Correlates of mothers' use of medications for their children.
Correlates of mothers' use of medications for their children.
复制标题
母亲为孩子使用药物的相关性。
DOI：
10.1016/0277-9536(86)90307-2
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发表时间：
1986
期刊：
影响因子：
--
通讯作者：
Katlic,AW
中科院分区：
文献类型：
--
作者：
Maiman,LA;Becker,MH;Katlic,AW
本研究调查了母亲独立使用药物治疗儿童症状的程度、决定因素和质量。关于母亲主动用药行为（MIMB）的数据来自一项分层系统随机抽样的500名儿童母亲，这些母亲在两个儿科门诊就诊。六位儿科专家法官分别从三个方面（有用性、正确性、有害或有益性）对每一份报告的药物使用情况（N = 3908）进行评分，并对每位母亲的MIMB的总体适当性进行评估。结果表明：(1)母亲为儿童保留和使用了相当多种类的不同药物和医疗器械；(2)母亲的社会经济地位（SES）与母亲的MIMB程度存在正线性关系；(3)母亲对药物和子女健康的态度与其拥有和使用的药物和器具的种类数量有关；(4)社会经济地位和态度特征的结合占了MIMB方差的很大一部分；(5)法官的评分仅显示出最低水平的MIMB支持（扩展到所有经济地位组的母亲），并且与经济地位呈线性相关（P< 0.001）。这些发现强调卫生保健提供者有必要审查MIMB，并就母亲发起的治疗的使用和误用提供建议。
This study examines the extent, determinants and quality of mothers' independent use of medications for treating their children's symptoms. Data on mother-initiated medication behavior (MIMB) were obtained from a stratified systematic random sample of 500 mothers of children presenting for a well child visit at two pediatric ambulatory care sites. Six expert pediatric judges each rated every reported medication use (N = 3908) along three dimensions (usefulness, correctness and harmfulness or helpfulness) and also evaluated the overall appropriateness of each mother's MIMB. Results indicate that: (1) mothers keep available and use for children a considerable variety of different medications and medical appliances; (2) a positive linear relationship exists between mothers' socioeconomic status (SES) and degree of MIMB; (3) mothers' attitudes toward medications and toward their children's health are associated with the number of categories of medications and appliances they possess and use; (4) the combination of SES and attitudinal characteristics accounts for substantial portions of the variance in MIMB; and (5) judges' ratings show only minimal-level support of MIMB (extending to mothers in all SES groups) and are linearly related to SES (P< 0.001). These findings emphasize the need for health care providers to review MIMB, and to provide advice concerning use and misuse of mother-initiated treatments.