Prevalence of self-medication with antibiotics and its related factors among Chinese residents: a cross-sectional study.

Prevalence of self-medication with antibiotics and its related factors among Chinese residents: a cross-sectional study.
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中国居民抗生素自我药疗患病率及其相关因素的横断面研究

DOI:
10.1186/s13756-021-00954-3
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发表时间:
2021-06-05
影响因子:
5.5
通讯作者:
Wu J
Wu J
中科院分区:
医学2区
文献类型:
--
作者:
Yin X;Mu K;Yang H;Wang J;Chen Z;Jiang N;Yang F;Zhang G;Wu J

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自我用药是抗生素不当使用的最常见形式之一。本研究旨在评估中国抗生素自我用药(SMA)的流行情况并评估相关因素。于2019年7月1日至2019年7月31日在中国湖北省武汉市进行了一项横断面调查。在公共场所招募参与者回答结构化问卷。调查对象的社会人口学特征、抗生素知识和健康信念。采用二项Logistic回归分析SMA的相关因素。在3206名参与者中,10.32%的人在过去6个月内报告了SMA。中、高感知就医障碍者发生SMA的可能性较高(P < 0.05)。自我药疗威胁感和克服障碍自我效能感均为中、高的被试发生SMA的可能性较低(P < 0.05)。与发达国家相比,我国SMA的患病率仍较高。开展公众健康教育,提高卫生服务的可及性,是降低我国自我药疗率的关键。在线版本包含补充材料,可通过10.1186/s13756-021-00954-3获取。
Self-medication is one of the most common forms of inappropriate use of antibiotics. This study aimed to assess the prevalence of self-medication with antibiotics (SMA) in China and evaluate the related factors. A cross-sectional survey was conducted in Wuhan, Hubei, China from July 1, 2019 to July 31, 2019. Participants were recruited in public places to answer a structured questionnaire. The information of participants’ social demographic characteristics, antibiotic knowledge and health beliefs were collected. Binary Logistics regression analysis was used to examine the associated factors of SMA. Of the 3206 participants, 10.32% reported SMA in the past 6 months. Participants who with middle or high perceived barriers to seek health care services showed a higher likelihood of SMA (P < 0.05). Participants who with middle or high perceived threats of self-medication, and who with middle or high self-efficacy to overcome obstacles showed a lower likelihood of SMA (P < 0.05). Compared with developed countries, the prevalence of SMA in China is still higher. Measures to conduct public health education and improve the accessibility of health services are crucial to decrease the overall self-medication rate in China. The online version contains supplementary material available at 10.1186/s13756-021-00954-3.
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