Antibiotic identification, use, and self-medication for respiratory illnesses among urban Latinos

J Am Acad Nurse Pract. 2010 Sep;22(9):488-95. doi: 10.1111/j.1745-7599.2010.00539.x.

Abstract

Purpose: The purpose of this study was to describe the extent to which antibiotic and nonantibiotic medications commonly used for upper respiratory infections (URIs) were correctly identified by a sample of urban dwelling Latinas and the association of medication identification with antibiotic use and self-medication.

Data sources: One hundred women completed an interview and were asked to identify whether a list of 39 medications (17 antibiotics, 22 nonantibiotics) were antibiotics or not, whether anyone in the household had used the medication, their ages, and the source of the medication.

Results: Overall, participants correctly identified 62% of nonantibiotics and 34% of antibiotics. Seventy three (73%) women in the study reported antibiotic use by at least one member of the household in the past year. Among users, self-medication was reported in 67.2% of antibiotics for adults, but in only 2.4% of children. There was no difference in antibiotic recognition between those who self-medicated and those who did not, but antibiotic self-medication was associated with a significantly lower recognition of nonantibiotics (p= .01).

Implications for practice: Measures to improve antibiotic utilization should address self-medication and consider the cultural and social context in which antibiotic use occurs.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use*
  • Confidence Intervals
  • Cross-Sectional Studies
  • Decision Making
  • Drug Resistance, Bacterial
  • Health Knowledge, Attitudes, Practice
  • Health Status
  • Hispanic or Latino*
  • Humans
  • Interviews as Topic
  • Logistic Models
  • Multivariate Analysis
  • New York / epidemiology
  • Odds Ratio
  • Respiratory Tract Infections / drug therapy*
  • Respiratory Tract Infections / epidemiology
  • Self Medication*
  • Urban Population*

Substances

  • Anti-Bacterial Agents