Drivers of Brand Choice and Purchase Behavior in Over-the-Counter Vitamin and Mineral Supplements
DOI:
https://doi.org/10.31181/msa41202752Keywords:
Marketing, Over-the-Counter, Brand Image Management, Vitamin and Mineral Supplements, Word of Mouth, Consumer Brand EngagementAbstract
This study, based on data from 210 participants, examined the determinants of over-the-counter (OTC) vitamin/mineral supplement purchasing behavior using multiple linear regression, independent samples t-tests, and one-way analysis of variance (ANOVA). Regression analysis results showed that consumer-brand interaction, brand image, and word-of-mouth marketing significantly influenced purchasing behavior. However, brand trust and brand loyalty were found to have no significant impact on purchasing behavior. Participants most frequently used vitamin D and magnesium, and 74% consulted a physician or pharmacist before purchasing OTC mineral/vitamin supplements. ANOVA and t-tests revealed that marital status, gender, income level, and brand preference significantly influenced brand perceptions. From a marketing perspective, relational and social factors (interaction, image, word of mouth) appear more effective than loyalty-based tools in this category of OTC mineral and vitamin products. On the other hand, from a management science perspective, these findings offer a predictive model for resource allocation. To maximize the return on marketing investment, budgets can be reallocated from brand trust and loyalty to word-of-mouth and professional consulting channels.Downloads
References
Abomusallam, A. S. (2023). Digital customer engagement: How can pharmaceutical organizations create better value? PhD Thesis, University of Warwick.
Hamada, A. M. (2020). Vitamins, omega-3, magnesium, manganese, and thyme can boost our immunity and protect against COVID-19. European Journal of Biological Research, 10(4). http://dx.doi.org/10.5281/zenodo.3990659.
Basile, V. (2019). Building a Strong Brand Equity in Pharmaceutical Industry: The Case of Over-the-Counter Drugs in Italian Country. International Journal of Customer Relationship Marketing and Management (IJCRMM), 10(3), 1–20. http://dx.doi.org/10.4018/IJCRMM.2019070101.
Abbas, M., Gao, Y., & Shah, S. S. H. (2018). CSR and customer outcomes: The mediating role of customer engagement. Sustainability, 10(11), 4243. https://doi.org/10.3390/su10114243.
Alarsali, N., & Aghaei, I. (2022). Effective determinants of consumer buying decision on OTC medications: Digital marketing, brand experience, and reference groups. BOHR International Journal of Computer Science, 1(1), 56–67. https://doi.org/10.54646/bijcs.010.
Guido, G., Pino, G., & Frangipane, D. (2011). The role of credibility and perceived image of supermarket stores as valuable providers of over-the-counter drugs. Journal of Marketing Management, 27(3–4), 207–224. https://doi.org/10.1080/0267257X.2011.545669.
Holmström, I. K., Bastholm-Rahmner, P., Bernsten, C., Röing, M., & Björkman, I. (2014). Swedish teenagers and over-the-counter analgesics–Responsible, casual or careless use. Research in Social and Administrative Pharmacy, 10(2), 408–418. https://doi.org/10.1016/j.sapharm.2013.06.004.
Šapić, S., Kocić, M., & Radaković, K. (2019). Creating Consumer Loyalty in the Field of Using Over-the-Counter Products. Economic Themes, 57(1), 1–20. https://doi.org/10.2478/ethemes-2019-0001.
Rajini, G., & Madhumita, G. (2019). Vital Factors Influencing Purchase of Over the Counter (Otc) Medicines: Brand Experiences of Gen X and new age Indian women. Research Journal of Pharmacy and Technology, 12(6), 2682–2686. https://doi.org/10.5958/0974-360X.2019.00448.7.
Oppong, P. (2018). The influence of packaging and brand equity on over-the-counter herbal medicines in Kumasi, Ghana. Journal of Economics and Behavioral Studies, 10(5), 59–72. https://doi.org/10.22610/jebs.v10i5(J).2498.
Hassan, M. R., & Siddique, M. Z. R. (2018). Factors affecting consumer purchase decisions of medicine without prescriptions in OTC: A study in Bangladesh. The Jahangirnagar Journal of Marketing, 6, 1–14.
