File Download
  Links for fulltext
     (May Require Subscription)
Supplementary

Conference Paper: Antibiotic use among future health professionals: A multicentre cross sectional study of Chinese medical student

TitleAntibiotic use among future health professionals: A multicentre cross sectional study of Chinese medical student
Authors
Issue Date2017
PublisherOxford University Press (OUP). The Journal's web site is located at http://ofid.oxfordjournals.org/
Citation
IDWeek, San Diego, CA, 4-8 October 2017. In Open Forum Infectious Diseases, 2017, v. 4 n. Suppl. 1, p. S257 How to Cite?
AbstractBackground: Antibiotic use leads to antibiotic resistance and antibiotic misuse is high in China and other developing countries. This may arise from beliefs and behaviours of doctors and the pressure they receive from patients. This study aims to understand antibiotic use behaviour for self-limited illness among medical students - the future healthcare professionals. Methods: This is part of a large cross-sectional study of Chinese university students of science, social science and humanities, and medicine. An electronic survey health belief model (HBM) questionnaire was distributed at six universities in China from September to November 2015. The score assessment was based on the constructs of HBM theory. Chi-squared and multivariable logistic regression and adjusted odd ratios (aOR) were used to assess the relationship between demographic characteristics, antibiotic use knowledge and behaviour. Results: In total, 11455 students were asked to participate and 11192 (97.5%) completed the questionnaires. 1819 medical students completed the survey. In the past month 529 (29%) medical students reported at least one self-limited illness. Of those, 285 (54%) self-medicated and 77 (27%) of them used antibiotics. 111 (21%) saw a doctor among whom 64 (58%) received antibiotics. 133 (25%) did nothing. In the past year, 279 (15%) of students used antibiotics for prophylaxis, 273 (15%) ever demanded an antibiotic from a doctor, 1166 (64%) kept a personal stock of antibiotics, 1034 (57%) bought antibiotics at a pharmacy, 97% of these without a prescription. Students with high HBM scores about antibiotics were significantly less likely to self-medicate with antibiotics (aOR 0.37, 95% CI 0.15-0.91, p=0.031), to use antibiotics for prophylaxis (aOR 0.35, 95% CI 0.21-0.60, p<0.0001) or demand an antibiotic (aOR 0.46, 95% CI 0.26-0.81, p=0.007). Students whose father has a higher education level, whose mother is a doctor or who are from urban areas were more likely to stock antibiotics and self-medicate. Conclusion: High rates of antibiotic self-medication (54%) and stocking (64%) were found among medical students. Along with the high rates of unnecessarily prescribed antibiotics by doctors (58%), there is clearly a need for effective antibiotic stewardship and training programs in Chinese healthcare institutions and medical schools.
DescriptionPoster Abstracts - no. 705
Persistent Identifierhttp://hdl.handle.net/10722/242904
ISSN
2017 Impact Factor: 3.24
PubMed Central ID

 

DC FieldValueLanguage
dc.contributor.authorHu, YJ-
dc.contributor.authorWang, X-
dc.contributor.authorTucker, JD-
dc.contributor.authorLittle, P-
dc.contributor.authorMoore, M-
dc.contributor.authorZhou, X-
dc.date.accessioned2017-08-25T02:47:03Z-
dc.date.available2017-08-25T02:47:03Z-
dc.date.issued2017-
dc.identifier.citationIDWeek, San Diego, CA, 4-8 October 2017. In Open Forum Infectious Diseases, 2017, v. 4 n. Suppl. 1, p. S257-
dc.identifier.issn2328-8957-
dc.identifier.urihttp://hdl.handle.net/10722/242904-
dc.descriptionPoster Abstracts - no. 705-
dc.description.abstractBackground: Antibiotic use leads to antibiotic resistance and antibiotic misuse is high in China and other developing countries. This may arise from beliefs and behaviours of doctors and the pressure they receive from patients. This study aims to understand antibiotic use behaviour for self-limited illness among medical students - the future healthcare professionals. Methods: This is part of a large cross-sectional study of Chinese university students of science, social science and humanities, and medicine. An electronic survey health belief model (HBM) questionnaire was distributed at six universities in China from September to November 2015. The score assessment was based on the constructs of HBM theory. Chi-squared and multivariable logistic regression and adjusted odd ratios (aOR) were used to assess the relationship between demographic characteristics, antibiotic use knowledge and behaviour. Results: In total, 11455 students were asked to participate and 11192 (97.5%) completed the questionnaires. 1819 medical students completed the survey. In the past month 529 (29%) medical students reported at least one self-limited illness. Of those, 285 (54%) self-medicated and 77 (27%) of them used antibiotics. 111 (21%) saw a doctor among whom 64 (58%) received antibiotics. 133 (25%) did nothing. In the past year, 279 (15%) of students used antibiotics for prophylaxis, 273 (15%) ever demanded an antibiotic from a doctor, 1166 (64%) kept a personal stock of antibiotics, 1034 (57%) bought antibiotics at a pharmacy, 97% of these without a prescription. Students with high HBM scores about antibiotics were significantly less likely to self-medicate with antibiotics (aOR 0.37, 95% CI 0.15-0.91, p=0.031), to use antibiotics for prophylaxis (aOR 0.35, 95% CI 0.21-0.60, p<0.0001) or demand an antibiotic (aOR 0.46, 95% CI 0.26-0.81, p=0.007). Students whose father has a higher education level, whose mother is a doctor or who are from urban areas were more likely to stock antibiotics and self-medicate. Conclusion: High rates of antibiotic self-medication (54%) and stocking (64%) were found among medical students. Along with the high rates of unnecessarily prescribed antibiotics by doctors (58%), there is clearly a need for effective antibiotic stewardship and training programs in Chinese healthcare institutions and medical schools.-
dc.languageeng-
dc.publisherOxford University Press (OUP). The Journal's web site is located at http://ofid.oxfordjournals.org/-
dc.relation.ispartofOpen Forum Infectious Diseases-
dc.relation.ispartofIDWeek 2017-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.titleAntibiotic use among future health professionals: A multicentre cross sectional study of Chinese medical student-
dc.typeConference_Paper-
dc.identifier.emailHu, YJ: jesshu17@hku.hk-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1093/ofid/ofx163.559-
dc.identifier.pmcidPMC5632178-
dc.identifier.hkuros273760-
dc.identifier.volume4-
dc.identifier.issueSuppl. 1-
dc.identifier.spageS257-
dc.identifier.epageS257-
dc.publisher.placeUnited Kingdom-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats