The moderating effect of parental skills for antibiotic identification on the link between parental skills for antibiotic use and inappropriate antibiotic use for children in China.
The moderating effect of parental skills for antibiotic identification on the link between parental skills for antibiotic use and inappropriate antibiotic use for children in China.
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父母技能对抗生素识别的调节作用对中国儿童的抗生素使用和不适当的抗生素使用之间的联系。
DOI：
10.1186/s12889-023-15099-8
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发表时间：
2023-01-23
影响因子：
4.5
通讯作者：
中科院分区：
文献类型：
--
作者：
不合理使用抗生素会加剧抗生素耐药性。然而，关于抗生素相关知识与行为之间关联的研究结果并不一致且相互矛盾，导致干预措施缺乏合理依据。此前一些研究中，知识模块所包含的各类抗生素相关技能之间的作用机制尚不明确，且鲜有人对此进行研究。
2017年6月至2018年4月，在中国三个省份开展了一项横断面调查，对9526名育有0 - 13岁子女的家长进行了调查。对1944名自行给孩子用药的家长以及2478名带孩子就医的受访者的数据进行了分析。
研究发现，抗生素识别技能在抗生素使用技能与两种不当行为之间的关联中起调节作用。与抗生素识别和使用技能水平均较低的家长相比，那些在中等（优势比[OR]=0.48，95%置信区间[CI][0.26 - 0.88]）或较高（OR = 0.15，95% CI [0.07 - 0.34]）水平上同时掌握这两种技能的家长，自行给孩子使用抗生素的可能性更低。抗生素识别技能处于中等水平且抗生素使用技能处于较高水平的家长（OR = 0.18，95% CI [0.08 - 0.44]）以及两种技能水平均较高的家长（OR = 0.15，95% CI [0.05 - 0.47]），在带孩子就医时要求医生开抗生素的可能性更低。
研究表明，当家长的抗生素使用技能水平较低时，较高的抗生素识别技能会促使其不当使用抗生素。相反，在具备出色的抗生素使用技能的基础上，更好的抗生素识别技能与不当行为的大幅减少相关。我们建议未来的健康教育在加强抗生素使用指导的同时，强化抗生素识别技能的培养。
在线版本包含补充材料，网址为10.1186/s12889 - 023 - 15099 - 8 。
Inappropriate antibiotic consumption promotes antibiotic resistance. However, findings on the association between antibiotic-related knowledge and behaviors are inconsistent and contradictory, resulting in unjustified guidance of interventions. The mechanisms between the different kinds of antibiotic-related skills contained in knowledge modules in some previous studies are indistinct and rarely studied. A cross-sectional survey was conducted between June 2017 and April 2018 in three Chinese provinces, investigating 9526 parents with children aged 0–13 years old. Data from 1944 parents who self-medicated their children and 2478 respondents whose children sought care were analyzed. Skills for antibiotic identification were found to be a moderator for the association between skills for antibiotic use and two inappropriate behaviors. Compared with parents with low levels of both skills for antibiotic identification and use, those mastering both skills at either medium (OR = 0.48, 95% CI [0.26–0.88]) or high (OR = 0.15, 95% CI [0.07–0.34]) level were less likely to self-medicate their children with antibiotics. Parents with a medium level of skills for antibiotic identification and high level of skills for antibiotic use (OR = 0.18, 95% CI [0.08–0.44]) and those with a high level of both skills (OR = 0.15, 95% CI [0.05–0.47]) were less likely to ask doctors for antibiotics when seeking care. Parents’ high level of skills for antibiotic identification is revealed to promote inappropriate antibiotic use when parents master a low level of skills for antibiotic use. Conversely, based on excellent skills for antibiotic use, better skill for antibiotic identification is associated with a greater reduction in inappropriate behaviors. We recommend future health education to strengthen skills for antibiotic identification along with guidance on antibiotic use. The online version contains supplementary material available at 10.1186/s12889-023-15099-8.
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作者：
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DOI：
10.1016/s2214-109x(21)00024-3
发表时间：
2021-05
期刊：
The Lancet. Global health
影响因子：
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作者：
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