Prevalence and Association of Pain Experiences, Medication Literacy, and Use of Medication among Children and Adolescents in Taiwan
Prevalence and Association of Pain Experiences, Medication Literacy, and Use of Medication among Children and Adolescents in Taiwan
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DOI：
10.1016/j.pedn.2019.03.002
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发表时间：
2019-05-01
影响因子：
2.4
通讯作者：
Pan, Ying-Chun
中科院分区：
文献类型：
--
作者：
Miao, Nae-Fang;Wang, Tzu-Chueh;Pan, Ying-Chun
目的：评价儿童青少年疼痛体验和用药情况，探讨疼痛体验、用药知识、文化素养与用药之间的关系。方法：采用概率比例抽样方法，系统随机抽取学校样本。2014年，来自35所小学(5-6年级)的2309名学生、30所中学的2700名学生和20所高中的2013名学生完成了这项在线调查。结果：总体来看，85.6%的儿童青少年在过去一年中经历了疼痛，包括头痛(63.0%)、喉咙痛(59.3%)、肌肉痛(58.3%)、胃痛(42.9%)、月经痛(女孩：42.1%)和牙痛(38.5%)。在过去的一年里，儿童和青少年服用过感冒/咳嗽药(48.1%)、扑热息痛(15.0%)、抗酸剂(14.8%)和非类固醇抗炎药(NSAIDs)(105%)。多因素分析结果表明，在控制疼痛经历后，药物知识和素养水平较低的儿童和青少年更有可能更频繁地使用止痛药和止酸剂。此外，服药知识较低、文化程度较低、要求医生开止痛药、同时服用抗酸剂的儿童和青少年更容易报告长期使用止痛药。结论：儿童和青少年的药物知识和素养较低与止痛药和抗酸剂的使用频率较高有关。(C)2019 Elsevier Inc.保留所有权利。
Objective: This study assessed the prevalence of children's and adolescents pain experiences and use of medicine and examined the relationships between pain experiences, medication knowledge, literacy, and use of medicine.Method: A probability-proportionate-to-size sampling method was used to systematically draw a random sample of schools. In 2014, a national representative sample of 2309 students from 35 primary schools (5th-6th grade), 2700 students from 30 middle schools, and 2013 students from 20 high schools completed the online survey.Results: Overall, 85.6% of children and adolescents reported experiencing pain during the past year that included headache (63.0%), throat ache (59.3%), muscle ache (58.3%), stomach pain (42.9%), menstrual pain (girls: 42.1%), and dental pain (38.5%). Children and adolescents had taken cold/cough medicine (48.1%), acetaminophen (15.0%), antacids (14.8%), and nonsteroidal anti-inflammatory drugs (NSAIDs) (105%) in the past year. Multivariate analysis results indicated that after controlling for pain experiences children and adolescents who had lower levels of medication knowledge and literacy were more likely to use pain medication and antacids more frequently. In addition, children and adolescents who had lower medication knowledge, lower literacy, asked doctors to prescribe antacids, and co-administered with antacids were more likely to report long-term use of antacids.Conclusions: Lower levels of medication knowledge and literacy among children and adolescents were associated with more frequent use of pain medication and antacids. (C) 2019 Elsevier Inc. All rights reserved.