Abstract:
OBJECTIVES:To describe public understanding and use of antibiotics. DESIGN:Ipsos MORI Capibus survey of randomly-selected households. SETTING:England, January-April 2017. PARTICIPANTS:2283 adults (≥15 years) including 777 parents of children <5 years old. DATA COLLECTION AND ANALYSIS:The main survey was undertaken in January 2017 (n=1691); data from an additional sample of parents were collected in April 2017 (n=592). Analyses were weighted to obtain estimates representative of the population. MAIN OUTCOME MEASURES:Responses to questions about antibiotics (awareness and perceptions), recent illness (expectations and experience), delayed and leftover antibiotics, and child illness stratified by demographic and socioeconomic characteristics. RESULTS:Most respondents (83% (1404/1691)) recognised that antibiotics kill bacteria/treat bacterial infections, but a sizeable minority (35% (592/1691)) thought that antibiotics kill viruses/treat viral infections. Overall levels of understanding have not changed substantially since similar surveys in 2003 and 2008/2009. One sixth of respondents who were prescribed antibiotics reported having leftovers (14% (64/498)) and 33% (22/64) kept these for possible future use. 1.3% of all respondents (23/1691) reported taking left-over antibiotics in the past year and 1.6% (26/1691) reported taking antibiotics obtained without a prescription. Higher social grade and educational qualifications were strongly positively associated with antibiotic knowledge; youngest (15-24 years), oldest (65 +years) and black, Asian and minority ethnic adults were less knowledgeable. Among 1319 respondents who had an infection or antibiotics within the past year, 43% (568/1319) said that they had not received any advice or information about antibiotics. CONCLUSIONS:Despite many campaigns, public understanding of antibiotics in England continues to combine correct basic knowledge held by most people with less prevalent but persistent and potentially harmful misunderstandings. These could be addressed through active provision of advice and information during primary and secondary care consultations and more effective public health interventions.
journal_name
BMJ Openjournal_title
BMJ openauthors
McNulty CAM,Collin SM,Cooper E,Lecky DM,Butler CCdoi
10.1136/bmjopen-2019-030845subject
Has Abstractpub_date
2019-10-28 00:00:00pages
e030845issue
10issn
2044-6055pii
bmjopen-2019-030845journal_volume
9pub_type
杂志文章相关文献
BMJ Open文献大全abstract:OBJECTIVES:Frequent attenders (FAs) suffer more and consult general practitioners (GPs) more often for chronic physical and psychiatric illnesses, social difficulties and distress than non-FAs. However, it is unclear to what extent FAs present transient episodes of care (TECs) compared with non-FAs. DESIGN:Retrospecti...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2016-012563
更新日期:2016-12-13 00:00:00
abstract:INTRODUCTION:Local food environments have been linked with dietary intake and obesity in adults. However, overall evidence remains mixed with calls for increased theoretical and conceptual clarity related to how availability of neighbourhood food outlets, and within-outlet food options, influence food purchasing and co...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-007161
更新日期:2015-05-03 00:00:00
abstract:OBJECTIVE:To evaluate the costs, benefits and cost-effectiveness of complex workplace dietary interventions, involving nutrition education and system-level dietary modification, from the perspective of healthcare providers and employers. DESIGN:Single-study economic evaluation of a cluster-controlled trial (Food Choic...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2017-019182
更新日期:2018-03-03 00:00:00
abstract:OBJECTIVES:Medical image analysis practices face challenges that can potentially be addressed with algorithm-based segmentation tools. In this study, we map the field of automatic MR brain lesion segmentation to understand the clinical applicability of prevalent methods and study designs, as well as challenges and limi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-042660
更新日期:2021-01-29 00:00:00
abstract:BACKGROUND:Since the Singapore Mental Health Study in 2010 which reported a 16.0% prevalence rate for current smokers and 4.5% for nicotine dependence, new anti-smoking strategies have been implemented. The aim of this study was to compare smoking trends from the 2010 study with the second Singapore Mental Health Study...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032198
更新日期:2019-10-18 00:00:00
abstract:INTRODUCTION:Frailty is a common condition affecting older adults and is associated with increased mortality and adverse outcomes. Identification of older adults at risk of adverse outcomes is central to subsequent resource planning and targeted interventions. This systematic review and meta-analysis will examine the: ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040765
更新日期:2021-01-20 00:00:00
