Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, People's Republic of China.
Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jie Fang Avenue 1095, Wuhan, 430030, People's Republic of China.
Antimicrob Resist Infect Control. 2021 Jun 5;10(1):89. doi: 10.1186/s13756-021-00954-3.
Self-medication is one of the most common forms of inappropriate use of antibiotics. This study aimed to assess the prevalence of self-medication with antibiotics (SMA) in China and evaluate the related factors.
A cross-sectional survey was conducted in Wuhan, Hubei, China from July 1, 2019 to July 31, 2019. Participants were recruited in public places to answer a structured questionnaire. The information of participants' social demographic characteristics, antibiotic knowledge and health beliefs were collected. Binary Logistics regression analysis was used to examine the associated factors of SMA.
Of the 3206 participants, 10.32% reported SMA in the past 6 months. Participants who with middle or high perceived barriers to seek health care services showed a higher likelihood of SMA (P < 0.05). Participants who with middle or high perceived threats of self-medication, and who with middle or high self-efficacy to overcome obstacles showed a lower likelihood of SMA (P < 0.05).
Compared with developed countries, the prevalence of SMA in China is still higher. Measures to conduct public health education and improve the accessibility of health services are crucial to decrease the overall self-medication rate in China.
自我医疗是抗生素不合理使用的最常见形式之一。本研究旨在评估中国自我用药（SMA）的流行情况，并评估相关因素。
2019 年 7 月 1 日至 7 月 31 日，在中国湖北武汉进行了一项横断面调查。参与者在公共场所招募，以回答结构化问卷。收集了参与者的社会人口统计学特征、抗生素知识和健康信念信息。采用二元逻辑回归分析方法，检验 SMA 的相关因素。
在 3206 名参与者中，10.32%的人在过去 6 个月内报告了 SMA。认为寻求医疗服务的障碍较大或较高的参与者，更有可能进行 SMA（P<0.05）。认为自我用药的威胁较大或较高，以及克服障碍的自我效能较高的参与者，不太可能进行 SMA（P<0.05）。
与发达国家相比，中国 SMA 的流行率仍然较高。开展公共卫生教育和提高卫生服务可及性的措施，对于降低中国整体的自我用药率至关重要。
