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Taha S, Taha M, Zyoud SH. Self-care methods use for acne treatment among health science students. EXPLORATORY RESEARCH IN CLINICAL AND SOCIAL PHARMACY 2025; 18:100601. [PMID: 40248498 PMCID: PMC12005327 DOI: 10.1016/j.rcsop.2025.100601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2024] [Revised: 03/05/2025] [Accepted: 04/02/2025] [Indexed: 04/19/2025] Open
Abstract
Introduction The use of self-care methods, such as over-the-counter (OTC) products and complementary and alternative medicine (CAM), is common along the acne care pathway. This study aimed to explore self-care methods for acne and assess their associations with acne severity. Methods This cross-sectional study was conducted among university students in health programs. Convenience sampling was used to invite participants to complete a survey containing sociodemographic, clinical, and self-care-related questions. Acne diagnosis and severity were evaluated by a physician via the Global Acne Grading System (GAGS). A multivariate regression model was used to analyze the associations between variables. Results The final sample comprised 190 participants, with 24.2 % males and 70.8 % females. Most participants had mild acne (77.4 %) and reported positive family histories (82.1 %). Approximately one-third used OTC products (31.1 %), and nearly two-thirds used CAM (62.6 %). The most frequently used OTC products were facial cleansers (48.2 %), followed by creams and moisturizers (30.7 %) and cleansing soap (21.1 %). A lack of acne severity was the primary reason for the use of CAM. Social media (46.7 %) and the internet (46.2 %) were the most frequently reported sources of information. Acne severity was associated with OTC product use (p = 0.009) and the duration of acne (p < 0.001). Furthermore, OTC product use was associated with receiving a professional diagnosis (p < 0.001). Conclusions This study identified the most common OTC products and CAM used in acne and demonstrated an association between OTC product use and acne severity. Future studies should explore discussions on self-care methods in clinical consultations and the timing of using these methods throughout the care pathway. Integrating shared decision-making in clinical practice and tailoring educational interventions to patient preferences and communication channels may encourage the safe and effective use of self-care methods.
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Affiliation(s)
- Sari Taha
- An-Najah Global Health Institute, An-Najah National University, Nablus 44839, Palestine
- Department of Public Health, An-Najah National University, Nablus 44839, Palestine
| | - Manal Taha
- Médecins Sans Frontières France, 15 Street, Nablus, Palestine
| | - Sa’ed H. Zyoud
- Department of Clinical and Community Pharmacy, Faculty of Pharmacy, An-Najah National University, Nablus 44839, Palestine
- Poison Control and Drug Information Center (PCDIC), An-Najah National University, Nablus 44839, Palestine
- Clinical Research Centre, An-Najah National University Hospital, Nablus 44839, Palestine
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Taha S, Taha M, Zyoud SH. Exploring Complementary and Alternative Medicine Use for the Management of Acne Vulgaris Among University Students: Forms, Trends, and Information Sources. J Cosmet Dermatol 2025; 24:e16775. [PMID: 39757764 PMCID: PMC11701388 DOI: 10.1111/jocd.16775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2024] [Accepted: 12/26/2024] [Indexed: 01/07/2025]
Abstract
BACKGROUND Acne vulgaris is a common skin disease that has physical and psychological impacts. Patients diagnosed with acne often use complementary and alternative medicine, despite the insufficient evidence. AIMS This cross-sectional study sought to identify the types, trends in and reasons for utilizing complementary and alternative medicine for acne among university students. PATIENTS/METHODS The study was conducted among health sciences students from March to June, 2023, using clinical examination and a questionnaire. All participants were assessed for a diagnosis of acne. RESULTS The final sample size consisted of 367 participants, of whom 68.9% were females and 31.1% were males. The study revealed a high prevalence of acne (74.4%). Among those with acne, 59.7% reported using complementary and alternative medicine, with the biological forms being most frequent at 90.2%. The reasons commonly stated for using complementary and alternative medicine were lack of severity (48.5%) and the potential for internet-based self-treatment (33.1%). The main sources of information were the internet (44.8%) and social media (41.1%). Age, gender, and the occurrence of acne on the chin were associated with complementary and alternative medicine use (p < 0.05). CONCLUSIONS The use of complementary and alternative medicine for treating acne is widespread, with a tendency toward biological forms. Healthcare practitioners should be familiar with the patterns of complementary and alternative medicine use for the treatment of acne to better meet patient needs and concerns. Policymaking can leverage the role of online resources in addressing the use of unconventional treatment modalities.
