Public knowledge, attitudes and behavior on antibiotic use: A telephone survey in Hong Kong
Public knowledge, attitudes and behavior on antibiotic use: A telephone survey in Hong Kong
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DOI：
10.1007/s15010-007-7214-5
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发表时间：
2008-04-01
期刊：
影响因子：
7.5
通讯作者：
Lee, S. S.
中科院分区：
文献类型：
--
作者：
You, J. H. S.;Yau, B.;Lee, S. S.
方法：于2006年对18岁或以上非住院香港居民上呼吸道感染(URTIs)使用抗生素进行横断面电话调查。结果：1002名受访者中，77%、72%和85%的受访者对抗生素的使用有足够的知识、正确的态度/信念和行为。一些受访者(26%)认为，如果他们感觉病情严重到需要寻求医疗护理，就需要抗生素治疗尿路感染的症状，8%的受访者会与家人共用抗生素。89名(9%)的受访者在没有处方的情况下获得了抗生素。在最近一次URTI期间，78%的患者已经完成了抗生素治疗疗程。多因素逐步Logistic回归分析显示，文化程度高、家庭收入高的患者对患者的知识知晓率较高。男性是抗生素使用不良行为的预测者。结论：70%以上的人群对抗生素的使用有足够的知识、正确的态度/信念和行为。据报道，尽管只有一小部分受访者(8%-9%)共享和/或自己开出抗生素，但这将转化为香港50万人的做法。因此，应制定公众教育方案，针对误解、滥用抗生素和存在不当使用抗生素风险的弱势群体的特定领域。
Background: This study aimed to examine public knowledge, attitudes and behaviors regarding antibiotic use in the community of Hong Kong.Methods: A cross-sectional phone survey was conducted in 2006 on people aged 18 or older who were uninstitutionalized Hong Kong residents regarding antibiotic use for upper respiratory tract infections (URTIs).Results: A total of 1,002 respondents participated in the survey and 77%, 72% and 85% of the respondents had adequate knowledge, appropriate attitude/belief and behavior on antibiotic use, respectively. Some respondents (26%) believed that antibiotic was needed for symptoms of URTIs if they felt sick enough to seek medical care and 8% would share antibiotic with family members. Eighty-nine (9%) respondents had acquired antibiotic without a prescription. During the most recent episode of URTI, 78% had completed the antibiotic treatment course. Stepwise multiple logistic showed that higher education level and family income were associated with adequate patient knowledge. Male gender was a predictor of poor behavior on antibiotic use. Appropriate belief was associated with tertiary level of education or above.Conclusions: Over 70% of the present cohort showed adequate knowledge, appropriate attitudes/beliefs and behavior on antibiotic use. Despite a small percent (8%-9%) of respondents reportedly shared and/or self-prescribed antibiotics, this would translate into the practice of half a million people in Hong Kong. Public education programmes should therefore be developed, targeting specific areas of misconceptions, misuse of antibiotic and vulnerable groups at risk of improper use of antibiotics.