IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i16p6584-d1218352.html
   My bibliography  Save this article

Modeling Predictors of Medication Waste Reduction Intention in Algeria: Extending the Theory of Planned Behavior

Author

Listed:
  • Kamel Mouloudj

    (Department of Commercial Sciences, College of Economic, University Yahia Fares of Medea, Medea 26000, Algeria)

  • Anuli Njoku

    (Department of Public Health, College of Health and Human Services, Southern Connecticut State University, New Haven, CT 06515, USA)

  • Dachel Martínez Asanza

    (Department of Scientific-Technical Results Management, National School of Public Health (ENSAP), Havana Medical Sciences University, Havana 10800, Cuba)

  • Ahmed Chemseddine Bouarar

    (Department of Commercial Sciences, College of Economic, University Yahia Fares of Medea, Medea 26000, Algeria)

  • Marian A. Evans

    (Department of Public Health, College of Health and Human Services, Southern Connecticut State University, New Haven, CT 06515, USA)

  • Smail Mouloudj

    (Department of Commercial Sciences, College of Economic, University Yahia Fares of Medea, Medea 26000, Algeria)

  • Achouak Bouarar

    (Department of Medicine, College of Medical, University Saad Dahleb Blida 1, Blida 09000, Algeria)

Abstract

COVID-19 caused an increase in the demand for medications, which led to an increase in pharmaceutical waste and there is no doubt that this contributes to environmental pollution. Hence, it became necessary to search for how to protect and improve the environment by encouraging the behavior of medication waste reduction. Accordingly, this study aims to investigate the factors affecting intentions to reduce medication waste. Considering this, we develop an extended theory of planned behavior (TPB) framework by incorporating the constructs of moral obligation, environmental awareness, and medication waste risk perception. Using the convenience sampling method and based on a self-administered questionnaire, a total of 225 usable responses were collected in five Algerian cities. The results showed that positive attitudes (β = 0.316, p < 0.001), moral obligation (β = 0.291, p < 0.001), environmental awareness (β = 0.227, p < 0.001), perceived behavior control (PBC) (β = 0.151, p = 0.001), greater perceived risks (β = 0.127, p < 0.001), and subjective norm (β = 0.096, p < 0.05) significantly and positively influence the medication waste minimization intention. Furthermore, our analyses revealed that the extended TPB model explained 73.40% of the intention variance. In conclusion, we have explored the intentions, and there may be a gap between intent and actual behavior. Therefore, we recommend future studies to examine the factors affecting the actual behavior of medication waste reduction and to investigate environmental ethics and religious commitment as predictors of waste reduction intentions.

