scholarly journals Changes in public knowledge and perceptions about antibiotic use and resistance in Jordan: a cross-sectional eight-year comparative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Suzanne Abdelmalek ◽  
Rowan AlEjielat ◽  
Walid Abu Rayyan ◽  
Nidal Qinna ◽  
Dana Darwish
Keyword(s):  
Multiple Testing ◽  
Public Awareness ◽  
Age Groups ◽  
Antibiotic Use ◽  
Public Knowledge ◽  
Snowball Sampling ◽  
Self Medication ◽  
Chi Square ◽  
Cross Sectional ◽  
Social Settings

Abstract Background Resistance to antibiotics is a growing problem, worldwide and particularly in developing countries like Jordan. Raising public awareness on appropriate antibiotic use is crucial to combat this problem. The current study describes the change in public Knowledge and attitudes towards the use of antibiotics over a period of 8 years. Methods Two cross-sectional studies were performed 8 years apart on Jordanians of different age groups, and social settings, residing in Amman, Jordan. Convenience non-probability sampling techniques were used. In 2010, a questionnaire was distributed in paper form, whereas in 2018 snowball sampling was used to disseminate an identical electronic questionnaire. Chi-square test and post hoc analysis were done using the z-test to compare column proportions, adjustment for multiple testing using the Bonferroni method. Multiple logistic regression was used to adjust for case mix for each survey. Comparisons were made across the two studies and within each study. Results A total of 711 participants in 2010 and 436 participants in 2018 were surveyed. Over the 8-year period, there was a significant improvement in the beliefs regarding the use of antibiotics such as disagreeing to keeping left over antibiotics for later use from 57 to 70% (p < 0.05) and disagreeing to buying antibiotics without physicians’ consent increased from 80 to 89% (P value < 0.001). There was no significant change in the beliefs that support self-medication such as: using antibiotics from a friend (72 to 77%) buying antibiotics without a prescription (42 to 45%), and getting information about medication use from leaflet without referring to a health care professional (60 to 63%). There were some areas of confusion regarding antibiotic range of effectiveness, and origin of resistance. Agreement about antibiotic resistance being a problem in Jordan increased significantly from 44 to 60% (p < 0.001). In addition, there was a significant increase in the percentage of participants who said that they don’t request antibiotics from physicians (56 to 75% (P ≤ 0.001) and who said they would trust physicians’ decisions about the necessity of antibiotics (70 to 83% P < 0.05). Conclusion Findings indicate the need for better suited, and more inclusive, public educational campaigns.

scholarly journals Public knowledge, attitudes and practices related to antibiotic use and resistance in Singapore: a cross-sectional population survey

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e048157
Author(s):  
Jane M Lim ◽  
Minh Cam Duong ◽  
Alex R Cook ◽  
Li Yang Hsu ◽  
Clarence C Tam
Keyword(s):  
Antibiotic Resistance ◽  
Public Awareness ◽  
Action Plan ◽  
Antibiotic Use ◽  
Cross Sectional Study ◽  
Primary Care Doctor ◽  
Public Knowledge ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices

ObjectivesThe WHO’s Global Action Plan on Antimicrobial Resistance (AMR) includes increasing overall public awareness of appropriate antibiotic use and resistance as a key priority area. We aimed to measure public knowledge, attitudes and practices of antibiotics and antibiotic resistance in Singapore, as well as their healthcare-seeking behaviours relating to respiratory illnesses, providing baseline data against which to measure the progress of future interventions.DesignA cross-sectional study.SettingThe general population in Singapore.ParticipantsBetween May and June 2019, we conducted a survey via an online panel in Singapore with 706 respondents.ResultsOur findings indicated common misconceptions surrounding antibiotic effectiveness and mechanisms of antibiotic resistance—most participants thought that resistance occurs when our bodies become resistant to antibiotics (62.5%) or when antibiotics become less powerful (48.5%). In multivariable analyses, better knowledge scores were associated with more favourable antibiotic attitudes (β=0.29; 95% CI 0.20 to 0.37). In addition, more favourable attitude scores were associated with lower odds of both expecting (OR: 0.84, 95% CI 0.72 to 0.99) and being prescribed antibiotics by a primary care doctor (OR: 0.76, 95% CI 0.63 to 0.90).ConclusionsThis study presents important information about population perceptions towards antibiotics and antibiotic resistance in Singapore. Results from this study emphasise the importance of effective public communication strategies to promote responsible antibiotic use locally and should be used to inform future implementation of programmes and activities as laid out in Singapore’s National Strategic Action Plan on AMR.

