Evidence map›Paper›PMID 31434785›Full record

ArticleBMJ open2019

Pathways of healthcare and antibiotics use following reported gastrointestinal illness: a cross-sectional study in rural Anhui, China.

Xing Rong Shen, Maomao Xie, Jing Chai, Rui Feng, Jing Cheng, Rong Liu, Paul Kadetz, DeBin Wang

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

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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

1 citing paper in PubMed.

  1. 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

8 authors.

Xing Rong ShenSchool of Health Service Management, Anhui Medical University, Hefei, China.
Maomao XieSchool of Health Service Management, Anhui Medical University, Hefei, China.
Jing ChaiSchool of Health Service Management, Anhui Medical University, Hefei, China.ORCID 0000-0003-3770-2279
Rui FengDepartment of Literature Review and Analysis, Anhui Medical University, Hefei, China.
Jing ChengSchool of Health Service Management, Anhui Medical University, Hefei, China.
Rong LiuSchool of Health Service Management, Anhui Medical University, Hefei, China.
Paul KadetzChina Centre for Health and Humanity, University College London, London, UK.
DeBin WangSchool of Health Service Management, Anhui Medical University, Hefei, China dbwang@vip.sina.com.ORCID 0000-0002-9708-9659

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo document the factors, and their pathways, that influence healthcare and antibiotics use following reported gastrointestinal illnesses in Anhui province, China. STUDY

designThis study uses cross-sectional design, descriptive statistical analysis, pathway mapping and multivariate logistic regression modelling.

settingHouseholds in 12 villages in Anhui province, China.

participantsA total of 3659 residents who: (1) held a registered rural residence and were actually living in the sampled villages when this study was conducted; (2) were aged 18 years and older and (3) were willing to participate and able to answer the survey questions. OUTCOME MEASURES: Planned and measured variables included the occurrence of gastrointestinal illness, professional care seeking and antibiotic use due to the illness and factors influencing these measures.

resultsOf the 3659 informants, 29.0% reported gastrointestinal illness episodes in the past year. Of these episodes, 50.2% led to professional care seeking and 65.4% of antibiotic use. Multivariate logistic modelling identifies that: (1) reported gastrointestinal illnesses were more frequent in north compared with middle (OR 0.569, 95% CI 0.472 to 0.686) and south (OR 0.588, 95% CI 0.492 to 0.702) Anhui, and were positively associated with age (B=0.123, p<0.05), knowledge concerning (B=0.248, p<0.05) and practice of (B=0.184, p<0.05) prevention; (2) seeking professional care and antibiotic use following the illness was linked to the severity of symptoms and geographical locations, rather than to specific pathogenic features.

conclusionsReported gastrointestinal illnesses are quite prevalent in the sample population and a large proportion of these have resulted in professional care and antibiotics use. The factors associated with the reported illnesses and pathways of healthcare and antibiotic use, as identified in this study, should inform future research and intervention efforts.

Indexed as

AdultAgedAnti-Bacterial AgentsChinaCommunity Health ServicesCross-Sectional StudiesFemaleGastrointestinal AgentsGastrointestinal DiseasesHumansMaleMiddle AgedPatient Acceptance of Health CareRural PopulationAnti-Bacterial AgentsGastrointestinal Agentsantibioticsgastrointestinal illnessesmultivariate logistic regression modelprimary care

Identifiers

PMID31434785
PMCPMC6707665

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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.