abstract:OBJECTIVES:To determine the availability of continuous positive airway pressure (CPAP) and to provide an overview of its use in neonatal units in government hospitals across India. SETTING:Cross-sectional cluster survey of a nationally representative sample of government hospitals from across India. PRIMARY OUTCOMES:...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031128
更新日期:2020-02-28 00:00:00
abstract:OBJECTIVES:To assess people's procedural preferences for making medical surrogate decisions, from the perspectives of both a potential surrogate and an incapacitated patient. DESIGN:Computer-assisted telephone interviews. Respondents were randomly assigned either the role of an incapacitated patient or that of a poten...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-022289
更新日期:2018-07-25 00:00:00
abstract:OBJECTIVES:Cancer survival rates vary widely between European countries, with differences in timeliness of diagnosis thought to be one key reason. There is little evidence on the way in which different healthcare systems influence primary care practitioners' (PCPs) referral decisions in patients who could have cancer.T...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035678
更新日期:2020-10-31 00:00:00
abstract:OBJECTIVES:Hospitals devoted to maternal and child health represent unique healthcare institutions in China. Healthcare professionals in these hospitals attend to health services for women and children, and also provide technical services and support for district maternal and children's healthcare as well as family pla...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024205
更新日期:2019-01-25 00:00:00
abstract:OBJECTIVES:To investigate mortality in adults with intellectual disabilities: rates, causes, place, demographic and clinical predictors. DESIGN:Cohort study with record linkage to death data. SETTING:General community. PARTICIPANTS:961/1023 (94%) adults (16-83 years; mean=44.1 years; 54.6% male) with intellectual di...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036465
更新日期:2020-05-17 00:00:00
abstract:OBJECTIVES:To examine the social support network type and its associations with depression and dementia among older adults in Singapore. DESIGN:This study is a cross-sectional analysis of data from the Well-being of the Singapore Elderly study. The Practitioner Assessment of Network Type was used to identify five soci...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025303
更新日期:2019-06-01 00:00:00
abstract:INTRODUCTION:The work-to-retirement transition involves a process of psychologically and behaviourally distancing oneself from the workforce that is often accompanied by other social changes. The person is confronted with new social roles, expectations, challenges and opportunities that can influence lifestyle and well...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030484
更新日期:2019-09-17 00:00:00
abstract:OBJECTIVE:This paper explores what aspects of a multicomponent intervention were deemed strengths and weaknesses by teenagers and the local council when promoting physical activity to young people. DESIGN:Qualitative findings at 12 months from a mixed method randomised control trial. METHODS:Active Children Through I...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2018-025618
更新日期:2019-05-10 00:00:00
abstract:OBJECTIVE:Elevated levels of intercellular adhesion molecule-1 (ICAM-1) are demonstrated in diabetes complications. The current study aims to understand association of K469E (rs5498) in ICAM-1 gene, in type 2 diabetic (T2D) subjects with retinopathy. DESIGN:Case-control study. SETTING:Sankara Nethralaya Diabetic Reti...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001036
更新日期:2012-08-17 00:00:00
abstract:OBJECTIVE:This study aims to examine the impact of gender and expected gender roles on the career development of young female traditional Korean medicine (KM) doctors. DESIGN:We conducted semistructured interviews to examine the experiences of study subjects regarding early career choices, employment, job performance ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030390
更新日期:2019-08-21 00:00:00
abstract:OBJECTIVES:Mortality rates in Scotland are higher, and health inequalities are greater, than in the rest of Western and Central Europe. There was a marked divergence during the 1980s and 1990s in the Scottish rates partly due to rises in alcohol-related and drug-related deaths, suicide and deaths by assault. This study...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030064
更新日期:2020-02-09 00:00:00
abstract:OBJECTIVE:There are large inequities in the lung cancer burden for the Indigenous Māori population of New Zealand. We model the potential lifetime health gains, equity impacts and cost-effectiveness of a national low-dose CT (LDCT) screening programme for lung cancer in smokers aged 55-74 years with a 30 pack-year hist...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037145
更新日期:2020-09-24 00:00:00
