ReviewJAC-antimicrobial resistance2021
Navigating sociocultural disparities in relation to infection and antibiotic resistance-the need for an intersectional approach.
Review in JAC-antimicrobial resistance, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
43 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.
- The intersection of the social determinants of health and antimicrobial resistance in human populations: a systematic review.BMJ global health · 2025Pooled it
- Clinicians' perspectives on a primary healthcare intervention to reduce antibiotic prescription for acute lower respiratory tract infections in Barcelona (Spain): a qualitative study.Primary health care research & development · 2025Trial
- Unveiling the antibiotic resistance pattern inWorld journal of experimental medicine · 2026Article
- Antibiotic knowledge among ethnic minority groups in high-income countries: A mixed-methods systematic review.Public health in practice (Oxford, England) · 2026Review
- Interventions to address antimicrobial resistance in migrants: a systematic review.JAC-antimicrobial resistance · 2026Review
- Applying a gender and equity matrix for a contextualized antimicrobial stewardship intervention in Pakistan.Health policy and planning · 2026Article
- Racial disparities in antibiotic selection for community-acquired pneumonia in hospitalized patients.Infection control and hospital epidemiology · 2026Article
- Antimicrobial stewardship from a One Health perspective.Nature reviews. Microbiology · 2026Review
- Building antimicrobial stewardship capacity through participatory health literacy workshops in Zimbabwe.JAC-antimicrobial resistance · 2026Article
- Antimicrobial redistribution: health practitioner One health perspectives on antimicrobial use in livestock for antimicrobial resistance education in Zimbabwe.JAC-antimicrobial resistance · 2026Article
- Implementation and outcomes of a multifaceted care model for people experiencing homelessness and people who inject drugs hospitalized with complicated infections.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
- Managing antimicrobial resistance in a changing climate: Insights from a workshop.Journal of public health in Africa · 2026Article
- An Equity-Focused Systematic Analysis of Antimicrobial Resistance National Action Plans in 14 West African Countries.Tropical medicine & international health : TM & IH · 2025Article
- The Phenomenon of Antimicrobial Resistance in Southern Italy: An Overview of the Current Situation.Advanced pharmaceutical bulletin · 2025Article
- Antimicrobial resistance, equity and justice in low- and middle-income countries: an intersectional critical interpretive synthesis.Nature communications · 2025Article
- Social determinants of health and knowledge, attitude and practice studies on antimicrobial resistance-an evidence review and future direction.JAC-antimicrobial resistance · 2025Article
- Sociocultural determinants of antimicrobial resistance in Iran: a qualitative study.BMC public health · 2025Article
- Gender and Socio-Economic Inequities in Social Listening: Evidence from Two Quantitative Case Studies in India.Asian bioethics review · 2025Article
- Mapping socioeconomic factors driving antimicrobial resistance in humans: An umbrella review.One health (Amsterdam, Netherlands) · 2025Review
- Importance of diversity and representation in science: benefits towards strengthening our response to global challenges.npj antimicrobials and resistance · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 7 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
One of the key drivers of antibiotic resistance (ABR) and drug-resistant bacterial infections is the misuse and overuse of antibiotics in human populations. Infection management and antibiotic decision-making are multifactorial, complex processes influenced by context and involving many actors. Social constructs including race, ethnicity, gender identity and cultural and religious practices as well as migration status and geography influence health. Infection and ABR are also affected by these external drivers in individuals and populations leading to stratified health outcomes. These drivers compromise the capacity and resources of healthcare services already over-burdened with drug-resistant infections. In this review we consider the current evidence and call for a need to broaden the study of culture and power dynamics in healthcare through investigation of relative power, hierarchies and sociocultural constructs including structures, race, caste, social class and gender identity as predictors of health-providing and health-seeking behaviours. This approach will facilitate a more sustainable means of addressing the threat of ABR and identify vulnerable groups ensuring greater inclusivity in decision-making. At an individual level, investigating how social constructs and gender hierarchies impact clinical team interactions, communication and decision-making in infection management and the role of the patient and carers will support better engagement to optimize behaviours. How people of different race, class and gender identity seek, experience and provide healthcare for bacterial infections and use antibiotics needs to be better understood in order to facilitate inclusivity of marginalized groups in decision-making and policy.
Identifiers
What OpenQuestion holds
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.