A Community Intervention to Decrease Antibiotics Used for Self-Medication Among Latino Adults
A Community Intervention to Decrease Antibiotics Used for Self-Medication Among Latino Adults
复制标题
DOI：
10.1370/afm.1061
复制
发表时间：
2009-11-01
影响因子：
4.4
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
最近在拉丁美洲社区的证据表明，大量的自我用药与抗生素获得无处方（WORx）。我们实施和评估了一个文化敏感的教育干预，以减少抗生素自我medication.METHODS我们进行了以社区为基础的干预与干预前和干预后的措施，在干预社区（查尔斯顿，南卡罗来纳州）以及干预后的措施，在控制社区（格林维尔，南卡罗来纳州）200英里远。为期9个月的文化敏感干预包括多种媒体来源（小册子、广播、报纸）。我们通过调查干预社区（n = 250）和对照社区（n = 250）的拉丁美洲成年人，评估了美国抗生素WORx的使用情况以及进口抗生素的可能性。结果干预社区（69%）和对照社区（60%）的大多数成年人报告了一些关于抗生素不当使用的信息，干预组和对照组分别有25.9%和8.6%的患者表示看过我们的患者教育手册。在美国，干预社区（31%）和对照社区（20%）中相当大比例的拉丁美洲成年人获得了抗生素WORx。在多变量分析中，在过去12个月内，在美国接受教育信息并不是获得抗生素WORx的重要预测因素。受访者已获得抗生素WORx在美国的主要预测因素是他们是否买了抗生素WORx以外的美国.CONCLUSIONS需要新的方法来减少使用抗生素WORx在拉丁美洲社区，只注重教育可能不足以改变常见的行为在他们的祖国。
PURPOSE Recent evidence in Latino communities indicates substantial self-medication with antibiotics obtained without a prescription (WORx). We implemented and evaluated a culturally sensitive educational intervention to decrease antibiotic self-medication.METHODS We conducted a community-based intervention with preintervention and postintervention measures in the intervention community (Charleston, South Carolina) as well as a postintervention measure in a control community (Greenville, South Carolina) 200 miles away. The 9-month culturally sensitive intervention included multiple media sources (pamphlets, radio, newspapers). We evaluated the use of antibiotics WORx in the United States, as well as the likelihood of importing antibiotics, by surveying Latino adults in the intervention (n = 250) and in the control community (n = 250).RESULTS Most adults in the intervention community (69%) and the control community (60%) reported some exposure to messages about the inappropriate use of antibiotics, and 25.9% in the intervention community and 8.6% in the control community reported seeing our patient education pamphlets. A substantial proportion of Latino adults in both the intervention (31%) and control communities (20%) have obtained antibiotics WORx in the United States. In multivariate analyses, exposure to an educational message was not a significant predictor of having acquired antibiotics WORx in the United States in past 12 months. The primary predictor of respondents' having acquired antibiotics WORx in the United States was whether they had bought antibiotics WORx outside the United States.CONCLUSIONS Novel approaches are needed to decrease the use of antibiotics WORx in Latino communities, as focusing only on education may not be sufficient to change behaviors common in their home countries.