“…However, despite effectiveness in field studies [31][32][33], vaccination has been associated with increased AMU in several studies [17,24,30,34,35]. Finally, socio-economic and demographic factors such as age, gender, education or years of experience [36] and attitudes to AMR [37] can influence on farm AMU, although their relative importance appears to differ depending on nationality [17]. In general, pig farmers perceive AMs as an effective and cost-efficient tool in disease management [30,[38][39][40] and, at least in the past, were poorly aware or unconcerned about the risks of AMR [38,39,41].…”