Evidence map›Paper›PMID 37370341›Full record

ArticleAntibiotics (Basel, Switzerland)2023

Do Patients' Psychosocial Characteristics Impact Antibiotic Prescription Rates?

Säde Stenlund, Louise C Mâsse, David Stenlund, Lauri Sillanmäki, Kirstin C Appelt, Heli Koivumaa-Honkanen, Päivi Rautava, Sakari Suominen, David M Patrick

Open access · goldAbstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Positioning the Sense of Coherence (SOC) in Disaster Recovery Planning and Design.International journal of environmental research and public health · 2025
    Review
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

9 authors at 5 institutions in 3 countries.

Säde StenlundSchool of Population and Public Health, University of British Columbia, Vancouver, BC V6T 1Z3, Canada.ORCID 0000-0002-9945-2909
Louise C MâsseSchool of Population and Public Health, University of British Columbia, Vancouver, BC V6T 1Z3, Canada.ORCID 0000-0003-2483-8791
David StenlundDepartment of Mathematics, University of British Columbia, Vancouver, BC V6T 1Z2, Canada.
Lauri SillanmäkiDepartment of Public Health, University of Turku, 20014 Turku, Finland.
Kirstin C AppeltSauder School of Business, University of British Columbia, Vancouver, BC V6T 1Z2, Canada.ORCID 0009-0003-7483-7778
Heli Koivumaa-HonkanenInstitute of Clinical Medicine (Psychiatry), University of Eastern Finland, 70029 Kuopio, Finland.
Päivi RautavaDepartment of Public Health, University of Turku, 20014 Turku, Finland.ORCID 0000-0003-2795-1327
Sakari SuominenDepartment of Public Health, University of Turku, 20014 Turku, Finland.ORCID 0000-0001-6648-603X
David M PatrickSchool of Population and Public Health, University of British Columbia, Vancouver, BC V6T 1Z3, Canada.
University of British Columbia · CAUniversity of Turku · FIÅbo Akademi University · FIUniversity of Eastern Finland · FIUniversity of Helsinki · FI

Funding

Signe and Ane Gyllenberg Foundation 5723
6 · The paper itself

Abstract

Previous research suggests that the characteristics of both patients and physicians can contribute to the overuse of antibiotics. Until now, patients' psychosocial characteristics have not been widely explored as a potential contributor to the overuse of antibiotics. In this study, the relationship between a patient's psychosocial characteristics (self-reported in postal surveys in 2003) and the number of antibiotics they were prescribed (recorded in Finnish national registry data between 2004-2006) were analyzed for 19,300 working-aged Finns. Psychosocial characteristics included life satisfaction, a sense of coherence, perceived stress, hostility, and optimism. In a structural equation model, patients' adverse psychosocial characteristics were not related to increased antibiotic prescriptions in the subsequent three years. However, these characteristics were strongly associated with poor general health status, which in turn was associated with an increased number of subsequent antibiotic prescriptions. Furthermore, mediation analysis showed that individuals who used healthcare services more frequently also received more antibiotic prescriptions. The current study does not support the view that patients' adverse psychosocial characteristics are related to an increased number of antibiotic prescriptions. This could encourage physicians to actively discuss treatment options with their patients.

Indexed as

antibiotic consumptionantibiotic prescribingantimicrobial stewardshipexcess antibiotic usepsychosocialstructural equation modeling

Identifiers

PMID37370341
PMCPMC10295249
OpenAlexW4379802263

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.