Factors affecting Latino adults' use of antibiotics for self-medication
Factors affecting Latino adults' use of antibiotics for self-medication
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DOI：
10.3122/jabfm.2008.02.070149
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发表时间：
2008-03-01
影响因子：
2.9
通讯作者：
Carnemolla, Mark
中科院分区：
文献类型：
--
作者：
Mainous, Arch G., III;Diaz, Vanessa A.;Carnemolla, Mark
背景：最近的数据表明，在美国的拉丁美洲人使用未经处方获得的抗生素。我们探讨了拉丁美洲成年人的经验，特别是在治疗常见感染方面的自我药疗与antibiotics.Methods：我们进行了3个焦点小组（n = 28）在查尔斯顿，南卡罗来纳州，与拉丁美洲成年人（>= 18岁）招募整个社区：12名妇女和16名男子，年龄从18岁到52岁不等。所有参与者都是移民，89%的人指出墨西哥是他们的原籍国。焦点小组以西班牙语进行，并进行录音。成绩单被翻译成英文，然后再翻译回西班牙文，以确保语言的一致性。主题确定使用的编辑风格。结果：参与者以前的经验，在国家有限的限制抗生素的影响收购抗生素在美国没有处方。参与者认为，当患者熟悉症状并且以前对抗生素治疗有反应时，医生的诊断和处方访问是不必要的。据报告，当个人感到自己“生病”或儿童是病人时，获得护理并不是医生就诊的重大障碍。参与者报告说，他们使用当地的tiendas（拉丁美洲社区的小商店，出售种族一致的进口产品）和进口药物，以满足他们对抗生素自我用药的需求。自我药疗的抗生素耐药性的发展中的作用基本上是未知的participators.Conclusions：成功的干预措施，以改善抗生素的使用需要在文化上敏感的特定态度和行为，发现在拉丁美洲人口。
Background: Recent data has suggested the use of antibiotics acquired without a prescription by Latinos in the United States. We explored Latino adults' experience in treating common infections particularly in regards to self-medication with antibiotics.Methods: We conducted 3 focus groups (n = 28) in Charleston, South Carolina, with Latino adults (>= 18 years of age) recruited throughout the community: 12 women and 16 men, ranging in age from 18 to 52 years. All of the participants were immigrants, 89% noted Mexico as their country of origin. Focus groups were conducted in Spanish and audiotaped. Transcripts were translated into English and then translated back to Spanish to assure consistency of the language. Themes were identified using an editing style.Results: Participants' previous experiences in countries with limited restrictions on antibiotics influenced acquisition of antibiotics without a prescription in the United States. Participants believed that physician visits for a diagnosis and prescription were unnecessary when the patient was familiar with the symptom and it had previously responded to antibiotic treatment. Access to care was not reported to be a significant barrier to a physician visit when individuals felt they were "sick" or children were the patients. Participants reported using local tiendas (small stores in Latino neighborhoods that sell ethnically consistent and imported products) and importation of medication to meet their need for self-medication with antibiotics. The role of self-medication in the development of antibiotic resistance was essentially unknown among the participants.Conclusions: Successful interventions to improve use of antibiotics need to be culturally sensitive to specific attitudes and behaviors found in the Latino population.