Knowledge, social influences, perceived risks and benefits, and cultural values explain the public's decisions related to prudent antibiotic use

Type
01A - Journal article
Editors
Editor (Corporation)
Supervisor
Parent work
Risk Analysis
Special issue
DOI of the original publication
Link
Series
Series number
Volume
42
Issue / Number
7
Pages / Duration
1488-1503
Patent number
Publisher / Publishing institution
Wiley
Place of publication / Event location
Edition
Version
Programming language
Assignee
Practice partner / Client
Abstract
People should use antibiotics (AB) prudently to mitigate antibiotic resistance (ABR). Previous studies—and, subsequently, interventions—on ABR have focused mainly on improving public awareness and knowledge. We investigated a comprehensive theory-based explanatory model to understand the public's decision making regarding prudent AB use, based on, among others, the theory of planned behavior. In a cross-sectional online survey, the psychological determinants of people's decisions about prudent AB use were examined in a sample of 1,228 Swiss adults. The questionnaire assessed respondents’ demand for AB, willingness to adopt measures that prevent the need for AB, perceived risks of ABR, perceived benefits of AB, attitudes and social influences regarding AB, knowledge of AB and ABR, and cultural values. Mokken scale analysis revealed three types of knowledge: knowledge of the functioning of AB, of ABR, and of preventive measures. Structural equation modeling indicated that respondents’ demand for AB was mostly predicted by social influences, perceived benefits of AB, and knowledge of AB functioning. Willingness to prevent AB use was mainly related to conservative values, perceived risks of ABR, negative attitudes toward AB, and knowledge of preventive measures. Our study suggests that the provision of information about AB and preventive measures is a first step toward changing people's decisions related to prudent AB use. Future interventions that additionally utilize cultural values to convey important messages and target additional factors, such as social influences, the risks of ABR, and the benefits of cautious AB use, can be more successful in promoting prudent AB use.
Keywords
Antibiotikaresistenzen, Einstellung, Wissen
Subject (DDC)
360 - Soziale Probleme, Sozialdienste, Versicherungen
Project
Event
Exhibition start date
Exhibition end date
Conference start date
Conference end date
Date of the last check
ISBN
ISSN
1573-9147
1539-6924
0272-4332
Language
English
Created during FHNW affiliation
Yes
Strategic action fields FHNW
Publication status
Published
Review
Peer review of the complete publication
Open access category
Hybrid
License
'https://creativecommons.org/licenses/by-nc/4.0/'
Citation
VISSCHERS, Vivianne, Vanessa FECK und Anne HERRMANN, 2022. Knowledge, social influences, perceived risks and benefits, and cultural values explain the public’s decisions related to prudent antibiotic use. Risk Analysis. 2022. Bd. 42, Nr. 7, S. 1488–1503. DOI 10.1111/risa.13851. Verfügbar unter: https://doi.org/10.26041/fhnw-4248

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