中老年人抗生素用药行为影响因素分析

金颖; 陆一鸣; 鲁培俊; 钱国宏; 王晓莉; 冯辉; 铁建林; 裴泓波

doi:10.11847/zgggws2014-30-09-10

中老年人抗生素用药行为影响因素分析

doi: 10.11847/zgggws2014-30-09-10

1.
甘肃省卫生厅卫生监督所, 甘肃兰州 730000;
2.
甘肃省健康教育所;
3.
兰州市城关区健康教育所;
4.
兰州市西固区健康教育所;
5.
兰州大学公共卫生学院流行病与卫生统计学研究所

基金项目:

中国/世界卫生组织20122013年度正规预算项目（151）

详细信息

作者简介:
金颖（1962- ），女，甘肃兰州人，副主任医师，硕士，研究方向：人群卫生干预。（裴泓波为本文并列第一作者）

金颖（1962- ），女，甘肃兰州人，副主任医师，硕士，研究方向：人群卫生干预。（裴泓波为本文并列第一作者）

通讯作者:
裴泓波，peihb@lzu.edu.cn

中图分类号: R193.3
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出版历程
- 收稿日期: 2014-01-06
- 刊出日期: 2014-09-10

Influence of demographic characteristics on antibiotics use among middle aged and elderly people

1.
Gansu Provincial Health Inspection Institute, Lanzhou, Gansu Province 730000, China

摘要

摘要: 目的了解社会人口学特征对中老年人抗生素用药行为的影响，为制定卫生干预策略提供依据。方法多阶段分层随机抽取甘肃省城、乡中老年居民2 556人进行抗生素用药行为现况调查，应用SAS 9.1软件进行数据分析。结果中老年居民有意识为家中储备抗生素者占63.69%，生病不适时不问医生而自购抗生素者占42.72%，使用抗生素时一旦症状有改善就立即停用者占35.48%；使用抗生素正确行为前3位依次为将抗生素放在阴凉干燥处保存（77.54%）、不用茶水或饮料送服抗生素（64.09%）、严格按照医生要求的剂量用药（53.95%）；城市居民较农村居民自购抗生素进行自我药疗的情况少见（OR=0.56）、用药更少依赖商业广告（OR=0.71）、更注意正确的储存条件（OR=2.42）、主动要求医生开抗生素的行为少见（OR=0.73）、主动要求静脉用药者少见（OR=0.78）；初中及以下文化程度者较高中以上者用药更依赖商业广告（OR=1.72）、抗生素的正确储存率低（OR=0.48）、对医嘱依从性低（用药频次OR=0.71，用药剂量OR=0.73）、用茶水或饮料送服抗生素多见（OR=1.66）；男性居民较女性居民对医嘱依从性低（用药频次OR=0.75，用药剂量OR=0.76）；家庭人均月收入<1 000元者较≥2 000元者用茶水送服抗生素多见（OR=1.39）。结论中老年人不合理用抗生素的行为常见，进一步健康促进的重点须强调农村地区、低文化程度、低收入人群，关注社会性别。
- 人口学特征 /
- 抗生素 /
- 健康教育
Abstract: Objective To examine the influence of social demographic characteristics on antibiotics use among middle aged and elderly people and to provide evidences for making health intervention strategies.Methods The participants(2 566 urban and rural residents aget 45-74 years)of a questionnaire survey were selected with multi-stage random sampling from communities in Gansu province.SAS 9.1 software was used in data analyses with applications of multiple logistic regression and stepwise logistic regression.Results Antibiotics were reserved by 63.69%of the respondents in their homes and self-medication was practiced by 42.72%of the respondents.The antibiotic use was stopped immediately by 35.49%of respondents once they had attenuated symptoms.The top three correct antibiotics use behaviors were storing antibiotics in a cool,dry place(77.54%),taking antibiotics without tea or drinks(64.09%)and taking the antibiotic strictly according to the doctor's advice(53.95%)among the respondents.Antibiotics for self-medication of urban respandents were less than those of rural respondents(odds ratio[OR]=0.56).In addition,the urban respondents were less dependent on commercial advertising(OR=0.71),much more careful to correct storage of the antibiotics(OR =2.42),less dependent to doctor's advice(OR=0.73)and less likely to take the antibiotics via intravenous drip(OR=0.78).The respondents with junior middle school or lower education were more likely to rely on commercial adventisement(OR=1.72)than those with senior high school education and had less correct knowledge about the storage of antibiotics(OR=0.48),less compliance with the doctors' advice(OR=0.71 for medication frequency,OR=0.73 for medication dosage),and were more likely to take antibiotics with tea or drinks(OR=1.66).Male respondents were less compliance with the doctors advice(OR=0.75 for medication frequency,OR=0.76 for medication dosage)than female respondents.The respondents with family monthly income less than 1 000 RMB Yuan were more likely to take antibacterial drugs with tea than the respondents with the income of 2 000 RMB Yuan(OR=1.39).Conclusion Unreasonable antibiotics usage is common in middle aged and elderly people.Further health promotion must be emphasized in the residents living in rural areas,with low education and low income.
- demographic characteristics /
- antibiotics /
- health education

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参考文献(9)

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