Evidence map›Paper›PMID 42819703›Full record

ReviewJAC-antimicrobial resistance2026

Public knowledge, beliefs and behaviours related to antimicrobial resistance and antibiotics: a systematic review of studies in high-income countries.

Caoimhe Shields, Tracy Epton, Emma Berry, Laura J Sahm, Aoife Fleming, Ilias Lambrou, Rebecca Feeney, Najam Us Sahar, Mitch Dobbs, Chikondi C Kandulu and 2 more

Abstract readReview
In one paragraph

Review in JAC-antimicrobial resistance, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Caoimhe ShieldsSchool of Psychology, Queen's University Belfast, University Road, Belfast BT7 1NN, Northern Ireland.ORCID https://orcid.org/0000-0002-7795-5011
Tracy EptonManchester Centre for Health Psychology, University of Manchester, Manchester, UK.ORCID https://orcid.org/0000-0002-1653-191X
Emma BerrySchool of Psychology, Queen's University Belfast, University Road, Belfast BT7 1NN, Northern Ireland.ORCID https://orcid.org/0000-0003-3802-7375
Laura J SahmPharmaceutical Care Research Group, School of Pharmacy, University College Cork, Cork, Ireland.
Aoife FlemingPharmaceutical Care Research Group, School of Pharmacy, University College Cork, Cork, Ireland.ORCID https://orcid.org/0000-0001-5330-951X
Ilias LambrouSchool of Psychology, Queen's University Belfast, University Road, Belfast BT7 1NN, Northern Ireland.ORCID https://orcid.org/0009-0001-5203-1365
Rebecca FeeneySchool of Psychology, Queen's University Belfast, University Road, Belfast BT7 1NN, Northern Ireland.ORCID https://orcid.org/0009-0002-2630-1154
Najam Us SaharSchool of Psychology, Queen's University Belfast, University Road, Belfast BT7 1NN, Northern Ireland.
Mitch DobbsDepartment of Psychology, Northeastern University, Boston, MA, USA.ORCID https://orcid.org/0009-0008-7010-344X
Chikondi C KanduluPharmaceutical Care Research Group, School of Pharmacy, University College Cork, Cork, Ireland.ORCID https://orcid.org/0000-0002-8595-7543
Ellen MeliaPharmaceutical Care Research Group, School of Pharmacy, University College Cork, Cork, Ireland.ORCID https://orcid.org/0009-0002-9513-023X
Gillian W ShorterSchool of Psychology, Queen's University Belfast, University Road, Belfast BT7 1NN, Northern Ireland.ORCID https://orcid.org/0000-0001-5752-2297

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Antimicrobial resistance (AMR) is a growing public health concern, influenced by public behaviours. This study aimed to systematically review and synthesize qualitative and quantitative studies on public knowledge, beliefs and behaviours related to antibiotics and AMR, and explore gender differences, in high-income countries. Materials and methods: Eleven databases including Web of Science Core Collection, Medline and PsycINFO were searched for primary studies published between August 2014 and 12 June 2026. This article reports the high-income country subset of a larger global review; other results will be reported separately. We carried out a descriptive, non-meta-analytic synthesis at study- and country-level by calculating the mean, SD, median and range of the proportion of participants whose data demonstrated incorrect knowledge, misconceptions, and positive or negative behaviours. Gender differences were synthesized narratively. Qualitative data were synthesized under each outcome using deductive thematic analysis. Results: Of 12 338 records identified, 121 were globally eligible. Thirty-three high-income country studies were included in this article (29 quantitative and 4 qualitative, with 33 252 participants). Cross-country variability was found in knowledge, beliefs and behaviours. Misunderstandings were prominent around the definition of AMR and its implications for health. Narrative gender differences were inconsistent and qualitative data were limited, but gave insight into potential drivers of behaviours. Conclusions: Despite international variations, knowledge gaps, misconceptions and counterproductive behaviours were widespread. Findings show that AMR is a system-wide issue that requires attention from all One Health stakeholders, and a unified, multi-faceted, multidisciplinary approach that can help tackle the continuing public health threat, and change behaviour to protect health.

Identifiers

PMID42819703
PMCPMC13624658

What OpenQuestion holds

Textmetadata
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.