Earticle

초록

영어

This study investigated knowledge, attitudes, and practices (KAP) regarding antibiotic use and misuse-related risk behaviors among 213 seafarers and analyzed the associated factors. The prevalence of antibiotic use during voyages was 50.7%, and misuse-related behaviors were common, including premature discontinuation of medication (64.8%), self-medication (32.4%), reuse of leftover antibiotics (35.2%), and sharing antibiotics (32.4%). The proportion of the high-risk group with P≥3 was 47.9%. Awareness of the seriousness of antibiotic use on board was low (mean score: 2.45), whereas the perceived need for education and institutional reinforcement was high (4.20 and 4.10, respectively), and 74.6% reported having received no prior education at all. In multivariable analyses, knowledge score was identified as a protective factor that reduced the likelihood of belonging to the high-risk group and engaging in self-medication, whereas prior antibiotic use during voyages was a strong predictor of high-risk status, self-medication, and premature discontinuation. We found that misuse-related antibiotic behaviors were highly prevalent among Korean seafarers, and that a higher level of knowledge functioned as a protective factor, whereas prior antibiotic use during voyages was significantly associated with high-risk status, self-medication, and premature discontinuation. Based on these findings, we suggest that standardized education, medication records, decision-making protocols, and telemedical consultation linkage systems that simultaneously target knowledge correction and behavioral implementation are needed to promote the safe use of antibiotics among seafarers.

한국어

본 연구는 선원 213명을 대상으로 항생제 사용에 대한 KAP와 오·남용 위험행태를 조사하고 관련 요인을 분석하였다. 항해 중 항생제 복용 경험은 50.7%였으며, 복약중단(64.8%), 임의복용(32.4%), 잔약 재복용(35.2%), 공유(32.4%) 등 위험행태가 높게 나타났다. P≥3 고위험군은 47.9%였다. 선박 내 항생제 사용의 심각성 인식은 낮았으나(평균 2.45점), 교육 및 제도 강화 필요성은 높았고(각각 4.20점, 4.10점), 교육 경험 '전혀 없음'이 74.6%였다. 다변량 분석에서 지식 점수는 고위험군 및 임의복용을 낮추는 보호 요인이었고, 항해 중 항생제 복용 경험은 고위험군·임의 복용·복약중단을 강하게 예측했다. 우리는 본 연구를 통해 국내 선원에서 항생제 오·남용 위험행태가 높은 수준이며, 지식 수준은 보호요인인 반면 항해 중 항생제 복용 경험은 고위험군, 임의복용, 복약중단과 유의하게 관련됨을 확인하였다. 우리는 이러한 결과를 바탕으로 선원 대상 항생제 안전사용을 위해 지식 교정과 행동 이행을 동시에 겨냥하는 표준화된 교육, 투약 기록, 의사결정 프로토콜, 원격자문 연계 체계가 필요함을 제안한다.

저자

• 한병조 [ Byung Jo HAN ]

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  The Journal of the Convergence on Culture Technology (JCCT) [문화기술의 융합]

• 간기

  격월간

• pISSN

  2384-0358

• eISSN

  2384-0366

• 수록기간

  2015~2026

• 등재여부

  KCI 등재

• 십진분류

  KDC 600 DDC 700