Knowledge, Perception, and Belief on Antibiotic Use in The Community of Panyabungan, Mandailing Natal District, Indonesia

2021 ◽  
pp. 6549-6554
Author(s):  
R.A. Syahputra ◽  
Khairunnisa Khairunnisa ◽  
Urip Harahap
Keyword(s):  
Significant Relationship ◽  
Bacterial Resistance ◽  
Data Retrieval ◽  
Antibiotic Use ◽  
Total Sample ◽  
Statistical Test ◽  
Bivariate Analysis ◽  
Public Knowledge ◽  
Chi Square ◽  
Cross Sectional

Antibiotics are organic compounds produced by certain microorganisms and toxic to the other microorganisms. Irrational antibiotic use can cause serious health problems, especially bacterial resistance to antibiotics. This study aimed to determine the extent of knowledge, perception and belief on antibiotic use in Panyabungankota Subdistrict Mandailing Natal District. This study used cross-sectional design, total sample 198 people taken by purposive random sampling. Research data retrieval time during December 2017. In this study the questionnare used consisted of four sections they are demographic, knowledge, perceptions and belief. Analysis of the data used are univariate and bivariate analysis with chi-square method. From the result of the research, it was found that the public knowledge regarding antibiotic use was 37.9% belongs to good category, whereas society perception regarding antibiotic use was 69.7% belong to enough category and belief regarding antibiotic use was 74.7% belong to enough category. The result of statistical test showed significant relationship among public knowledge of antibiotic use and the characteristics of sex, age, last education, and work, p<0.1. The result of statistical test showed no significant relationship among perception and belief of antibiotic use and the characteristics of sex, age, last education, and work, p>0.1. and the result showed significant relationship between knowledge and beliefs, p<0.1, the result showed no significant relationship between knowledge and perception, p>0.1. and the result showed significant relationship between perception and beliefs, p<0,1. Based on the results of this study it can be concluded, that knowledge, perceptions and belief of antibiotic use still need to be improved.

scholarly journals Assessing public awareness of clubfoot and knowledge about the importance of early childhood treatment: a cross-sectional survey

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Abdulmonem Alsiddiky ◽  
Salman Alrwibaah ◽  
Abdulrahman Alqahtani ◽  
Abdulmalek Alnujidi ◽  
Abdullah Alhomaidhi ◽  
...  
Keyword(s):  
Social Media ◽  
Early Childhood ◽  
Online Survey ◽  
Public Awareness ◽  
Age Groups ◽  
Public Knowledge ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Early Management ◽  
Awareness Campaigns

