加拿大口服抗生素使用的普遍性和相关性。

Glenys Smith, Anna-Louise Crago, Stephanie Alexandre, Denise Gravel-Tropper, Melissa Isada, Braden Knight, Jami Mackenzie, Jayson Shurgold
{"title":"加拿大口服抗生素使用的普遍性和相关性。","authors":"Glenys Smith, Anna-Louise Crago, Stephanie Alexandre, Denise Gravel-Tropper, Melissa Isada, Braden Knight, Jami Mackenzie, Jayson Shurgold","doi":"10.14745/ccdr.v50i09a04","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Antimicrobial use (AMU) is a known driver of antimicrobial resistance. Insight into prevalence and correlates of AMU can help identify health inequities and areas for targeted action. To better understand sociodemographic and medical dimensions of AMU in Canada, the Public Health Agency of Canada, in partnership with Statistics Canada, developed a Rapid Response Module questionnaire on self-reported oral antibiotic use, to be administered as part of the 2018 Canadian Community Health Survey (CCHS).</p><p><strong>Objective: </strong>To provide data on the proportion of people in Canada that self-report the use of antibiotics and sociodemographic and health factors associated with use.</p><p><strong>Methods: </strong>This cross-sectional study used data from the CCHS, a national survey of 24,176 people with a clustered multi-stage stratified random sampling design. In 2018, an antibiotic use module was administered to CCHS participants.</p><p><strong>Results: </strong>Among respondents 18 years and older, 26% reported receipt of at least one oral antibiotic over the past year. Several sociodemographic and health factors had higher adjusted odds of receiving an antibiotic prescription, including those aged 18 years compared to aged 48 years (mean), women compared to men, immigrants compared to non-immigrants (excluding Indigenous), current and former smokers compared to those who have never smoked, and those with comorbidities (asthma, chronic obstructive pulmonary disease, arthritis, heart disease, cancer, bowel disorder and urinary incontinence).</p><p><strong>Conclusion: </strong>Variations in AMU across different key populations and sociodemographic groups highlight the need to improve our understanding of different drivers of AMU and for tailored interventions to reduce inequitable risks of antimicrobial resistance.</p>","PeriodicalId":94304,"journal":{"name":"Canada communicable disease report = Releve des maladies transmissibles au Canada","volume":"50 9","pages":"312-325"},"PeriodicalIF":0.0000,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11389847/pdf/","citationCount":"0","resultStr":"{\"title\":\"Prevalence and correlates of oral antibiotic use in Canada.\",\"authors\":\"Glenys Smith, Anna-Louise Crago, Stephanie Alexandre, Denise Gravel-Tropper, Melissa Isada, Braden Knight, Jami Mackenzie, Jayson Shurgold\",\"doi\":\"10.14745/ccdr.v50i09a04\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Antimicrobial use (AMU) is a known driver of antimicrobial resistance. Insight into prevalence and correlates of AMU can help identify health inequities and areas for targeted action. To better understand sociodemographic and medical dimensions of AMU in Canada, the Public Health Agency of Canada, in partnership with Statistics Canada, developed a Rapid Response Module questionnaire on self-reported oral antibiotic use, to be administered as part of the 2018 Canadian Community Health Survey (CCHS).</p><p><strong>Objective: </strong>To provide data on the proportion of people in Canada that self-report the use of antibiotics and sociodemographic and health factors associated with use.</p><p><strong>Methods: </strong>This cross-sectional study used data from the CCHS, a national survey of 24,176 people with a clustered multi-stage stratified random sampling design. In 2018, an antibiotic use module was administered to CCHS participants.</p><p><strong>Results: </strong>Among respondents 18 years and older, 26% reported receipt of at least one oral antibiotic over the past year. Several sociodemographic and health factors had higher adjusted odds of receiving an antibiotic prescription, including those aged 18 years compared to aged 48 years (mean), women compared to men, immigrants compared to non-immigrants (excluding Indigenous), current and former smokers compared to those who have never smoked, and those with comorbidities (asthma, chronic obstructive pulmonary disease, arthritis, heart disease, cancer, bowel disorder and urinary incontinence).</p><p><strong>Conclusion: </strong>Variations in AMU across different key populations and sociodemographic groups highlight the need to improve our understanding of different drivers of AMU and for tailored interventions to reduce inequitable risks of antimicrobial resistance.</p>\",\"PeriodicalId\":94304,\"journal\":{\"name\":\"Canada communicable disease report = Releve des maladies transmissibles au Canada\",\"volume\":\"50 9\",\"pages\":\"312-325\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-09-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11389847/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Canada communicable disease report = Releve des maladies transmissibles au Canada\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.14745/ccdr.v50i09a04\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/9/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Canada communicable disease report = Releve des maladies transmissibles au Canada","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14745/ccdr.v50i09a04","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/9/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

