The role of health literacy in boosting citizen engagement in appropriate use of antibiotics.

IF 3.1
Marta Acampora, Greta Castellini, Walter Ricciardi, Leonardo Villani, Guendalina Graffigna
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Abstract

Background: Antimicrobial resistance (AMR) represents a growing challenge to both individual and public health, driven by the excessive and inappropriate use of antibiotics. Studies emphasize a widespread lack of knowledge regarding proper antibiotic use and the mechanisms of antibiotic resistance. This study aims to explore the relationships between citizens' health engagement and attitudes towards antibiotic consumption (Hypothesis 1, Hypothesis 2) and explores the role of orientation to health literacy as a mediator of these relationships (Hypothesis 3).

Methods: Data were collected via a questionnaire administered to a representative sample of the Italian population (N = 1016). Descriptive statistics and mediation analysis, using bootstrapping with 5000 resamples to estimate indirect effects and assess statistical significance.

Results: All hypotheses were confirmed. Health engagement had a significant, positive effect on orientation to health literacy, which was positively associated with attitudes towards antibiotic consumption. Moreover, orientation to health literacy fully mediated the effect of health engagement on attitudes towards antibiotic consumption.

Conclusions: This study highlights the crucial role of health literacy in influencing attitudes towards appropriate antibiotic consumption. Public health interventions should not only encourage individuals to actively engage with their health, but also focus on improving their health literacy, including on specific topics such as AMR.

卫生知识普及在促进公民参与适当使用抗生素方面的作用。
背景:由于抗生素的过度和不当使用,抗菌素耐药性(AMR)对个人和公共卫生构成了日益严峻的挑战。研究强调普遍缺乏关于正确使用抗生素和抗生素耐药机制的知识。本研究旨在探讨公民健康参与与抗生素消费态度之间的关系(假设1,假设2),并探讨健康素养取向在这些关系中的中介作用(假设3)。方法:通过问卷调查收集数据,对意大利人口的代表性样本(N = 1016)进行调查。描述性统计和中介分析,使用5000个样本的bootstrapping来估计间接效应和评估统计显著性。结果:所有假设均得到证实。卫生参与对卫生知识普及有显著的积极影响,而卫生知识普及又与对抗生素消费的态度呈正相关。此外,健康素养取向完全介导了健康参与对抗生素消费态度的影响。结论:本研究强调了健康素养在影响适当抗生素消费态度方面的关键作用。公共卫生干预措施不仅应鼓励个人积极参与自己的健康问题,而且还应侧重于提高他们的卫生知识,包括抗菌素耐药性等具体主题。
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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