Factors which influence Latino community members to self-prescribe antibiotics
Factors which influence Latino community members to self-prescribe antibiotics
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DOI：
10.1097/00006199-200603000-00004
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发表时间：
2006-03-01
期刊：
影响因子：
2.5
通讯作者：
Smolowitz, J
中科院分区：
文献类型：
--
作者：
Larson, EL;Dilone, J;Smolowitz, J
背景资料：虽然有一致的证据表明抗生素的使用和社区中抗生素耐药性的增加之间存在联系，但抗生素的不适当使用仍然是一个全球性的问题。目的：描述上曼哈顿拉丁裔社区成员关于抗生素使用的知识、态度和做法。书面问卷和由西班牙裔社区成员组成的八个焦点小组（三组），博德加员工，和医疗保健提供者（一组）在拉丁裔社区在纽约市.结果：有主要的知识赤字关于使用抗生素。举报人报告说，他们服用抗生素是为了治疗疼痛或其他疾病以及感染症状。抗生素经常从酒窖获得，没有处方，但通常只适用于成人，不适用于儿童。讨论：改善抗生素使用的干预措施，重点是正规医疗保健系统（例如，临床医生、药剂师、有健康保险的人）不太可能对最近移民的拉丁裔社区成员有效。针对这一人群的成功干预措施应包括向博德加员工、社区组织、儿童及其父母提供有针对性的信息。
Background: Although there is consistent evidence of a link between antibiotic use and increasing antimicrobial resistance in the community, inappropriate use of antimicrobials continues to be a global problem.Objective: To describe knowledge, attitudes, and practices of Latino community members in upper Manhattan regarding use of antibiotics.Methods: Written questionnaires and eight focus groups comprised of Hispanic community members (three groups), bodega employees, and healthcare providers (one group) in a Latino neighborhood in New York City.Results: There were major knowledge deficits regarding use of antibiotics. Informants reported taking antibiotics for pain or other conditions as well as for symptoms of infection. Antibiotics were frequently obtained from bodegas without prescription, but generally only for adults, not for children.Discussion: Interventions to improve antibiotic use that are focused on the formal healthcare system (e.g., clinicians, pharmacists, persons with health insurance) are unlikely to be effective with recently immigrated Latino community members. Successful interventions for this population should include targeted messages to bodega employees, community organizations, and children and their parents.