中国药房2026，Vol.37Issue(6)：700-707,8.DOI:10.6039/j.issn.1001-0408.2026.06.02
不同区域视角下我国居民过期药品回收行为研究
Expired medicine recycling behavior among Chinese residents across regional divisions
摘要
Abstract
OBJECTIVE To analyze the characteristics and influencing factors of disposal behavior of expired medicines among Chinese residents across regional divisions,and to provide references for regional classification management and precise policy implementation regarding expired medicines.METHODS A stratified random sampling method was employed to conduct a questionnaire survey among residents across sample provinces and cities,utilizing a combination of online and offline approaches.Binary Logistic regression analysis was used to systematically explore the regional(eastern,central and western regions)and urban-rural disparities in the recycling of expired medicines among Chinese residents,identify the core driving factors influencing standardized disposal behaviors,and propose corresponding recommendations.RESULTS A total of 2 200 questionnaires were collected,with 2 159 deemed valid,yielding an effective response rate of 98.1%.The surveyed residents commonly stored medicines at home(67.7%),yet the rate of regular medicine clearance was low(only 57.7%).Nearly half of the residents(49.7%)had expired medicines in their households,with improper disposal of expired medicines remaining the predominant behavior.Insufficient convenience in recycling was identified as the primary reason for improper disposal of expired medicines(50.1%).Statistically significant differences were observed between residents in the eastern,central and western regions,as well as between urban and rural residents,in terms of household medicine storage rates and the prevalence of expired medicine possession(P＜0.05).However,no statistically significant difference was found in the standardized disposal rates across regional divisions(P＞0.05).Furthermore,the residents demonstrated a higher level of awareness regarding the health hazards of expired medicines compared to their awareness of environmental hazards,with 46.0%and 32.1%indicating they were"relatively familiar"and"very familiar",respectively.The participation rate in standardized recycling was only 37.6%.Among non-participating residents,the three primary barriers were"recycling points being too far away"(46.6%),"unawareness of recycling channels"(46.1%)and"lack of incentives"(48.1%).The surveyed residents showed relatively high trust in pharmaceutical regulatory authorities and on-site recycling personnel,with"high trust"accounting for 31.2%and 34.7%,respectively.Binary Logistic regression analysis results indicated that the awareness of environmental hazards and the accessibility of recycling points were the core driving factors for proper disposal.CONCLUSIONS Significant issues exist in the recycling of expired medicines among Chinese residents,characterized by"improper behavior,cognitive bias,and unbalanced system".It is recommended to construct a tiered recycling network focusing on"quality improvement in the eastern region,expansion in the central region,and basic coverage in the western region",implement targeted educational campaigns and differentiated incentive policies.Moreover,the specific needs of groups such as the elderly should be addressed to achieve spatial equalization and service optimization of the recycling system.关键词
过期药品回收/处置行为/东中西部/城乡/区域差异/Logistic回归分析Key words
expired medicine recycling/disposal behavior/eastern,central and western regions/urban and rural/regional differences/Logistic regression analysis分类
医药卫生引用本文复制引用
李小莉,王晓慧,王金晶..不同区域视角下我国居民过期药品回收行为研究[J].中国药房,2026,37(6):700-707,8.基金项目
教育部人文社会科学研究项目(No.23YJC630096) （No.23YJC630096）
湖南省自然科学基金项目(No.2023JJ40559) （No.2023JJ40559）