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Affiliation(s)
- Sari Taha
- An‐Najah Global Health InstituteAn‐Najah National UniversityNablusPalestine
- Department of Public HealthAn‐Najah National UniversityNablusPalestine
| | - Manal Taha
- Médecins Sans Frontières FranceNablusPalestine
| | - Sa'ed H. Zyoud
- Department of Clinical and Community Pharmacy, College of Medicine and Health SciencesAn‐Najah National UniversityNablusPalestine
- Poison Control and Drug Information Center (PCDIC), College of Medicine and Health SciencesAn‐Najah National UniversityNablusPalestine
- Clinical Research CenterAn‐Najah National University HospitalNablusPalestine
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Mohammed Lotfy AM, Anwar MM, Nadi AB, Ahmed GS. Knowledge, attitudes, and practices regarding self-medication for acne among medical students in Beni-Suef University. Int J Adolesc Med Health 2024; 36:367-371. [PMID: 38728599 DOI: 10.1515/ijamh-2024-0037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2024] [Accepted: 04/04/2024] [Indexed: 05/12/2024]
Abstract
OBJECTIVES To evaluate medical students' knowledge, attitudes, and self-medication practices for acne vulgaris. METHODS An analytical cross-sectional study was conducted at Beni-Suef University's Faculty of Medicine from January 2023 to June 2023. A pre-structured questionnaire was used for the study. RESULTS A total of 297 students (85.1 %) used self-medications for acne without a prescription. The total knowledge score of self-medication among the study participants was 3.81 ± 2.23. About 71.4 % knew about precautions, and 72.7 % of the participants reported that self-medication is part of self-care. There was a statistical significance between the total mean knowledge score and age (p=0.007), gender (p=0.013), and academic year (p=0.001). CONCLUSIONS A significant portion of students self-medicate about acne. The total knowledge score of self-medication was to some extent not relatively high. Educational programs can be developed to increase medical students' awareness of the risks and benefits of self-medication, information on appropriate use of medications, and when to seek medical attention.
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Affiliation(s)
| | - Manal Mohamed Anwar
- Department of Public Health and Community Medicine, Faculty of Medicine, Beni-Suef University, Beni-Suef City, Egypt
| | - Aya Badawi Nadi
- Department of Public Health and Community Medicine, Faculty of Medicine, Beni-Suef University, Beni-Suef City, Egypt
| | - Gehad S Ahmed
- Department of Public Health and Community Medicine, Faculty of Medicine, Beni-Suef University, Beni-Suef City, Egypt
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Mashi A, Daghriri SA, Mobarki OA, Otaif F, Suwaid OA, Alharbi RH, Adawi KA, Alanazi MA, Hurubi M, Qadiri BA, Alnami AG, Alfaifi BA, Moafa AY, Alqahtani HA. Prevalence and Contributing Factors of Acne Vulgaris Among the General Population in the Jazan Region, Saudi Arabia: A Cross-Sectional Study. Cureus 2024; 16:e65407. [PMID: 39184770 PMCID: PMC11344885 DOI: 10.7759/cureus.65407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/26/2024] [Indexed: 08/27/2024] Open
Abstract
INTRODUCTION Acne vulgaris is one of the most prevalent inflammatory conditions in the world that primarily affects teenagers. Its prevalence and the contributing factors vary across different regions and populations. Genetic predisposition, hormonal influences, dietary habits, lifestyle choices, and environmental factors are believed to be significant contributors. METHODS This was a cross-sectional study involving 419 participants from the Jazan region, Saudi Arabia. The study employed non-probability convenience sampling techniques. Data were collected through online questionnaires and analyzed using Statistical Product and Service Solutions (SPSS, version 27; IBM SPSS Statistics for Windows, Armonk, NY). RESULTS The study found that acne prevalence was high, affecting more than half (66.8%) of the participants, with mild severity reported by 51.8%. Pimples were most commonly found on the face (65.2%), followed by the back (45.3%) and chest (29.6%). Participants with oily skin had twice the likelihood of acne compared to those with dry skin (OR=2.14). Increasing age was associated with a 5% decrease in acne risk per year. Significant associations were found for age (p=0.010), female gender (p=0.017), and oily skin (p<0.001) with acne development. CONCLUSION The study found a high prevalence rate of acne vulgaris among the young population in the Jazan region, Saudi Arabia. Age, female gender, and having oily skin were predictors for developing acne vulgaris. Complications such as acne scarring and psychological impacts such as shyness underscore the significant burden of acne on social and psychological well-being. Enhanced treatment and improved quality of life necessitate heightened awareness campaigns concerning acne vulgaris, its treatments, and associated complications, as revealed by the study.