Abstract Background Clubfoot is a treatable abnormality that can be managed with early intervention. However, there is a lack of public knowledge regarding clubfoot, which can delay treatment. This study aimed to assess the public awareness of clubfoot and knowledge regarding the importance of treatment in early childhood. Methods This cross-sectional survey spanned 6 months, from June through November 2018, and involved persons living in Saudi Arabia. To collect data on public awareness of clubfoot risk factors, treatment, and prognosis, a questionnaire was developed by orthopedic experts and disseminated online. The target population included people of both genders and all age groups from the general population, regardless of their knowledge of someone with clubfoot. Results By the end of the study period, 746 participants completed the online survey. In total, 520 of the respondents (69.7%) had never heard about clubfoot syndrome. Among the participants, 5.4% had a child with clubfoot syndrome and 4.6% were aware of clubfoot because they had an affected child. The top resource accessed by respondents for obtaining knowledge about clubfoot was social media channels (38.4%), followed by obtaining knowledge from relatives and friends (19.9%). The most reported perceived cause of clubfoot was hereditary and genetic disorders (58.4%), followed by neurological disorders (39.9%). Conclusions Results show that there is low public knowledge of clubfoot which may be attributed to a lack of awareness campaigns. We recommend increasing awareness regarding clubfoot through social media platforms and public campaigns in key locations, such as malls, as this may encourage people to seek early treatment. This is important because early management of clubfoot is less invasive and with regular follow-up, leads to better patient outcomes.

scholarly journals Association between public knowledge regarding antibiotics and self-medication with antibiotics in Teling Atas Community Health Center, East Indonesia

2017 ◽  
Vol 26 (1) ◽  
pp. 62-9 ◽  
Author(s):  
Kurniawan Kurniawan ◽  
Jimmy Posangi ◽  
Nancy Rampengan
Keyword(s):  
Community Health ◽  
Health Center ◽  
Family Income ◽  
Skin Diseases ◽  
Public Awareness ◽  
Community Health Center ◽  
Antibiotic Use ◽  
Cross Sectional Study ◽  
Self Medication ◽  
Cross Sectional

Background: Self-medication with antibiotics increases the risk of resistance, which leads to higher morbidity and mortality. The community plays an important role in preventing and controlling the spread of antibiotic resistance. This study aims to determine factors associated with antibiotics self-medication practices in the community, which are the key to developing effective intervention programs.Methods: This cross-sectional study was conducted between September and October 2015 at Teling Atas Community Health Center in Wanea, a sub-district of East Indonesia region. Data was collected by a questionnaire-guided interview. There were 35 questions which cover respondent demographics, antibiotic use, and respondents’ knowledge about antibiotics. Logistic regression was used to analyze the association between self-medication with antibiotics and respondents’ level of knowledge as well as other factors.Results: Among 400 respondents, there were 240 (60%) who had used antibiotics within 6 months prior to the interview and 180 (45.0%) who had self-medicated. Wounds or skin diseases (32.2%) were main reasons for self-medication. The majority of respondents self-medicated on their own initiatives (70.6%) and purchased antibiotics in pharmacies (52.2%). The mean score for respondent knowledge about antibiotic was categorized as “moderate” (score 7.14±2.49). Respondents with lower knowledge scores had higher probabilities to self-medicate with antibiotics than those with higher scores (OR= 16.86; 95% CI= 4.25–66.83).Conclusion: Self-medication practices with antibiotics in this study are associated with age, family income, and knowledge. Since poorer knowledge about antibiotics is associated with a higher probability of self-medication with antibiotics, education programs to improve public awareness are needed.

scholarly journals Socioeconomic determinants of unmet need for outpatient healthcare services in Iran: a national cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sajad Vahedi ◽  
Amin Torabipour ◽  
Amirhossein Takian ◽  
Saeed Mohammadpur ◽  
Alireza Olyaeemanesh ◽  
...  
Keyword(s):  
Health System ◽  
Age Groups ◽  
Unmet Need ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Outpatient Services ◽  
Self Medication ◽  
Cross Sectional ◽  
Organizational Policies ◽  
Utilization Of Healthcare

