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Publication - Dr Caroline Coope

    Knowledge and behaviors in relation to antibiotic use among rural residents in Anhui, China


    Cheng, J, Coope, C, Chai, J, Oliver, I, Kessel, A, Wang, D & Sun, Y, 2018, ‘Knowledge and behaviors in relation to antibiotic use among rural residents in Anhui, China’. Pharmacoepidemiology and Drug Safety, vol 27., pp. 652-659


    Objectives: To examine antibiotic-related knowledge and behaviors in rural Anhui, identify factors associated with knowledge, and explore the relationship between knowledge and antibiotic use. Methods: Cross-sectional study of a random sample of 2760 residents of rural China using structured interviews. Results: The response rate was 94.6%. A total of 2390 respondents (91.6%) believed that antibiotics can control viruses; 2007 (77.5%) respondents thought that a combination of antibiotics is more effective than a single class; and 590 (22.6%) were able to name at least one disbenefit of using antibiotics. Multivariate analysis revealed those with a higher educational level and younger age group had greater knowledge of antibiotics (OR 2.54 and 0.77, respectively). Self-medication was common with 1052 (out of 2274 responses, 46.3%) of participants use over the counter or leftover medicines for common infections. Greater knowledge was associated with buying drugs without prescription (aOR 2.02; 95% CI, 1.29–3.17) and using leftover medication (aOR 2.80; 95% CI, 1.55–5.06). Conclusion: Knowledge about antibiotics was low and reported use high. Worryingly those with greater knowledge had less desirable behaviors that highlights the urgent need for multifaceted interventions to change behavior.

    Full details in the University publications repository