天津20～69岁社区居民抗生素知识和行为调查

Knowledge and behavior about antibiotic use in adult community residents in Tianjin city

目的了解天津市居民对抗生素知识和行为的知晓情况,为有针对性地开展健康教育干预提供依据。方法于2015年4月在天津市随机抽取8个区县1 718名20~69岁社区居民,进行抗生素知识和行为调查。结果20.9%的男性居民和24.8%的女性居民认为"抗生素需要医生处方才能购买";28.6%的男性居民和27.6%的女性居民认为"觉得自己病情较重时,会主动要求医生开抗生素";不同性别之间抗生素知识和行为得分及格率差异无统计学意义(χ~2=3.179,P=0.075);不同年龄组居民抗生素知识和行为得分及格率差异有统计学意义(χ~2=13.295,P=0.010),随着年龄增加,抗生素知识和行为得分及格率下降;不同文化程度居民抗生素知识和行为得分及格率差异有统计学意义(χ~2=38.508,P=0.000),随着文化程度升高,抗生素知识和行为得分及格率升高;抗生素知识和行为得分及格与文化程度、居住地有关(P<0.05)。结论天津市居民抗生素知识知晓率较低,需加强在全人群开展抗生素合理使用的知识宣传。

Objective To examine the knowledge and behaviors of antibiotic use in Tianjin residents and to provide evidences for implementing specific health education on antibiotic use in the population.Methods We conducted a face-to-face questionnaire survey on knowledge and behaviors of antibiotic use among 1 718 residents aged 20-69 years randomly selected from 8 counties or districts in Tianjin municipality in April,2015.Results Among the participants,20.9% of the males and 24.8% of the females considered that they need a doctor＇s prescription when purchasing antibiotic and there were 28.6% of the males and 27.6% of females reporting that they would ask a doctor to prescript antibiotic when they have a severe self-perceived illness.No gender-difference was observed in the scores of antibiotic use knowledge and behaviors （χ2=3.179,P=0.075）,but there were between-age groups differences in the scores （χ2=13.295,P=0.010） and with the increment of age,the scores decreased;in addition,the scores differed by education level （χ2=38.508,P=0.000） and the residents with higher education showed higher scores;the scores also related to the residential place among the residents （P〈0.05）.Conclusion The awareness of knowledge about antibiotic use is at a low level among adult residents of Tianjin city and health education on rational use of antibiotic should be promoted in the whole population.