ArticleBMJ open2021
Is health literacy associated with antibiotic use, knowledge and awareness of antimicrobial resistance among non-medical university students in Egypt? A cross-sectional study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of knowledge, attitudes, and practices regarding antimicrobial resistance in Africa: a systematic review and meta-analysis.Frontiers in microbiology · 2024Pooled it
- Beyond the prescription: unraveling knowledge, attitudes, and the socio-demographic tapestry of antibiotic misuse among university students in Egypt.BMC public health · 2026Article
- Association between health literacy and antibiotic-related knowledge, attitudes, and behaviors.BMC public health · 2026Article
- Surveying Self-Medication Practices and Attitudes Toward Antibiotic Use Among Adults in Primary Care.Cureus · 2025Article
- Health Literacy and Interventions on Antibiotics Use and AMR in Younger Generations in High-Income Countries-A Systematic Review.Antibiotics (Basel, Switzerland) · 2025Review
- Knowledge, Attitude, and Practice Towards Antibiotic Use and Resistance Among Non-Medical University Students, Riyadh, Saudi Arabia.International journal of environmental research and public health · 2025Article
- A Cross-Sectional Study Assessing Antibiotic Resistance Awareness Among University Students in Samborondón, Greater Guayaquil, Ecuador.Antibiotics (Basel, Switzerland) · 2025Article
- Prevalence of urinary tract infections and antibiotic susceptibility patterns of bacterial isolates in first-time ANC attendees at a secondary health facility in Ghana: a cross-sectional study.BMC pregnancy and childbirth · 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
- Knowledge, attitudes, and practices regarding blood exposure accidents and eHealth literacy among Tunisian medical students: a cross-sectional study.BMC medical education · 2025Article
- Pattern of antibiotic use among children caregivers: a cross-sectional study.The Journal of the Egyptian Public Health Association · 2024Article
- Article
- Health literacy and its association with antibiotic use and knowledge of antibiotic among Egyptian population: cross sectional study.BMC public health · 2024Article
- Article
- Mechanism of antibacterial resistance, strategies and next-generation antimicrobials to contain antimicrobial resistance: a review.Frontiers in pharmacology · 2024Review
- Antimicrobial stewardship: knowledge, attitudes and practices regarding antimicrobial use and resistance among non-healthcare students at the University of Zambia.JAC-antimicrobial resistance · 2023Article
- Antibiotic Knowledge, Antibiotic Resistance Knowledge, and Antibiotic Use: A Cross-Sectional Study among Community Members of Bangkok in Thailand.Antibiotics (Basel, Switzerland) · 2023Article
- Health literacy among adolescents and young adults in the Eastern Mediterranean region: a scoping review.BMJ open · 2023Article
- [Relevance of a guide in Quechua on rational use of medicines in Andean students of health sciences in Peru].Revista de salud publica (Bogota, Colombia) · 2023Article
- Knowledge, attitudes and behaviour of Egyptians towards antibiotic use in the community: can we do better?Antimicrobial resistance and infection control · 2023Article
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8 authors.
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Abstract
objectivesAntibiotic resistance is a global public health concern, especially in developing countries, where antibiotic misuse is widespread. However, studies investigating relevant factors, particularly in youth, are limited. This study examined the levels of health literacy (HL) and their association with antibiotic use, knowledge of antibiotics and awareness of antibiotic resistance among university students in Egypt.
designA cross-sectional study was conducted using self-administered questionnaires during 2018. The Health Literacy Survey (HLS-EU-Q16) and the WHO Antibiotic resistance: Multi-Country Public Awareness Survey were used. Bivariate and multivariable analyses were used to compare responses on use and knowledge of antibiotics, and awareness of antibiotic resistance between the three levels of students' HL.
settingUniversity, Cairo, Egypt.
participants508 non-medical university students. OUTCOMES: Students' HL scores were categorised into sufficient, problematic and inadequate. Students' knowledge of antibiotics was categorised into good and poor. Students' awareness of antibiotic resistance was categorised into high, average and poor.
results35.1% of students had sufficient HL. 79.7% of students had poor knowledge of antibiotics. 39.9% of students reported having used antibiotics in the past month without a prescription. 92.2% had limited awareness of antibiotic resistance and 30.6% of students heard about the term 'antimicrobial resistance'. Background characteristics did not significantly differ by HL levels or knowledge scores, except for students' year of study. Sufficient HL was independently associated with students' high awareness of antibiotic resistance (adjusted OR=2.8; 95% CI: 1.3 to 5.9).
conclusionsHL was insufficient in this sample of non-medical Egyptian university students. Across all levels of HL, knowledge of antibiotics and awareness of antibiotic resistance were limited, reflecting deficiency in relevant education programmes. Findings suggest that sufficient HL supports high awareness of antibiotic resistance. Incorporating HL and rational antibiotic use awareness raising programmes in university curricula is an urgent necessity to curb antibiotic resistance.
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