Oliver J Dyar1, Jia Yin2, Lilu Ding2, Karin Wikander1, Tianyang Zhang1, Chengtao Sun3, Yang Wang3, Christina Greko4, Qiang Sun2, Cecilia Stålsby Lundborg1. 1. Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden. 2. School of Health Care Management, Shandong University; Key Laboratory of Health Economics and Policy Research, NHFPC, Shandong University; Center for Health Management and Policy Research, Shandong University, Jinan, Shandong, China. 3. Beijing Advanced Innovation Center for Food Nutrition and Human Health, College of Veterinary Medicine, China Agricultural University, Beijing, China. 4. National Veterinary Institute, Uppsala, Sweden.
Abstract
Objectives: To evaluate rural residents' knowledge, attitudes and practices (KAP) towards antibiotic use in humans and pigs, among individuals with and without backyard pig farms living in Shandong province, China. Methods: We conducted a cross-sectional questionnaire study among residents in 12 villages, and directly observed medicines stored in households for humans and pigs. Results: In total, 769 residents participated, including 330 backyard pig farmers. Respondents had low levels of knowledge about antibiotics. A quarter of participants had bought one or more antibiotics from a pharmacy without a prescription in the previous year, and this was more common among pig farmers who had bought antibiotics for their pigs without consulting a vet (49% versus 25%, P < 0.001). Stored antibiotics for human use were found in 42% of households, and 70% of participants from these households did not know they were storing antibiotics. Thirty-one percent of backyard pig farmers were storing antibiotics for pig use. Farmers who thought it was good to store leftover antibiotics for their pigs were more likely to have stored antibiotics for pigs (41% versus 20%) and for humans (47% versus 32%; both P < 0.01). A fifth of participants thought their own actions were important for controlling antibiotic resistance. Conclusions: We found differences in the KAP of backyard pig farmers and non-pig farmers to antibiotics, and parallels between pig farmers' attitudes and behaviours towards antibiotic use in pigs and in humans. Our findings reinforce the need for context-adapted multifaceted interventions to improve antibiotic use and provide suggestions for targeting educational approaches.
Objectives: To evaluate rural residents' knowledge, attitudes and practices (KAP) towards antibiotic use in humans and pigs, among individuals with and without backyard pig farms living in Shandong province, China. Methods: We conducted a cross-sectional questionnaire study among residents in 12 villages, and directly observed medicines stored in households for humans and pigs. Results: In total, 769 residents participated, including 330 backyard pig farmers. Respondents had low levels of knowledge about antibiotics. A quarter of participants had bought one or more antibiotics from a pharmacy without a prescription in the previous year, and this was more common among pig farmers who had bought antibiotics for their pigs without consulting a vet (49% versus 25%, P < 0.001). Stored antibiotics for human use were found in 42% of households, and 70% of participants from these households did not know they were storing antibiotics. Thirty-one percent of backyard pig farmers were storing antibiotics for pig use. Farmers who thought it was good to store leftover antibiotics for their pigs were more likely to have stored antibiotics for pigs (41% versus 20%) and for humans (47% versus 32%; both P < 0.01). A fifth of participants thought their own actions were important for controlling antibiotic resistance. Conclusions: We found differences in the KAP of backyard pig farmers and non-pig farmers to antibiotics, and parallels between pig farmers' attitudes and behaviours towards antibiotic use in pigs and in humans. Our findings reinforce the need for context-adapted multifaceted interventions to improve antibiotic use and provide suggestions for targeting educational approaches.
Authors: Joseph Paul Hicks; Sophia M Latham; Rumana Huque; Mahua Das; Jane Newell; S M Abdullah; Zunayed Al Azdi; Ishrat Jahan; Christian Rassi; Prudence Hamade; Muhammad Shafique; Mohammad Saiful Islam; Rebecca King Journal: BMC Public Health Date: 2021-02-25 Impact factor: 3.295
Authors: Liyan Shen; Oliver James Dyar; Qiang Sun; Xiaolin Wei; Ding Yang; Chengtao Sun; Yang Wang; Hongyu Li; Yuqing Liu; Yanbo Luo; Jia Yin; Cecilia Stålsby Lundborg Journal: Int J Environ Res Public Health Date: 2021-02-17 Impact factor: 3.390
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