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Access to medicines for acute illness and antibiotic use in residents: A medicines household survey in Sichuan Province, western China

OBJECTIVE: To investigate medicine accessibility and antibiotic use in households in western China using World Health Organization (WHO) methodology as well as to identify the influencing factor of care-seeking outside the home and primary determinant factors that influence the use of antibiotics in...

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Autores principales: Deng, Pengqing, Yu, Jianlong, Zhou, Naitong, Hu, Ming
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6095499/
https://www.ncbi.nlm.nih.gov/pubmed/30114193
http://dx.doi.org/10.1371/journal.pone.0201349
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author Deng, Pengqing
Yu, Jianlong
Zhou, Naitong
Hu, Ming
author_facet Deng, Pengqing
Yu, Jianlong
Zhou, Naitong
Hu, Ming
author_sort Deng, Pengqing
collection PubMed
description OBJECTIVE: To investigate medicine accessibility and antibiotic use in households in western China using World Health Organization (WHO) methodology as well as to identify the influencing factor of care-seeking outside the home and primary determinant factors that influence the use of antibiotics in Chinese residents. METHODS: A cross-sectional household survey was conducted from March to July 2015, and 1200 households from six cities in Sichuan China were selected for a questionnaire survey using stratified multistage random cluster sampling. We used logistic regression models to identify the determinants of care-seeking outside the home and subsequent antibiotic use among the surveyed residents. RESULTS: Overall, 1103 valid questionnaires were collected, and 458 households reported that they had had experienced at least one acute illness in the previous 2 weeks. Of these households, 97.2% of individuals with acute conditions sought care outside their homes and 40.1% of individuals who took medicine received antibiotics. Only 15.9% of the individuals with acute conditions reported that the medical insurance reimbursement covered at least one medicine. According to the multivariate analyses, women were less likely to seek care outside the home compared to men. Among those who sought outside care, fever and upper respiratory symptoms increased the odds of taking antibiotics, and visiting a private hospital also increased antibiotic use. Low-income households were less likely to receive antibiotics. Symptoms were strong determinants of antibiotic use when patients sought outside care. CONCLUSION: The accessibility of medicine for acute illness among households in western China was favorable; however, medical insurance reimbursement must be improved. The nature of the symptoms and patterns of care-seeking had the greatest influence on the decision to take antibiotics among residents with acute conditions. The percentage of antibiotic use in patients with acute illness has declined, but the indications for using antibiotics must be standardized.
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spelling pubmed-60954992018-08-30 Access to medicines for acute illness and antibiotic use in residents: A medicines household survey in Sichuan Province, western China Deng, Pengqing Yu, Jianlong Zhou, Naitong Hu, Ming PLoS One Research Article OBJECTIVE: To investigate medicine accessibility and antibiotic use in households in western China using World Health Organization (WHO) methodology as well as to identify the influencing factor of care-seeking outside the home and primary determinant factors that influence the use of antibiotics in Chinese residents. METHODS: A cross-sectional household survey was conducted from March to July 2015, and 1200 households from six cities in Sichuan China were selected for a questionnaire survey using stratified multistage random cluster sampling. We used logistic regression models to identify the determinants of care-seeking outside the home and subsequent antibiotic use among the surveyed residents. RESULTS: Overall, 1103 valid questionnaires were collected, and 458 households reported that they had had experienced at least one acute illness in the previous 2 weeks. Of these households, 97.2% of individuals with acute conditions sought care outside their homes and 40.1% of individuals who took medicine received antibiotics. Only 15.9% of the individuals with acute conditions reported that the medical insurance reimbursement covered at least one medicine. According to the multivariate analyses, women were less likely to seek care outside the home compared to men. Among those who sought outside care, fever and upper respiratory symptoms increased the odds of taking antibiotics, and visiting a private hospital also increased antibiotic use. Low-income households were less likely to receive antibiotics. Symptoms were strong determinants of antibiotic use when patients sought outside care. CONCLUSION: The accessibility of medicine for acute illness among households in western China was favorable; however, medical insurance reimbursement must be improved. The nature of the symptoms and patterns of care-seeking had the greatest influence on the decision to take antibiotics among residents with acute conditions. The percentage of antibiotic use in patients with acute illness has declined, but the indications for using antibiotics must be standardized. Public Library of Science 2018-08-16 /pmc/articles/PMC6095499/ /pubmed/30114193 http://dx.doi.org/10.1371/journal.pone.0201349 Text en © 2018 Deng et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Deng, Pengqing
Yu, Jianlong
Zhou, Naitong
Hu, Ming
Access to medicines for acute illness and antibiotic use in residents: A medicines household survey in Sichuan Province, western China
title Access to medicines for acute illness and antibiotic use in residents: A medicines household survey in Sichuan Province, western China
title_full Access to medicines for acute illness and antibiotic use in residents: A medicines household survey in Sichuan Province, western China
title_fullStr Access to medicines for acute illness and antibiotic use in residents: A medicines household survey in Sichuan Province, western China
title_full_unstemmed Access to medicines for acute illness and antibiotic use in residents: A medicines household survey in Sichuan Province, western China
title_short Access to medicines for acute illness and antibiotic use in residents: A medicines household survey in Sichuan Province, western China
title_sort access to medicines for acute illness and antibiotic use in residents: a medicines household survey in sichuan province, western china
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6095499/
https://www.ncbi.nlm.nih.gov/pubmed/30114193
http://dx.doi.org/10.1371/journal.pone.0201349
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