Pathways of healthcare and antibiotics use following reported gastrointestinal illness: a cross-sectional study in rural Anhui, China
| Autor: | Jing Cheng, Rui Feng, Rong Liu, Jing Chai, Xing Rong Shen, Debin Wang, Maomao Xie, Paul Kadetz |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Rural Population China Cross-sectional study medicine.drug_class Gastrointestinal Diseases Antibiotics lcsh:Medicine gastrointestinal illnesses Logistic regression antibiotics 03 medical and health sciences primary care 0302 clinical medicine Gastrointestinal Agents Intervention (counseling) Environmental health Health care Medicine Humans 030212 general & internal medicine Community Health Services Antibiotic use Aged business.industry Research lcsh:R General Medicine Middle Aged Patient Acceptance of Health Care multivariate logistic regression model Anti-Bacterial Agents Cross-Sectional Studies 030211 gastroenterology & hepatology Residence Female Health Services Research business |
| Zdroj: | BMJ Open BMJ Open, Vol 9, Iss 8 (2019) |
| ISSN: | 2044-6055 |
| Popis: | ObjectiveTo document the factors, and their pathways, that influence healthcare and antibiotics use following reported gastrointestinal illnesses in Anhui province, China.Study designThis study uses cross-sectional design, descriptive statistical analysis, pathway mapping and multivariate logistic regression modelling.SettingHouseholds in 12 villages in Anhui province, China.ParticipantsA total of 3659 residents who: (1) held a registered rural residence and were actually living in the sampled villages when this study was conducted; (2) were aged 18 years and older and (3) were willing to participate and able to answer the survey questions.Outcome measuresPlanned and measured variables included the occurrence of gastrointestinal illness, professional care seeking and antibiotic use due to the illness and factors influencing these measures.ResultsOf the 3659 informants, 29.0% reported gastrointestinal illness episodes in the past year. Of these episodes, 50.2% led to professional care seeking and 65.4% of antibiotic use. Multivariate logistic modelling identifies that: (1) reported gastrointestinal illnesses were more frequent in north compared with middle (OR 0.569, 95% CI 0.472 to 0.686) and south (OR 0.588, 95% CI 0.492 to 0.702) Anhui, and were positively associated with age (B=0.123, pConclusionsReported gastrointestinal illnesses are quite prevalent in the sample population and a large proportion of these have resulted in professional care and antibiotics use. The factors associated with the reported illnesses and pathways of healthcare and antibiotic use, as identified in this study, should inform future research and intervention efforts. |
| Databáze: | OpenAIRE |
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