农村儿童家长抗生素认知态度与使用行为分析

目的了解农村儿童家长的抗生素认知态度和使用行为,发现存在的问题,为开展有针对性的干预措施提供依据。方法采用规模累计等距抽样法在山东省阳谷县选取12个村的727名儿童家长进行问卷调查并比较不同人群抗生素认知态度和行为的差异。结果儿童家长抗生素认知得分中位数为4.0分,51.5%(372/722)的儿童家长得分高于中位数,仅2.35%(17/722)的家长正确识别问卷中的全部抗生素;年龄、文化水平、与儿童的关系和家庭收入是儿童家长抗生素认知得分的影响因素(P<0.01);抗生素认知得分高的儿童家长对抗生素预防性使用、联用以及凭处方购买等态度的正确率明显高于得分低的儿童家长(P<0.01);抗生素认知得分高的儿童家长对抗生素储存行为的正确率明显高于得分低的儿童家长(P<0.01)。结论农村儿童家长对抗生素认知水平较低,对抗生素的错误态度和不合理使用行为还较为严重,应加强对儿童家长进行抗生素相关知识的普及教育,提高儿童家长合理使用抗生素的知识水平。

Knowledge,attitude and practice about antibiotic use among caregivers of rural preschool children

ObjectiveTo investigate the knowledge,attitude,and practice(KAP) about antibiotic use among caregivers of rural children aged 0-7 years in Shandong province for effective health intervention on rational antibiotic use.MethodsA total of 727 caregivers of children aged 0-7 years were randomly selected from 12 villages in a county with probability-proportional-to-size sampling and a face-to-face interview was conducted with a semi-structurd questionnaire.The differences in the situation of KAP among various caregivers were analyzed.ResultsThe median antibiotic knowledge score(AKS) was 4.0 and there were only 2.35%(17/722) of the caregivers recognized all the antibiotics from the list.AKS was significantly different in caregivers with different educational level and household income(both P<0.01) and the average AKS of the parents was significantly higher than that of the grandparents of the children(P<0.01).The caregivers with higher AKS showed a higher proportions in correct attitudes towards purchase,usage,storage of antibiotic than the caregivers with lower AKS(all P<0.01).ConclusionInadequate knowledge and misconceptions about antibiotic are prevalent and there is an urgent need to conduct education program on rational antibiotic use among caregivers of rural children in Shandong province.