Suggested Citation

  • Kamel Mouloudj & Anuli Njoku & Dachel Martínez Asanza & Ahmed Chemseddine Bouarar & Marian A. Evans & Smail Mouloudj & Achouak Bouarar, 2023. "Modeling Predictors of Medication Waste Reduction Intention in Algeria: Extending the Theory of Planned Behavior," IJERPH, MDPI, vol. 20(16), pages 1-18, August.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:16:p:6584-:d:1218352
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/16/6584/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/20/16/6584/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Tan, Chin-Seang & Ooi, Hooi-Yin & Goh, Yen-Nee, 2017. "A moral extension of the theory of planned behavior to predict consumers’ purchase intention for energy-efficient household appliances in Malaysia," Energy Policy, Elsevier, vol. 107(C), pages 459-471.
    2. Benele K. Magagula & Isaac T. Rampedi & Kowiyou Yessoufou, 2022. "Household Pharmaceutical Waste Management Practices in the Johannesburg Area, South Africa," IJERPH, MDPI, vol. 19(12), pages 1-16, June.
    3. Wei-Ta Fang & Eric Ng & Ching-Ming Wang & Ming-Lin Hsu, 2017. "Normative Beliefs, Attitudes, and Social Norms: People Reduce Waste as an Index of Social Relationships When Spending Leisure Time," Sustainability, MDPI, vol. 9(10), pages 1-18, September.
    4. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
    5. Sandra Cortés & Soledad Burgos & Héctor Adaros & Boris Lucero & Lesliam Quirós-Alcalá, 2021. "Environmental Health Risk Perception: Adaptation of a Population-Based Questionnaire from Latin America," IJERPH, MDPI, vol. 18(16), pages 1-13, August.
    6. Jun Lv & Xuan Liu & Sivhuang Lay, 2021. "The Impact of Consequences Awareness of Public Environment on Medicine Return Behavior: A Moderated Chain Mediation Model," IJERPH, MDPI, vol. 18(18), pages 1-19, September.
    7. Decai Tang & Lei Shi & Xiaojuan Huang & Ziqian Zhao & Biao Zhou & Brandon J. Bethel, 2022. "Influencing Factors on the Household-Waste-Classification Behavior of Urban Residents: A Case Study in Shanghai," IJERPH, MDPI, vol. 19(11), pages 1-16, May.
    8. Faez Alnahas & Prince Yeboah & Louise Fliedel & Ahmad Yaman Abdin & Khair Alhareth, 2020. "Expired Medication: Societal, Regulatory and Ethical Aspects of a Wasted Opportunity," IJERPH, MDPI, vol. 17(3), pages 1-17, January.
    9. Lin Xu & Maoliang Ling & Yujie Lu & Meng Shen, 2017. "Understanding Household Waste Separation Behaviour: Testing the Roles of Moral, Past Experience, and Perceived Policy Effectiveness within the Theory of Planned Behaviour," Sustainability, MDPI, vol. 9(4), pages 1-27, April.
    10. Hori, Shiro & Kondo, Kayoko & Nogata, Daisuke & Ben, Han, 2013. "The determinants of household energy-saving behavior: Survey and comparison in five major Asian cities," Energy Policy, Elsevier, vol. 52(C), pages 354-362.
    11. Ecaterina Coman & Claudiu Coman & Angela Repanovici & Mihaela Baritz & Attila Kovacs & Ana Maria Tomozeiu & Silviu Barbu & Ovidiu Toderici, 2022. "Does Sustainable Consumption Matter? The Influence of the COVID-19 Pandemic on Medication Use in Brasov, Romania," Sustainability, MDPI, vol. 14(13), pages 1-16, June.
    12. Justyna Rogowska & Agnieszka Zimmermann, 2022. "Household Pharmaceutical Waste Disposal as a Global Problem—A Review," IJERPH, MDPI, vol. 19(23), pages 1-29, November.
    13. Ibrahim Elshaer & Abu Elnasr E. Sobaih & Mansour Alyahya & Ahmed Abu Elnasr, 2021. "The Impact of Religiosity and Food Consumption Culture on Food Waste Intention in Saudi Arabia," Sustainability, MDPI, vol. 13(11), pages 1-17, June.
    14. Lasse Alajärvi & Aku-Ville Lehtimäki & Johanna Timonen & Janne Martikainen, 2022. "Willingness to Pay for Implementation of an Environmentally Friendly Pharmaceutical Policy in Finland—A Discrete Choice Experiment Study," IJERPH, MDPI, vol. 19(11), pages 1-13, May.
    15. Haneen Banjar & Rahaf Alrowithi & Sara Alhadrami & Esraa Magrabi & Reema Munshi & Mayda Alrige, 2022. "An Intelligent System for Proper Management and Disposal of Unused and Expired Medications," IJERPH, MDPI, vol. 19(5), pages 1-15, March.
    16. Meghana Desai & Anuli Njoku & Lillian Nimo-Sefah, 2022. "Comparing Environmental Policies to Reduce Pharmaceutical Pollution and Address Disparities," IJERPH, MDPI, vol. 19(14), pages 1-15, July.
    17. Ewelina M. Marek-Andrzejewska & Anna Wielicka-Regulska, 2021. "Targeting Youths’ Intentions to Avoid Food Waste: Segmenting for Better Policymaking," Agriculture, MDPI, vol. 11(4), pages 1-22, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Ana-Maria Ionescu & Cristina Cazan, 2024. "Pharmaceutical Waste Management: A Comprehensive Analysis of Romanian Practices and Perspectives," Sustainability, MDPI, vol. 16(15), pages 1-20, July.
    2. Anuli Njoku & Martin Agbalenyo & Janaya Laude & Taiwo Folake Ajibola & Mavis Asiwome Attah & Samuel Bruce Sarko, 2023. "Environmental Injustice and Electronic Waste in Ghana: Challenges and Recommendations," IJERPH, MDPI, vol. 21(1), pages 1-17, December.
