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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, Maria (author)
- Lund 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
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- Lenander, Cecilia (author)
- Lund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups,Lund Univ, Sweden
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- Hansson, Kristofer (author)
- Malmö universitet,Institutionen för socialt arbete (SA),Malmö University, Sweden,Malmo Univ, Sweden
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- (creator_code:org_t)
- 2021-01-18
- 2022
- English.
- In: Scandinavian Journal of Public Health. - : Sage Publications. - 1403-4948 .- 1651-1905. ; 50:3, s. 347-354
- Journal article (peer-reviewed)
Abstract
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- 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
- 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)
Keyword
- Antibiotic medication
- Sweden
- antimicrobial resistance
- intersectionality
- socio-economic disparities
- Socialt arbete
- Social Work
Publication and Content Type
- ref (subject category)
- art (subject category)
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