<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0121-0807</journal-id>
<journal-title><![CDATA[Revista de la Universidad Industrial de Santander. Salud]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Univ. Ind. Santander. Salud]]></abbrev-journal-title>
<issn>0121-0807</issn>
<publisher>
<publisher-name><![CDATA[Universidad Industrial de Santander]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-08072025000100023</article-id>
<article-id pub-id-type="doi">10.18273/saluduis.57.e:25v57a16</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores asociados a la automedicación en Quibdó, perspectivas desde un territorio desigual en Colombia]]></article-title>
<article-title xml:lang="en"><![CDATA[Factors associated with self-medication in Quibdó, perspectives from an unequal territory in Colombia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martinez-Parra]]></surname>
<given-names><![CDATA[Liliana Yadira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quiroz-Mena]]></surname>
<given-names><![CDATA[Silvia Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Tecnológica del Chocó Diego Luis Córdoba  ]]></institution>
<addr-line><![CDATA[Quibdó ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>57</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-08072025000100023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-08072025000100023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-08072025000100023&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La automedicación es una práctica global con implicaciones significativas para la salud pública, ya que conlleva tanto beneficios como riesgos.  Objetivo: Explorar la prevalencia y determinantes de la automedicación en una población caracterizada por condiciones socioeconómicas precarias y acceso limitado a servicios de salud.  Metodología: Se realizó un estudio observacional analítico de corte transversal entre agosto y octubre de 2019 en la zona urbana de Quibdó, donde se aplicaron encuestas a 582 personas mediante muestreo no probabilístico. Los datos fueron procesados mediante el software R (versión 4.1.0), utilizando análisis descriptivos e inferenciales (pruebas U de Mann-Whitney, chi-cuadrado y regresión log-binomial) para explorar modelos explicativos de la automedicación en función de las variables de interés.  Resultados: La prevalencia de automedicación fue del 80.9% (IC95%: 78-84%). Esta práctica se asoció significativamente con nivel educativo secundario, residencia en zonas periféricas como las comunas 1 y 6, y sin afiliación al sistema de salud. Las principales razones referidas fueron la desconfianza en los profesionales de salud (34%) y dificultades de acceso a los servicios. Los procesos infecciosos fueron la causa más frecuente de automedicación, predominando el uso de analgésicos (62%), adquiridos principalmente en farmacias (63%) y tiendas locales (30%).  Conclusiones: Es fundamental implementar políticas públicas y estrategias educativas que promuevan el uso responsable de medicamentos, mejoren el acceso a la atención médica y fortalecer la confianza en los profesionales de salud. Un enfoque integral puede contribuir a reducir la automedicación irresponsable y avanzar hacia una salud más equitativa y sostenible.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Self-medication is a global practice with significant implications for public health, as it can generate both benefits and risks.  Objective: To explore the prevalence and determinants of self-medication in a population characterized by precarious socioeconomic conditions and limited access to health services.  Methodology: A cross-sectional analytical observational study was conducted between August and October 2019 in the urban area of Quibdó, where 582 people were surveyed through non-probabilistic sampling. Data were processed using R software (version 4.1.0), using descriptive and inferential analyses (Mann-Whitney U-tests, chi-square and log-binomial regression) to explore explanatory models of self-medication as a function of the variables of interest.  Results: The prevalence of self-medication was 80.9% (95%CI: 78-84%). This practice was significantly associated with secondary education level, residence in peripheral areas such as communes 1 and 6, and lack of affiliation with the health system. The main reasons reported were distrust in healthcare professionals (34%) and difficulties in accessing services. Infectious processes were the most frequent cause of self-medication, predominantly the use of analgesics (62%), acquired mainly in pharmacies (63%) and local stores (30%).  Conclusions: It is essential to implement public policies and educational strategies that promote the responsible use of medications, that promote the responsible use of medications, improve access to health care, and strengthen trust in health professionals. A comprehensive approach can contribute to reduce irresponsible self-medication and move towards a more equitable and sustainable health.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Salud Pública]]></kwd>
<kwd lng="es"><![CDATA[Automedicación]]></kwd>
<kwd lng="es"><![CDATA[Factores de Riesgo]]></kwd>
<kwd lng="es"><![CDATA[Disparidades en el Estado de Salud]]></kwd>
<kwd lng="es"><![CDATA[Atención Primaria de Salud]]></kwd>
<kwd lng="es"><![CDATA[Educación en Salud]]></kwd>
<kwd lng="en"><![CDATA[Public Health]]></kwd>
<kwd lng="en"><![CDATA[Self Medication]]></kwd>
<kwd lng="en"><![CDATA[Risk Factors]]></kwd>
<kwd lng="en"><![CDATA[Health Status Disparities]]></kwd>
<kwd lng="en"><![CDATA[Primary Health Care]]></kwd>
<kwd lng="en"><![CDATA[Health Education]]></kwd>
</kwd-group>
</article-meta>
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