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Affiliation(s)
- Amany Mashi
- Department of Dermatology, Armed Forces Hospital, Jazan, SAU
| | | | | | - Faisal Otaif
- College of Medicine, Jazan University, Jazan, SAU
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Ahmed S, Choudhari S, Gaidhane A. Over the Counter: Self-Care or Self-Harm? A Mixed Method Study Protocol on Prevalence and Determinants of Self-Medication Practices in Wardha. Cureus 2024; 16:e65653. [PMID: 39205714 PMCID: PMC11357710 DOI: 10.7759/cureus.65653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2024] [Accepted: 07/29/2024] [Indexed: 09/04/2024] Open
Abstract
Background Self-medication (SM), a common practice globally, possesses a dual challenge of being a self-care strategy and a potential source of harm observed across all age groups. The study is being conducted to gauge the prevalence of SM of prescription drugs with their over-the-counter access, thus addressing the delicate balance between self-care and self-harm related to SM. Material and methods This ongoing convergent parallel mixed method study with quantitative and qualitative components will be conducted on a sample size of 180 subjects aged more than 18 years from an urban community. For the quantitative component, a semi-structured questionnaire will assess the prevalence of SM, types of medications used, reasons for self-medicating, and socio-demographic factors influencing these practices. Concurrently, qualitative interviews delve deeper into the beliefs shaping SM practices. Sampling will be purposive to capture diverse perspectives, with data analyzed using statistical tools. Results This study protocol will offer a comprehensive understanding of the prevalence and determinants of SM practices. The quantitative data provide numerical insights into SM trends, while the qualitative findings elucidate the nuanced factors driving individuals' SM choices. Conclusions A multifaceted view of SM practices will be provided, aiding in developing interventions to promote safe and effective self-care while mitigating the risks of self-harm through SM. Anticipated findings can include a widespread prevalence of SM amongst the general urban populace. Significant associations can also be expected to be found with various independent variables. The results will be instrumental in informing public health policies and healthcare practices toward enhancing patient safety and well-being.
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Affiliation(s)
- Sana Ahmed
- Community Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Sonali Choudhari
- Community Medicine, School of Epidemiology and Public Health, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Abhay Gaidhane
- Community Medicine, School of Epidemiology and Public Health, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
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Alrasheed M, Hamdy Mansy W, Naser Al-Arifi M. Community pharmacist intervention in doxycycline self-medication for acne among pregnant women in Saudi Arabia. Saudi Pharm J 2024; 32:102027. [PMID: 38525265 PMCID: PMC10960118 DOI: 10.1016/j.jsps.2024.102027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2023] [Accepted: 03/12/2024] [Indexed: 03/26/2024] Open
Abstract
Introduction Self-medication during pregnancy remains a prevalent global phenomenon, with pregnant women often relying on their own judgment to manage symptoms. Objective: This study aimed to assess community pharmacist practice regarding self-medication requests for acne treatment in pregnant women within Saudi Arabia. Methods A descriptive, observational cross-sectional study was conducted in Riyadh, Saudi Arabia. Community pharmacists completed a questionnaire after interacting with a simulated customer (SC) seeking doxycycline for a pregnant woman. Data were analyzed using SPSS software. Results One hundred community pharmacists participated in the study. The majority were between 25 and 35 years old (56 %) and worked in chain pharmacies (81 %). Notably, 71 % requested a prescription before dispensing any medication. While 66 % advised the SC to consult a physician or dermatologist, only 15 % inquired about the pregnancy and related information of the SC's sister. Conclusion This study suggests a positive trend in community pharmacy practice regarding self-medication requests during pregnancy. However, further improvement is needed, particularly in terms of in-depth inquiry about pregnancy status and potential risks associated with specific medications. Collaborative efforts between the Ministry of Health (MOH), Saudi Food and Drug Administration (SFDA), and pharmacy education programs are crucial to minimize inappropriate dispensing practices and ensure optimal patient safety.