abstract:INTRODUCTION:Poor air quality (AQ) is a global public health issue and AQ events can span across countries. Using emergency department (ED) syndromic surveillance from England and France, we describe changes in human health indicators during periods of particularly poor AQ in London and Paris during 2014. METHODS:Usin...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-018732
更新日期:2018-04-19 00:00:00
abstract:OBJECTIVE:The objective of this study was to assess the effects of long-term offshore work on cerebral oxygenation oscillations in sailors based on the wavelet phase coherence (WPCO) of near-infrared spectroscopy (NIRS) signals. METHODS:The fatigue severity scale (FSS) was first applied to assess the fatigue level of ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-013357
更新日期:2016-11-03 00:00:00
abstract:INTRODUCTION:The Modification of Diet, Exercise and Lifestyle (MODEL) study aims to examine the impact of providing visualisation and pictorial representation of advanced structural vascular disease (abdominal aortic calcification), on 'healthful' improvements to diet and lifestyle. This paper reports the protocol for ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036395
更新日期:2020-11-11 00:00:00
abstract:OBJECTIVES:To establish a database network for the study of alpha-1 antitrypsin deficiency (AATD) and compare the results to CT lung density as the most direct measure of emphysema. DESIGN:A central electronic database was established to permit the upload of anonymised patient data from remote sites. Prospectively col...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036045
更新日期:2020-06-30 00:00:00
abstract:OBJECTIVES:To examine (1) the effect of new dock-less bicycle-sharing programmes on change in travel mode and (2) the correlates of change in travel mode. DESIGN:A retrospective natural experimental study. SETTING:12 neighbourhoods in Shanghai. PARTICIPANTS:1265 respondents were recruited for a retrospective study i...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024280
更新日期:2019-02-19 00:00:00
abstract:OBJECTIVES:We examined impacts and interactions of COVID-19 response involvement, health-related behaviours and health literacy (HL) on anxiety, depression, and health-related quality of life (HRQoL) among healthcare workers (HCWs). DESIGN:A cross-sectional study was conducted. Data were collected 6 April to 19 April ...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2020-041394
更新日期:2020-12-07 00:00:00
abstract:OBJECTIVES:To explore patterns of non-communicable diseases (NCDs) in the Australian Capital Territory (ACT).To ascertain the effect of the neighbourhood built environmental features and especially walkability on health outcomes, specifically for hospital admissions from NCDs. DESIGN:A cross-sectional analysis of publ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012548
更新日期:2016-12-08 00:00:00
abstract:OBJECTIVE:To evaluate the impact of the community-based newborn care package (CBNCP) on six essential practices to improve neonatal health. METHODS:CBNCP pilot districts were matched to comparison districts using propensity scores. Impact on birth preparedness, antenatal care seeking, antenatal care quality, delivery ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-015285
更新日期:2017-10-05 00:00:00
abstract:OBJECTIVES:For characterisation of mineral bone disease in chronic kidney disease (CKD), laboratory surrogates have been suggested. This observational should investigate the association of total and skeletal alkaline phosphatase (AP) with mortality of patients undergoing maintenance renal replacement therapy. SETTING:...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2013-004275
更新日期:2014-02-27 00:00:00
abstract:PURPOSE:Depression is the most common psychiatric disorder and the largest contributor to global disability. The Australian Genetics of Depression study was established to recruit a large cohort of individuals who have been diagnosed with depression at some point in their lifetime. The purpose of establishing this coho...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032580
更新日期:2020-05-26 00:00:00
abstract:INTRODUCTION:The first-line recommended treatment for patients with intermittent claudication (IC) is a supervised exercise programme (SEP), which includes a minimum of 2-hours of exercise per week over a 12-week period. However, provision, uptake and adherence rates for these SEP programmes are poor, with time constra...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038825
更新日期:2020-07-06 00:00:00
abstract:INTRODUCTION:Exercise-based rehabilitation is a standard feature of chronic heart failure management. The effectiveness of eccentric exercise could offer new opportunities for better tailoring rehabilitation programme to patients' limitations. The goal of the study is to contrast the impact of a mixed eccentric and con...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028749
更新日期:2019-09-26 00:00:00