1186/s12889-024-19453-2.
- Zollo F, Baronchelli A, Betsch C, Delmastro M, Quattrociocchi W. (2024). “Understanding the complex links between social media and health behaviour”. https://doi.org/10.1136/bmj-2023-07564
This correlational quantitative study examined how media exposure and trust in healthcare providers relate to
self-medication practices with pain relievers among middle-aged to older adults in selected barangays of Iligan City. Selfmedication is a common health practice within this age group, influenced by both social and environmental factors,
making it important to understand its primary influencing factors. The study involved 350 respondents aged 40 years and
above from Barangay Bagong Silang, Tibanga, and Santiago. Data were collected using validated self-report
questionnaires, including the Media Exposure Scale (MES), Trust in Healthcare Provider Scale (THPS), and SelfMedication Practices Scale (SMPS). The statistical analysis was conducted using IBM SPSS to examine correlations and
determine key predictors through regression analysis. Media exposure, particularly media credibility, and trust in
healthcare institutions emerged as significant predictors of self-medication practices, while trust in healthcare providers
showed only a weak negative association with unsafe practices. These findings emphasize the influential role of media and
perceived healthcare trust in shaping self-medication practice, emphasizing the need to promote media literacy and
strengthen healthcare communication. Future research should explore additional psychological and contextual factors that
may further influence self-medication practices.
Keywords :
Media Exposure; Trust in Healthcare Providers; Self-Medication: Pain Relievers: Middle-Aged Adults: Older Adults.