Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
권호 표지

Adolescents' Knowledge and Attitudes towards Antibiotic Use

청소년의 항생제 사용에 대한 지식과 태도

  • Kim, So-Sun (College of Nursing, Yonsei University, The Nursing Policy Research Institute, Yonsei University) ;
  • Moon, Seong-Mi (Department of Nursing, University of Ulsan) ;
  • Lee, Eun-Sook (College of Nursing, Yonsei University)
  • 김소선 (연세대학교 간호대학, 연세대학교 간호정책연구소) ;
  • 문성미 (울산대학교 간호학과) ;
  • 이은숙 (연세대학교 간호대학)
  • Received : 2009.07.10
  • Accepted : 2009.09.28
  • Published : 2009.11.30
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Abstract

Purpose: The aim of this study was to identify knowledge and attitudes on antibiotic use held by adolescents (middle and high school students) in Korea. Methods: Data were collected from a convenience sample of 651 students residing in 5 major cities in Korea. The questionnaire was developed after an extensive literature review and professional advisory meetings. Descriptive statistics, t-test, chi square test, ANOVA, and Pearson correlation coefficients with the SPSS program were used to analyze the data. Results: Respondents correctly answered 6.23 antibiotic-related questions out of 15 questions. Two thirds of the respondents knew viruses caused most colds and coughs, but 80% did not know that antibiotics do not work against viruses. High school students' attitudes towards antibiotics were somewhat negative. More middle school students than high school students asked doctors for antibiotics for a cold. High school students did not check if antibiotics were included in their prescription for a cold. There was no significant correlation between knowledge and attitudes towards antibiotic use. Conclusion: Education programs on appropriate antibiotic use need to be developed for these students. Continual reinforcement and repetition of the contents are required to change attitudes.

