Knowledge, practice and understanding of pictograms on medicines informing about prohibition and potential risks of their use during pregnancy.

Authors

  • María Vargas-Huillcanina Facultad de Farmacia y Bioquímica, Universidad Nacional Mayor de San Marcos. Lima, Perú.
  • Margot Quintana-Salinas Instituto de Investigación de Bioquímica y Nutrición, Universidad Nacional Mayor de San Marcos. Lima, Perú.
  • Rosa Pando-Alvarez Instituto de Investigaciones Clínicas, Universidad Nacional Mayor de San Marcos. Lima, Perú.
  • Maritza Placencia-Medina Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Lima, Perú.
  • Javier Silva-Valencia Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Lima, Perú.
  • Rocío Hermoza-Moquillaza Universidad Norbert Wiener. Lima, Perú.
  • Carlos Saavedra-Levau Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Lima, Perú

DOI:

https://doi.org/10.35434/rcmhnaaa.2024.171.2210

Keywords:

Patient Medication Knowledge, Comprehension, Pictograms, Medicine Package Inserts, Pregnant Women

Abstract

Background: Pictograms on medications aim to convey essential information, such as potential risks during pregnancy. However, their comprehension varies significantly based on the culture and health practices of each region. Objective: Evaluate the knowledge, practices, and understanding of pictograms warning about potential hazards associated with medication use during pregnancy in pregnant and non-pregnant women attending a reference Maternal Perinatal Institute in Peru. Method: Observational, cross-sectional study with non-random sampling. 409 women were surveyed regarding their knowledge of contraindicated medications during pregnancy, the presence of pictograms, frequency of reviewing package inserts, and interpretation of three U.S. approved pictograms from the Food and Drug Administration and the European Medicines Agency, used in products marketed in Peru. Results: 85% of participants knew about prohibited medications during pregnancy, but only 26.5% were aware of pictograms. Understanding the meaning of the pictograms, indicating "prohibited" or "risky during pregnancy," did not exceed 70%. 40.83% assigned an opposite meaning to the least understood pictogram. Reviewing drug leaflets was associated with higher education (p = 0.02) and having at least one child (p < 0.01). Conclusion: Low knowledge and a lack of understanding of pictograms conveying warnings about medication use during pregnancy highlight the need to improve their clarity on product labels. Further research is required to develop understandable pictograms, especially in culturally diverse settings.

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Author Biographies

María Vargas-Huillcanina, Facultad de Farmacia y Bioquímica, Universidad Nacional Mayor de San Marcos. Lima, Perú.

  1. Químico farmacéutico, magister en epidemiología clínica.

Margot Quintana-Salinas, Instituto de Investigación de Bioquímica y Nutrición, Universidad Nacional Mayor de San Marcos. Lima, Perú.

1. Nutricionista, doctora en salud pública.

Rosa Pando-Alvarez, Instituto de Investigaciones Clínicas, Universidad Nacional Mayor de San Marcos. Lima, Perú.

    1. Médico cirujano, doctora en medicina.

Maritza Placencia-Medina , Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Lima, Perú.

    1. Químico farmacéutico, doctora en farmacia y bioquímica.

Javier Silva-Valencia , Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Lima, Perú.

    1. Médico cirujano, magister en informática biomédica en salud global con mención en informática en salud.

Rocío Hermoza-Moquillaza, Universidad Norbert Wiener. Lima, Perú.

  1. Químico farmacéutico, magister en epidemiología clínica.

Carlos Saavedra-Levau, Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Lima, Perú

    1. Médico Cirujano, doctor en Medicina, magíster en Salud Ocupacional y Ambiental.

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Published

2024-05-03

How to Cite

1.
Vargas-Huillcanina M, Quintana-Salinas M, Pando-Alvarez R, Placencia-Medina M, Silva-Valencia J, Hermoza-Moquillaza R, Saavedra-Levau C. Knowledge, practice and understanding of pictograms on medicines informing about prohibition and potential risks of their use during pregnancy. Rev. Cuerpo Med. HNAAA [Internet]. 2024 May 3 [cited 2024 May 18];17(1). Available from: http://www.cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/2210