214343 Self Prescription of Antibiotics by Latin Americans in a Clinical Setting

Wednesday, November 10, 2010 : 11:30 AM - 11:50 AM

Laura Padilla, MSN, RN , Nursing, University of Nevada, Reno, Reno, NV
Bernadette M. Longo, PhD, RN , Orvis School of Nursing, University of Nevada-Reno, Reno, NV
Wei Yang, PhD, MD , School of Community Health Sciences, University of Nevada Reno, Reno, NV
Elizabeth Amos, PhD, RN , Nursing, University of Nevada, Reno, Reno, NV
Laura K. Padilla, MSN, RN, Orvis School of Nursing, University of Nevada-Reno, NV Self Prescription of Antibiotics by Latin Americans in a Clinical Setting

Background: Self prescription of antibiotics is a worldwide public health problem associated with increased microbial resistance and subsequent negative health outcomes. Latin Americans commonly practice self prescription and are the fastest growing sub-group of the United States population. The aim of this study was to provide the first prevalence estimate of self prescription by Latin Americans in northern Nevada, and identify factors associated with this cultural practice.

Methods: A self-administered, bi-lingual survey was distributed to adult participants (N = 120) at two primary clinic sites which provide immunizations to the local population. Prevalence was estimated for self-prescription of antibiotics. Effect associated with ethnicity, was estimated by logistic regression analysis adjusting the odds ratio (OR) for gender and age.

Results: This study found that 58% of Latin American participants, and 24% of non-Latin American participants practiced self-prescription of antibiotics. Alarmingly, 100% of Spanish-speaking only participants reported self prescription. There was a four-fold higher odds that Latin Americans, compared with non-Latin Americans, used antibiotics without medical prescription (adjusted OR = 4.82 [95% CI: 1.97-11.81]). Latin American participants obtained antibiotics from friends and family or bought antibiotics abroad. A lack of health insurance was the primary reason for self prescription. Amoxicillin was the most common self-prescribed antibiotic.

Conclusions: This study identified the need for primary, secondary and tertiary health prevention efforts to address antibiotic misuse within this vulnerable population. To reduce health disparities within this sub-group, it is essential that public health nurses and clinicians understand this practice and provide culturally-competent care.

Learning Areas:
Advocacy for health and health education
Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related education
Public health or related nursing
Public health or related research

Learning Objectives:
1. Each learner will be able to describe at least two causes for the self prescription of antibiotics by Latin Americans by the end of the presentation. 2. All participants will be able to name at least one health hazzard of self prescribing antibiotics by the end of the presentation. 3. By the end of the presentation, each learner will be able to discuss ways antibiotics are obtained for self prescription.

Keywords: Latin American, Antimicrobial Drugs

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract Author on the content I am responsible for because I have done the research presented and will be continuing my research as I am applying for a PhD program for fall 2010. I am currently a nurse at Renown Regional Medical Center
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.