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加拿大口服抗生素使用的流行率和相关值
Glenys Smith1, Anna-Louise Crago1, Stephanie Alexandre1
1Antimicrobial Resistance Task Force, Public Health Agency of Canada.
概括
在加拿大,26%的成年人报告说在一年内使用了口服抗生素. 年龄,性别,移民身份,吸烟和并发病等因素影响了抗生素的使用,突出显示了抗菌素耐药性风险的不平等.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 抗菌剂使用 (AMU) 是抗菌素耐药性的重要驱动因素.
- 了解AMU的流行率和相关因素可以揭示健康不平等,并指导有针对性的干预措施.
- 加拿大公共卫生署为2018年加拿大社区健康调查 (CCHS) 制定了一份关于口服抗生素自报使用的问卷.
研究的目的:
- 量化加拿大人自我报告抗生素使用的比例.
- 确定与加拿大抗生素消费相关的社会人口统计和健康因素.
主要方法:
- 一项采用2018年加拿大社区健康调查 (CCHS) 数据的横截面研究.
- 该研究包括24,176名参与者,采用集群多阶段分层随机设计进行抽样.
- 对18岁及以上的CCHS参与者进行了抗生素使用模块.
主要成果:
- 26%的成年受访者 (≥18岁) 报告在过去一年中至少使用过一种口服抗生素.
- 抗生素处方的更高调整几率与年龄较小 (18岁对48岁平均),女性性别,移民身份 (不包括土著人),目前/以前吸烟以及并发症 (例如喘,COPD,心脏病) 相关.
结论:
- 在加拿大的不同人口和社会人口统计学群体中,抗菌药物的使用存在显著差异.
- 更好地了解AMU驱动因素对于开发定制干预措施至关重要.
- 解决这些不平等问题对于减少抗菌素耐药性的差异性风险至关重要.
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