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The Role of Uncertainty and Negative Emotion in Chinese Parents’ Self-Medication of Children with Antibiotics

Author

Listed:
  • Di Pei

    (School of Public Health, Georgia State University, Atlanta, GA 30302, USA)

  • Gary Kreps

    (Department of Communication, George Mason University, Fairfax, VA 22030, USA)

  • Xiaoquan Zhao

    (Department of Communication, George Mason University, Fairfax, VA 22030, USA)

Abstract

Parents self-medicating their children with antibiotics (SMA) without consulting healthcare professionals is a common practice in China. Previous research has focused primarily on examining the socioeconomic factors that contribute to the prevalence of SMA. This study adopts and extends the theory of planned behavior to understand the cognitive and emotional factors that are associated with parental SMA in China. The responses to an online survey were collected from 961 parents of children aged 6–12 years old, primarily from Gansu, Shandong, and Shaanxi provinces. More than half of the participants (66.5%) engaged in parental SMA. Amoxicillin, Cephradine, and Azithromycin were the most frequently selected antibiotics used for children. Structural equation modeling showed that uncertainty was positively associated with negative emotions, which were in turn positively associated with attitude toward SMA. Uncertainty was also negatively associated with perceived behavioral control (PBC), but the association between PBC and SMA behavior was not significant. Attitude and subjective norm were both positively associated with SMA behavior. The relationship between subjective norm and attitude was also positive. Understanding the psychological factors driving parental SMA may inform tailored interventions to promote responsible antibiotic use among parents.

Suggested Citation

  • Di Pei & Gary Kreps & Xiaoquan Zhao, 2023. "The Role of Uncertainty and Negative Emotion in Chinese Parents’ Self-Medication of Children with Antibiotics," IJERPH, MDPI, vol. 20(16), pages 1-14, August.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:16:p:6603-:d:1220191
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    References listed on IDEAS

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    4. Bi, Peng & Tong, Shilu & Parton, Kevin A., 2000. "Family self-medication and antibiotics abuse for children and juveniles in a Chinese city," Social Science & Medicine, Elsevier, vol. 50(10), pages 1445-1450, May.
    5. Kung, James Kai-sing & Ma, Chicheng, 2014. "Can cultural norms reduce conflicts? Confucianism and peasant rebellions in Qing China," Journal of Development Economics, Elsevier, vol. 111(C), pages 132-149.
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