Abstract Background Unmet need is a critical indicator of access to healthcare services. Despite concrete evidence about unmet need in Iran’s health system, no recent evidence of this negative outcome is available. This study aimed to measure the subjective unmet need (SUN), the factors associated with it and various reasons behind it in Iran. Methods We used the data of 13,005 respondents over the age of 15 from the Iranian Utilization of Healthcare Services Survey in 2016. SUN was defined as citizens whose needs were not sought through formal healthcare services, while they did not show a history of self-medication. The reasons for SUN were categorized into availability, accessibility, responsibility and acceptability of the health system. The multivariable logistic regression was used to determine significant predictors of SUN and associated major reasons. Results About 17% of the respondents (N = 2217) had unmet need for outpatient services. Nearly 40% of the respondents chose only accessibility, 4% selected only availability, 78% chose only responsibility, and 13% selected only acceptability as the main reasons for their unmet need. Higher outpatient needs was the only factor that significantly increased SUN, responsibility-related SUN and acceptability-related SUN. Low education was associated with higher SUN and responsibility-related SUN, while it could also reduce acceptability-related SUN. While SUN and responsibility-related SUN were prevalent among lower economic quintiles, having a complementary insurance was associated with decreased SUN and responsibility-related SUN. The people with basic insurance had lower chances to face with responsibility-related SUN, while employed individuals were at risk to experience SUN. Although the middle-aged group had higher odds to experience SUN, the responsibility-related SUN were prevalent among elderly, while higher age groups had significant chance to be exposed to acceptability-related SUN. Conclusion It seems that Iran is still suffering from unmet need for outpatient services, most of which emerges from its health system performance. The majority of the unmet health needs could be addressed through improving financial as well as organizational policies. Special attention is needed to address the unmet need among individuals with poor health status.

scholarly journals Assessing Knowledge and Perception Regarding Antimicrobial Stewardship and Antimicrobial Resistance in University Students of Pakistan: Findings and Implications

Antibiotics ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 866
Author(s):  
Iltaf Hussain ◽  
Nisa Yousaf ◽  
Sana Haider ◽  
Pervisha Jalil ◽  
Muhammad Usman Saleem ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
University Students ◽  
Antimicrobial Stewardship ◽  
Antibiotic Use ◽  
Cross Sectional Study ◽  
Dosing Regimen ◽  
Student Knowledge ◽  
Chi Square ◽  
Cross Sectional ◽  
Self Administered Questionnaire

The irrational use of antimicrobials has enormously contributed to antimicrobial resistance (AMR) globally and especially in the developing world. To assess the knowledge and perception regarding AMR and antimicrobial stewardship (AMS), a descriptive cross-sectional study was carried out in university students enrolled in pharmacy, veterinary, and biology programs by using an online self-administered questionnaire. The Chi-square and Fisher exact tests (where applicable) were performed to assess the association of the demographics with the students’ knowledge and perception regarding AMR and AMS. A total of 496 students completed the questionnaire, among which, 85.7% of the participants were familiar with the term AMR and 79.4% of the participants correctly identified a poorly designed dosing regimen as a contributing factor towards AMR. The majority of participants (57.9%) were familiar with the term AMS and 86.5% were aware of the aim of AMS. The participants showed good knowledge regarding AMR and AMS, but to further improve student knowledge and perception of AMS and AMR, it is suggested that dedicated modules on antibiotic use and AMS should be incorporated into the curricula of these undergraduate and postgraduate programs.

scholarly journals Factors associated with delay in seeking care by tuberculosis patients

2018 ◽  
Vol 71 (suppl 1) ◽  
pp. 646-651 ◽  
Author(s):  
Dândara Nayara Azevêdo Dantas ◽  
Bertha Cruz Enders ◽  
Déborah Raquel Carvalho de Oliveira ◽  
Caroline Evelin Nascimento Kluczynic Vieira ◽  
Ana Angélica Rêgo de Queiroz ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Search Time ◽  
Self Medication ◽  
Chi Square ◽  
Cross Sectional ◽  
Tuberculosis Patients ◽  
A Value ◽  
Primary Health ◽  
Behavioral Variables

