a Department of Communication Arts & Sciences , The Pennsylvania State University.
b The Pennsylvania State University, College of Medicine.
Health Commun. 2018 Dec;33(12):1539-1548. doi: 10.1080/10410236.2017.1384345. Epub 2017 Oct 25.
The evolution of antibiotic resistance is outpacing the speed at which new antibiotics will reach the marketplace. To slow the rate of resistance, people need to engage in antibiotic stewardship, which includes acts to prevent the spread of bacteria and judicious use of antibiotics to treat infections. This study identified the patterns and predictors of antibiotic stewardship behaviors of parents (N = 516) related to their children. The latent class analysis revealed three profiles of parental stewardship, labeled Stewards, Requesters, and Non-Stewards. The findings implied different campaign goals: to encourage Stewards to follow through on their intentions, to encourage Requesters to stop asking providers for antibiotics when their children have ear infections, and to influence Non-Stewards to accept medical advice when an antibiotic is not indicated and to dispose of leftover antibiotics. The covariate analysis provided theoretical insight into the strategies to pursue in campaigns targeting these three groups. For example, parents who perceived antibiotic-resistant infections as less serious health conditions, felt less worry when thinking about their child getting an antibiotic-resistant infection, and had stronger misattributions of antibiotics' efficacy to treat multiple symptoms were more likely to be Requesters and Non-Stewards, instead of Stewards.
抗生素耐药性的进化速度超过了新抗生素进入市场的速度。为了减缓耐药性的速度，人们需要参与抗生素管理，其中包括防止细菌传播和明智地使用抗生素治疗感染的行为。本研究确定了与儿童相关的父母抗生素管理行为的模式和预测因素（N=516）。潜在类别分析揭示了父母管理的三种模式，分别为管理者、请求者和非管理者。研究结果表明，不同的宣传目标：鼓励管理者坚持自己的意图；鼓励请求者在孩子患有耳部感染时不再向提供者请求抗生素；并影响非管理者在不需要抗生素时接受医疗建议，并处理剩余的抗生素。协变量分析为针对这三组人群的宣传策略提供了理论见解。例如，那些认为抗生素耐药性感染是不太严重的健康状况的父母，当他们想到孩子感染抗生素耐药性时，感到不那么担心，并且对抗生素治疗多种症状的疗效有更强的错误归因，他们更有可能是请求者和非管理者，而不是管理者。
