陕西省居民用药风险的知识-态度-行为调查  

Investigation on knowledge-attitude-practice of medication risks among residents in Shaanxi Province

作　　者：张维娜 刘振国 李兰芳 石晓琳 ZHANG Weina;LIU Zhenguo;LI Lanfang;SHI Xiaolin(Department of Pharmacy,Northwest Women and Children's Hospital,Xi'an Shaanxi,710061,China;Clinical Department,Affliated Hospital of Jining Medical University,Jining Shandong,272029,China)

机构地区：[1]西北妇女儿童医院药剂科,陕西西安710061 [2]济宁医学院附属医院临床学科,山东济宁272029

出　　处：《职业与健康》2024年第10期1343-1346,1351,共5页Occupation and Health

基　　金：中国药学会全国医药经济信息网科技传播创新工程(CMEI2021KPYJ00169)。

摘　　要：目的对陕西省居民用药行为现状和风险水平进行调查,探索影响居民用药风险的因素,为合理用药宣传方向提供依据。方法采用横断面研究方法,于2021年8—11月对≥19岁的陕西省常住居民进行线上、线下基本信息(包括性别、年龄、月收入、居住地、医疗保障情况、受教育程度、工作状况、职业)及知信行(knowledge-attitude-practice,KAP)问卷调查,共收集有效问卷548份,主要以女性、19~<50岁、在职城镇居民为主,采用最优尺度回归分析居民基本信息对用药KAP的影响。结果居民用药知识、态度、行为平均得分分别为(51.90±14.82)、(29.78±5.87)和(52.43±9.90)分;最优尺度回归结果表明,影响居民用药知识得分的因素有性别(重要性系数为0.057,P<0.05)、医疗保障状况(重要性系数0.073,P<0.01)、受教育程度(重要性系数为0.324,P<0.01)和职业(重要性系数为0.438,P<0.01);影响居民用药态度的因素有医疗保障情况(重要性系数0.080,P<0.01)和职业(重要性系数为0.689,P<0.001);影响居民用药行为的因素有性别(重要性系数为0.218,P<0.01)、医疗保障状况(重要性系数为0.178,P<0.01)、工作状况(重要性系数为0.069,P<0.05)和职业(重要性系数为0.415,P<0.01)。结论通过对陕西省居民用药风险的KAP调查分析发现,居民平均用药知识和行为风险较低,但是居民对用药教育活动的态度不够积极。需重点关注男性、≥65岁、在读学生、自费医疗、受教育程度为小学人群的用药风险和用药教育。Objective To investigate the current status and risk level of drug use behavior among residents in Shaanxi Province,explore the influencing factors of drug use risks among residents,and provide a reference for promoting rational drug use.Methods A cross-sectional study was adopted to conduct an online and offline basic information(gender,age,monthly income,place of residence,medical insurance status,education level,work status,occupation,etc)and questionnaire surveys on Shaanxi permanent residents aged≥19 years old from August to November 2021.A total of 548 valid questionnaires were collected,mainly female,19-<50 years old,and employed urban residents.Optimal scale regression analysis was used to examine the impact of residents'basic information on knowledge-attitude-practice(KAP)in medication use.Results The average scores of residents on medication knowledge,attitude and practices were(51.90±14.82),(29.78±5.87)and(52.43±9.90)points,respectively.The optimal scale regression analysis results showed that factors affecting the score of medication knowledge among residents include gender(important coefficient=0.057,P<0.05),medical insurance status(important coefficient=0.073,P<0.01),education level(important coefficient=0.324,P<0.001),and occupation(important coefficient=0.438,P<0.01).Factors affecting medication attitude among residents include medical insurance status(important coefficient=0.080,P<0.01)and occupation(important coefficient=0.689,P<0.01).Factors affecting medication behavior among residents include gender(important coefficient=0.218,P<0.01),medical insurance status(important coefficient=0.178,P<0.01),work status(important coefficient=0.069,P<0.05)and occupation(important coefficient=0.415,P<0.01).Conclusion Through the KAP survey analysis of medication risks among residents in Shaanxi Province,we find that the average knowledge and behavioral risks of medication among residents are low,but their attitude towards medication education activities is not proactive enough.Special attention should b

关 键 词：居民 知识-态度-行为 用药风险 用药教育 

分 类 号：R95[医药卫生—药学]