背景:抗菌药使用(AMU)是抗菌药耐药性的一个已知驱动因素。深入了解抗菌药物使用的流行情况和相关因素有助于发现健康方面的不公平现象和需要采取针对性行动的领域。为了更好地了解加拿大抗菌药物使用的社会人口和医疗层面,加拿大公共卫生局与加拿大统计局合作开发了关于自我报告口服抗生素使用情况的快速反应模块问卷,作为2018年加拿大社区健康调查(CCHS)的一部分进行管理:提供有关加拿大自我报告使用抗生素的人口比例以及与使用抗生素相关的社会人口和健康因素的数据:这项横断面研究使用了 CCHS 的数据,CCHS 是一项针对 24176 人的全国性调查,采用聚类多阶段分层随机抽样设计。2018年,对CCHS参与者进行了抗生素使用模块的调查:在 18 岁及以上的受访者中,26% 的人表示在过去一年中至少接受过一次口服抗生素治疗。一些社会人口和健康因素导致接受抗生素处方的调整后几率更高,包括18岁与48岁(平均值)、女性与男性、移民与非移民(不包括土著居民)、目前和曾经吸烟者与从不吸烟者以及合并症患者(哮喘、慢性阻塞性肺病、关节炎、心脏病、癌症、肠道疾病和尿失禁):不同的关键人群和社会人口群体在急性疟原虫感染方面的差异突出表明,我们需要进一步了解造成急性疟原虫感染的不同因素,并采取有针对性的干预措施,以减少抗菌药耐药性的不公平风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence and correlates of oral antibiotic use in Canada.

Background: Antimicrobial use (AMU) is a known driver of antimicrobial resistance. Insight into prevalence and correlates of AMU can help identify health inequities and areas for targeted action. To better understand sociodemographic and medical dimensions of AMU in Canada, the Public Health Agency of Canada, in partnership with Statistics Canada, developed a Rapid Response Module questionnaire on self-reported oral antibiotic use, to be administered as part of the 2018 Canadian Community Health Survey (CCHS).

Objective: To provide data on the proportion of people in Canada that self-report the use of antibiotics and sociodemographic and health factors associated with use.

Methods: This cross-sectional study used data from the CCHS, a national survey of 24,176 people with a clustered multi-stage stratified random sampling design. In 2018, an antibiotic use module was administered to CCHS participants.

Results: Among respondents 18 years and older, 26% reported receipt of at least one oral antibiotic over the past year. Several sociodemographic and health factors had higher adjusted odds of receiving an antibiotic prescription, including those aged 18 years compared to aged 48 years (mean), women compared to men, immigrants compared to non-immigrants (excluding Indigenous), current and former smokers compared to those who have never smoked, and those with comorbidities (asthma, chronic obstructive pulmonary disease, arthritis, heart disease, cancer, bowel disorder and urinary incontinence).

Conclusion: Variations in AMU across different key populations and sociodemographic groups highlight the need to improve our understanding of different drivers of AMU and for tailored interventions to reduce inequitable risks of antimicrobial resistance.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信