Wake, T. S., Darshana, A., Shambharkar, R. S., & Bijwar, L. N. (2025). Different marketing strategy for otc and branded drug: A systematic review. World Journal of Pharmaceutical Research, 14(6), 339–363. https://doi.org/10.20959/wjpr20256-35847.
Rasmussen, S. (2020). Drivers and Barriers within the Purchase of OTC Medicines.PhD Thesis, Copenhagen Business School Frederiksberg, Denmark.
Hasnin, E. A. H., Almurad, H. M., AlQahtani, M. S., & Hassanin, A. A. (2024). Shaping the Relationship between Customer Awareness and Customer Trust, An Applied Study on Over-the-Counter Products. Dose Customer Education Matter? Journal of International Crisis and Risk Communication Research, 7(S12), 648. https://doi.org/10.63278/jicrcr.vi.1587.
Mason, A. N., Brown, M., & Mason, K. (2024). Patient brand equity perceptions that predict brand choice preference for over-the-counter pain relief medications. International Journal of Healthcare Management, 17(3), 562–570. https://doi.org/10.1080/20479700.2023.2212990.
Aufegger, L., Yanar, C., Darzi, A., & Bicknell, C. (2021). The risk-value trade-off: Price and brand information impact consumers’ intentions to purchase OTC drugs. Journal of Pharmaceutical Policy and Practice, 14(1), 11. https://doi.org/10.1186/s40545-020-00293-5.
Zafar, H., Siddiqui, F. A., & Haroon, Z. (2025). Digital and social determinants of consumer decision making in OTC pharmaceuticals. The Critical Review of Social Sciences Studies, 3(1), 742–760. https://doi.org/10.59075/7rfg0c24.
Kevrekidis, D. P., Mináriková, D., & Markos, A. (2021). Effects of Demographic Characteristics and Consumer Behavior in the selection of Retail Pharmacies and Over-the-Counter Medicine. European Pharmaceutical Journal, 68(2), 27–40. https://doi.org/10.2478/afpuc-2021-0017.
Memisoglu, M. (2020). Marketing communications for over-the-counter drugs and non-pharmaceutical products: The professionals’ perspective. International Journal of Healthcare Management, 13(sup1), 33–40. https://doi.org/10.1080/20479700.2017.1417075.
Swe, Y. Y. (2025). Factors Affecting Consumer Buying Decision Towards OTC Drugs in Yangon. PhD Thesis, MERAL Portal.
Anis, M. S. (2022). Assessment Of Digital Marketing Activities, Perception, Attitude, And Factors Impacting Purchasing Decision Of Over-The-Counter Drugs In A Malaysian Population. PhD Thesis.
Dheeraj, K. D. (2023). AA Study on OTC products in India and Europe: Market Prospective. Journal of Pharmacoeconomics and Pharmaceutical Management, 9(4), 18–27.
Taylor, J. G., Ayosanmi, S., & Sansgiry, S. S. (2023). Consumer impressions of the safety and effectiveness of OTC medicines. Pharmacy, 11(2), 51. https://doi.org/10.3390/pharmacy11020051.
Dwyer, A., Stamper, K., Joby, E., Garcia, H., Hardy, S., & MacIntyre, K. (2022). Proving the value of PR: Does PR or advertising lead to greater purchase intent. Celebrating, 25, 60–71.
Garg, P., Singh, S., Chamola, P., Kumar, A., & Paliwal, M. (2025). Elucidating the linkage between advertisements embedded with emotional appeals and the brand relationship quality during the COVID pandemic. Journal of Marketing Communications, 31(2), 126–150. https://doi.org/10.1080/13527266.2023.2220338.
Leckie, C., Nyadzayo, M. W., & Johnson, L. W. (2016). Antecedents of consumer brand engagement and brand loyalty. Journal of Marketing Management, 32(5–6), 558–578. https://doi.org/10.1080/0267257X.2015.1131735.
Brodie, R. J., Hollebeek, L. D., Jurić, B., & Ilić, A. (2011). Customer Engagement: Conceptual Domain, Fundamental Propositions, and Implications for Research. Journal of Service Research, 14(3), 252–271. https://doi.org/10.1177/1094670511411703.
Wallace, E., Buil, I., & De Chernatony, L. (2014). Consumer engagement with self-expressive brands: Brand love and WOM outcomes. Journal of Product & Brand Management, 23(1), 33–42. https://doi.org/10.1108/JPBM-06-2013-0326.
