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Preferences regardi...
Preferences regarding antibiotic treatment and the role of antibiotic resistance : a discrete choice experiment
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- Ancillotti, Mirko, 1981- (author)
- Uppsala universitet,Centrum för forsknings- och bioetik
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- Eriksson, Stefan, Docent, 1963- (author)
- Uppsala universitet,Centrum för forsknings- och bioetik
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- Andersson, Dan I. (author)
- Uppsala universitet,Institutionen för medicinsk biokemi och mikrobiologi
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- Godskesen, Tove (author)
- Ersta Sköndal Bräcke högskola,Uppsala universitet,Centrum för forsknings- och bioetik,Ersta Sköndal Bräcke University College,Institutionen för vårdvetenskap
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- Nihlén Fahlquist, Jessica, 1976- (author)
- Uppsala universitet,Centrum för forsknings- och bioetik
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- Veldwijk, Jorien (author)
- Uppsala universitet,Centrum för forsknings- och bioetik,Uppsala universitet; Erasmus University Rotterdam, the Netherlands
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(creator_code:org_t)
- Elsevier BV, 2020
- 2020
- English.
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In: International Journal of Antimicrobial Agents. - : Elsevier BV. - 0924-8579 .- 1872-7913. ; 56:6
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Abstract
Subject headings
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- Objectives: To identify preferences of the Swedish public regarding antibiotic treatment characteristics and the relative weight of antibiotic resistance in their treatment choices.Methods: A questionnaire including a discrete choice experiment questionnaire was answered by 378 Swedish participants. Preferences of the general public regarding five treatment characteristics (attributes) were measured: contribution to antibiotic resistance, cost, side effects, failure rate and treatment duration. Latent class analysis models were used to determine attribute-level estimates and heterogeneity in preferences. Relative importance of the attributes and willingness to pay for antibiotics with a lower contribution to antibiotic resistance were calculated from the estimates.Results: All attributes influenced participants’ preferences for antibiotic treatment. For the majority of participants, contribution to antibiotic resistance was the most important attribute. Younger respondents found contribution to antibiotic resistance more important in their choice of antibiotic treatments. Choices of respondents with lower numeracy, higher health literacy and higher financial vulnerability were influenced more by the cost of the antibiotic treatment. Older respondents with lower financial vulnerability and health literacy, and higher numeracy found side effects to be most important.Conclusions: All attributes can be considered as potential drivers of antibiotic use by lay people. Findings also suggest that the behaviour of lay people may be influenced by concerns over the rise of antibiotic resistance. Therefore, stressing individual responsibility for antibiotic resistance in clinical and societal communication has the potential to affect personal decision making.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Medicinsk etik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Medical Ethics (hsv//eng)
Keyword
- Antibiotic resistance
- Discrete choice experiment
- Preferences
- Communication
- Behaviour
- Sweden
- Hälso- och sjukvårdsforskning
- Health Care Research
- Social Pharmacy
- Samhällsfarmaci
- Social Medicine
- Socialmedicin
Publication and Content Type
- ref (subject category)
- art (subject category)
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