Department of Health Sciences, Medical School, University of Catanzaro "Magna Græcia", Via T. Campanella 115, Catanzaro, Italy.
Prevention Department, Provincial Health Authority, Via F. Acri 24, Catanzaro, Italy.
Int J Med Inform. 2018 Mar;111:131-139. doi: 10.1016/j.ijmedinf.2017.12.005. Epub 2017 Dec 14.
The Internet represents an increasingly common source of health-related information. Internet and Social Media can be used to promote a prudent use of antibiotics.
To establish the extent of Internet and Social Media use to search for antibiotic related information and the potential implications in health care among adult population in Italy.
This cross-sectional study was conducted from March to May 2017, among a sample of parents of public school students. A 2-stage cluster sample design was planned. An informed consent form and a questionnaire were given to selected students to deliver to their parents. The questionnaire included questions on knowledge, attitudes, and behavior toward antibiotic use, and questions about Internet use to gather information about antibiotics.
A total of 913 parents completed the questionnaire, with a 67.4% response rate; 22.1% did not know when it was appropriate to use antibiotics. 32.3% of parents reported self-medication with antibiotics. 73.4% of respondents used the Internet to search for information about antibiotic use. Among social networks users, 46.5% reported the use of these media to get information about antibiotics and 45% of instant messaging app users share information about antibiotics. The results of the multiple logistic regression analysis showed that Internet use to search for antibiotic-related information was higher among females, younger subjects, with a higher level of education, in those who reported self-medication with antibiotics and in those who needed additional information on side effects of antibiotics from the GP compared with those who did not need any additional information. Internet use was significantly less likely in participants with cardiovascular diseases and cancer compared with those without chronic conditions, and in those who reported to strongly agree/agree, or were uncertain about antibiotic use without a GP prescription, compared with those who reported to be disagree/strongly disagree.
Internet and social media are widely used for antibiotic-related information seeking in the Italian population. Health organizations must consider social media within their communication strategy to promote the appropriate Web use for antibiotic-related information seeking in the general population, although more evidence is needed regarding the optimal mix of communication interventions.
互联网是获取健康相关信息的一个越来越常见的来源。互联网和社交媒体可用于促进谨慎使用抗生素。
确定意大利成年人搜索抗生素相关信息以及在医疗保健中使用互联网和社交媒体的程度。
本横断面研究于 2017 年 3 月至 5 月期间在公立学校学生的家长中进行。采用两阶段整群抽样设计。向选定的学生发放知情同意书和问卷,由学生转交给其家长。问卷包括关于抗生素使用的知识、态度和行为的问题,以及有关互联网使用以获取抗生素信息的问题。
共有 913 名家长完成了问卷,应答率为 67.4%;22.1%的家长不知道何时应该使用抗生素。32.3%的家长报告自行使用抗生素。73.4%的受访者使用互联网搜索抗生素使用信息。在社交媒体用户中,46.5%报告使用这些媒体获取抗生素信息,45%的即时通讯应用程序用户分享抗生素信息。多因素逻辑回归分析结果显示,与不寻求任何额外信息的家长相比,女性、年轻的家长、教育程度较高的家长、报告自行用药的家长以及希望从全科医生那里获得抗生素副作用额外信息的家长更有可能使用互联网搜索抗生素相关信息。与无慢性病的参与者相比,患有心血管疾病和癌症的参与者使用互联网搜索抗生素信息的可能性显著降低,而与报告不同意/强烈不同意抗生素使用无需处方的参与者相比,报告强烈同意/同意或不确定抗生素使用无需处方的参与者使用互联网搜索抗生素信息的可能性也较低。
互联网和社交媒体在意大利人群中广泛用于搜索抗生素相关信息。卫生组织必须在其传播策略中考虑社交媒体,以促进普通人群对与抗生素相关的信息进行适当的网络搜索,尽管还需要更多关于传播干预措施最佳组合的证据。