    3. Anuli Njoku & Kamel Mouloudj & Ahmed Chemseddine Bouarar & Marian A. Evans & Dachel Martínez Asanza & Smail Mouloudj & Achouak Bouarar, 2024. "Intentions to Create Green Start-Ups for Collection of Unwanted Drugs: An Empirical Study," Sustainability, MDPI, vol. 16(7), pages 1-20, March.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Anuli Njoku & Kamel Mouloudj & Ahmed Chemseddine Bouarar & Marian A. Evans & Dachel Martínez Asanza & Smail Mouloudj & Achouak Bouarar, 2024. "Intentions to Create Green Start-Ups for Collection of Unwanted Drugs: An Empirical Study," Sustainability, MDPI, vol. 16(7), pages 1-20, March.
    2. Alessandro Concari & Gerjo Kok & Pim Martens, 2020. "A Systematic Literature Review of Concepts and Factors Related to Pro-Environmental Consumer Behaviour in Relation to Waste Management Through an Interdisciplinary Approach," Sustainability, MDPI, vol. 12(11), pages 1-50, May.
    3. Muhammad Yaseen Bhutto & Xiaohui Liu & Yasir Ali Soomro & Myriam Ertz & Yasser Baeshen, 2020. "Adoption of Energy-Efficient Home Appliances: Extending the Theory of Planned Behavior," Sustainability, MDPI, vol. 13(1), pages 1-25, December.
    4. Shucai Bai & Fangyi Li & Wu Xie, 2022. "Green but Unpopular? Analysis on Purchase Intention of Heat Pump Water Heaters in China," Energies, MDPI, vol. 15(7), pages 1-19, March.
    5. Quoc Nghi Nguyen & Thi Hong Loc Hoang & Van Nam Mai, 2022. "Applying the Theory of Planned Behavior to Analyze Household Energy-Saving Behavior," International Journal of Energy Economics and Policy, Econjournals, vol. 12(5), pages 287-293, September.
    6. WeiYu Ji & Edwin H. W. Chan, 2019. "Critical Factors Influencing the Adoption of Smart Home Energy Technology in China: A Guangdong Province Case Study," Energies, MDPI, vol. 12(21), pages 1-24, November.
    7. Luis Pérez y Pérez & Pilar Egea, 2019. "About Intentions to Donate for Sustainable Rural Development: An Exploratory Study," Sustainability, MDPI, vol. 11(3), pages 1-14, February.
    8. Md. Shahzalal & Azizul Hassan, 2019. "Communicating Sustainability: Using Community Media to Influence Rural People’s Intention to Adopt Sustainable Behaviour," Sustainability, MDPI, vol. 11(3), pages 1-28, February.
    9. Phu Nguyen-Van & Anne Stenger & Tuyen Tiet, 2021. "Social incentive factors in interventions promoting sustainable behaviors: A meta-analysis," PLOS ONE, Public Library of Science, vol. 16(12), pages 1-27, December.
    10. Muhammad Yaseen Bhutto & Yasir Ali Soomro & Hailan Yang, 2022. "Extending the Theory of Planned Behavior: Predicting Young Consumer Purchase Behavior of Energy-Efficient Appliances (Evidence From Developing Economy)," SAGE Open, , vol. 12(1), pages 21582440221, February.
    11. Guo Li & Wenling Liu & Zhaohua Wang & Mengqi Liu, 2017. "An empirical examination of energy consumption, behavioral intention, and situational factors: evidence from Beijing," Annals of Operations Research, Springer, vol. 255(1), pages 507-524, August.
    12. Nieves García-de-Frutos & José Manuel Ortega-Egea & Javier Martínez-del-Río, 2018. "Anti-consumption for Environmental Sustainability: Conceptualization, Review, and Multilevel Research Directions," Journal of Business Ethics, Springer, vol. 148(2), pages 411-435, March.
    13. Peng Shi & Frank Vanclay & Jin Yu, 2022. "Post-Resettlement Support Policies, Psychological Factors, and Farmers’ Homestead Exit Intention and Behavior," Land, MDPI, vol. 11(2), pages 1-22, February.
    14. Mehmet Ünal & Fatma Ünal, 2022. "Ecological Footprint Reduction Behaviors of Individuals in Turkey in the Context of Ecological Sustainability," Sustainability, MDPI, vol. 15(1), pages 1-19, December.
    15. Gkargkavouzi, Anastasia & Halkos, George & Matsiori, Steriani, 2019. "How do motives and knowledge relate to intention to perform environmental behavior? Assessing the mediating role of constraints," Ecological Economics, Elsevier, vol. 165(C), pages 1-1.
    16. Hsiao-Ping Chang & Chun-Chieh Ma & Han-Shen Chen, 2019. "Climate Change and Consumer’s Attitude toward Insect Food," IJERPH, MDPI, vol. 16(9), pages 1-17, May.
    17. Meles, Tensay Hadush & Ryan, Lisa & Mukherjee, Sanghamitra C., 2022. "Heterogeneity in preferences for renewable home heating systems among Irish households," Applied Energy, Elsevier, vol. 307(C).
    18. Imran Hossain & Maria Fekete-Farkas & Md. Nekmahmud, 2022. "Purchase Behavior of Energy-Efficient Appliances Contribute to Sustainable Energy Consumption in Developing Country: Moral Norms Extension of the Theory of Planned Behavior," Energies, MDPI, vol. 15(13), pages 1-20, June.
    19. Saqib Ali & Habib Ullah & Minhas Akbar & Waheed Akhtar & Hasan Zahid, 2019. "Determinants of Consumer Intentions to Purchase Energy-Saving Household Products in Pakistan," Sustainability, MDPI, vol. 11(5), pages 1-20, March.
    20. Farzana Sharmin & Mohammad Tipu Sultan & Alina Badulescu & Dorin Paul Bac & Benqian Li, 2020. "Millennial Tourists’ Environmentally Sustainable Behavior Towards a Natural Protected Area: An Integrative Framework," Sustainability, MDPI, vol. 12(20), pages 1-24, October.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2023:i:16:p:6584-:d:1218352. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.