Dwivedi, A. (2015). A higher-order model of consumer brand engagement and its impact on loyalty intentions. Journal of Retailing and Consumer Services, 24, 100–109.
Hollebeek, L. (2011). Exploring customer brand engagement: Definition and themes. Journal of Strategic Marketing, 19(7), 555–573. https://doi.org/10.1080/0965254X.2011.599493.
Broniarczyk, S. M., & Alba, J. W. (1994). The Importance of the Brand in Brand Extension. Journal of Marketing Research, 31(2), 214–228. https://doi.org/10.1177/002224379403100206.
Keller, K. L. (2001). Building customer-based brand equity: A blueprint for creating strong brands.
France, C., Merrilees, B., & Miller, D. (2016). An integrated model of customer-brand engagement: Drivers and consequences. Journal of Brand Management, 23(2), 119–136. https://doi.org/10.1057/bm.2016.4.
Chen, Y.-S., Huang, A.-F., Wang, T.-Y., & Chen, Y.-R. (2020). Greenwash and green purchase behaviour: The mediation of green brand image and green brand loyalty. Total Quality Management & Business Excellence, 31(1–2), 194–209. https://doi.org/10.1080/14783363.2018.1426450.
Farrag, M. E., & Elessamy, D. (2025). Investigating the Effect of Perceived Healthcare Products Quality and Brand Image on Brand Usage Moderated by Brand Trust. Journal of Advances in Economics and Business Studies (JAEBS), 2(1). . https://doi.org/10.21608/JAEBS.2025.424641.
Mostafa, R. B., Lages, C. R., Shabbir, H. A., & Thwaites, D. (2015). Corporate Image: A Service Recovery Perspective. Journal of Service Research, 18(4), 468–483. https://doi.org/10.1177/1094670515584146.
Sirieix, L., Delanchy, M., Remaud, H., Zepeda, L., & Gurviez, P. (2013). Consumers’ perceptions of individual and combined sustainable food labels: A UK pilot investigation. International Journal of Consumer Studies, 37(2), 143–151. https://doi.org/10.1111/j.1470-6431.2012.01109.x.
Skarmeas, D., & Leonidou, C. N. (2013). When consumers doubt, watch out! The role of CSR skepticism. Journal of Business Research, 66(10), 1831–1838. https://doi.org/10.1016/j.jbusres.2013.02.004.
Zhang, L., Li, D., Cao, C., & Huang, S. (2018). The influence of greenwashing perception on green purchasing intentions: The mediating role of green word-of-mouth and moderating role of green concern. Journal of Cleaner Production, 187, 740–750. https://doi.org/10.1016/j.jclepro.2018.03.201.
Papista, E., & Dimitriadis, S. (2019). Consumer–green brand relationships: Revisiting benefits, relationship quality and outcomes. Journal of Product & Brand Management, 28(2), 166–187. https://doi.org/10.1108/JPBM-09-2016-1316.
Yang, J., Kim, W., Amblee, N., & Jeong, J. (2012). The heterogeneous effect of WOM on product sales: Why the effect of WOM valence is mixed? European Journal of Marketing, 46(11–12), 1523–1538. https://doi.org/10.1108/03090561211259961.
Zhao, M., & Xie, J. (2011). Effects of Social and Temporal Distance on Consumers’ Responses to Peer Recommendations. Journal of Marketing Research, 48(3), 486–496. https://doi.org/10.1509/jmkr.48.3.486.
Chen, Y.-S., Lin, C.-L., & Chang, C.-H. (2014). The influence of greenwash on green word-of-mouth (green WOM): The mediation effects of green perceived quality and green satisfaction. Quality & Quantity, 48(5), 2411–2425. https://doi.org/10.1007/s11135-013-9898-1.
Obermiller, C., Spangenberg, E., & MacLachlan, D. L. (2005). AD SKEPTICISM: The Consequences of Disbelief. Journal of Advertising, 34(3), 7–17. https://doi.org/10.1080/00913367.2005.10639199.
Aaker, D. (2015). Four ways digital works to build brands and relationships. Journal of Brand Strategy, 4(1), 37–48. https://doi.org/10.69554/QMBQ9109.
Broadbent, S., Bridson, K., Ferkins, L., & Rentschler, R. (2010). Brand love, brand image and loyalty in Australian elite sport. Australian and New Zealand Marketing Academy, 9(1).
