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The purpose of this study was to examine factors influencing parents’ behavior regarding antibiotic use for their school aged children. A total sample of 200 parents who were caregivers of their school age children, live in the municipal Muang Bang Sri Muang, Nonthaburi Province from May to September, 2017. The instruments of the study consisted of the personal information record for parents and school aged children, the knowledge regarding antibiotic used for children questionnaire, the influences of environment on antibiotic used for children questionnaire, and the behavior regarding antibiotic use for children questionnaire. The content validity values (IOC) of three questionnaires were .75-1, .60-1 และ .60-1 The reliability values of Kuder-Ricahardson (KR-20) and Cronbach’s alpha coefficient were .77, .75 and .83, respectively. Data were analyzed by using descriptive statistics, Pearson’s correlation coefficient and Stepwise multiple regression.
The results showed that age of children and the influence of environment could statistically predict parents’ behaviors regarding antibiotic use for children accounting for 15.4 percent of the variance (R2 = .154, F(2,197) = 17.90, p = < .001). Especially, the influence of environment was the best predictor of parents’ behaviors regarding antibiotic use for children (β = .35, t = 5.28, p = < .001)
The findings recommended that the influence of environment was the significant factor on parents’ behaviors regarding antibiotic use for children. Therefore, health care providers should find the processes for managing environment to promote parents’ behaviors regarding antibiotic use for children correctly.
Cantarero-Arevalo, L., Hallas, M. P., & Kaae, S. (2017). Parental knowledge of antibiotic use in children with respiratory infections: a systematic review. International Journal of Pharmacy Practice, 25(1), 31-49.
Chanvatik, S., Lekagul, A., Vongmongkol, V., Patcharanarumol, W., Thunyahan, A., &
Tangcharoensathien, V. (2018). Situation on antimicrobial use and knowledge on antimicrobials: A national health and welfare survey in Thailand 2017. Journal of Health Systems Research, 12(3), 420-436.
Chongtrakul, P. (2011). Rational drug use initiative and implementation (3thed.). Bangkok: Graphic and design publication. (in Thai)
Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41, 1149-1160.
Food and Drug Administration. (2016). Spontaneous reports of adverse drug reaction 2015 (pp. 8 and 11-12), Bangkok: Graphic and design publisher. (In Thai)
Khamsarn, S., Nampoonsak, Y., Busamaro, S., Tangkoskul, T., Seenama, C., Rattanaumpawan, P.,
. . . & Thamlikitkul, V. (2016). Epidemiology of antibiotic use and antimicrobial resistance
in selected communities in Thailand. Journal of the Medical Association of Thailand, 99(3), 270-275.
O’Neill., J. (2014). Antimicrobial resistance: Ttackling a crisis for the health and wealth of
nations. Review on antimicrobial resistance. Retrieved from https://amr-review.org /sites/default/files/AMR%20Review%20Paper%20-%20Tackling%20a%20crisis% 20for% 20the%20health%20and%20wealth%20of%20nations_1.pdf
Panagakou, S. G., Papaevangelou, V., Chadjipanayis, A., Syrogiannopoulos, G. A., Theodoridou, M., & Hadjichristodoulou, C. S. (2012). Risk factors of antibiotic misuse for upper respiratory tract infections in children: results from a cross-sectional knowledge-attitude-practice study in Greece. ISRN Pediatrics, 2012, 685302.
Phumart, P., Phodha, T., Thamlikitkul, V., Riewpaiboon, A., Prakongsai, P., & Limwattananon,
S. (2012). Health and economic impacts of antimicrobial resistant infections in Thailand : A preliminary study. Journal of Health Systems Research, 6(3), 352-360. (In Thai)
Porisutiwutiporn, S. & Hemchayat, M. (2014). Influencing factors of antibiotics use behavior of
clients in Khlung hospital, Chantaburi, The Journal of Prapokklao Hospital Clinical
Medical Education, 31(2), 114-127. (in Thai)
Rattanapibun, K., Kongsaktrakul, C., & Patoomwan, A. (2011). Parent participation in the care of hospitalized children. Ramathibodi Nursing Journal, 17(2), 232-247. (in Thai)
Sapsang, S., Phrompittayarat, W., Jariya, W., & Nimpitakpong, P. (2016). The effect of the
innovation of data providing combined with pictogram for antibiotic dry syrup utilization towards the understanding of parents having children with upper respiratory tract infection disease in Kongkrailas hospital, Kongrailas district, Sukhothai province. Proceedings of the national and international graduate research conference 2016 on January 15, 2016 at Pote Sarasin Building, Khon Kaen University, 587-593. (In Thai)
Saidum., S, & Pratheepawanit., N. (2009). Behavior and understanding of parents about dry
syrup antibiotic use. Thai Journal of Hospital Pharmacy, 19(suppl): S79-S89. (In Thai)
Sookphaiboon, S., Apinandacha, C., & Chaisiri, K. (2016). Antibiotics use behavior of patients
in Srangsoke, Ban Mo district. Saraburi province. Proceedings of the 3rd National Conference and Research Presentation “Toward the second decade: sustainability knowledgement on research integration” in June 17, 2016 at Nakhonratchasima College. Mueang Nakhonratchasima District, Nakhonratchasima Province. (In Thai)
Thailand’s National Strategic Plan on Antimicrobial Resistance 2017-2021. Retrieve August 21, 2018 from http://www.fda.moph.go.th/sites/drug/Shared%20Documents/AMR/04. pdf. (In Thai)
Togoobaatar, G., Ikeda, N., Ali, M., Sonomjamts, M., Dashdemberel, S., Mori, R., & Shibuya, K. (2010). Survey of non-prescribed use of antibiotics for children in an urban community in Mongolia. Bulletin of the World Health Organization, 88(12), 930-936.
Ventola, C. L. (2015). The antibiotic resistance crisis: Part 1: Causes and threats. Pharmacy and
Therapeutics, 40(4), 277–283.
Yanti, N. (2017). Factors associated to antibiotic practice among public health students in a
University, Phathum Thani. Humanities and Social Science, 7(2): 57-66.
Youngster, I., Avorn, J., Belleudi, V., Cantarutti, A., Diez-Domingo, J., Kirchmayer, U., . . . Kim, S.
C. (2017). Antibiotic use in children - A aross-national analysis of 6 countries. Journal of Pediatrics, 182, 239-244 e231.
Yu, M., Zhao, G., Stalsby Lundborg, C., Zhu, Y., Zhao, Q., & Xu, B. (2014). Knowledge, attitudes, and practices of parents in rural China on the use of antibiotics in children: a cross-sectional study. BMC Infectious Diseases, 14, 112.