ABSTRACT Objective: To identify social, clinical and behavioral factors of tuberculosis patients that are associated with delay in the search for primary health care. Method: This is a cross-sectional, quantitative study conducted with 56 people on treatment for pulmonary tuberculosis in the city of Natal, in the state of Rio Grande do Norte, Brazil. The data were collected through a structured instrument. The Chi-square and Fisher tests were applied to test the association between independent and dependent variables (search time). A value of p <0.05 was set as statistically significant. Results: No social or clinical variables were statistically associated with patient delays in the search for primary health care. Among the behavioral variables, self-medication and the first health service sought had a statistically significant association with the time for seeking care (p = 0.020, and p = 0.033, respectively). Conclusion: Self-medication contributes to the delay in the search for primary health care by tuberculosis patients.

The influence of varying maxillary central incisor vertical dimension on perceived smile aesthetics

2019 ◽  
Vol 46 (2) ◽  
pp. 137-142
Author(s):  
Elis Janaina Lira dos Santos ◽  
Alana Moura Xavier Dantas ◽  
Raíssa Marçal Vilela ◽  
Karina Jerônimo Rodrigues Santiago de Lima ◽  
Rejane Targino Soares Beltrão
Keyword(s):  
Age Groups ◽  
Educational Background ◽  
Cross Sectional Study ◽  
Central Incisor ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Maxillary Central Incisor ◽  
Significant Difference ◽  
Chi Square Test

Objective: To evaluate patient perception of the smile focused on analysis of the upper incisors. Design: Cross-sectional study. Setting: Department of Clinical and Social Dentistry at Federal University of Paraíba, João Pessoa, Brazil. Participants: The sample consisted of 135 individuals (73 women and 62 men). Methods: Images with different characteristics associated with the incisal edges were shown at random and analysed using a Likert scale. Data were analysed using the Chi-square test or Fisher’s exact test with a statistically significant difference ( P < 0.05). Results: Smile I (difference of 1.5 mm in relation to the central incisor and lateral) was considered the most aesthetic, while Smile III (no difference in height between the central and lateral incisors) was the least aesthetic. A significant difference was found between perception of smile II (difference of 1 mm in relation to the central incisor and lateral) and age groups ( P < 0.005), with 31% (n = 13) of individuals aged 45–64 years considering smile II as not pleasant, 4.4% (n = 2) aged 15–24 years and 8.3% (n=4) aged 25–44 years and 4.4% (n = 2) aged 15–24 years considering the same. A significant difference was also found in relation to educational background of the assessor and smile perception, with smile III ( P = 0.0441) and smile IV ( P = 0.0053) considered the most aesthetic ( P = 0.0116). Conclusion: The smile considered most attractive among the sample was that with 1.5 mm steepness between the central and lateral incisors, while a flat smile arc was considered least attractive.

scholarly journals Cross-sectional study on the role of public awareness in preventing the spread of COVID-19 outbreak in India

2020 ◽  
pp. postgradmedj-2020-138349
Author(s):  
Manish Kaushik ◽  
Divya Agarwal ◽  
Anil K Gupta
Keyword(s):  
Public Awareness ◽  
Age Groups ◽  
Preventive Measure ◽  
Cross Sectional Study ◽  
Indian Society ◽  
Personal Hygiene ◽  
Economic Activities ◽  
Cross Sectional ◽  
Social Distancing ◽  
Hygiene Measures

