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Knowledge, Attitudes and Practices Related to Medication, Antibiotics, and Vaccination among Public Service Population: National Survey Conducted in France.
Lvovschi, Virginie-Eve; Carrouel, Florence; du Sartz de Vigneulles, Benjamin; Lamure, Michel; Motyka, Geneviève; Fraticelli, Laurie; Dussart, Claude.
  • Lvovschi VE; Emergency Department, Rouen University Hospital, 76031 Rouen, France.
  • Carrouel F; Laboratory "Research on Healthcare Performance" (RESHAPE), INSERM U1290, Université Claude Bernard Lyon 1, 69008 Lyon, France.
  • du Sartz de Vigneulles B; Hospices Civils of Lyon, 69003 Lyon, France.
  • Lamure M; Laboratory "Health, Systemic, Process" (P2S), UR4129, University Claude Bernard Lyon 1, University of Lyon, 69008 Lyon, France.
  • Motyka G; Laboratory "Health, Systemic, Process" (P2S), UR4129, University Claude Bernard Lyon 1, University of Lyon, 69008 Lyon, France.
  • Fraticelli L; Laboratory "Health, Systemic, Process" (P2S), UR4129, University Claude Bernard Lyon 1, University of Lyon, 69008 Lyon, France.
  • Dussart C; Caisse Nationale d'Assurance Maladie, 75020 Paris, France.
Int J Environ Res Public Health ; 19(21)2022 Oct 28.
Article in English | MEDLINE | ID: covidwho-2123601
ABSTRACT
Medication, antibiotics, and immunization are three major and cost-effective medical interventions but their use is balanced. Knowledge, attitudes and practices (KAP) are a cornerstone. This retrospective study aims at analyzing KAP related to these concerns among the public service population in order to establish the basis for the implementation of selective preventive actions. From a cross-sectional anonymous online questionnaire-based survey among the insurees of a French mutual organization (Union Prévention Santé pour la Fonction publique, UROPS), 33 questions related to medication, antibiotics and vaccination were extracted to evaluate KAP. New variables were constituted levels of knowledge, antibiotic misuse, proactive behavior and vaccinophobia. Multiple correspondence analysis was performed to identify respondents' homogenous groups. In addition, bivariate statistical comparisons were provided and logistic regressions were carried out to identify determinants of these new variables. Public service population (workers and retired) were highly exposed to polymedication (8.7% vs. 24.4%, p < 0.0001), hypnotics overtake (24.3% vs. 18.4%, p < 0.0001), and misuse antibiotics (33.2% vs. 22.6%, p < 0.0001) despite good levels of knowledge. Proportions of vaccinophobia was low (0.8% vs. 1.7%, p < 0.0001). However, workers have different KAP than retired, without shared determinants in the 3 health domains studied. Respondents were proactive (85.8% vs. 81.6%, p < 0.0001), used multiple sources of trustworthy information and seems to be ready for the delegation of health tasks. Thus, preventive actions related to antibiotics and polymedication should be a priority in vaccination education for mutual organizations such as UROPS. Studying their insurees longitudinally could be interesting to highlight the impact of selective prevention on behaviors, through trusted health professionals (general practitioners, pharmacists…).
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Health Knowledge, Attitudes, Practice / Anti-Bacterial Agents Type of study: Experimental Studies / Observational study / Randomized controlled trials Topics: Vaccines Limits: Humans Language: English Year: 2022 Document Type: Article Affiliation country: Ijerph192114044

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Health Knowledge, Attitudes, Practice / Anti-Bacterial Agents Type of study: Experimental Studies / Observational study / Randomized controlled trials Topics: Vaccines Limits: Humans Language: English Year: 2022 Document Type: Article Affiliation country: Ijerph192114044