Prosocial Behaviour and Antibiotic Resistance: Evidence from a Discrete Choice Experiment.

IF 3.4 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Mirko Ancillotti, Samare P I Huls, Eva M Krockow, Jorien Veldwijk
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Abstract

Introduction: The health of a community depends on the health of its individuals; therefore, individual health behaviour can implicitly affect the health of the entire community. This is particularly evident in the case of infectious diseases. Because the level of prosociality in a community might determine the effectiveness of health programmes, prosocial behaviour may be a crucial disease-control resource. This study aimed to extend the literature on prosociality and investigate the role of altruism in antibiotic decision making.

Methods: A discrete choice experiment was conducted to assess the influence of altruism on the general public's preferences regarding antibiotic treatment options. The survey was completed by 378 Swedes. Latent class analysis models were used to estimate antibiotic treatment characteristics and preference heterogeneity. A three-class model resulted in the best model fit, and altruism significantly impacted preference heterogeneity.

Results: Our findings suggest that people with higher altruism levels had more pronounced preferences for treatment options with lower contributions to antibiotic resistance and a lower likelihood of treatment failure. Furthermore, altruism was statistically significantly associated with sex, education, and health literacy.

Conclusions: Antibiotic awareness, trust in healthcare systems, and non-discriminatory priority setting appear to be structural elements conducive to judicious and prosocial antibiotic behaviour. This study suggests that prosocial messages could help to decrease the demand for antibiotic treatments.

Abstract Image

亲社会行为与抗生素耐药性:离散选择实验的证据。
简介社区的健康取决于个人的健康;因此,个人的健康行为会潜移默化地影响整个社区的健康。这一点在传染病方面尤为明显。由于一个社区的亲社会程度可能会决定健康计划的有效性,因此亲社会行为可能是一种重要的疾病控制资源。本研究旨在扩展有关亲社会性的文献,并调查利他主义在抗生素决策中的作用:方法:研究人员进行了一项离散选择实验,以评估利他主义对公众抗生素治疗选择偏好的影响。调查由 378 名瑞典人完成。实验采用潜类分析模型来估计抗生素治疗特点和偏好异质性。三类模型的拟合效果最好,利他主义对偏好异质性有显著影响:结果:我们的研究结果表明,利他主义水平较高的人更倾向于选择抗生素耐药性较低且治疗失败可能性较低的治疗方案。此外,在统计学上,利他主义与性别、教育程度和健康素养有显著关联:结论:抗生素意识、对医疗保健系统的信任以及非歧视性的优先级设定似乎是有利于明智和亲社会抗生素行为的结构性要素。这项研究表明,亲社会信息有助于减少对抗生素治疗的需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Patient-Patient Centered Outcomes Research
Patient-Patient Centered Outcomes Research HEALTH CARE SCIENCES & SERVICES-
CiteScore
6.60
自引率
8.30%
发文量
44
审稿时长
>12 weeks
期刊介绍: The Patient provides a venue for scientifically rigorous, timely, and relevant research to promote the development, evaluation and implementation of therapies, technologies, and innovations that will enhance the patient experience. It is an international forum for research that advances and/or applies qualitative or quantitative methods to promote the generation, synthesis, or interpretation of evidence. The journal has specific interest in receiving original research, reviews and commentaries related to qualitative and mixed methods research, stated-preference methods, patient reported outcomes, and shared decision making. Advances in regulatory science, patient-focused drug development, patient-centered benefit-risk and health technology assessment will also be considered. Additional digital features (including animated abstracts, video abstracts, slide decks, audio slides, instructional videos, infographics, podcasts and animations) can be published with articles; these are designed to increase the visibility, readership and educational value of the journal’s content. In addition, articles published in The Patient may be accompanied by plain language summaries to assist readers who have some knowledge of, but not in-depth expertise in, the area to understand important medical advances. All manuscripts are subject to peer review by international experts.
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