Evidence map›Paper›PMID 34518255›Full record

ArticleBMJ open2021

Public knowledge, attitudes and practices related to antibiotic use and resistance in Singapore: a cross-sectional population survey.

Jane M Lim, Minh Cam Duong, Alex R Cook, Li Yang Hsu, Clarence C Tam

Open access · goldAbstract read
In one paragraph

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 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
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

19 citing papers in PubMed, 28 citations in OpenAlex.

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  14. Knowledge and Attitudes of Patients About the Rational Use of Antibiotics.Infectious diseases & clinical microbiology · 2024
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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 at 2 institutions in 2 countries.

Jane M LimNational University Singapore Saw Swee Hock School of Public Health, Singapore.ORCID 0000-0001-9017-4714
Minh Cam DuongNational University Singapore Saw Swee Hock School of Public Health, Singapore.
Alex R CookNational University Singapore Saw Swee Hock School of Public Health, Singapore.
Li Yang HsuNational University Singapore Saw Swee Hock School of Public Health, Singapore.
Clarence C TamNational University Singapore Saw Swee Hock School of Public Health, Singapore clarence.tam@nus.edu.sg.
National University Health System · SGLondon School of Hygiene & Tropical Medicine · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe WHO's Global Action Plan on Antimicrobial Resistance (AMR) includes increasing overall public awareness of appropriate antibiotic use and resistance as a key priority area. We aimed to measure public knowledge, attitudes and practices of antibiotics and antibiotic resistance in Singapore, as well as their healthcare-seeking behaviours relating to respiratory illnesses, providing baseline data against which to measure the progress of future interventions.

designA cross-sectional study.

settingThe general population in Singapore.

participantsBetween May and June 2019, we conducted a survey via an online panel in Singapore with 706 respondents.

resultsOur findings indicated common misconceptions surrounding antibiotic effectiveness and mechanisms of antibiotic resistance-most participants thought that resistance occurs when our bodies become resistant to antibiotics (62.5%) or when antibiotics become less powerful (48.5%). In multivariable analyses, better knowledge scores were associated with more favourable antibiotic attitudes (β=0.29; 95% CI 0.20 to 0.37). In addition, more favourable attitude scores were associated with lower odds of both expecting (OR: 0.84, 95% CI 0.72 to 0.99) and being prescribed antibiotics by a primary care doctor (OR: 0.76, 95% CI 0.63 to 0.90).

conclusionsThis study presents important information about population perceptions towards antibiotics and antibiotic resistance in Singapore. Results from this study emphasise the importance of effective public communication strategies to promote responsible antibiotic use locally and should be used to inform future implementation of programmes and activities as laid out in Singapore's National Strategic Action Plan on AMR.

Indexed as

Anti-Bacterial AgentsHealth Knowledge, Attitudes, PracticeCross-Sectional StudiesDrug Resistance, MicrobialHumansSingaporeSurveys and QuestionnairesAnti-Bacterial Agentseducation & training (see medical education & training)epidemiologypublic health

Identifiers

PMID34518255
PMCPMC8438872
OpenAlexW3199525866

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.