Parents’ Knowledge, Attitudes, and Practices towards Antibiotic Use in Children with Upper Respiratory Tract Infections in Cambodia
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Abstract
Purpose: Antibiotic misuse in children with upper respiratory tract infections is a challenge in public health. The study aimed to examine the relationships among knowledge, attitudes and practices of parents regarding antibiotic use in this group of children in Cambodia; and the prediction of parents’ knowledge, attitudes, sex, education, and family income on the parents’ practices.
Design: A cross-sectional survey with correlational predictive design.
Methods: A convenience sampling was used to recruit 258 parents who brought their children under 15 years of age to receive health services at eight health centers in Kandal province, Cambodia. Interview and self-administered questionnaires were used. Data were collected from January to March 2020 and analyzed using descriptive statistics, Pearson correlation coefficient, and multiple regression.
Main findings: Significant relationships between knowledge and attitudes (r = .48, p < .001), and attitudes and practices (r = .23, p < .001) were found, except that between knowledge and practices (r = .11, p = .086). While all study factors accounted for 11% of the variance explained in the parents’ practice (R2 = .11), only three factors could significantly predict the practices; that is, attitudes (β = .24, p < .01), female parent (β = .14, p < .05), and years of education (β = - .17, p < .05).
Conclusion and recommendations: Parents’ attitudes towards antibiotic use was related to their knowledge and practices; attitudes, sex and education were the predictors of parents’ practices. Thus, public-directed programs to promote antibiotic awareness is needed. Information about rational drug use should be given in formal education system. Nurses should also pay greater attention on male parents and well-educated parents during giving advice of antibiotic use.
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