Bernarto, I., Berlianto, M. P., Meilani, Y. F. C. P., Masman, R. R., & Suryawan, I. N. (2020). The influence of brand awareness, brand image, and brand trust on brand loyalty. Jurnal Manajemen, 24(3), 412–426. https://doi.org/10.24912/jm.v24i3.676.
Marinković, V., Stojanović-Aleksić, V., & Bošković, A. (2019). Do socially responsible companies benefit from higher levels of customer satisfaction, trust and loyalty? Journal of East European Management Studies, 24(4), 654–678. https://doi.org/10.5771/0949-6181-2019-4-654.
Kotler, P. (1965). Behavioral models for analyzing buyers. Journal of Marketing, 29(4), 37–45.
Armstrong Soule, C. A., & Reich, B. J. (2015). Less is more: Is a green demarketing strategy sustainable? Journal of Marketing Management, 31(13–14), 1403–1427. https://doi.org/10.1080/0267257X.2015.1059874.
Gourville, J., & Norton, M. I. (2014). Marketing reading: Consumer behavior and the buying process.
Ali Memon, M., Thurasamy, R., Ting, H., & Cheah, J. H. (2025). Purposive Sampling: A Review and Guidelines For Quantitative Research, 9(1), 1–23. https://doi.org/10.47263/JASEM.9(1)01.
MacCallum, R. C., Widaman, K. F., Zhang, S., & Hong, S. (1999). Sample size in factor analysis. Psychological Methods, 4(1), 84. https://doi.org/10.1037/1082-989X.4.1.84.
Hair Jr, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2010). Multivariate data analysis. In Multivariate data analysis (pp. 785–785).
Tabachnick, B. G., & Fidell, L. S. (2013). Using multivariate statistics, 6th edn Boston. Ma: Pearson.
Pagano, M., Gauvreau, K., & Mattie, H. (2022). Principles of biostatistics. Chapman and Hall/CRC. https://doi.org/10.1201/9780429340512.
Guerreiro, J., & Pacheco, M. (2021). How green trust, consumer brand engagement and green word-of-mouth mediate purchasing intentions. Sustainability, 13(14), 7877. https://doi.org/10.3390/su13147877.
Erdem, T., Swait, J., & Valenzuela, A. (2006). Brands as Signals: A Cross-Country Validation Study. Journal of Marketing, 70(1), 34–49. https://doi.org/10.1509/jmkg.70.1.034.qxd.
Salinas, E. M., & Pérez, J. M. P. (2009). Modeling the brand extensions’ influence on brand image. Journal of Business Research, 62(1), 50–60. https://doi.org/10.1016/j.jbusres.2008.01.006.
Jog, D., & Singhal, D. (2024). Greenwashing Understanding Among Indian Consumers and Its Impact on Their Green Consumption. Global Business Review, 25(2), 491–511. https://doi.org/10.1177/0972150920962933.
Brown, T. J. (2005). Spreading the Word: Investigating Antecedents of Consumers’ Positive Word-of-Mouth Intentions and Behaviors in a Retailing Context. Journal of the Academy of Marketing Science, 33(2), 123–138. https://doi.org/10.1177/0092070304268417.
Kim, C. K., Han, D., & Park, S. (2001). The effect of brand personality and brand identification on brand loyalty: Applying the theory of social identification. Japanese Psychological Research, 43(4), 195–206. https://doi.org/10.1111/1468-5884.00177.
Turkish Ministry of Health. (2025). Vitamin D Deficiency Prevention and Control Program.
de Olival Mendonça, A. R. (2020). Consumer-Brand Engagement in OTC Medication: Can Pharmaceutical Companies Increase Brand Usage Intentions by Improving Perceived Social Media Activity? Master’s Thesis, ISCTE-Instituto Universitario de Lisboa.
Kaur, M., Verma, A., & Kaushik, M. B. (2026). Exploring the influence of university website usability and brand attributes on application intentions: The mediating role of university attractiveness. Asian Education and Development Studies. https://doi.org/10.1108/AEDS-04-2025-0182.
Pandey, A. (2024). Determinants of Brand Loyalty of Over-the-Counter Drugs. Indian Journal of Marketing, 54(12), 61–75. https://doi.org/10.17010/ijom/2024/v54/i12/174659.
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