Primary Care and Intervention Unit, Public Health England, Gloucester, UK
Primary Care and Intervention Unit, Public Health England, Gloucester, UK.
BMJ Open. 2019 Oct 28;9(10):e030845. doi: 10.1136/bmjopen-2019-030845.
To describe public understanding and use of antibiotics.
Ipsos MORI Capibus survey of randomly-selected households.
England, January-April 2017.
2283 adults (≥15 years) including 777 parents of children <5 years old.
The main survey was undertaken in January 2017 (n=1691); data from an additional sample of parents were collected in April 2017 (n=592). Analyses were weighted to obtain estimates representative of the population.
Responses to questions about antibiotics (awareness and perceptions), recent illness (expectations and experience), delayed and leftover antibiotics, and child illness stratified by demographic and socioeconomic characteristics.
Most respondents (83% (1404/1691)) recognised that antibiotics kill bacteria/treat bacterial infections, but a sizeable minority (35% (592/1691)) thought that antibiotics kill viruses/treat viral infections. Overall levels of understanding have not changed substantially since similar surveys in 2003 and 2008/2009. One sixth of respondents who were prescribed antibiotics reported having leftovers (14% (64/498)) and 33% (22/64) kept these for possible future use. 1.3% of all respondents (23/1691) reported taking left-over antibiotics in the past year and 1.6% (26/1691) reported taking antibiotics obtained without a prescription. Higher social grade and educational qualifications were strongly positively associated with antibiotic knowledge; youngest (15-24 years), oldest (65 +years) and black, Asian and minority ethnic adults were less knowledgeable. Among 1319 respondents who had an infection or antibiotics within the past year, 43% (568/1319) said that they had not received any advice or information about antibiotics.
Despite many campaigns, public understanding of antibiotics in England continues to combine correct basic knowledge held by most people with less prevalent but persistent and potentially harmful misunderstandings. These could be addressed through active provision of advice and information during primary and secondary care consultations and more effective public health interventions.
描述公众对抗生素的理解和使用情况。
Ipsos MORI Capibus 对随机选择的家庭进行的调查。
英格兰，2017 年 1 月至 4 月。
2283 名成年人（≥15 岁），包括 777 名 5 岁以下儿童的父母。
主要调查于 2017 年 1 月进行（n=1691）；2017 年 4 月收集了另外一组父母的数据（n=592）。分析结果经过加权处理，以获得具有代表性的人口估计值。
对有关抗生素的问题（认识和看法）、近期疾病（期望和经验）、延迟和剩余抗生素以及按人口统计学和社会经济特征划分的儿童疾病的回答。
大多数受访者（83%（1404/1691））认识到抗生素可以杀死细菌/治疗细菌感染，但相当一部分人（35%（592/1691））认为抗生素可以杀死病毒/治疗病毒感染。自 2003 年和 2008/2009 年进行类似调查以来，总体认识水平没有发生重大变化。报告服用抗生素的受访者中，有六分之一（14%（64/498））有剩余药物，其中 33%（22/64）将这些药物留作将来使用。所有受访者中有 1.3%（23/1691）报告在过去一年中服用了剩余抗生素，1.6%（26/1691）报告服用了未经处方获得的抗生素。较高的社会阶层和教育程度与抗生素知识呈强烈正相关；最年轻（15-24 岁）、最年长（65+岁）和黑人、亚洲和少数民族成年人的知识水平较低。在过去一年中有感染或服用抗生素的 1319 名受访者中，有 43%（568/1319）表示没有收到有关抗生素的任何建议或信息。
尽管进行了多次宣传活动，但英格兰公众对抗生素的理解仍然是将大多数人正确的基本知识与不太普遍但持续存在且潜在有害的误解结合在一起。通过在初级和二级保健咨询中提供有关抗生素的建议和信息，以及更有效的公共卫生干预措施，这些问题可以得到解决。
