Combating antibiotic resistance in the Latino community due to antibiotics obtained without prescription.

摘要

Problem: Various studies have shown that the use of antibiotics obtained without prescription is a behavior practiced among many Latinos in the United States. While this practice is not unique to Hispanics alone, studying this community is important because Latinos are the fastest growing minority group in America. Identifying and understanding Latinos' health practices will facilitate the implementation of culturally sensitive public health services targeted to this community. This literature review describes, compares and contrasts studies that were done to identify the factors that influence and facilitate this behavior among Latinos. This literature review also addresses public health implications associated with the misuse of antibiotics. Methods: Articles published between 2004--2011 were obtained using PubMed and Academic Research Premier databases, concerning Latinos/Hispanics. No significant articles were found addressing this practice in other immigrant cultures in United States. Articles were also obtained from references found in other studies. Results: The literature search located twelve articles, seven were survey studies, two were interventional studies, one was a literature review and two were focus group studies. Conclusion: The misuse of antibiotics obtained without prescription among Latinos in the United States is associated with the development of antibiotic resistance. The literature suggests that health care barriers, financial, cultural and educational factors all encourage and facilitate this behavior. The development of a culturally sensitive media campaign will have an effect on antibiotic self-prescription practice.