ArticleGlobal health research and policy2021
Understanding parental self-medication with antibiotics among parents of different nationalities: a cross-sectional study.
Article in Global health research and policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 18 citations in OpenAlex.
- Community Pharmacists' Knowledge, Perceptions and Practices Regarding Antibiotic Use and Antimicrobial Resistance in Lusaka, Zambia.Journal of tropical medicine · 2026Article
- Analysis on the Prevalence and Practices of Antibiotic Misuse among Adult Residents of Rodriguez, Rizal: An Explanatory Sequential Mixed Methods Study.Acta medica Philippina · 2026Article
- Knowledge, Attitudes, and Practices of Iraqi Parents Regarding Antibiotic Use in Children and the Implications.Antibiotics (Basel, Switzerland) · 2025Article
- Status and implications of the knowledge, attitudes and practices towards AWaRe antibiotic use, resistance and stewardship among low- and middle-income countries.JAC-antimicrobial resistance · 2025Review
- Prevalence of inappropriate use behaviors of antibiotics and related factors among parents in eastern China: an online cross-sectional survey.Frontiers in public health · 2025Article
- Prevalence and determinants of self-medication consumption of antibiotics in adults in Iran: a population based cross-sectional study, 2019-2020.Frontiers in public health · 2024Article
- The Role of Uncertainty and Negative Emotion in Chinese Parents' Self-Medication of Children with Antibiotics.International journal of environmental research and public health · 2023Article
- Relationship between the Health Literacy and Self-Medication Behavior of Primary Health Care Clientele in the Hail Region, Saudi Arabia: Implications for Public Health.European journal of investigation in health, psychology and education · 2023Article
- Antibiotics Self Medication among Children: A Systematic Review.Antibiotics (Basel, Switzerland) · 2022Review
- Self-Medication Patterns during a Pandemic: A Qualitative Study on Romanian Mothers' Beliefs toward Self-Treatment of Their Children.Healthcare (Basel, Switzerland) · 2022Article
- Exploring knowledge and consequences of parental misuse of antibiotics for children.Porto biomedical journalArticle
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is an increasing trend on the practices of parental self-medication with antibiotics (PSMA) around world, accelerating the antibiotic abuse. This study aims to examine the nationality differences in the practices of PSMA and knowledge, attitudes and practices (KAP) toward antibiotic use, and understand the practices of PSMA among parents of various nationalities in China.
methodsA cross-sectional study based on a structured questionnaire survey was conducted in Xi'an, Shaanxi Province, China, from September 2018 to October 2018. A total of 299 respondents participated in. The practices of PSMA (a dichotomous variable) and KAP toward antibiotic use (a continuous variable) served as dependent variables. Participant's nationality was regarded as the independent variable. Binary logistic regression and ordinary least square regression were employed to examine the association between parent's nationality and the practices of PSMA, and KAP toward antibiotic use, respectively.
results121 (40.88%) Chinese, 100 (33.76%) other Asians and 75 (25.34%) Occidentals were included in final analysis, with a sample size of 296. Chinese were more likely to practice PSMA (OR = 7.070; 95% CI 1.315, 38.01), with worse knowledge (Coef. = - 0.549; 95% CI - 1.021, - 0.078), attitudes (Coef. = - 3.069; 95% CI - 4.182, - 1.956) and practices (Coef. = - 1.976; 95% CI - 3.162, - 0.790) toward antibiotic use, compared to their Occidental counterparts. The main reasons for the practices of PSMA were enough previous medication experience (80.49%) and same ailments with no need to see a doctor (39.02%), with common symptoms such as fever (60.98%) and cough (58.54%). Purchasing antibiotics at pharmacies (92.08%) and using leftover antibiotics (26.83%) were usual approaches.
conclusionsThe study highlights the gaps in the practices of PSMA and KAP toward antibiotic use among parents of different nationalities. The access to obtain antibiotics from pharmacies reflects the pharmacists' unaware of laws on prescription of antibiotics, fierce competition in the pharmacy market, and the government's lax supervision in China. It suggests the need to improve pharmacists' training, enforce current legislations on pharmacy market regarding the sale of antibiotics, and provide practical and effective educational interventions for residents about antibiotic use.
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