公众使用抗生素的行为模式及其对上呼吸道感染的决定因素:基于中国消费者行为模型的潜在类分析
Rujiao Lin1, Lixia Duan1, Chaojie Liu2
1School of Medicine and Health Management, Tongji Medical School, Huazhong University of Science and Technology, Wuhan, Hubei, China.
公众滥用抗生素是常见的,有助于抗菌素耐药性 (AMR). 这项研究确定了在上呼吸道感染 (URTI) 中使用抗生素的四种不同的公共行为模式,从而实现了有针对性的干预.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 行为科学 行为科学
背景情况:
- 不合理的抗生素使用是抗菌素耐药性 (AMR) 的首要驱动因素,这是一个重大的全球健康威胁.
- 了解有关抗生素消费的各种公共行为对于开发有效,有针对性的干预措施至关重要.
研究的目的:
- 在一般人群中识别上呼吸道感染 (URTI) 抗生素使用的独特行为模式.
- 探索影响这些已识别的抗生素使用行为因素.
主要方法:
- 在中国重庆进行了一项横截面调查,利用消费者行为模型 (CBM).
- 隐性类分析确定了行为模式,并通过多项逻辑回归探索相关的决定因素.
主要成果:
- 普遍的非理性抗生素使用包括自我治疗 (39.63%) 和提前停止处方 (76.56%).
- 确定了四种行为模式:"抗生素自我治疗者"",寻求正规医疗保健者"",各种治疗使用者"和"没有抗生素的自我治疗".
- 诸如自我效能,对有效性的信念,对副作用的认识,感知到的可用性,社会影响和人口统计等因素与这些模式有显著的相关性.
结论:
- 这项研究强调了需要合作,多方面的干预措施,以制不合理的抗生素使用.
- 建议有针对性的公众教育,更严格的配药法规和医生改善的处方实践.
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