Non-prescribed antibiotic use and general practitioner service utilisation among Chinese migrants in Australia
Non-prescribed antibiotic use and general practitioner service utilisation among Chinese migrants in Australia
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DOI：
10.1071/py15076
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发表时间：
2016-01-01
影响因子：
1.3
通讯作者：
Wang, Zhiqiang
中科院分区：
文献类型：
--
作者：
Hu, Jie;Wang, Zhiqiang
非处方抗生素的使用在全世界范围内都有发生，是抗生素耐药性的一个重要因素。社会和卫生系统因素与抗生素的自我药疗实践有关。本研究旨在调查澳大利亚华人移民非处方抗生素使用的情况，并评估初级卫生服务的获取和使用对这种做法的影响。 2013年7月至10月，通过几个澳大利亚华人社交网站招募了426名自称是中国人、在澳大利亚居住至少12个月的参与者，参与一项有关抗生素使用和卫生服务使用的在线健康调查。通过逻辑回归分析来评估卫生服务利用因素与非处方抗生素使用之间的关联。总共有 20.2% (86/426) 的参与者报告在过去 12 个月内未经医疗咨询就使用了抗生素。在170名抗生素使用者中，50.6%（86/170）未经医疗咨询就使用抗生素。自认为对全科医生服务体验感到满意的中国移民不太可能自行服用抗生素。此外，在澳大利亚使用初级卫生服务没有任何障碍的中国移民使用非处方抗生素的可能性较小。在澳大利亚华人移民中，超过一半的抗生素使用者承认他们在没有咨询医生的情况下使用了抗生素。对初级卫生服务（主要是全科医生服务）有积极体验和看法的参与者使用非处方抗生素的风险较低。
Non-prescribed antibiotic use occurs worldwide and is an important contributor to antibiotic resistance. Social and health system factors were related to the practice of self-medication with antibiotics. This study aims to investigate the practice of non-prescribed antibiotic use, and to assess the impact of primary health service access and use on this practice among Australian Chinese migrants. Four-hundred and twenty-six participants, who self-identified as Chinese and who had been residing in Australia for at least 12 months, were recruited through several Australian Chinese social websites to participate in an online health survey about antibiotic use and health services use from July to October 2013. Logistic regression analyses were conducted to assess the associations between health services utilisation factors and the use of non-prescribed antibiotics. In total, 20.2% (86/426) participants reported having used antibiotics without medical consultation in the last 12 months. Of 170 antibiotic users, 50.6% (86/170) used antibiotics without medical consultation. Chinese migrants who self-evaluated as satisfied' with the experiences of GP services were less likely to self-medicate with antibiotics. In addition, Chinese migrants without any perceived barriers to using primary health services in Australia were less likely to use non-prescribed antibiotics. Among Australian Chinese migrants, over half of antibiotic users admitted that they had used antibiotics without medical consultation. Participants with positive experience and perception of primary health services, primarily GP services, had a lower risk of using non-prescribed antibiotics.