PDF(Pubmed)
Abstract：
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.
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.
摘要：
背景：不适当的抗生素消费会促进抗生素耐药性。然而,关于抗生素相关知识和行为之间的关联的发现是不一致和矛盾的，导致干预措施的不合理指导。在以前的一些研究中，知识模块中包含的不同种类的抗生素相关技能之间的机制是模糊的，很少研究。
方法：2017年6月至2018年4月在中国三个省进行了横断面调查，调查9526名0-13岁儿童家长。分析了1944年自我给孩子服药的父母和2478名孩子寻求照顾的受访者的数据。
结果：发现抗生素鉴定技能是抗生素使用技能与两种不当行为之间关联的调节因素。与抗生素识别和使用技能水平低的父母相比，在中等水平(OR=0.48,95%CI[0.26-0.88])或高水平(OR=0.15,95%CI[0.07-0.34])掌握这两种技能的人,使用抗生素自我治疗的可能性较小.具有中等水平的抗生素识别技能和高水平的抗生素使用技能的父母（OR=0.18,95％CI[0.08-0.44]）和具有这两种技能的父母（OR=0.15,95％CI[0.05-0.47]）在寻求治疗时不太可能要求医生使用抗生素。
结论：当父母掌握较低的抗生素使用技能时，父母对抗生素鉴定的高水平技能会促进不适当的抗生素使用。相反，基于出色的抗生素使用技能，更好的抗生素识别技能与不当行为的减少有关。我们建议未来的健康教育，以加强抗生素识别技能以及抗生素使用指导。
方法：2017年6月至2018年4月在中国三个省进行了横断面调查，调查9526名0-13岁儿童家长。分析了1944年自我给孩子服药的父母和2478名孩子寻求照顾的受访者的数据。
结果：发现抗生素鉴定技能是抗生素使用技能与两种不当行为之间关联的调节因素。与抗生素识别和使用技能水平低的父母相比，在中等水平(OR=0.48,95%CI[0.26-0.88])或高水平(OR=0.15,95%CI[0.07-0.34])掌握这两种技能的人,使用抗生素自我治疗的可能性较小.具有中等水平的抗生素识别技能和高水平的抗生素使用技能的父母（OR=0.18,95％CI[0.08-0.44]）和具有这两种技能的父母（OR=0.15,95％CI[0.05-0.47]）在寻求治疗时不太可能要求医生使用抗生素。
结论：当父母掌握较低的抗生素使用技能时，父母对抗生素鉴定的高水平技能会促进不适当的抗生素使用。相反，基于出色的抗生素使用技能，更好的抗生素识别技能与不当行为的减少有关。我们建议未来的健康教育，以加强抗生素识别技能以及抗生素使用指导。
