居民不规范服用抗菌药物行为及影响因素研究

Research on the prevalence and influencing factors of residents' improper use of antimicrobials

摘要

该研究采用结构化问卷，在线调查了安徽省1 376名居民抗菌药物使用等相关信息，基于健康行为生态学理论，分析探讨居民不规范服用抗菌药物行为的影响因素。结果显示，近3个月内，有548名调查对象服用过抗菌药物。其中，发生3种及以上不规范服药行为的人数占比为56.39%。多因素Logistic回归分析发现，居住在城市、抗菌药物使用知识素养较差、不易感知益处、不易感知障碍、不太了解药物政策是居民不规范服药行为的危险因素；不易受人际网络影响是居民不规范服药行为的保护因素。研究表明，安徽省居民不规范服用抗菌药物行为较为普遍，建议围绕居民的健康生态环境，制定多层次的健康教育策略，以全面提升居民的合理用药行为。

Abstract

This study conducted an online survey using a structured questionnaire to collect relevant information such as antimicrobial use from 1 376 residents in Anhui Province. Based on the ecological models of health behavior, the study also explored the factors influencing residents' improper use of antimicrobials. The results showed that 548 respondents had taken antimicrobials within the past three months. Among them, 56.39% exhibited three or more types of improper medication behaviors. Multivariate logistic regression analysis found that living in urban areas, poor literacy regarding antimicrobial use, low perceived benefits, low perceived barriers, and limited understanding of drug policies were risk factors for improper drug use among residents. In contrast, being less influenced by interpersonal networks was a protective factor. The study revealed that improper use of antimicrobials is relatively common among residents in Anhui Province. Accordingly, multi-level health education strategies centered on residents’ health ecological environment should be developed to promote rational drug use behaviors comprehensively.

关键词

抗菌药物 / 不规范服药 / 健康行为生态学 / 影响因素

Key words

antimicrobials / improper medication use / ecological models of health behavior / influencing factors

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基金资助

国家自然科学基金青年项目“基于健康行为生态学理论的居民不规范服用抗菌药物行为机制研究”(72304004)

安徽省高校自然科学基金重点项目“动态环境下严重精神障碍患者规律服药的医院社区家庭协同管理机制研究”(2022AH050733)