我国儿童药品海淘状况调查分析

Investigation and Analysis of Cross-Border Shopping of Children’s Drugs in China

目的:调查我国儿童药品海淘现状,了解儿童海淘药品在使用中存在的问题。方法:采用电子问卷调查的方法,收集国内儿童药品海淘现状和使用情况,了解家长对儿童海淘药品的认知度及家长在使用海淘药品中的用药行为风险等情况。结果:参与调查的总人数为6 202人,有海淘儿童药品经历为1 057人,占总人数17.04%。调查数据显示,儿童的年龄、监护人文化程度和监护人职业显著影响儿童监护人海淘儿童药品行为。海淘行为发生率较高的儿童年龄分别为1~3岁(22.33%)、4~7岁(21.11%);儿童监护人的文化程度显著影响海淘药品行为,硕士研究生及以上学历人群海淘人数占比最高(22.08%);监护人中公务员和事业单位工作人员属于海淘人数占比最高的职业(23.06%)。有海淘药品经历的人群中21.10%的家长能完全读懂说明书,60.36%的家长只能读懂说明书的部分内容,另有9.84%的家长完全看不懂说明书,有8.70%的家长没看过说明书。结论:儿童海淘药品购买有很大的盲从性,且海淘药品大部分属于家庭自备药,儿童监护人在用药适应证和注意事项方面缺乏专业指导,存在较大的用药风险。

Objective: To investigate the current status of cross-border shopping of children’s drugs in China, and to analyze the problems in the application of children’s drugs from cross-border shopping. Methods: Electronic questionnaire was used to collect the status and application of children’s drugs from cross-border shopping in China, and to analyze parents’ awareness and the risk of parents’ application behavior of children’s drugs from cross-border shopping. Results: The total number of participants in the survey was 6,202 cases, and 1,057 cases(17.04%) had the experience with cross-border shopping of children’s drugs. The survey data showed that the age of children, education level of guardians and occupation of guardians significantly affected the behavior of guardians in cross-border shopping of children’s drugs. Children aged from 1 to 3 years(22.33%) and from 4 to 7 years(21.11%) had higher proportion of behavior of guardians in cross-border shopping of children’s drugs. The educational level of guardians significantly affected the cross-border shopping of children’s drugs, with the highest proportion of cross-border shopping for people with the master’s degree or above(22.08%). Among the guardians, civil servants and public institution staff were the profession with the highest proportion of cross-border shopping(23.06%). Among those with cross-border shopping experience, 21.10% of guardians could fully understand the drug instructions, 60.36% could only understand part of the drug instructions, 9.84% could not understand the drug instructions completely, and 8.70% did not read the drug instructions. Conclusion: There is a great deal of blindness in the cross-border shopping of children’s drugs, and most of the cross-border shopping drugs are self-prepared drugs. The lack of professional guidance on indications and precautions for children’s drug application in guardians may lead to higher risks of drug application.