ArticleBMJ open2017
Attitudes and behaviours of adolescents towards antibiotics and self-care for respiratory tract infections: a qualitative study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- Physicians', pharmacists', and nurses' education of patients about antibiotic use and antimicrobial resistance in primary care settings: a qualitative systematic literature review.Frontiers in antibiotics · 2024Pooled it
- Comic-Based Educational Intervention Enhances Antimicrobial Resistance Knowledge and Perceptions Among Adolescents in Ghana.Antibiotics (Basel, Switzerland) · 2026Article
- Antimicrobial resistance and One Health in the high school biology curriculum.Journal of microbiology & biology education · 2025Article
- Knowledge, attitudes, and practices on antibiotic use and resistance among adolescents and young people in Sierra Leone: a cross-sectional study.BMC public health · 2025Article
- The public's irrational use of antibiotics for upper respiratory tract infections: a cross-sectional study based on the health belief model.Scientific reports · 2025Observational
- Exploring Knowledge, Attitudes, and Behaviors Toward Antibiotics Use Among Adolescents in Southern Italy.Microorganisms · 2025Article
- Knowledge, Attitudes, Motivations, Expectations, and Systemic Factors Regarding Antimicrobial Use Amongst Community Members Seeking Care at the Primary Healthcare Level: A Scoping Review.Antibiotics (Basel, Switzerland) · 2025Review
- Factors contributing to antibiotic misuse among parents of school-going children in Dhaka City, Bangladesh.Scientific reports · 2024Article
- Understanding patient demand for and use of antibiotics for upper respiratory tract infection: A qualitative application of the Necessity-Concerns Framework in Saudi Arabia.Frontiers in pharmacology · 2024Article
- Healthcare commissioners' experience with antibiotic resistance during the COVID-19 pandemic in Saudi Arabia: a qualitative study.Journal of pharmaceutical policy and practice · 2024Article
- What influences parental decisions about antibiotic use with their children: A qualitative study in rural Australia.PloS one · 2023Article
- Perspectives of Immigrants and Native Dutch on Antibiotic Use: A Qualitative Study.Antibiotics (Basel, Switzerland) · 2022Article
- Providing antibiotics to immigrants: a qualitative study of general practitioners' and pharmacists' experiences.BMC primary care · 2022Article
- Knowledge and attitudes of adolescents towards the human microbiome and antibiotic resistance: a qualitative study.JAC-antimicrobial resistance · 2021Article
- Assessing the Effects of Basic Medical Science Courses on the Knowledge and Attitude towards Antibiotic Usage among Pre-Professional Students in Saudi Arabia.Pharmacy (Basel, Switzerland) · 2021Article
- Adherence and the Moral Construction of the Self: A Narrative Analysis of Anticoagulant Medication.Qualitative health research · 2020Article
- Understanding determinants of patients' decisions to attend their family physician and to take antibiotics for upper respiratory tract infections: a qualitative descriptive study.BMC family practice · 2020Article
- Teacher and Student Views on the Feasibility of Peer to Peer Education as a Model to Educate 16-18 Year Olds on Prudent Antibiotic Use-A Qualitative Study.Antibiotics (Basel, Switzerland) · 2020Article
- Peer-Education as a Tool to Educate on Antibiotics, Resistance and Use in 16-18-Year-Olds: A Feasibility Study.Antibiotics (Basel, Switzerland) · 2020Article
- Prevalence, attitude and practice of self-medication among adolescents and the paradigm of dysmenorrhea self-care management in different countries.Acta bio-medica : Atenei Parmensis · 2020Review
Corrections and comments
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Authors and funding
12 authors at 6 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo understand attitudes and behaviours of adolescents towards antibiotics, antimicrobial resistance and respiratory tract infections.
designQualitative approach informed by the Theory of Planned Behaviour. Semi-structured interviews and focus groups were undertaken. We aimed to inform the development of an intervention in an international setting to improve antibiotic use among adolescents; therefore on completion of thematic analysis, findings were triangulated with qualitative data from similar studies in France, Saudi Arabia and Cyprus to elucidate differences in the behaviour change model and adaptation to diverse contexts.
setting7 educational establishments from the south of England.
participants53 adolescents (16-18 years) participated in seven focus groups and 21 participated in interviews.
resultsMost participants had taken antibiotics and likened them to other common medications such as painkillers; they reported that their peers treat antibiotics like a 'cure-all' and that they themselves were not interested in antibiotics as a discussion topic. They demonstrated low knowledge of the difference between viral and bacterial infections.Participants self-cared for colds and flu but believed antibiotics are required to treat other RTIs such as tonsillitis, which they perceived as more 'serious'. Past history of taking antibiotics for RTIs instilled the belief that antibiotics were required for future RTIs. Those who characterised themselves as 'non-science students' were less informed about antibiotics and AMR. Most participants felt that AMR was irrelevant to them and their peers. Some 'non-science' students thought resistance was a property of the body, rather than bacteria.
conclusionAddressing adolescents' misperceptions about antibiotics and the treatment of RTIs using a behaviour change intervention should help improve antibiotic awareness and may break the cycle of patient demand for antibiotics to treat RTIs amongst this group. Schools should consider educating all students in further education about antibiotic usage and AMR, not only those taking science.
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Registered trials
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