Appropriate antibiotic use: variation in knowledge and awareness by Hispanic ethnicity and language

Corbett, Kitty; Gonzales, Ralph; Leeman-Castillo, Bonnie; Flores, Estevan T.; Maselli, Judy; Kafadar, Karen

doi:10.1016/j.ypmed.2004.05.016

Cited by 58 publications

(54 citation statements)

References 43 publications

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“…This permitted direct comparison between English and Spanishspeaking Hispanic patients, in order to separate a language effect from a culture effect (60). In our analysis, we present below summary results including the number of patients expressing interest in each mode of self-management support.…”

Section: Discussionmentioning

confidence: 99%

Preferences for self-management support: Findings from a survey of diabetes patients in safety-net health systems

Sarkar

Piette

Gonzales

et al. 2008

Patient Education and Counseling

131

118

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Objectives-We sought to identify interest in different modes of self-management support among diabetes patients cared for in public hospitals, and to assess whether demographic or disease-specific factors were associated with patient preferences. We explored the possible role of a perceived communication need in influencing interest in self-management support.Methods-Telephone survey of a random sample of 796 English and Spanish-speaking diabetes patients (esponse rate 47%) recruited from 4 urban US public hospital systems. In multivariate models, we measured the association of race/ ethnicity, primary language, self-reported health literacy, self-efficacy, and diabetes-related factors on patients' interest in three self-management support strategies (telephone support, group medical visits, and internet -based support). We explored the extent to which patients believed that better communication with providers would improve their diabetes control, and whether this perception altered the relationship between patient factors and selfmanagement support acceptance. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. CI 0.33-0.93). African-Americans were more interested than Whites in all 3 self-management support strategies. Patients with limited self-reported health literacy were more likely to be interested in telephone support than those not reporting literacy deficits. Forty percent reported that their diabetes would be better controlled if they communicated better with their health care provider. This perceived communication benefit was independently associated with interest in self-management support (p<0.001), but its inclusion in models did not alter the strengths of the main associations between patient characteristics and self-management support preferences. NIH Public AccessConclusion-Many diabetes patients in safety-net settings report an interest in receiving selfmanagement support, but preferences for modes of delivery of self-management support vary by race/ethnicity, language proficiency, and self-reported health literacy.Practice Implications-Public health systems should consider offering a range of selfmanagement support services to meet the needs of their diverse patient populations. More broad dissemination and implementation of self-management support may help address the unmet need for better provider communication among diabetes patients in these settings.

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Section: Discussionmentioning

confidence: 99%

Preferences for self-management support: Findings from a survey of diabetes patients in safety-net health systems

Sarkar

Piette

Gonzales

et al. 2008

Patient Education and Counseling

131

118

View full text Add to dashboard Cite

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“…Latinos are more likely than non-Latino whites to believe that antibiotics are necessary for their child's or their illness. 11,12 That antimicrobials should be available without a prescription is a prevalent attitude among Latinos. 13,14 Recent evidence in the Latino community in South Carolina indicates a high level of importation of antibiotics into, and the acquisition of antibiotics without a prescription in, the United States.…”

mentioning

confidence: 99%

Factors Affecting Latino Adults' Use of Antibiotics for Self-Medication

Mainous

Díaz²,

Carnemolla³

2008

The Journal of the American Board of Family Medicine

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Background: Recent data has suggested the use of antibiotics acquired without a prescription by Latinos in the United States. We explored Latino adults' experience in treating common infections particularly in regards to self-medication with antibiotics.Methods: We conducted 3 focus groups (n ‫؍‬ 28) in Charleston, South Carolina, with Latino adults (>18 years of age) recruited throughout the community: 12 women and 16 men, ranging in age from 18 to 52 years. All of the participants were immigrants, 89% noted Mexico as their country of origin. Focus groups were conducted in Spanish and audiotaped. Transcripts were translated into English and then translated back to Spanish to assure consistency of the language. Themes were identified using an editing style.Results: Participants' previous experiences in countries with limited restrictions on antibiotics influenced acquisition of antibiotics without a prescription in the United States. Participants believed that physician visits for a diagnosis and prescription were unnecessary when the patient was familiar with the symptom and it had previously responded to antibiotic treatment. Access to care was not reported to be a significant barrier to a physician visit when individuals felt they were "sick" or children were the patients. Participants reported using local tiendas (small stores in Latino neighborhoods that sell ethnically consistent and imported products) and importation of medication to meet their need for selfmedication with antibiotics. The role of self-medication in the development of antibiotic resistance was essentially unknown among the participants.

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“…24 It was found that education level, income level, residence area and age are the main factors influencing understanding and knowledge of antibiotic use. 23,24,25,26,27 Thus, the above findings suggest that more antibiotic use educational exposure to the people in rural areas, geriatric patients, and education and financially deprived groups are needed. 18 One of the main causes of antibiotic resistance is the failure to implement basic infection control practices.…”

Section: Discussionmentioning

confidence: 95%

“…The study reported that 80% of non-Hispanic whites strongly agree about the prevalence of antibiotic resistance as compared to 49% of Spanish-language Hispanics. 23 The Hispanics are lower in term of education and incomes thus more likely to be uninsured and poorer. This pattern is also similar across European countries.…”

Section: Discussionmentioning

confidence: 99%

Social Aspects of Antibiotic use in the South and East Asian Students and General Population

Ming

Bakrin

et al. 2018

JYP

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Background: This study explored the knowledge of attitudes to and perception of consumption of antibiotics, and understanding of antibiotic resistance among students and general population across South and East Asia region. Method: A systematic review was performed through PubMed, Scopus, EBSCOhost (Medline) and EMBASE scientific databases. Cross-sectional studies aimed to investigate the knowledge of, attitude to and perception of antibiotic use as well as studies concerning the demand of antibiotics, antibiotic resistance were evaluated. Other inclusion criteria were: studies published in English prior to July 2016; survey that examined one of the 7 topics proposed by Gualano et al. (2015) in their systematic review on knowledge and attitudes about antibiotics. Results: A total of 9 studies were selected for systematic review. A lack of knowledge about antibiotics was identified. Approximately 50% of the sample mistakenly believed that antibiotics could treat viral infections which are commonly responsible for the common cold, sore throat and cough. The majority (above 60%) of the sample were compliant with completing a full course of antibiotics but unfortunately 40% of the sample still selfadministered antibiotics without prescription. Conclusion: Knowledge of, attitudes to and perceptions of antibiotic use are found to be inappropriate among the student and general public in the South and East Asia region. Although antibiotic resistance is a global issue, every country in the South and East Asia region is encouraged to take their own initiative to curb antibiotic resistance.

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Appropriate antibiotic use: variation in knowledge and awareness by Hispanic ethnicity and language

Cited by 58 publications

References 43 publications

Preferences for self-management support: Findings from a survey of diabetes patients in safety-net health systems

Preferences for self-management support: Findings from a survey of diabetes patients in safety-net health systems

Factors Affecting Latino Adults' Use of Antibiotics for Self-Medication

Social Aspects of Antibiotic use in the South and East Asian Students and General Population

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