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Understanding parental self-medication with antibiotics among parents of different nationalities: a cross-sectional study

机译：了解不同国籍的父母的父母自我药物：横断面研究

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BACKGROUND:There is an increasing trend on the practices of parental self-medication with antibiotics (PSMA) around world, accelerating the antibiotic abuse. This study aims to examine the nationality differences in the practices of PSMA and knowledge, attitudes and practices (KAP) toward antibiotic use, and understand the practices of PSMA among parents of various nationalities in China.METHODS:A cross-sectional study based on a structured questionnaire survey was conducted in Xi'an, Shaanxi Province, China, from September 2018 to October 2018. A total of 299 respondents participated in. The practices of PSMA (a dichotomous variable) and KAP toward antibiotic use (a continuous variable) served as dependent variables. Participant's nationality was regarded as the independent variable. Binary logistic regression and ordinary least square regression were employed to examine the association between parent's nationality and the practices of PSMA, and KAP toward antibiotic use, respectively.RESULTS:121 (40.88%) Chinese, 100 (33.76%) other Asians and 75 (25.34%) Occidentals were included in final analysis, with a sample size of 296. Chinese were more likely to practice PSMA (OR?=?7.070; 95%?CI 1.315, 38.01), with worse knowledge (Coef.?=?-?0.549; 95%?CI -?1.021, -?0.078), attitudes (Coef.?=?-?3.069; 95%?CI -?4.182, -?1.956) and practices (Coef.?=?-?1.976; 95%?CI -?3.162, -?0.790) toward antibiotic use, compared to their Occidental counterparts. The main reasons for the practices of PSMA were enough previous medication experience (80.49%) and same ailments with no need to see a doctor (39.02%), with common symptoms such as fever (60.98%) and cough (58.54%). Purchasing antibiotics at pharmacies (92.08%) and using leftover antibiotics (26.83%) were usual approaches.CONCLUSIONS:The study highlights the gaps in the practices of PSMA and KAP toward antibiotic use among parents of different nationalities. The access to obtain antibiotics from pharmacies reflects the pharmacists' unaware of laws on prescription of antibiotics, fierce competition in the pharmacy market, and the government's lax supervision in China. It suggests the need to improve pharmacists' training, enforce current legislations on pharmacy market regarding the sale of antibiotics, and provide practical and effective educational interventions for residents about antibiotic use.? 2021. The Author(s).
机译：背景：在世界各地的抗生素（PSMA）的父母自我药物的实践越来越大，加速抗生素滥用。本研究旨在审查对抗生素使用的PSMA和知识，态度和实践（KAP）的实践的国籍差异，并了解中国各国各国父母的PSMA实践。方法：基于A的横断面研究结构化问卷调查是在2018年9月到2018年9月的西安西安开展的。共有299名受访者参加了。PSMA（二分法变量）和KAP往抗生素使用的实践（连续变量）作为依赖变量。参与者的国籍被视为独立变量。二进制物流回归和普通的最小二乘回归分别审查父母的国籍与PSMA的实践之间的关联，分别进行抗生素使用。结果：121（40.88％）中文，100名（33.76％）其他亚洲人和75（ 25.34％）occidentals被列入最终分析中，样本大小为296.中国人更有可能练习PSMA（或？=？7.070; 95％？CI 1.315,38.01），具有更糟糕的知识（COEF.?=?- ？0.549; 95％？CI - ？1.021， - ？0.078），态度（COEF.?=?? 3.069; 95％？CI - ？4.182， - ？1.956）和实践（COEF.?=? -?1.976与他们的Eventideral对手相比，95％？3.162， - - ？0.790）抗生素使用。 PSMA实践的主要原因是先前的药物经验（80.49％）和同样的疾病，无需看医生（39.02％），具有常见的症状，如发烧（60.98％）和咳嗽（58.54％）。在药房（92.08％）购买抗生素并使用剩下的抗生素（26.83％）是常规方法。结论：该研究突出了PSMA和KAP实践中的差距以及不同国籍的家长的抗生素使用。从药房获得抗生素的获得反映了药剂师的不知道抗生素处方，激烈竞争在药房市场方面的法律，以及政府在中国的LAX监督。它表明需要改善药剂师的培训，强制执行关于抗生素销售的药房市场的现行立法，为抗生素使用的居民提供实际和有效的教育干预措施。 2021.作者。

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