Chen Lynn Y, Flood-Grady Elizabeth, Hentschel Austen, Wright Lauren, Mkuu Rahma, Young Alyson, Francois Magda, Neu Josef, Parker Leslie A, Shenkman Elizabeth, Krieger Janice L, Lemas Dominick J
Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL 32611, USA.
STEM Translational Communication Center, College of Journalism and Communications, University of Florida, Gainesville, FL 32611, USA.
Antibiotics (Basel). 2020 Oct 15;9(10):704. doi: 10.3390/antibiotics9100704.
The overutilization of antibiotics during pregnancy and early life are associated with adverse health outcomes for mothers and infants. In this study, we explored pregnant women's opinions and concerns of antibiotics and how perceptions may affect their health-related decision-making. We conducted 18 in-depth, semi-structured interviews with pregnant women and used the Health Belief Model (HBM) as a framework to analyze the data. We found that mothers generally understood the benefits of antibiotics and were aware that antibiotics are clinically effective for treating bacterial infections. Importantly, perceived barriers related to antibiotic use included concerns regarding the impact of antibiotics on breastfeeding efficacy, microbial health, and societal factors such as antimicrobial resistance. The prescription of antibiotics by a healthcare provider was a cue to action for women, as they trusted providers to recommend medications that were safe for them and their infants. Overall, mothers shared that receiving education on the effects of antibiotics would improve their self-efficacy and decision-making surrounding the use of antibiotics for treating illness. Implications for tailored perinatal health education interventions to enhance antibiotic use, knowledge, and decision-making are discussed.
孕期和生命早期抗生素的过度使用与母婴的不良健康结局相关。在本研究中，我们探讨了孕妇对抗生素的看法和担忧，以及这些认知如何影响她们与健康相关的决策。我们对孕妇进行了18次深入的半结构化访谈，并使用健康信念模型（HBM）作为框架来分析数据。我们发现，母亲们普遍理解抗生素的益处，并意识到抗生素在临床上对治疗细菌感染有效。重要的是，与抗生素使用相关的感知障碍包括对抗生素对母乳喂养效果、微生物健康以及抗菌药物耐药性等社会因素影响的担忧。医疗保健提供者开具抗生素处方是促使女性采取行动的一个提示，因为她们信任提供者会推荐对自己和婴儿安全的药物。总体而言，母亲们表示，接受关于抗生素影响的教育将提高她们在使用抗生素治疗疾病方面的自我效能感和决策能力。本文讨论了针对围产期健康教育干预措施进行调整以加强抗生素使用、知识和决策的意义。
