Evidence map›Paper›PMID 31088394›Full record

ArticleBMC family practice2019

Help seeking for antibiotics; is the influence of a personal social network relevant?

J Ellis, I Vassilev, A Kennedy, M Moore, A Rogers

Abstract read
In one paragraph

Article in BMC family practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. A pill for every ill? Unpacking antibiotic misuse among Bangladeshi university students.International journal of qualitative studies on health and well-being · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

J EllisNIHR CLAHRC Wessex, School of Health Sciences, University of Southampton, Building 67, University Road, Southampton, SO17 1BJ, UK. J.Ellis@soton.ac.uk.ORCID 0000-0003-0068-3318
I VassilevNIHR CLAHRC Wessex, School of Health Sciences, University of Southampton, Building 67, University Road, Southampton, SO17 1BJ, UK.
A KennedyNIHR CLAHRC Wessex, School of Health Sciences, University of Southampton, Building 67, University Road, Southampton, SO17 1BJ, UK.
M MooreNIHR CLAHRC Wessex, Primary Care and Population Science, Aldermoor Health Centre, Aldermoor Close, Southampton, SO16 5ST, UK.
A RogersNIHR CLAHRC Wessex, School of Health Sciences, University of Southampton, Building 67, University Road, Southampton, SO17 1BJ, UK.

Funding

Department of Health PHR/16/08/41
6 · The paper itself

Abstract

backgroundHealth policy focuses on reducing antibiotic prescribing that in order to succeed requires the public to hold similar attitudes towards judicious use. Social network influences on health behaviour and attitudes are well established and yet these influences are not sufficiently acknowledged in the UK's antibiotic stewardship programmes. Therefore, the aim of this study was to evaluate individuals' attitudes and behaviours towards antibiotics and also identify the social network influences on these in the process of help seeking for self-limiting illnesses.

methodsFrom a social network approach the methods used were a personal community mapping exercise which was carried out ahead of a semi-structured interview. A purposive sample was drawn from across the Wessex region and participants were recruited via GP practices and pharmacists. In total 14 adults, and 10 parents of children, who had received a prescription for antibiotics for a self-limiting illness within the 3 months preceding the interview were recruited and interviewed.

resultsThree network types were identified; diverse, family and friend and restricted. The type of network an individual has appears to have an influence on antibiotic attitudes and behaviours. Most notably, the more diverse a network the more likely the individual will delay in help seeking from healthcare professionals as they draw upon self-care strategies advised by network members. The role of the GP varies according to network type too. Individuals' with diverse networks draw upon GP network members to provide clarity and certainty following a period of self-care. People with restricted networks are more reliant upon the GP, seek help quicker and also more likely to prioritise the GPs advice over other sources of information.

conclusionThe understanding a social network approach brings to help seeking behaviour for antibiotics could help practitioners modify their consultation approach to mitigate some uncertainties and perceptions around prescribing behaviour.

Indexed as

Attitude to HealthHelp-Seeking BehaviorSocial NetworkingAdolescentAdultAgedAged, 80 and overAnti-Bacterial AgentsAntimicrobial StewardshipChildChild, PreschoolFemaleHumansInfantInfant, NewbornMaleAnti-Bacterial AgentsAntibioticAntimicrobialPrimary careSocial networkSocial support

Identifiers

PMID31088394
PMCPMC6518744

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.