杭州市社区居民抗生素使用知信行路径分析

An analysis on knowledge,attitude and practice regarding antibiotics use among community residents in Hangzhou

目的了解杭州市社区居民抗生素使用相关知识、态度及行为(KAP),并进行路径分析。方法于2016年10—11月采用多阶段分层随机抽样方法,抽取杭州市社区居民449人进行问卷调查,了解社区居民抗生素使用相关KAP情况,并采用AMOS 21.0软件进行KAP路径分析。结果社区居民抗生素使用相关知识得分为(6.17±2.45)分,态度为(6.45±0.99)分,行为为(6.21±1.02)分;文化程度和年龄与抗生素使用相关知识存在一定的效应关系,系数分别为0.57和-0.38;年龄、性别和知识与抗生素使用态度存在一定的效应关系,系数分别为-0.27、0.12和0.02;使用态度、性别、月收入和文化程度与抗生素使用行为存在一定的效应关系,系数分别为0.48、0.37、0.06和0.02。结论杭州市社区居民抗生素使用知识与态度、态度与行为之间均呈正相关关系,但存在知识与行为分离现象。

Objective To assess the current status of knowledge, attitude and practice（KAP） towards antibiotic use among community residents in Hangzhou, and to explore the correlations among them. Methods A total of 449 permanent residents in Hangzhou were randomly selected using a multistage stratified random sampling method.Self-reported data on basic demographic factors,and relevant KAP information were collected by the questionnaire survey.Differences in KAP scores according to each demographic factor were assessed by the t test or ANOVA test,and AMOS21.0 was used for the path analysis. Results Scores for knowledge, attitude and practice regarding antibiotic use were（6.17±2.45）,（6.45±0.99） and（6.21±1.02） respectively. Results of the path analysis showed that education level and age had effects on the knowledge（coefficients： 0.57 and-0.38 respectively）. Age, gender and knowledge had effects on the attitude（coefficients：-0.27,0.12 和 0.02 respectively）,and attitudes,gender,monthly income and the level of education had effects on the practice（coefficients： 0.48、 0.37、 0.06 and 0.02 respectively）. Conclusion Community residents in Hangzhou lack relevant knowledge,and there are some irrational attitudes and practices regarding antibiotic use. There is a correlation between knowledge and attitudes,as well as between attitudes and practices,but the knowledge and practices are not correlated.