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Self-Medication with Antibiotics for Protection against COVID-19: The Role of Psychological Distress Knowledge of and Experiences with Antibiotics

机译：用于保护Covid-19的抗生素的自我药物：心理困扰对抗生素的经验和经验的作用

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Self-medication with antibiotics is a major contributing factor to antimicrobial resistance. Prior research examining factors associated with antibiotic self-medication has focused on an individual’s knowledge about antibiotics, antibiotic usage practices, accessibility to antibiotic medication, and demographic characteristics. The role of psychological distress associated with perceived health risks in explaining antibiotic self-medication is less understood. This study was designed to address this knowledge gap in the context of the COVID-19 pandemic in Australia. An online survey of 2217 participants was conducted at the height of the initial outbreak and revealed that 19.5% of participants took antibiotics to protect themselves from COVID-19. Multivariate logistic analysis examined the predictors of taking antibiotics for protection against COVID-19. An integrative framework developed from the results illustrates potential pathways and facilitating factors that may contribute to prophylactic self-medication with antibiotics. Specifically, COVID-19 pandemic-induced psychological distress was significantly positively related to self-medication. Preventive use of antibiotics was also facilitated by a lack of understanding about antibiotics, inappropriate antibiotics usage practices, the nature of the patient-doctor relationship, and demographic characteristics. The findings highlight that to combat antimicrobial resistance due to self-medication, interventions need to focus on interrupting entrenched behavioural responses and addressing emotional responses to perceived health risks.
机译：抗生素的自我药物是抗微生物抗性的主要贡献因素。与抗生素自我药物相关的先前研究检查因素集中于个体关于抗生素，抗生素使用实践，对抗生素药物的可用性以及人口特征的知识。对解释抗生素自我药物的感知健康风险有关的心理痛苦的作用不太了解。本研究旨在解决澳大利亚Covid-19大流行的背景中的这种知识差距。在初始爆发的高度进行了2217名参与者的在线调查，并透露，19.5％的参与者采取抗生素来保护自己免受Covid-19。多变量物流分析检测了服用抗生素的预测因子，以防止Covid-19。从结果中开发的综合框架说明了可能导致预防性自我用药的潜在途径和促进因素。具体而言，Covid-19大流行诱导的心理困扰与自我药物显着呈正常相关。通过对抗生素缺乏了解，还促进了抗生素的预防性，不谅解，不恰当的抗生素使用实践，患者医生关系的性质以及人口特征。调查结果强调，为自我用药而打击抗菌性抗性，干预措施需要关注中断根深蒂固的行为响应，并解决对感知健康风险的情绪反应。

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