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Perceptions of Responsibility for Antibiotic Resistance: Implications for Stewardship Campaigns

机译：对抗生素抗性责任的看法：对管理竞选的影响

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摘要

Widespread public engagement with antibiotic stewardship is essential to stem the rising incidence of antibiotic-resistant infections; however, campaigns that focus on increasing knowledge have not been effective. Beliefs about who is responsible for causing and solving antibiotic resistance (AR) likely influences engagement in antibiotic stewardship behaviors. This study assesses the U.S. public's AR causal and solution responsibility attributions and the capacity for changing these attributions to inform future antibiotic stewardship campaigns. U.S. participants (N= 1,014) diverse across race, education, and geographic region were surveyed on their beliefs about responsibility for AR for themselves, the general public, healthcare providers, scientists, and drug companies. Substantial percentages of participants held causal and solution beliefs about antibiotic resistance that likely inhibit antibiotic stewardship behaviors. Participants' beliefs that they and the general public are responsible for causing and solving AR were lower than their beliefs that healthcare providers, scientists, and drug companies are responsible. Beliefs about causal responsibility for any given person or group were significantly and positively associated with beliefs about solution responsibility for that same person or group. Responsibility beliefs differed by age, education level, and racial/ethnic background. Results highlight the need for antibiotic stewardship campaigns to incorporate responsibility attribution messaging to motivate stewardship.
机译：公众广泛参与抗生素管理对于遏制抗生素耐药性感染的上升至关重要；然而，以增加知识为重点的运动并没有奏效。关于谁负责引起和解决抗生素耐药性（AR）的信念可能会影响抗生素管理行为的参与。本研究评估了美国公众的AR因果和解决方案责任归因，以及改变这些归因以告知未来抗生素管理活动的能力。对不同种族、教育程度和地理区域的美国参与者（N=1014）进行了调查，了解他们对AR对自己、公众、医疗保健提供者、科学家和制药公司的责任的看法。相当大比例的参与者对抗生素耐药性持有因果和解决方案信念，这可能会抑制抗生素管理行为。参与者认为他们和公众应该为AR的病因和解决负责的信念低于他们认为医疗保健提供者、科学家和制药公司应该为AR负责的信念。对任何特定个人或群体的因果责任的信念与对同一个人或群体的解决责任的信念显著正相关。责任信念因年龄、教育水平和种族/民族背景而不同。结果强调了抗生素管理活动的必要性，以纳入责任归因信息，以激励管理。

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