Background WHO has recommended personal hygiene (respiratory hygiene, using face masks, washing hands with warm water and soap, use of alcohol-based hand sanitizers, avoid touching mouth, eyes & nose, cleanliness), social distancing and careful handling of purchased products as an effective preventive measure for COVID-19 disease. The growing pandemic of COVID-19 disease requires social distancing and personal hygiene measures to protect public health. But this message is not clear and well understood among people. The aim of this study is to determine the awareness, knowledge and attitude about COVID-19 and relate the behaviour of Indian society, especially when the country is restarting all its economic activities, after the complete lockdown. Method The present paper is based on an extensive survey among 21 406 adult participants of various sections of Indian society with different age groups between 18 and 80 years to introspect the level of public awareness with respect to cause, spread, prevention and treatment of disease caused by spread of COVID-19 viral outbreak, which will be automatically reflected in the societal behavioural response of rigorous precautionary measures. Conclusions There is a need to extend the knowledge base among individuals to enhance their active participation in the prevention mechanisms with respect to the spread of the pandemic. There is a need to elaborate the Indian socio-cultural aspects, so that society starts appreciating and voluntarily following social distancing. This should improve the adaptability of people with livelihood resilience to let them protect themselves not only from the present pandemic but also from all other unforeseen infections, and to provide care to patients.

scholarly journals Hubungan Motivasi dengan Perilaku Swamedikasi

2019 ◽  
Vol 1 (1) ◽  
pp. 21-32
Author(s):  
Erina Efayanti ◽  
Tri Susilowati ◽  
Ida Nur Imamah
Keyword(s):  
Univariate Analysis ◽  
Medical Doctor ◽  
Bivariate Analysis ◽  
Self Medication ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
High Motivation ◽  
Quota Sampling ◽  
Relationship Of

Swamedikasi adalah upaya pengobatan diri sendiri, biasanya dilakukan untuk mengatasi penyakit ringan, seperti demam, nyeri, pusing, batuk, influenza, diare, penyakit kulit. Badan Pusat Statistik  mengatakan bahwa masyarakat Indonesia yang melakukan swamedikasi sebesar 72,44%. Penelitian bertujuan untuk mengetahui hubungan motivasi dengan perilaku swamedikasi di Apotek Suganda Tangen Sragen. Penelitian analitik dengan rancangan penelitian cross sectional. Pengambilan sampel menggunakan tekhnik quota sampling dengan jumlah 90 responden, dengan subjek penelitian ini adalah pembeli yang membeli obat tanpa menggunakan resep dari dokter di Apotek Suganda Tangen Sragen, sedangkan instrument penelitian ini menggunakan kuesioner, analisa bivariate menggunakan uji Chi Square dengan taraf signifikasi (0,05). Hasil analisa univariate sebagian besar responden memiliki motivasi yang tinggi sebanyak 42 responden(46,7%), perilaku swamedikasi menunjukkan sebagian besar responden memiliki perilaku yang baik sebanyak 38 responden (42,2%). Hasil analisa bivariate menunjukkan nilai Exact Sig. (2-sided) (0,000) < 0,05. Terdapat hubungan motivasi dengan perilaku swamedikasi di Apotek Suganda Tangen Sragen.   Kata kunci : motivasi, perilaku, swamedikasi   RELATIONSHIP OF MOTIVATION WITH THE BEHAVIOR OF SELF MEDICATION                                                                   ABSTRACT Self-medication is an attempt self-medication, usually done to cope with minor illnesses, such as fever, pain, dizziness, cough, influenza, diarrhea, skin diseases.The Central Statistics Agency said that the Indonesian people who self-medication were 72,44%. The purpose of relationship of motivation with the behavior of self-medicationat theSugandaPharmacy Tangen Sragen.  Analytical research with cross sectional research design. Sampling using the dwarf quota sampling with a population of 90 respondents, with the subject of the research is the buyer who bought drugs without the use of a prescription from a Medical Doctor at theSuganda Pharmacy Tangen Sragen, while this research instrument using bivariate analysis questionnaires, using test Chi Square with the significance level (0.05). The results of the univariate analysis most respondents have a high motivation as much as 42 respondents (46,7%), behavioural self-medication showed most respondents have good behavior as much as 38 respondents (42.2%). Bivariate analysis results show the Exact value of the Sig (2-sided) (0.000) < 0.05. There is a relationship of motivation with the behavior of self-medicationat theSuganda Pharmacy Tangen Sragen.   Keywords: motivation, behavior, self-medication

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