Socio-economic disparities in the dispensation of antibiotics in Sweden 2016-2017: An intersectional analysis of individual heterogeneity and discriminatory accuracy

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Wemrell, MariaLund University,Lunds universitet,Socialepidemiologi,Forskargrupper vid Lunds universitet,Genusvetenskapliga institutionen,Samhällsvetenskapliga institutioner och centrumbildningar,Samhällsvetenskapliga fakulteten,Social Epidemiology,Lund University Research Groups,Department of Gender Studies,Departments of Administrative, Economic and Social Sciences,Faculty of Social Sciences,Lund Univ, Sweden (author)

Socio-economic disparities in the dispensation of antibiotics in Sweden 2016-2017 : An intersectional analysis of individual heterogeneity and discriminatory accuracy

Article/chapterEnglish2022

Publisher, publication year, extent ...

2021-01-18
Sage Publications,2022
electronicrdacarrier

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LIBRIS-ID:oai:DiVA.org:lnu-117206
https://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-117206URI
https://doi.org/10.1177/1403494820981496DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-39743URI
https://lup.lub.lu.se/record/06f4defd-682a-4531-8b09-061dd4637153URI
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-174878URI

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Language:English
Summary in:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Funding Agencies|Pufendorf Institute for Advanced Studies, Lund University (Theme: Post-Antibiotic Futures), Vetenskapsradet [2017-01321]
Aims: Antimicrobial resistance presents an increasingly serious threat to global public health, which is directly related to how antibiotic medication is used in society. Actions aimed towards the optimised use of antibiotics should be implemented on equal terms and according to the needs of the population. Previous research results on differences in antibiotic use between socio-economic and demographic groups in Sweden are not entirely coherent, and have typically focused on the effects of singular socio-economic variables. Using an intersectional approach, this study provides a more precise analysis of how the dispensation of antibiotic medication was distributed across socio-economic and demographic groups in Sweden in 2016-2017. Methods: Using register data from a nationwide cohort and adopting an intersectional analysis of individual heterogeneity and discriminatory accuracy, we map the dispensation of antibiotics according to age, sex, country of birth and income. Results: While women and high-income earners had the highest antibiotic dispensation prevalence, no large differences in the dispensation of antibiotics were identified between socio-economic groups. Conclusions: Public-health interventions aiming to support the reduced and optimised use of antibiotics should be directed towards the whole Swedish population rather than towards specific groups. Correspondingly, an increased focus on socio-economic or demographic factors is not warranted in interventions aimed at improving antibiotic prescription patterns among medical practitioners.

Subject headings and genre

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
Antibiotic medication
Sweden
antimicrobial resistance
intersectionality
socio-economic disparities
Socialt arbete
Social Work

Added entries (persons, corporate bodies, meetings, titles ...)

Lenander, CeciliaLund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups,Lund Univ, Sweden(Swepub:lu)med-cl2 (author)
Hansson, KristoferMalmö universitet,Institutionen för socialt arbete (SA),Malmö University, Sweden,Malmo Univ, Sweden(Swepub:mau)ak7680 (author)
Perez, RaquelLund University,Lunds universitet,Socialepidemiologi,Forskargrupper vid Lunds universitet,Social Epidemiology,Lund University Research Groups,Lund Univ, Sweden(Swepub:lu)med-rup (author)
Hedin, KatarinaLinköpings universitet,Linköping University,Lund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Lund Univ, Sweden(Swepub:liu)kathe53 (author)
Merlo, JuanLund University,Lunds universitet,Socialepidemiologi,Forskargrupper vid Lunds universitet,Social Epidemiology,Lund University Research Groups,Region Skåne,Lund Univ, Sweden; Reg Skane, Sweden(Swepub:lu)smi-jme (author)
SocialepidemiologiForskargrupper vid Lunds universitet (creator_code:org_t)

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In:Scandinavian Journal of Public Health: Sage Publications50:3, s. 347-3541403-49481651-1905

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