Study On The Attack,Response And Prognosis Of Acute Upper Respiratory Tract Infection Among Residents In Rural Anhui Province,China

Objectives 1.To study the coping style of rural residents after acute upper respiratory infection and the prognosis of the disease.To analyze the attack of acute upper respiratory tract infections and the influencing factors of patients coping style and their returnees.2.To understand the knowledge,attitude and behavior of antibacterial drugs in rural residents,and to analyze the usage and influencing factors of antimicrobial agents.To provide clues for rational used of antimicrobial agents.Methods 1.Used cluster random sampling method to randomly selected 3000respondents and through the self-made structured questionnaire investigated qualified objects.2.Used EPIDATA3.1 software to double input data.3.To establish a decision tree model of the coping style and prognosis of acute upper respiratory tract infections,and to calculate the expected value of the model;Statistical analysis of data was performed with SPSS19.0 software.It mainly includes:a.To described the social demographic characteristics of the respondents（including gender,age and cultural level）.b.To analyzed the influencing factors of acute upper respiratory tract infection through Logistics regression analysis.c.To analyze the influencing factors of coping modes of acute upper respiratory infection by chi-square test;d.The Rank sum test of two independent samples（multiple independent samples）were used to analyze the influence factors of acute upper respiratory infection;e.To analyze the knowledge,attitude and behavior of antibacterial drugs in rural residents in Anhui province through t-test,variance analysis and chi-square test;f.To analyze the influencing factors of the use of antibiotics in rural residents of Anhui province through variance analysis and logistic regression analysis.Results 1)a total of 2620 valid questionnaires were obtained.2)the results of the multivariate logistic regression analysis of acute upper respiratory tract infection showed that the OR value of age was 1.133,95%CI:1.91-1.410,and compared with north of Anhui,the OR value of middle of Anhui is 1.594,95%CI:1.244-2.042;the OR value of south of Anhui is 1.468,95%CI:1.154-1.868,and compared with the do not stay up late,the OR value of the often stay up late is 1.647,95%CI:1.200-2.259,and compared with the group whose score of upper sense prevention knowledge equal to zero group,the OR value of the group whose score equal to two is 0.984,95%CI:0.499-0.938;the OR value of the group whose score is equal or more than three is 0.572,95%CI:0.346-0.946.3)There are 6 main coping styles of patients with acute upper respiratory tract infection,and the total number of patients who choose d₁（without any measures）were 224（11.2%）.The total number of patients who choose d₂（self-care）were 191（9.6%）.The total number of patients who choose d₃（pharmacy purchase/home residues）were 486（24.4%）.The total number of patients who choose d₄（see the doctor only）were 923（46.3%）.The total number of patients who choose d₅（pharmacy purchase/home leftover medicine,followed by doctor）were 101（5.1%）.The total number of patients who choose d₆（see the doctor first,then the pharmacy/the leftover medicine at home）were 70（3.5%）.4.The expected value of d₁ equal to 7.67;The expected value of d₂ equal to 6.96;The expected value of d₃ equal to 6.62;The expected value of d₄ equal to 6.26;The expected value of d₅ equal to 5.70;The expected value of d₆ equal to 5.98.5.The different of age,educational background,area and doctor will or will not give patients more drugs between 6 different ways of coping were statistically significance.6.The differences of age,education degree and coping style between the groups of symptom dimension,course dimension and self-evaluation dimension were statistically significance.7.The scores of knowledge of antibacterial drugs were statistically significant between age group,education group and regional group.8.The percentage of respondents who asked doctors to prescribe antibacterial drugs was 26.0%.If doctor tells you that your disease do not need medicine,then the proportion of respondents who leave the clinic were 68.8%.10.The results of multivariate logistic regression analysis showed that compared with<40 years group,the OR value of the 51-60 years group was 1.603 and 95%CI is 1.005-2.557,and compared with southern Anhui,the OR value of middle of Anhui is 1.762 and 95%CI was 1.234-2.514.Conclusions 1.Age,middle of Anhui and south of Anhui and often staying up late are the risk factors for acute upper respiratory infections.Higher sense of prevention knowledge score,more daily consumption of fresh vegetables and more daily brushing were the possible protective factors for acute upper respiratory infections.2.Rural residents who do not take any measures after acute upper respiratory infections may obtain better results.3.The groups of age,education,area and doctor will or will not give the patient more medicine may be the influencing factors of the coping models of acute upper respiratory infection.4.The groups of age,education and coping style may be the influencing factors of the prognosis of acute upper respiratory tract infection of rural residents.5.The groups of age and antibacterial drug related knowledge scores are the risk factors for the usage of antimicrobial agents,and middle of Anhui is a high-risk area for the usage of antibacterial drugs.