Abstract

Objective

To measure the association between knowledge, attitudes and practices of personal misuse of tranquilizers among parents of schoolchildren in Beirut (Lebanon).

Design

We carried out a cross-sectional study in 1396 adults recruited from parents of students of eleven public and private schools, from primary schools to high schools, using a Knowledge, Attitude and Practices (KAP) questionnaire of personal use of tranquilizers.

Main Outcome Measures

We assessed five patterns of tranquilizers’ misuse: unprescribed use, shortened treatment, stored leftovers, doubled forgotten doses or taken when remembered, changed dose without medical recommendation, and a sixth composite outcome: ‘any misuse’.

Results

Sixty-three (62.2%) of 91 parents who used tranquilizers reported at least one misuse pattern. Higher odds of ‘any misuse’ were observed among parents who reported taking tranquilizers to sleep better, to enjoy themselves with their families or to work better [2.35 ≤ adjusted interquartile odds ratio (aIqOR) ≤ 1.99]. Storing tranquilizers for future need was strongly associated with misuse [aIqOR: 5.00 (95% CI: 3.30, 7.59)]. Greater awareness about hazards of tranquilizers and the importance of therapeutic compliance was associated with lower odds of specific misuse patterns (0.50 ≤ aIqOR ≤ 0.72).

Conclusions

Poor knowledge and medically disapproved attitudes increase the likelihood of practices of tranquilizer misuse.

中文翻译：

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知识和态度与父母滥用镇静剂的关联：贝鲁特（黎巴嫩）的一项研究

摘要

客观的

衡量贝鲁特（黎巴嫩）学童家长个人滥用镇静剂的知识、态度和做法之间的关联。

设计

我们使用个人使用镇静剂的知识、态度和实践 (KAP) 问卷，对 1396 名从小学到高中的公立和私立学校的学生家长进行了横断面研究。

主要观察指标

我们评估了镇静剂滥用的五种模式：未按规定使用、缩短治疗时间、储存剩菜、加倍忘记剂量或记住时服用、在没有医疗建议的情况下改变剂量，以及第六种复合结果：“任何滥用”。

结果

91 名使用镇静剂的父母中有 63 名 (62.2%) 报告了至少一种滥用模式。在报告服用镇静剂以更好地睡眠、与家人一起享受或更好地工作的父母中观察到“任何滥用”的几率更高[2.35 ≤ 调整后的四分位比 (aIqOR) ≤ 1.99]。储存镇静剂以备将来需要与滥用密切相关 [aIqOR: 5.00 (95% CI: 3.30, 7.59)]。对镇静剂危害和治疗依从性重要性的更高认识与特定滥用模式的发生率较低（0.50 ≤ aIqOR ≤ 0.72）相关。

结论

知识不足和医学上不赞成的态度增加了滥用镇静剂的可能性。