Evidence map›Paper›PMID 41588525›Full record

ArticleBMC public health2026

Association between health literacy and antibiotic-related knowledge, attitudes, and behaviors.

Muhammet Salih Tarhan, Omer Guc

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Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Muhammet Salih TarhanDepartment of Infectious Diseases and Clinical Microbiology, Mardin Training and Research Hospital, Mardin, Türkiye. muhammetsalihtarhan@gmail.com.
Omer GucDepartment of Family Medicine, Kocakoy State Hospital, Diyarbakır, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntimicrobial resistance (AMR) poses a growing threat to global health, driven by antibiotic misuse. Health literacy (HL) may play an independent role in shaping how people understand and use antibiotics. This study aimed to evaluate the relationship between HL and antibiotic-related knowledge, attitudes, and behaviors (KAB) to inform public health strategies that promote rational antibiotic use.

methodsA cross-sectional survey was conducted among 350 Turkish adults aged 18-65, using stratified quota sampling by age and gender. Data were collected via online forms and face-to-face interviews. Participants completed sociodemographic questions, the 6-item European Health Literacy Survey Questionnaire (HLS-EU-Q6), and a 16-item antibiotic-related KAB scale.

resultsOf participants, 50% were female, mean age was 39.8 ± 12.2 years, and 62% had university education or higher. HL distribution was: inadequate 6.9%, problematic 78.6%, adequate 14.6%. Correlation analyses showed that HL was weakly associated with attitudes (r = 0.109, p = 0.041), behaviors (r = 0.150, p = 0.005), and total KAB (r = 0.130, p = 0.015), but not with knowledge. Knowledge was moderately correlated with attitudes (r = 0.307, p < 0.001) and weakly to moderately correlated with behaviors (r = 0.226, p < 0.001). Regression models indicated that attitudes were predicted by knowledge (β = 0.26, p < 0.001) and education (β = 0.16, p = 0.004), while behaviors were predicted by knowledge (β = 0.17, p = 0.002), HL (β = 0.14, p = 0.008), and age (β = 0.13, p = 0.023). Mediation/moderation revealed that HL and knowledge operated through independent pathways.

conclusionsAntibiotic knowledge was the strongest predictor of attitudes, while HL contributed independently to behaviors. These findings highlight the need for interventions that enhance both antibiotic knowledge and HL to promote rational use of antibiotics and prevent AMR.

Indexed as

Anti-Bacterial AgentsHealth Knowledge, Attitudes, PracticeHealth LiteracyAdolescentAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesTurkeyYoung AdultAnti-Bacterial AgentsAntibiotic useAntimicrobial resistanceHealth behaviorHealth literacyPublic health

Identifiers

PMID41588525
PMCPMC12917959

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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.