Appropriate antibiotic use: variation in knowledge and awareness by Hispanic ethnicity and language
Appropriate antibiotic use: variation in knowledge and awareness by Hispanic ethnicity and language
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DOI：
10.1016/j.ypmed.2004.05.016
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发表时间：
2005-02-01
影响因子：
5.1
通讯作者：
Kafadar, K
中科院分区：
文献类型：
--
作者：
Corbett, KK;Gonzales, R;Kafadar, K
背景最近的运动正在告知公众，抗生素不适用于病毒性呼吸道感染。由于很少有人知道他们对人口的影响，挑战较少获得护理，教育程度低，收入低，英语水平低，或非主流文化背景，本研究评估的知识，态度和意识，在一个种族多元化的社区。电话调查英语或西班牙语的横截面，随机抽样的692非西班牙裔白人（NHWs）和300西班牙裔在科罗拉多州。对于所有受访者群体，知识的适当抗生素使用感冒和支气管炎是低。与非西班牙裔白人相比，用西班牙语接受调查的西班牙裔人对感冒抗生素的知识明显较低，对支气管炎的知识较高，对抗生素耐药性的认识较低，如果不开抗生素，则更不满意。在所有的比较中，英语西班牙裔倾向于反映非西班牙裔白色的反应模式。意识的独立预测因素是种族，教育和年龄。不满意的独立预测因素是种族、对感冒抗生素使用的了解和支气管炎。种族是关于感冒和支气管炎抗生素不适当知识的独立预测因子。为了弥合知识差距，需要对所有人口群体开展教育运动。内容应该对人群中的异质性做出反应。(C)2004年癌症预防研究所和爱思唯尔公司。All rights reserved.
Background. Recent campaigns are informing the public that antibiotics are inappropriate for viral respiratory infections. As little is known about their effect on populations challenged by less access to care, lower education, low income, low English proficiency, or non-mainstream cultural backgrounds, this study assessed knowledge, attitudes, and awareness in an ethnically diverse community.Methods. A telephone survey in English or Spanish of a cross-sectional, random sample of 692 non-Hispanic whites (NHWs) and 300 Hispanics in Colorado.Results. For all respondent groups, knowledge of appropriate antibiotic use for colds and bronchitis was low. Hispanics surveyed in Spanish, compared with non-Hispanic whites, had significantly lower knowledge about antibiotics for colds, higher knowledge for bronchitis, lower awareness about antibiotic resistance, and greater dissatisfaction if an antibiotic were not prescribed. In all comparisons, English-language Hispanics tended to reflect non-Hispanic white response patterns. Independent predictors of awareness were ethnicity, education, and age. Independent predictors of dissatisfaction were ethnicity, knowledge about antibiotic use for colds, and bronchitis. Ethnicity was an independent predictor of knowledge about the inappropriateness of antibiotics for colds and bronchitis.Conclusions. To bridge knowledge gaps, educational campaigns for all segments of the population are needed. Content should be responsive to heterogeneity within populations. (C) 2004 The Institute For Cancer Prevention and Elsevier Inc. All rights reserved.