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Affiliation(s)
- Marwan Alrasheed
- Department of Clinical Pharmacy, College of Pharmacy King Saud University, Riyadh 12372, Saudi Arabia
| | - Wael Hamdy Mansy
- Department of Clinical Pharmacy, College of Pharmacy King Saud University, Riyadh 12372, Saudi Arabia
| | - Mohamed Naser Al-Arifi
- Department of Clinical Pharmacy, College of Pharmacy King Saud University, Riyadh 12372, Saudi Arabia
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Dabash D, Salahat H, Awawdeh S, Hamadani F, Khraim H, Koni AA, Zyoud SH. Prevalence of acne and its impact on quality of life and practices regarding self-treatment among medical students. Sci Rep 2024; 14:4351. [PMID: 38388743 PMCID: PMC10883973 DOI: 10.1038/s41598-024-55094-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Accepted: 02/20/2024] [Indexed: 02/24/2024] Open
Abstract
Acne vulgaris is one of the most common skin diseases worldwide and causes great distress to patients. In addition, most acne patients suffer from low self-esteem and social withdrawal. This study aimed to assess the prevalence of acne and its impact on quality of life among medical students. It also evaluates the patterns of self-treatment use. The study population consisted of all medical students from An-Najah National University (ANU) and the hospital. The questionnaire consists of three parts, and the first part consists of questions regarding demographic information. The second part consisted of questions to measure the severity of acne using the acne severity scale as well as the Cardiff Disability Index, which assesses the quality of life concerning acne in medical students. Finally, the third part consisted of questions exploring and assessing acne self-treatment. The mean age of our study sample was 21.3 ± 1.9 years, with a female predominance of 72.3%. The prevalence of acne among medical students was 80.9%, and 36.6% practiced self-medication. Acne was strongly associated with female sex (p < 0.001) and skin type (p = 0.024). Regarding diet, dairy consumption (p = 0.007), sweets (p < 0.001), chocolate (p < 0.001), and oily food (p = 0.006) were all significantly associated with acne. Skin type was strongly associated with the severity of acne (p < 0.001) and the Cardiff acne disability index (p = 0.016). Gender (p = 0.039) was also associated with Cardiff acne disability. A significant correlation was found between the severity of acne and impaired quality of life. The most commonly used topical agent for self-treatment remedies was antibiotics (70.3%). The most commonly used oral agent was isotretinoin (9.4%). A total of 22.7% of the students used herbal products, while 47.7% used home remedies. Acne is prevalent among medical students, with a high percentage of students having different degrees of impairment in their daily lives. As a result, self-medication among acne sufferers is highly common. Awareness of the appropriate use of self-medication should increase among medical students.
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Affiliation(s)
- Duaa Dabash
- Department of Medicine, College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine
| | - Haya Salahat
- Department of Medicine, College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine
| | - Sally Awawdeh
- Department of Medicine, College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine
| | - Fadi Hamadani
- Department of Medicine, College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine
| | - Husam Khraim
- Department of Medicine, College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine
| | - Amer A Koni
- Division of Clinical Pharmacy, Department of Hematology and Oncology, An-Najah National University Hospital, Nablus, 44839, Palestine
- Department of Clinical and Community Pharmacy, College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine
| | - Sa'ed H Zyoud
- Department of Clinical and Community Pharmacy, College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine.
- Poison Control and Drug Information Center (PCDIC), College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine.
- Clinical Research Center, An-Najah National University Hospital, Nablus, 44839, Palestine.
