Evidence map›Paper›PMID 40928457›Full record

ArticleJournal of public health (Oxford, England)2025

The role of health literacy in boosting citizen engagement in appropriate use of antibiotics.

Marta Acampora, Greta Castellini, Walter Ricciardi, Leonardo Villani, Guendalina Graffigna

Abstract read
In one paragraph

Article in Journal of public health (Oxford, England), 2025. 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
–field-weighted citation impact
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.

  1. Article
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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.

Marta AcamporaDepartment of Psychology, Università Cattolica Del Sacro Cuore, L.go Gemelli 1, 20123, Milan, Italy.
Greta CastelliniDepartment of Psychology, Università Cattolica Del Sacro Cuore, L.go Gemelli 1, 20123, Milan, Italy.
Walter RicciardiEngageMinds HUB - Consumer, Food and Health Engagement Research Center, Università Cattolica del Sacro Cuore, L.go Gemelli 1, 20123, Milan, Italy.ORCID 0000-0002-5655-688X
Leonardo VillaniSection of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, L.go Francesco Vito 1, 00168, Rome, Italy.
Guendalina GraffignaDepartment of Psychology, Università Cattolica Del Sacro Cuore, L.go Gemelli 1, 20123, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntimicrobial resistance (AMR) represents a growing challenge to both individual and public health, driven by the excessive and inappropriate use of antibiotics. Studies emphasize a widespread lack of knowledge regarding proper antibiotic use and the mechanisms of antibiotic resistance. This study aims to explore the relationships between citizens' health engagement and attitudes towards antibiotic consumption (Hypothesis 1, Hypothesis 2) and explores the role of orientation to health literacy as a mediator of these relationships (Hypothesis 3).

methodsData were collected via a questionnaire administered to a representative sample of the Italian population (N = 1016). Descriptive statistics and mediation analysis, using bootstrapping with 5000 resamples to estimate indirect effects and assess statistical significance.

resultsAll hypotheses were confirmed. Health engagement had a significant, positive effect on orientation to health literacy, which was positively associated with attitudes towards antibiotic consumption. Moreover, orientation to health literacy fully mediated the effect of health engagement on attitudes towards antibiotic consumption.

conclusionsThis study highlights the crucial role of health literacy in influencing attitudes towards appropriate antibiotic consumption. Public health interventions should not only encourage individuals to actively engage with their health, but also focus on improving their health literacy, including on specific topics such as AMR.

Indexed as

Anti-Bacterial AgentsHealth Knowledge, Attitudes, PracticeHealth LiteracyAdolescentAdultAgedFemaleHumansItalyMaleMiddle AgedSurveys and QuestionnairesYoung AdultAnti-Bacterial Agentsantibiotic consumptionantimicrobial resistancebehaviour changecitizen engagement

Identifiers

PMID40928457
PMCPMC12669998

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.