The Effectiveness of an Educational Intervention on Knowledge, Attitudes and Reported Practices on Antibiotic Use in Humans and Pigs: A Quasi-Experimental Study in Twelve Villages in Shandong Province, China
文献类型: 外文期刊
作者: Shen, Liyan 1 ; James Dyar, Oliver 2 ; Sun, Qiang 1 ; Wei, Xiaolin 3 ; Yang, Ding 1 ; Sun, Chengtao 4 ; Wang, Yang 4 ; Li 1 ;
作者机构: 1.Shandong Univ, Cheeloo Coll Med, Ctr Hlth Management & Policy Res, NHC Key Lab Hlth Econ & Policy Res,Sch Publ Hlth, Jinan 250012, Peoples R China
2.Karolinska Inst, Dept Global Publ Hlth, S-17177 Stockholm, Sweden
3.Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON M5S 2E8, Canada
4.China Agr Univ, Coll Vet Med, Beijing Adv Innovat Ctr Food Nutr & Human Hlth, Beijing 100083, Peoples R China
5.Shandong Acad Agr Sci, Inst Anim Sci & Vet Med, Jinan 250100, Peoples R China
关键词: antibiotic; educational intervention; humans and animals; China
期刊名称:INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH ( 影响因子:3.39; 五年影响因子:3.789 )
ISSN:
年卷期: 2021 年 18 卷 4 期
页码:
收录情况: SCI
摘要: Our aim was to evaluate the effectiveness of an intervention for residents in rural China on knowledge, attitudes and reported practices (KAP) on antibiotic use in humans and pigs. A quasi-experimental study was conducted in 12 villages in rural Shandong province, divided into intervention and control groups, covering a two-year period from July 2015 to June 2017. A package of health education-based interventions including training sessions, speakerphone messages, posters and handbooks for residents was developed and implemented over a one-year period to improve the use of antibiotics in humans and pigs. The intervention net effects were evaluated by Difference-in-Difference (DID) analysis based on responses to a questionnaire concerning KAP towards antibiotic use in humans and pigs. A total of 629 participants completed both baseline and post-trial questionnaires, including 127 participants with backyard pig farms. Significant improvements were found in KAP towards antibiotic use in humans, but changes related to antibiotic use for pigs were not significant. Participants who were in the intervention group (p < 0.001) were more likely to have improved their knowledge on antibiotic use in humans. Participants who had higher attitude scores were less likely to report self-medicating with stored antibiotics in the previous year (p < 0.001). Our results suggest that our health education-based intervention was effective in improving KAP on human antibiotic use, but it had little effect regarding antibiotic use for pigs.
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