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Malli IA, Hubayni RA, Marie AM, Alzahrani DY, Khshwry EI, Aldahhas RA, Khan RF, Zaidi SF. The prevalence of self-medication and its associated factors among college students: Cross-sectional study from Saudi Arabia. Prev Med Rep 2023; 36:102457. [PMID: 37869536 PMCID: PMC10589874 DOI: 10.1016/j.pmedr.2023.102457] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Revised: 10/01/2023] [Accepted: 10/02/2023] [Indexed: 10/24/2023] Open
Abstract
Background Self-medication with OTC or prescription drugs is widespread, may impair health, and leads to microbial resistance. Self-medication treats symptoms without a prescription. Self-medication is common among students across disciplines. Thus, this study evaluates medical and non-medical students' self-medication prevalence, knowledge, and variables. Methods 352 people completed a verified 25-item online questionnaire from September 5 to November 17, 2021. Self-medication and demographic characteristics such as gender, professional college, and family income were examined using a chi-square test of independence. Results 210 (59.6 %) participants were from the College of Medicine, and 142 (40.34 %) were from other professional health colleges. Health professional students self-medicated 55.9 %. This research found substantial connections between self-medication knowledge, gender, and family income. With a p-value of 0.0001, 32 % of women agreed that self-medication is safe, compared to 15.8 % of men. Female students were more likely than boys (61.9 % vs 38.1 %, p-value = 0.0291) to self-medicate as their initial therapy. Family income was also related to self-medication; 69.6 % of low-income pupils self-medicated to reduce doctor visits, p-value = 0.0477. Conclusion Students of all majors self-medicate. Medical students were more informed about generic drug safety and administration. There were substantial unfavorable sentiments regarding self-medication, highlighting the need for educational health activities to raise student understanding of its risks.
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Affiliation(s)
- Israa Abdullah Malli
- College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah 22384, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah 22384, Saudi Arabia
| | - Rahaf Ahmed Hubayni
- College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah 22384, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah 22384, Saudi Arabia
| | - Amirah Mohammed Marie
- College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah 22384, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah 22384, Saudi Arabia
| | - Dhaii Yahya Alzahrani
- College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah 22384, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah 22384, Saudi Arabia
| | - Elaf Ismeal Khshwry
- College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah 22384, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah 22384, Saudi Arabia
| | - Raghad Abdulmohsen Aldahhas
- College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah 22384, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah 22384, Saudi Arabia
| | - Rahaf Fayez Khan
- College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah 22384, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah 22384, Saudi Arabia
| | - Syed Faisal Zaidi
- Faculty of Eastern Medicine, Hamdard University, Islamabad Capital Territory, Pakistan
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Alrabiah Z, Wajid S, Babelghaith SD, Al Arifi MN. Knowledge, attitudes, and practices of community pharmacists toward the management of acne vulgaris in Saudi Arabia. Front Med (Lausanne) 2023; 10:1133765. [PMID: 37457577 PMCID: PMC10345154 DOI: 10.3389/fmed.2023.1133765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Accepted: 06/05/2023] [Indexed: 07/18/2023] Open
Abstract
Background and objectives In Saudi Arabia, Acne vulgaris is a very predominant ailment and Pharmacists currently have standardized protocols at their disposal for the treatment of acne. Pharmacists often prescribe medications for minor cases of acne. Therefore, this study aimed to explore community pharmacists (CPs)' knowledge, attitudes, and practice toward acne management in Riyadh, Saudi Arabia. Methods An online cross-sectional study was conducted among CPs working in Riyadh, Saudi Arabia from January and April 2021, using a self-administered, questionnaire, was divided into four sections that collected information from the CP's Knowledge, attitudes, and practices and the management of acne vulgaris. The data were analyzed using the Statistical Package for the Social Sciences version 26 (SPSS). Result A total of 313 CPs were enrolled in the study who successfully returned the questionnaire. The mean score of knowledge on etiology, pathophysiology, and therapy for AV was 5.3 ± (SD = 1.5). However, the majority of CPs had a moderate level of knowledge (80.8%), followed by mild to moderate (12.8%). This study showed that CPs had an insufficient level of knowledge about ace management, about 6% of CPs have a high level of knowledge. Inadequate knowledge was revealed in their management practice, only 0.3% of CPs treated patients with acne on their own without a referral. In addition, CPs showed a positive attitude toward acne management. Conclusion There is a need to improve CPs' understanding of acne care and to contribute to participating in organized training sessions on the management of AV.
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