Infection and Drug Resistance (Oct 2019)
Shanghai Parents’ Perception And Attitude Towards The Use Of Antibiotics On Children: A Cross-Sectional Study
Abstract
Jian Wang,1,* Yuchao Sheng,2,3,* Jun Ni,4 Jianyu Zhu,5 Zhigang Zhou,5 Tianwei Liu,5 Xiaoying Zhang,6 Qi Zhao2,3 1Department of General Practice, Zhongshan Hospital, Fudan University, Shanghai, People’s Republic of China; 2Department of Epidemiology, School of Public Health, Fudan University, Shanghai, People’s Republic of China; 3The Key Laboratory of Public Health Safety of Ministry of Education, Shanghai, People’s Republic of China; 4Vaccination Clinics, Gangyan Community Health Service Center, Shanghai, People’s Republic of China; 5Vaccination Clinics, Tangqiao Community Health Service Center, Shanghai, People’s Republic of China; 6Vaccination Clinics, Huacao Community Health Service Center, Shanghai, People’s Republic of China*These authors contributed equally to this workCorrespondence: Qi ZhaoDepartment of Epidemiology, School of Public Health, Fudan University, 130 Dongan Road, Xuhui District, Shanghai 200032, People’s Republic of ChinaTel/fax +86 21 5423 7335Email [email protected]: Parents play an important role in the management of their children’s illnesses, including in decisions concerning how and whether to use antibiotics. This study aims to assess the knowledge and attitude towards antibiotics usage among young parents from different areas in Shanghai and to identify contributing factors of antibiotics usage that are comprehensible for parents.Methods: A cross-sectional study was conducted at vaccination clinics of three community health centers from April to June 2017. Primary guardians who took children for vaccination under the national expanded immunization program were invited to participate.Results: Of the 1368 young parents interviewed, 78.4% of them have taken their children for medical treatment, and 68.9% of their children have taken antibiotics. Parents with education level of senior high school (OR=1.850, 95% CI: 1.214–2.818), or university/college, or above (OR=3.950, 95% CI: 2.604–5.991), and parents with high-income (OR=1.360, 95% CI: 1.013–1.827) have better comprehension of antibiotics. It is found that parents who deny the existence of antibiotic abuse in China (OR=1.857, 95% CI: 1.100–3.135), who have lower income (OR=1.536, 95% CI: 1.074–2.197) and who have antibiotics prescribed by doctors (OR=1.473, 95% CI: 1.048–2.070) are associated with those incorrect practices.Conclusion: Lack of knowledge and poor perception of antibiotics usage are found among young parents in Shanghai. Intervention should be conducted to publicize the rational use of antibiotics, reduce the rate of inappropriate behaviors and limit the sale of antibiotics.Keywords: antimicrobial resistance, KAP, China, urban area
