TABLE 2.
2013 Responses for Antibiotic Knowledge and Attitude Questions, by Insurance Type
| Acceptable Response | Commercial Insurance, n (%) | Medicaid Insurance, n (%) | P | |
|---|---|---|---|---|
| Knowledge | ||||
| 1. How often are antibiotics needed for sore throat? | Sometimes or almost never | 321 (93) | 255 (78) | <.01 |
| 2. How often are antibiotics needed for colds or flu?a | Almost never | 268 (78) | 143 (44) | <.01 |
| 3. How often are antibiotics needed for ear infection? | Almost always or sometimes | 321 (91) | 285 (85) | .01 |
| 4. How often are antibiotics needed for runny nose or green nasal discharge?a | Almost never | 181 (53) | 124 (38) | <.01 |
| 5. How often are antibiotics needed for deep cough or bronchitis?a | Almost never | 56 (16) | 49 (15) | .66 |
| 6. How often are antibiotics needed for middle ear fluid? | Sometimes or almost never | 194 (56) | 144 (44) | <.01 |
| 7. How often are antibiotics needed for strep throat? | Almost always | 290 (84) | 203 (62) | <.01 |
| 8. Are most colds caused by bacteria or viruses? | Viruses | 294 (83) | 202 (59) | <.01 |
| 9. Are antibiotics helpful in treating bacterial, viral, or both? | Bacterial | 252 (71) | 112 (33) | <.01 |
| 10. If my child does not receive an antibiotic for a cold, he or she will be sick for a longer time. | Disagree or strongly disagree | 259 (74) | 174 (52) | <.01 |
| Tendency to expect antibiotics | ||||
| 1. I will take my child to another doctor if I expect an antibiotic and don’t receive one.a | Strongly agree or agree | 32 (9) | 77 (23) | <.01 |
| 2. If I expect an antibiotic, I am less satisfied if I don’t receive one.a | Strongly agree or agree | 49 (14) | 81 (24) | <.01 |
| 3. I would rather give my child antibiotic than wait and see if he or she needed it.a | Strongly agree or agree | 22 (6) | 69 (21) | <.01 |
| High concern for antibiotic use | ||||
| 1. Decided not to give an antibiotic when it was prescribed | Yes | 15 (4) | 9 (3) | .24 |
| 2. Concerned for allergic reaction | Very concerned | 30 (9) | 59 (17) | <.01 |
| 3. Concerned for diarrhea or other side effects from antibiotics | Very concerned | 27 (8) | 52 (15) | <.01 |
| 4. Concerned for the development of antibiotic resistance in your child | Very concerned | 68 (19) | 68 (20) | .73 |
| 5. Concerned for the development of antibiotic resistance in community | Very concerned | 44 (13) | 54 (16) | .18 |
| 6. Concerned that antibiotics will affect your child’s natural ability to fight infection | Very concerned | 56 (16) | 73 (22) | .05 |
a
Explored in bivariate and multivariable modeling.