Hu Jie, Wang Zhiqiang
Centre for Chronic Disease, School of Medicine, University of Queensland, Herston, Qld 4029, Australia.
Aust J Prim Health. 2016 Nov;22(5):434-439. doi: 10.1071/PY15076.
Non-prescribed antibiotic use occurs worldwide and is an important contributor to antibiotic resistance. Social and health system factors were related to the practice of self-medication with antibiotics. This study aims to investigate the practice of non-prescribed antibiotic use, and to assess the impact of primary health service access and use on this practice among Australian Chinese migrants. Four-hundred and twenty-six participants, who self-identified as Chinese and who had been residing in Australia for at least 12 months, were recruited through several Australian Chinese social websites to participate in an online health survey about antibiotic use and health services use from July to October 2013. Logistic regression analyses were conducted to assess the associations between health services utilisation factors and the use of non-prescribed antibiotics. In total, 20.2% (86/426) participants reported having used antibiotics without medical consultation in the last 12 months. Of 170 antibiotic users, 50.6% (86/170) used antibiotics without medical consultation. Chinese migrants who self-evaluated as 'satisfied' with the experiences of GP services were less likely to self-medicate with antibiotics. In addition, Chinese migrants without any perceived barriers to using primary health services in Australia were less likely to use non-prescribed antibiotics. Among Australian Chinese migrants, over half of antibiotic users admitted that they had used antibiotics without medical consultation. Participants with positive experience and perception of primary health services, primarily GP services, had a lower risk of using non-prescribed antibiotics.
非处方抗生素的使用在全球范围内都存在，并且是抗生素耐药性的一个重要促成因素。社会和卫生系统因素与抗生素自我药疗行为有关。本研究旨在调查非处方抗生素的使用情况，并评估获得和使用初级卫生服务对澳大利亚华裔移民这一行为的影响。2013年7月至10月期间，通过几个澳大利亚华裔社交网站招募了426名自我认定为华裔且已在澳大利亚居住至少12个月的参与者，让他们参与一项关于抗生素使用和卫生服务利用的在线健康调查。进行逻辑回归分析以评估卫生服务利用因素与非处方抗生素使用之间的关联。总共有20.2%（86/426）的参与者报告在过去12个月内未经医生咨询就使用了抗生素。在170名抗生素使用者中，50.6%（86/170）的人未经医生咨询就使用了抗生素。对全科医生服务体验自我评估为“满意”的华裔移民较少会自行使用抗生素。此外，在澳大利亚认为使用初级卫生服务没有任何障碍的华裔移民较少使用非处方抗生素。在澳大利亚华裔移民中，超过一半的抗生素使用者承认他们未经医生咨询就使用了抗生素。对初级卫生服务，主要是全科医生服务有积极体验和认知的参与者使用非处方抗生素的风险较低。
