Observational studyBMJ open2019
Antibiotic knowledge, attitudes and practices: new insights from cross-sectional rural health behaviour surveys in low-income and middle-income South-East Asia.
Observational study in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03241316 (Antibiotics and Activity Spaces), which is not on this map. Cited by 55 papers, 6 of them syntheses that pooled it.
What it found
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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.
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.
Antibiotics and Activity Spaces: An Exploratory Study of Behaviour, Marginalisation, and Knowledge Diffusion
Who cites it
55 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- One health perspective of antibiotic resistance in enterobacterales from Southeast Asia: a systematic review and meta-analysis.Scientific reports · 2025Pooled it
- Prevalence and associated factors of self-medication with antibiotics among pediatric population in India: a systematic review and meta-analysis.BMC pediatrics · 2025Pooled it
- Prevalence of knowledge, attitudes, and practices regarding antimicrobial resistance in Africa: a systematic review and meta-analysis.Frontiers in microbiology · 2024Pooled it
- Pooled it
- Storytelling as a Research Tool Used to Explore Insights and as an Intervention in Public Health: A Systematic Narrative Review.International journal of public health · 2021Pooled it
- Prevalence of multidrug-, extensive drug-, and pandrug-resistant commensalGlobal health action · 2019Pooled it
- Beyond the prescription: unraveling knowledge, attitudes, and the socio-demographic tapestry of antibiotic misuse among university students in Egypt.BMC public health · 2026Article
- Article
- Antimicrobial resistance as a multicultural challenge: a decolonized approach to science communication in the Global South.JAC-antimicrobial resistance · 2026Review
- Syndemic approach to address the burden of antimicrobial resistance in Southeast Asia.The Lancet regional health. Southeast Asia · 2026Article
- Attributable societal cost of antimicrobial resistance in Ghana: a microsimulation study focusing on sociodemographic groups.BMJ open · 2026Article
- Community engagement to support public health: mixed-method evaluation evidence on COVID-19 attitudes and practices in Lao PDR.Global health action · 2025Article
- Surveying Self-Medication Practices and Attitudes Toward Antibiotic Use Among Adults in Primary Care.Cureus · 2025Article
- Community engagement supports maternal health care attitudes and utilisation: mixed-method evaluation evidence from the CONNECT Initiative in Lao PDR.BMC health services research · 2025Article
- Stakeholder analysis for 'One Health' approach to tackle antimicrobial resistance.BMJ global health · 2025Review
- Social determinants of health and knowledge, attitude and practice studies on antimicrobial resistance-an evidence review and future direction.JAC-antimicrobial resistance · 2025Article
- Antimicrobial use for influenza-like illnesses in Nha Trang, Vietnam: a cross-sectional study.BMJ open · 2025Observational
- Microbial Food Safety and Antimicrobial Resistance in Foods: A Dual Threat to Public Health.Microorganisms · 2025Review
- Knowledge, Attitudes, and Practices of Iraqi Parents Regarding Antibiotic Use in Children and the Implications.Antibiotics (Basel, Switzerland) · 2025Article
- Status and implications of the knowledge, attitudes and practices towards AWaRe antibiotic use, resistance and stewardship among low- and middle-income countries.JAC-antimicrobial resistance · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
26 authors.
Funding
Abstract
introductionLow-income and middle-income countries (LMICs) are crucial in the global response to antimicrobial resistance (AMR), but diverse health systems, healthcare practices and cultural conceptions of medicine can complicate global education and awareness-raising campaigns. Social research can help understand LMIC contexts but remains under-represented in AMR research.
objectiveTo (1) Describe antibiotic-related knowledge, attitudes and practices of the general population in two LMICs. (2) Assess the role of antibiotic-related knowledge and attitudes on antibiotic access from different types of healthcare providers.
designObservational study: cross-sectional rural health behaviour survey, representative of the population level.
settingGeneral rural population in Chiang Rai (Thailand) and Salavan (Lao PDR), surveyed between November 2017 and May 2018.
participants2141 adult members (≥18 years) of the general rural population, representing 712 000 villagers. OUTCOME MEASURES: Antibiotic-related knowledge, attitudes and practices across sites and healthcare access channels.
findingsVillagers were aware of antibiotics (Chiang Rai: 95.7%; Salavan: 86.4%; p<0.001) and drug resistance (Chiang Rai: 74.8%; Salavan: 62.5%; p<0.001), but the usage of technical concepts for antibiotics was dwarfed by local expressions like 'anti-inflammatory medicine' in Chiang Rai (87.6%; 95% CI 84.9% to 90.0%) and
conclusionsLocally specific conceptions and counterintuitive practices around antimicrobials can complicate AMR communication efforts and entail unforeseen consequences. Overcoming 'knowledge deficits' alone will therefore be insufficient for global AMR behaviour change. We call for an expansion of behavioural AMR strategies towards 'AMR-sensitive interventions' that address context-specific upstream drivers of antimicrobial use (eg, unemployment insurance) and complement education and awareness campaigns. TRIAL REGISTRATION NUMBER: Clinicaltrials.gov identifier NCT03241316.
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Registered trials
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.