Abstract
Antibiotic resistance is occurring widely throughout the world and is affecting people of all ages. Socioeconomic factors, education, use of antibiotics, knowledge of antibiotics, and antibiotic resistance were assessed in four cities in Asia, namely Hong Kong, Shanghai, Hangzhou, and Bangkok. A survey using cluster sampling was used in 2021 to collect data on 642 subjects. Hongkongers used less antibiotics and were knowledgeable about using antibiotics to treat diseases, while Shanghainese were knowledgeable about antibiotic resistance. The multi-linear regression model reported that respondents who lived in Hong Kong (β = 0.744 (95% CI: 0.36–1.128), Shanghai (β = 1.65 (95% CI: 1.267–2.032), and Hangzhou (β = 1.393 (95% CI: 0.011–1.775) (reference group: Bangkok), who had higher scores on antibiotics knowledge (β = 0.161 (95% CI: 0.112–0.21)), higher educational attainment (β = 0.46 (95% CI: 0.296–0.625)), and who were more likely to consult a doctor on using antibiotics (β = 1.102 (95% CI: 0.606–1.598)), were more likely to give correct answers about antibiotic resistance, p < 0.001. Older respondents were less likely to answer the items correctly (β = −0.194 (95% CI: −0.333–−0.055), p < 0.01. When educating the public on the proper use of antibiotics and antibiotic resistance, multiple strategies could be considered for people from all walks of life, as well as target different age groups.
Highlights
In 2015, the World Health Organization (WHO) reported that antibiotic resistance is occurring everywhere in the world and is affecting people of all ages. [1]
The model showed that respondents who lived in Hong Kong, Shanghai, Hangzhou, who had higher scores on antibiotics knowledge, a higher level of educational attainment, and who were more likely to consult a doctor on using antibiotics were more likely to give correct answers about antibiotic resistance
The results of the regression analysis in the present study showed that respondents who lived in Hong Kong, Shanghai, and Hangzhou, who had a higher level of educational attainment, and who consulted doctor about using antibiotics were likely to give more correct answers, while older respondents were less likely to give correct answers on antibiotic resistance
Summary
In 2015, the World Health Organization (WHO) reported that antibiotic resistance is occurring everywhere in the world and is affecting people of all ages. [1]. In 2015, the World Health Organization (WHO) reported that antibiotic resistance is occurring everywhere in the world and is affecting people of all ages. There is a crucial need to increase people’s knowledge and promote the rational use of antibiotics in humans. China is a country where a large number of respondents reported that they had obtained antibiotics from a friend or family member [1]. An even higher rate of misuse of antibiotics has been reported, especially in connection with diarrhoea. The protective factors against the misuse of antibiotics are being a female child, having guardians with higher education, and possessing basic health knowledge [5]. In China, having an employer sponsor a mother’s medical fees, the mother’s level of education, and the severity of one’s illness have been found to be significant predictors of self-medication [6]
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