SynthesisThe European journal of health economics : HEPAC : health economics in prevention and care2022
Income level and antibiotic misuse: a systematic review and dose-response meta-analysis.
Synthesis in The European journal of health economics : HEPAC : health economics in prevention and care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Prevalence and molecular epidemiology of carbapenem resistance in Asia: a systematic review and meta-analysis.Systematic reviews · 2025Pooled it
- The intersection of the social determinants of health and antimicrobial resistance in human populations: a systematic review.BMJ global health · 2025Pooled it
- Point prevalence of evidence-based antimicrobial use among hospitalized patients in sub-Saharan Africa: a systematic review and meta-analysis.Scientific reports · 2024Pooled it
- Two porous aromatic frameworks with different porous structures for high-performance aptasensing penicillin G via differential pulse voltammetry.Analytical and bioanalytical chemistry · 2026Article
- Knowledge, attitudes and practices regarding antibiotic prescribing by dentists: a qualitative study in Chile.Journal of public health (Oxford, England) · 2026Article
- Development of a covalent organic framework/graphene oxide aptasensor for electrochemical penicillin detection.Mikrochimica acta · 2026Article
- Using the socio-ecological model in understanding antimicrobial resistance and antibiotic usage in the lakeshore communities of Calamba and Pila, Laguna, Philippines.Frontiers in public health · 2026Article
- LanthMS: A Computational Tool for the Structure Elucidation of Lanthipeptides from Tandem Mass Spectrometry Data.Protein and peptide letters · 2026Article
- Existing Evidence from Economic Evaluations of Antimicrobial Resistance-A Systematic Literature Review.Antibiotics (Basel, Switzerland) · 2025Review
- Evaluating the impact of a training program on mothers' awareness and perceptions of antibiotic use and antimicrobial resistance in pediatric care.BMC public health · 2025Article
- Social determinants of self-medication with leftover antibiotics in Lebanese households: A cross-sectional study.PloS one · 2025Article
- Global trends in inappropriate use of antibiotics, 2000-2021: scoping review and prevalence estimates.BMJ public health · 2025Article
- Public Patterns and Determinants of Antibiotic Self-Medication and Antibiotic Knowledge in Southern Jordan.Antibiotics (Basel, Switzerland) · 2024Article
- Prescriptive appropriateness of dalbavancin in acute bacterial skin and skin structure infections in adults: an integrated approach between clinical profile, patient- and health system-related factors and focus on environmental impact.Frontiers in antibiotics · 2024Article
- Silicon versus Superbug: Assessing Machine Learning's Role in the Fight against Antimicrobial Resistance.Antibiotics (Basel, Switzerland) · 2023Review
- Assessment of rational use of antimicrobials: a cross-sectional study among people of Nepal.Annals of medicine and surgery (2012) · 2023Article
- Development and evaluation of a continuous quality improvement programme for antimicrobial stewardship in six hospitals in Uganda.BMJ open quality · 2023Article
- Knowledge, Attitudes and Practice Regarding Antibiotic Prescription by Medical Interns: A Qualitative Study in Spain.Antibiotics (Basel, Switzerland) · 2023Article
- PCL/Gelatin/Graphene Oxide Electrospun Nanofibers: Effect of Surface Functionalization on In Vitro and Antibacterial Response.Nanomaterials (Basel, Switzerland) · 2023Article
- Antimicrobial use related problems and determinants in surgical ward of Ethiopian tertiary hospital.PloS one · 2023Observational
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4 authors.
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Abstract
objectivesTo quantify the association between income and antibiotic misuse including unprescribed use, storage of antibiotics and non-adherence.
methodsWe identified pertinent studies through database search, and manual examination of reference lists of selected articles and review reports. We performed a dose-response meta-analysis of income, both continuous and categorical, in relation to antibiotic misuse. Summary odds ratios (ORs) and their 95% confidence intervals (CIs) were estimated under a random-effects random effects model.
resultsFifty-seven studies from 22 countries of different economic class were included. Overall, the data are in agreement with a flat linear association between income standardized to socio-economic indicators and antibiotic misuse (OR per 1 unit increment = 1.00, p-value = 0.954, p-value non-linearity = 0.429). Data were compatible with no association between medium and high income with general antibiotic misuse (OR 1.04; 95% CI 0.89, 1.20 and OR 1.03; 95% CI 0.82, 1.29). Medium income was associated with 19% higher odds of antibiotic storage (OR 1.19; 95% CI 1.07, 1.32) and 18% higher odds of any aspect of antibiotic misuse in African studies (OR 1.18; 95% CI 1.00, 1.39). High income was associated with 51% lower odds of non-adherence to antibiotic treatment (OR 0.49; 95% CI 0.34, 0.60). High income was also associated with 11% higher odds of any antibiotic misuse in upper-middle wealth countries (OR 1.11; 95% CI 1.00, 1.22).
conclusionsThe association between income and antibiotic misuse varies by type of misuse and country wellness. Understanding the socioeconomic properties of antibiotic misuse should prove useful in developing related intervention programs and health policies.
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