One Heath视角下昆明市高年级本科生抗生素认知与行为  

Knowledge and Behavior of Antibiotics from the Perspective of One Heath among Senior University Students in Kunming

作　　者：陈舒旗 赵芃 尹革芬 肖霞 李燕 CHEN Shu-qi;ZHAO Peng;YIN Ge-fen;XIAO Xia;LI Yan(School of Public Health,Kunming Medical University,Kunming Yunnan 650500;School of Animal Medicine,Yunnan Agricultural University,Kunming Yunnan 650201,China)

机构地区：[1]昆明医科大学公共卫生学院,云南昆明650500 [2]云南农业大学动物医学院,云南昆明650201

出　　处：《昆明医科大学学报》2021年第10期45-50,共6页Journal of Kunming Medical University

基　　金：美国中华医学基金会资助项目(the CMB 19-350)。

摘　　要：目的One Heath视角下探讨昆明市接受过药学或药理学专业知识培训的医学及相关专业的高年级本科生抗生素多层次认知水平与使用行为。方法2020年2月至2021年3月采用分层整群抽样法,线上调查昆明市2所高校医学、动物医学、药学及非医药学专业的1658名高年级本科生抗生素认知及使用行为,分析抗生素不同层次认知、使用行为的关系及其影响因素。结果本科生抗生素基本知识、专业知识及超级细菌知识平均正确率范围分别为88.4%、88.7%、89.7%、81.1%;40.4%、38.3%、45.8%、36.4%;62.1%、63.2%、65.7%、55.0%。医学及药学学生的抗生素基本知识和专业知识水平高于非医药学学生;医学、药学学生的抗生素专业知识水平高于动物医学学生(P<0.05)。医学、药学学生的抗生素合理使用行为得分高于动物医学及非医药学学生(P<0.05)。Logistic回归分析结果显示抗生素基本知识得分高,抗生素使用行为趋于更合理;动物医学、非医药学学生的抗生素使用行为不合理的风险约是医学生的1.7倍。结论已接受过药学或药理学专业课程教育的医药类高年级本科生的抗生素基本知识掌握尚好,但基于One Health角度的抗生素知识掌握不够全面;动物医学和非医药学学生对抗生素知识的掌握更次之;学生抗生素认知水平影响其抗生素的正确使用。Objective To explore the multi-level knowledge and behavior related antibiotics from the perspective of One Heath among senior undergraduates who have received pharmacology professional knowledge or training in Kunming.Methods From February,2020 to March,2021,a stratified cluster sampling survey was conducted among 1658 senior undergraduates majoring in medical,animal medical,pharmaceutical and nonmedical sciences from two universities in Kunming.The association between knowledge and behavior of antibiotics in different levels and its influencing factors were analyzed.Results The average accuracy probabilities for basic,professional knowledge of antibiotics,and superbug knowledge among undergraduates were 88.4%,88.7%,89.7%,81.1%;40.4%,38.3%,45.8%,36.4%and 62.1%,63.2%,65.7%,55.0%,respectively.The basic knowledge and professional knowledge of antibiotics of medical,pharmaceutical and animal medical students were higher than those of non-medical students(P<0.05).The professional knowledge level of antibiotics of medical and pharmaceutical students was higher than that of animal medical students(P<0.05).The score of antibiotic behavior of medical and pharmaceutical students was higher than that of animal medical and non-medical students(P<0.05).The Logistic regression analysis showed that senior undergraduates had the higher score of basic knowledge of antibiotics,and their behavior of antibiotic tended to be more reasonable;the probability of lower score of antibiotic behavior of animal medical and non-medical students was about 1.7 times higher than that of medical students(P<0.01).Conclusion Senior undergraduates of medical and pharmaceutical have a great command of basic knowledge of antibiotics,but the knowledge of antibiotics based on One Health perspective is not comprehensive enough,the students of animal medical and non-medical have less knowledge of antibiotics,and the students’antibiotic cognition level affects the correct use of antibiotics.

关 键 词：One Heath 抗生素 认知 行为 

分 类 号：R193[医药卫生—卫生事业管理]