Factors Associated with Antibiotic used of Working Age Group in Chaloem Phrakiat District, Nakhon Ratchasima Province

Abstract

This cross-sectional analysis research aimed to determine the prevalence and factors associated with antibiotic use of the working-age group in Nakhon Ratchasima province. A total of 434 persons aged between 18 and 59 years old were selected by using a multistage random sampling for collecting data between March 1–April 30, 2017, and the data were collected by using an interview form. Data were analyzed using descriptive statistics including percentage, mean, standard deviation, minimum, maximum, and inferential statistics such as multiple logistic regressions. There was applied to determine the association between the independent and dependent variable and presented adjusted OR with a 95% confidence interval. The result indicated that most of the prevalence use was amoxicillin about 16.8%. they received antibiotics from public hospitals (40.0%). The most common diseases requiring antibiotics were fever, cough, sore throat (30.0 percent). When analyzed by controlling the influence of other variables, factors which were statistically significant associated with antibiotics used  were aged 41–59 years (OR_Adj = 1.99, 95% CI = 1.07–3.71, p-value = 0.030), Monthly income more than 10,000 baht (OR_Adj = 2.09, 95% CI = 1.13–3.85, p-value = 0.019), health insurance others (OR_Adj = 3.74, 95%CI = 1.31–10.67, p-value < 0.014), had high, very high level of service convenience to use the district health promoting hospitals (OR_Adj = 2.78,  95%CI = 1.23–6.26, p-value = 0.014), had high, very high level of service convenience to clinic / private hospital (OR_Adj = 3.78, 95% CI = 1.67–8.55, p-value = 0.001), and the past three-months sicked with fever, cough, sore throat (OR_Adj = 4.66, 95% CI = 2.53–8.59, p-value < 0.001). The recommendation this time was to encourage training in drug knowledge. The danger of inappropriate use of antibiotics to people, to create knowledge and understanding to use the correct and rational drug use for people in the community to change the behavior of drug use appropriately and safely in the community.