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Knowledge, attitudes, and practices of parents in rural China on the use of antibiotics in children: a cross-sectional study
BACKGROUND: The purpose of the study was to investigate parents’ perceptions of antibiotic use for their children, interactions between parents and physicians regarding treatment with antibiotics, and factors associated with parents self-medicating children with antibiotics. METHODS: A cross-section...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3938908/ https://www.ncbi.nlm.nih.gov/pubmed/24576064 http://dx.doi.org/10.1186/1471-2334-14-112 |
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author | Yu, Miao Zhao, Genming Stålsby Lundborg, Cecilia Zhu, Yipin Zhao, Qi Xu, Biao |
author_facet | Yu, Miao Zhao, Genming Stålsby Lundborg, Cecilia Zhu, Yipin Zhao, Qi Xu, Biao |
author_sort | Yu, Miao |
collection | PubMed |
description | BACKGROUND: The purpose of the study was to investigate parents’ perceptions of antibiotic use for their children, interactions between parents and physicians regarding treatment with antibiotics, and factors associated with parents self-medicating children with antibiotics. METHODS: A cross-sectional study was conducted in vaccination clinics in two rural Chinese counties. Primary caregivers (the child’s parents in 97% of cases) visiting these clinics for the vaccination of their young children were given a 55-item structured questionnaire to collect information on the parents’ knowledge and attitudes regarding when, why, and how to use antibiotics and on their practices of purchasing antibiotics and medicating children. RESULTS: Of the 854 participating primary caregivers, 79% thought antibiotics could cure viral infections, and half believed that antibiotics could shorten the duration of upper respiratory tract infection. Parents reported a median of two hospital visits for their children during the previous 6 months, equal to the median number of antibiotic prescriptions received from physicians. Sixty-two percent of the parents had self-medicated their children with antibiotics. Living in rural villages (Adj OR = 1.643, 95% CI: 1.108–2.436), raising more than one child (Adj OR = 2.174, 95% CI: 1.485–3.183), increasing age of child (Adj OR = 1.146, 95% CI: 1.037–1.266), purchasing antibiotics without a prescription (Adj OR = 6.264, 95% CI: 4.144–9.469), storing antibiotics at home (Adj OR = 2.792, 95% CI: 1.961–3.975) and good adherence to physicians’ advice (Adj OR = 0.639, 95% CI: 0.451–0.906) were independently associated with self-medicating behavior. CONCLUSIONS: Low levels of knowledge on the use of antibiotics and a high prevalence of self-medicating children with antibiotics were observed among parents in rural China. Interventions for the rational use of antibiotics in children should focus on strengthening mass health education, improving effective communication between physicians and patients, and enforcing supervision of the sale of antibiotics in retail pharmacies. |
format | Online Article Text |
id | pubmed-3938908 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-39389082014-03-02 Knowledge, attitudes, and practices of parents in rural China on the use of antibiotics in children: a cross-sectional study Yu, Miao Zhao, Genming Stålsby Lundborg, Cecilia Zhu, Yipin Zhao, Qi Xu, Biao BMC Infect Dis Research Article BACKGROUND: The purpose of the study was to investigate parents’ perceptions of antibiotic use for their children, interactions between parents and physicians regarding treatment with antibiotics, and factors associated with parents self-medicating children with antibiotics. METHODS: A cross-sectional study was conducted in vaccination clinics in two rural Chinese counties. Primary caregivers (the child’s parents in 97% of cases) visiting these clinics for the vaccination of their young children were given a 55-item structured questionnaire to collect information on the parents’ knowledge and attitudes regarding when, why, and how to use antibiotics and on their practices of purchasing antibiotics and medicating children. RESULTS: Of the 854 participating primary caregivers, 79% thought antibiotics could cure viral infections, and half believed that antibiotics could shorten the duration of upper respiratory tract infection. Parents reported a median of two hospital visits for their children during the previous 6 months, equal to the median number of antibiotic prescriptions received from physicians. Sixty-two percent of the parents had self-medicated their children with antibiotics. Living in rural villages (Adj OR = 1.643, 95% CI: 1.108–2.436), raising more than one child (Adj OR = 2.174, 95% CI: 1.485–3.183), increasing age of child (Adj OR = 1.146, 95% CI: 1.037–1.266), purchasing antibiotics without a prescription (Adj OR = 6.264, 95% CI: 4.144–9.469), storing antibiotics at home (Adj OR = 2.792, 95% CI: 1.961–3.975) and good adherence to physicians’ advice (Adj OR = 0.639, 95% CI: 0.451–0.906) were independently associated with self-medicating behavior. CONCLUSIONS: Low levels of knowledge on the use of antibiotics and a high prevalence of self-medicating children with antibiotics were observed among parents in rural China. Interventions for the rational use of antibiotics in children should focus on strengthening mass health education, improving effective communication between physicians and patients, and enforcing supervision of the sale of antibiotics in retail pharmacies. BioMed Central 2014-02-27 /pmc/articles/PMC3938908/ /pubmed/24576064 http://dx.doi.org/10.1186/1471-2334-14-112 Text en Copyright © 2014 Yu et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Yu, Miao Zhao, Genming Stålsby Lundborg, Cecilia Zhu, Yipin Zhao, Qi Xu, Biao Knowledge, attitudes, and practices of parents in rural China on the use of antibiotics in children: a cross-sectional study |
title | Knowledge, attitudes, and practices of parents in rural China on the use of antibiotics in children: a cross-sectional study |
title_full | Knowledge, attitudes, and practices of parents in rural China on the use of antibiotics in children: a cross-sectional study |
title_fullStr | Knowledge, attitudes, and practices of parents in rural China on the use of antibiotics in children: a cross-sectional study |
title_full_unstemmed | Knowledge, attitudes, and practices of parents in rural China on the use of antibiotics in children: a cross-sectional study |
title_short | Knowledge, attitudes, and practices of parents in rural China on the use of antibiotics in children: a cross-sectional study |
title_sort | knowledge, attitudes, and practices of parents in rural china on the use of antibiotics in children: a cross-sectional study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3938908/ https://www.ncbi.nlm.nih.gov/pubmed/24576064 http://dx.doi.org/10.1186/1471-2334-14-112 |
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