ArticleJournal of the American Board of Family Medicine : JABFM2023
Perspectives on Non-Prescription Antibiotic Use among Hispanic Patients in the Houston Metroplex.
Article in Journal of the American Board of Family Medicine : JABFM, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Physicians', pharmacists', and nurses' education of patients about antibiotic use and antimicrobial resistance in primary care settings: a qualitative systematic literature review.Frontiers in antibiotics · 2024Pooled it
- 'In Texas, everybody wants antibiotics': reducing inappropriate antibiotic expectations and use with a provider-patient communication tool in primary care.Family medicine and community health · 2025Article
- A screening question to assess risk of using antibiotics without a prescription: a diagnostic study.BMC primary care · 2025Article
- 'Antibiotics are like gold': a qualitative study of patient perspectives on the use of antibiotics without a prescription.BMJ public health · 2025Article
- Title: race and ethnicity and the risk of community-acquired third-generation cephalosporin-resistant uropathogens: a systematic review and meta-analysis.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- Situations predisposing primary care patients to use antibiotics without a prescription in the United States.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2024Article
- Acculturation and Subjective Norms Impact Non-Prescription Antibiotic Use among Hispanic Patients in the United States.Antibiotics (Basel, Switzerland) · 2023Article
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Authors and funding
8 authors.
Funding
Abstract
backgroundNon-prescription antibiotic use includes taking an antibiotic without medical guidance (e.g., leftovers, from friends/relatives, or purchased without a prescription). Non-prescription use contributes to antimicrobial resistance, adverse drug reactions, interactions, superinfection, and microbiome imbalance. Qualitative studies exploring perspectives regarding non-prescription use among Hispanic patients are lacking. We used the Kilbourne Framework for Advancing Health Disparities Research to identify factors influencing patients' non-prescription use and organize our findings.
methodsOur study includes Hispanic primary care clinic patients with different types of health insurance coverage in the Houston metroplex who endorsed non-prescription use in a previous survey. Semistructured interviews explored the factors promoting non-prescription use in Hispanic adults. Interviews were conducted remotely, in English or Spanish, between May 2020 and October 2021. Inductive coding and thematic analysis identified motives for non-prescription use.
resultsParticipants (n = 35) were primarily female (68.6%) and aged 27 to 66. Participants reported obtaining antibiotics through trusted persons, sold under-the-counter in US markets, and purchased without a prescription abroad. Factors contributing to non-prescription use included beliefs that the doctor visit was unnecessary, limited access to healthcare (due to insurance constraints, costs, and clinic wait times), and communication difficulties (e.g., language barriers with clinicians and perceived staff rudeness). Participants expressed confidence in medical recommendations from pharmacists and trusted community members.
conclusionsPatient, healthcare system, and clinical encounter factors contribute to non-prescription use in Hispanic communities. Antibiotic stewardship interventions that involve pharmacists and trusted persons, improve access to care, and address communication barriers and cultural competency in the clinic may help reduce non-prescription use in these communities.
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