Department of Preventive Medicine, University of Santiago de Compostela, Santiago de Compostela, Spain.
Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBER-ESP), Madrid, Spain.
Psychol Health. 2022 Jul;37(7):903-916. doi: 10.1080/08870446.2021.1912341. Epub 2021 May 12.
To measure the association between knowledge, attitudes and practices of personal misuse of tranquilizers among parents of schoolchildren in Beirut (Lebanon).
We carried out a cross-sectional study in 1396 adults recruited from parents of students of eleven public and private schools, from primary schools to high schools, using a Knowledge, Attitude and Practices (KAP) questionnaire of personal use of tranquilizers.
We assessed five patterns of tranquilizers' misuse: unprescribed use, shortened treatment, stored leftovers, doubled forgotten doses or taken when remembered, changed dose without medical recommendation, and a sixth composite outcome: 'any misuse'.
Sixty-three (62.2%) of 91 parents who used tranquilizers reported at least one misuse pattern. Higher odds of 'any misuse' were observed among parents who reported taking tranquilizers to sleep better, to enjoy themselves with their families or to work better [2.35 ≤ adjusted interquartile odds ratio (aIqOR) ≤ 1.99]. Storing tranquilizers for future need was strongly associated with misuse [aIqOR: 5.00 (95% CI: 3.30, 7.59)]. Greater awareness about hazards of tranquilizers and the importance of therapeutic compliance was associated with lower odds of specific misuse patterns (0.50 ≤ aIqOR ≤ 0.72).
Poor knowledge and medically disapproved attitudes increase the likelihood of practices of tranquilizer misuse.
测量贝鲁特（黎巴嫩）学童家长中个人滥用镇静剂的知识、态度和行为之间的关联。
我们对来自 11 所公立和私立学校的 1396 名成年人进行了横断面研究，使用了个人使用镇静剂的知识、态度和行为（KAP）问卷。
我们评估了五种镇静剂滥用模式：未经处方使用、缩短疗程、储存剩余药物、忘记剂量时加倍服用或想起来时服用、未经医疗建议改变剂量，以及第六种复合结果：“任何滥用”。
在 91 名使用镇静剂的家长中，有 63 名（62.2%）报告至少有一种滥用模式。报告为改善睡眠、与家人一起享受或更好地工作而服用镇静剂的家长，“任何滥用”的可能性更高[2.35≤调整后四分位间距比值比（aIqOR）≤1.99]。为将来需要而储存镇静剂与滥用密切相关[aOR：5.00（95%CI：3.30，7.59)]。对镇静剂危害和治疗依从性重要性的认识提高与特定滥用模式的可能性降低相关（0.50≤aIqOR≤0.72）。
知识匮乏和医疗上不赞成的态度增加了镇静剂滥用行为的可能性。
