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Health Education Research Advance Access originally published online on March 15, 2007
Health Education Research 2008 23(1):146-157; doi:10.1093/her/cym008
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© The Author 2007. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org

Reducing antibiotics for colds and flu: a student-taught program

Natalia Cebotarenco1 and Patricia J. Bush2,*

1 DrugInfo Moldova, Chisinau, Moldova
2 Family Medicine, Georgetown University School of Medicine, 6825 Grenadier Blvd, # 1405, Naples, FL 34108, USA

* Correspondence to: P. J. Bush. E-mail: pjbushwork{at}comcast.net

A student peer-taught program, to decrease antibiotic use for colds and flu, was developed and implemented in one school district (21 schools) in Chisinau, Moldova, in 2003–04. A second district (20 schools) served as the control (C). Students (12–13 years) and adults most responsible for the family's health care completed surveys in March pre–post intervention. The surveys determined the reported incidence of colds and flu during the past winter, treatment, beliefs about cause and usefulness of antibiotics. The intervention included peer-education sessions, parents' meetings, booklet, vignette video, newsletters, poster and poster contest. The intervention also provided basic information on appropriate use of medicines. Pre–post intervention survey results indicated that the intervention was successful. Adjusted for Cs, students who reported they did not treat colds or flu with antibiotics increased 33.7%; the comparable increase for adults was 38.0%. Adjusted for Cs, intervention students who did not know if they had used an antibiotic decreased 15.1% and for intervention adults the comparable decrease was 5.0%. All relative responses related to beliefs about the cause of colds and flu and the usefulness of antibiotics to treat them changed in a positive direction. In all groups, beliefs and behaviors relative to antibiotic use were related.

Received on July 7, 2005; accepted on January 3, 2007


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