Maiman L A, Becker M H, Cummings K M, Drachman R H, O'Connor P A
Public Health Rep. 1982 Mar-Apr;97(2):140-9.
Little is known about the therapies that people initiate for their health problems, and the available research on self-medication has focused primarily on adult populations. Only a few studies have specifically addressed mothers' independent use of medications for their children, and none has described such behavior in depth (for example, relating-perceived symptoms and conditions in the child or attempting to provide an explanation for mothers' decisions in these situations). A stratified systematic random sample of 100 mothers of children between 6 months and 12 years old was obtained at each of 3 pediatric ambulatory care clinics. Mothers were interviewed about their use of medications for their children, their concerns about their children's health, and their medication-related attitudes. The study results suggest that income and education are related to the types of medication and medical appliances mothers keep to treat the various health problems of their children. Mothers' perceptions of their children's potential susceptibility to health problems are related to possession of what they believe are relevant remedies for those problems (as well as to keeping a greater variety of medications on hand). Socioeconomic status appears to be one determinant of the number of different remedies (and especially the number of different medical appliances) that are purchased. Certain attitudes held by mothers about medications also play a role in explaining how great a variety of remedies are kept available for children in the event that they become ill, and these medication-related attitudes are highly correlated with socioeconomic status.
人们针对自身健康问题所采用的治疗方法鲜为人知,而且现有的关于自我药疗的研究主要集中在成年人群体。只有少数研究专门探讨了母亲独立给孩子用药的情况,且没有一项研究深入描述过这种行为(例如,将孩子感知到的症状和病情联系起来,或者试图对母亲在这些情况下的决定做出解释)。在3家儿科门诊护理诊所中,每家都抽取了100名6个月至12岁孩子的母亲作为分层系统随机样本。研究人员就这些母亲给孩子用药的情况、她们对孩子健康的担忧以及与用药相关的态度进行了访谈。研究结果表明,收入和教育程度与母亲为治疗孩子各种健康问题而储备的药物类型和医疗器具有关。母亲对孩子可能易患健康问题的认知,与她们认为针对这些问题有相关治疗方法的储备情况有关(也与手头储备更多种类的药物有关)。社会经济地位似乎是购买不同治疗方法(尤其是不同医疗器具)数量的一个决定因素。母亲对药物持有的某些态度,在解释为孩子生病时准备了多少种治疗方法方面也起到了作用,而且这些与用药相关的态度与社会经济地位高度相关。