The public′s antibiotic use behavioural patterns and their determinants for upper respiratory tract infections: a latent class analysis based on consumer behaviour model in China

作者全名："Lin, Rujiao; Duan, Lixia; Liu, Chaojie; Wang, Dan; Zhang, Xinping; Wang, Xi; Zhang, Xinyi; Wang, Qianning; Zheng, Shuangjiang; Liu, Chenxi"

作者地址："[Lin, Rujiao; Duan, Lixia; Zhang, Xinping; Wang, Xi; Zhang, Xinyi; Wang, Qianning; Liu, Chenxi] Huazhong Univ Sci & Technol, Sch Med & Hlth Management, Tongji Med Sch, Wuhan, Hubei, Peoples R China; [Liu, Chaojie] La Trobe Univ, Sch Psychol & Publ Hlth, Melbourne, Vic, Australia; [Wang, Dan] Hubei Univ Chinese Med, Sch Management, Wuhan, Hubei, Peoples R China; [Zheng, Shuangjiang] Chongqing Med Univ, Dept Med Affairs, Affiliated Hosp 1, Chongqing, Peoples R China"

通信作者："Liu, CX (通讯作者)，Huazhong Univ Sci & Technol, Sch Med & Hlth Management, Tongji Med Sch, Wuhan, Hubei, Peoples R China.; Zheng, SJ (通讯作者)，Chongqing Med Univ, Dept Med Affairs, Affiliated Hosp 1, Chongqing, Peoples R China."

来源：FRONTIERS IN PUBLIC HEALTH

ESI学科分类：SOCIAL SCIENCES, GENERAL

WOS号：WOS:001133069800001

JCR分区：Q1

影响因子：5.2

年份：2023

卷号：11

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：antibiotic; capacity-opportunity-motivation behaviour; consumer behaviour model; upper respiratory tract infections; the public

摘要："BackgroundThe irrational use of antibiotics among the public is a major contributor to antimicrobial resistance (AMR), which is a serious global threat. Prior studies have demonstrated that there are different behavioural patterns regarding antibiotic use among the public, and targeted interventions for subgroups with different behavioural patterns may be more effective. Thus, this study aimed to identify the public ' s behavioural patterns of antibiotic use for upper respiratory tract infections (URTIs) and their influencing factors. MethodsA cross-sectional survey was conducted among the general population in Chongqing, China. Consumer decision-making (Consumer Behaviour Model, CBM) was used to assess the public's behaviours regarding antibiotic use, including need recognition, information searching, alternative evaluation, obtaining antibiotics, antibiotic consumption, and postuse evaluation. Furthermore, a latent class analysis was used to identify the underlying behavioural patterns among the public. The identified behavioural patterns of antibiotic use were further linked with individuals ' capacity, opportunity, and motivation factors of antibiotic use based on a multinominal logistic regression to explore possible determinants. ResultsA total of 815 respondents were enrolled in the study. The public ' s irrational use of antibiotics was prevalent, including antibiotic self-medication (39.63%), nonprescription antibiotic purchasing (59.02%), and early stopping of antibiotic prescriptions (76.56%). Participants had inadequate knowledge of antibiotics (Mean = 2.33, SD = 1.71), reported high availability to antibiotics (Mean = 7.13, SD = 2.41), held strong belief in antibiotic effectiveness (Mean = 10.29, SD = 2.71), and demonstrated a high perceived threat of AMR (Mean = 12.30, SD = 3.20). Four behavioural patterns regarding antibiotic use for URTIs were identified, namely, '' antibiotic self-medicators '' (n = 165, 20.25%), '' formal health care seekers '' (n = 216, 26.50%), '' various treatment users '' (n = 198, 24.20%), and '' self-medication without antibiotics '' (n = 236, 28.96%). Individuals ' self-efficacy of antibiotic use, belief in antibiotic effectiveness, awareness of antibiotic side effects, perceived antibiotic availability, social influence, and demographics (age, education, medical insurance, and having a medical background) were significantly associated with the public ' s different behavioural patterns of antibiotic use for URTIs. ConclusionThis study calls for collaborative efforts among the public, physicians, policy makers, and the implementation of precise and multifaceted interventions to effectively reduce irrational use of antibiotics in the public. Such interventions include identifying subgroups within the public to provide more targeted education about antibiotics and the management of URTIs, reinforcing the regulation of antibiotic dispensing, and improving physicians ' rational antibiotic prescriptions."

基金机构：National Natural Science Foundation of China10.13039/501100001809

基金资助正文：No Statement Available