Keywords

References

  1. Borg, M. A., & Scicluna, E. A. (2002). Over-the-counter acquisition of antibiotics in the Maltese general population. International Journal of Antimicrobial Agents, 20(4), 253-257. https://doi.org/10.1016/S0924-8579(02)00194-2
  2. Centers for Disease Control and Prevention. (2007). Get smart: know when antibiotics work. Retrieved August 1, 2007, from http://www.cdc.gov/getsmart/
  3. Chan, G. C., & Tang, S. F. (2006). Parental knowledge, attitudes and antibiotic use for acute upper respiratory tract infection in children attending a primary healthcare clinic in Malaysia. Singapore Medical Journal, 47(4), 266-270.
  4. Crigger, N. J., Holcomb, L., Grogan, R. L., Vasquez, M., Parchment, C., Almendares, J., et al. (2004). Development of the choices and acquisition of antibiotics model from a descriptive study of a lay Honduran population. International Journal of Nursing Studies, 41(7), 745-753. https://doi.org/10.1016/j.ijnurstu.2004.03.001
  5. Emslie, M. J., & Bond, C. M. (2003). Public knowledge, attitudes and behaviour regarding antibiotics: A survey of patients in general practice. The European Journal of General Practice, 9(3), 84-90. https://doi.org/10.3109/13814780309160410
  6. Grigoryan, L., Burgerhof, J. G., Haaijer-Ruskamp, F. M., Degener, J. E., Deschepper, R., Monnet, D. L., et al. (2007). Is self-medication with antibiotics in Europe driven by prescribed use? Journal of Antimicrobial Chemotherapy, 59(1), 152-156.
  7. Gums, J. G. (2004). Redefining appropriate use of antibiotics. American Family Physician, 69(1), 35, 39-40.
  8. Haltiwanger, K. A., Hayden, G. F., Weber, T., Evans, B. A., & Possner, A. B. (2001). Antibiotic-seeking behavior in college students: What do they really expect? Journal of American College Health, 50(1), 9-13. https://doi.org/10.1080/07448480109595705
  9. Hawkings, N. J., Wood, F., & Butler, C. C. (2007). Public attitudes towards bacterial resistance: a qualitative study. Journal of Antimicrobial Chemotherapy, 59(6), 1155-1160. https://doi.org/10.1093/jac/dkm103
  10. Huang, N., Morlock, L., Lee, C. H., Chen, L. S., & Chou, Y. J. (2005). Antibiotic prescribing for children with nasopharyngitis (common colds), upper respiratory infections, and bronchitis who have health-professional parents. Pediatrics, 116(4), 826-832. https://doi.org/10.1542/peds.2004-2800
  11. Kim, J. S., Park, H. N., Cho, E. M., Park, W. M., Lee, S. H., Lee, H. S., et al. (2001). Patient knowledge of upper respiratory infections and unnecessary utilization of antibiotics. Journal of Korean Academy of Family Medicine, 22(2), 200-211.
  12. Kim, N., Kim, D. S., Jang, S., Jeong, H., Kim, C., Oh, H., et al. (2007). Analysis and evaluation of antibiotic use. Annual Report of National Antimicrobial Resistance Management Program, 4, 199-250.
  13. Korea Food & Drug Administration. (2004). Antibiotic use and related awareness of physician, pharmacist, and consumer (GOVP1200513279). Seoul.
  14. Kwon, K., Hwang, I. G., Kwak, H. S., Park, J. S., Kim, M. G., Lee, G., et al. (2006). Administration of national antimicrobial resistance experts and public campaign activities. The Annual Report of KFDA, 9, 133-134.
  15. Mangione-Smith, R., Elliott, M. N., Stivers, T., McDonald, L, Heritage, J., & McGlynn, E. A. (2004). Racial/ethnic variation in parent expectations for antibiotics: Implications for public campaigns. Pediatrics, 113(5), e385-e394. https://doi.org/10.1542/peds.113.5.e385
  16. McNulty, C. A., Boyle, P., Nichols, T., Clappison, P., & Davey, P. (2007). Don't wear me out-the public's knowledge of and attitudes to antibiotic use. Journal of Antimicrobial Chemotherapy, 59(4), 727-738. https://doi.org/10.1093/jac/dkl558
  17. Moon, J. S. (2003). A study on substance abuse, knowledge and attitude about substances in the elementary students. Journal of Korean Academy of Child Health Nursing, 9(4), 432-440.
  18. Okumura, J., Wakai, S., & Umenai, T. (2002). Drug utilization and self-medication in rural communities in Vietnam. Social Science & Medicine, 54(12), 1875-1886. https://doi.org/10.1016/S0277-9536(01)00155-1
  19. Parimi, N., Pinto Pereira, L. M., & Prabhakar, P. (2004). Caregivers' practices, knowledge and beliefs of antibiotics in pediatric upper respiratory tract infections in Trinidad and Tobago: a cross-sectional study. BMC Family Practice, 5, 1-8. https://doi.org/10.1186/1471-2296-5-1
  20. Research Institute of Bacterial Resistance (2008, February). Antimicrobial resistance newsletter, 16(1), 1. Retrieved December 1, 2008, from http://storage.iseverance.com/mu_ obj/add-file/etc-file/AR-News200802-60.pdf
  21. The Korean Nurses Association. (2008, September 24). Confirmation announcement on the course of health subject. The Korean Nurses Association News, p.4.
  22. Vanden Eng, J., Marcus, R., Hadler, J. L., Imhoff, B., Vugia, D. J., Cieslak, P. R., et al. (2003). Consumer attitudes and use of antibiotics. Emerging Infectious Diseases, 9(9), 1128-1135. https://doi.org/10.3201/eid0909.020591
  23. Weber, C. J. (2005). Update on antimicrobial resistance. Urologic Nursing, 25(1), 55-57.
  24. Woo, G., Hwang, I. G., Kwak, H. S., Ko, Y. H., Park, J. S., Kim, M. G., et al. (2005). Administration of national antimicrobial resistance experts and public campaign activities. The Annual Report of KFDA, 8, 586-588.:
  25. Woo, G., Lee, D. H., Park, S. H., Kwak, H. S., Park, J. S., Ko, Y. H., et al. (2004a). Administration of national antimicrobial resistance experts. The Annual Report of KFDA, 7, 699.
  26. Woo, G., Lee, D. H., Park, S. H., Kwak, H. S., Park, J. S., Ko, Y. H., et al. (2004b). Public campaign activities related to antimicrobial resistance. The Annual Report of KFDA, 7, 700.
  27. Wutzke, S. E., Artist, M. A., Kohoe, L. A., Fletcher, M., Mackson, J. M., & Weekes, L. M. (2007). Evaluation of a national programme to reduce inappropriate use of antibiotics for upper respiratory tract infections: Effects on consumer awareness, beliefs, attitudes and behaviour in Australia. Health Promotion International, 22(1), 53-64. https://doi.org/10.1093/heapro/dal034
  28. Yang, T. G., & Kim, C. N. (1999). High school students' knowledge and attitude on drug abuse. Journal of the Korean Society of Maternal and Child Health, 3(2), 219-232.