eprintid: 10048410 rev_number: 40 eprint_status: archive userid: 608 dir: disk0/10/04/84/10 datestamp: 2018-08-03 14:15:48 lastmod: 2021-12-02 23:03:01 status_changed: 2018-08-03 14:15:48 type: article metadata_visibility: show creators_name: Roope, LSJ creators_name: Tonkin-Crine, S creators_name: Butler, CC creators_name: Crook, D creators_name: Peto, T creators_name: Peters, M creators_name: Walker, AS creators_name: Wordsworth, S title: Reducing demand for antibiotic prescriptions: evidence from an online survey of the general public on the interaction between preferences, beliefs and information, United Kingdom, 2015 ispublished: pub divisions: UCL divisions: B02 divisions: D65 divisions: J38 note: This work is licensed under a Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/). abstract: Background: Antimicrobial resistance (AMR), a major public health threat, is strongly associated with human antibiotic consumption. Influenza-like illnesses (ILI) account for substantial inappropriate antibiotic use; patient understanding and expectations probably play an important role. Aim: This study aimed to investigate what drives patient expectations of antibiotics for ILI and particularly whether AMR awareness, risk preferences (attitudes to taking risks with health) or time preferences (the extent to which people prioritise good health today over good health in the future) play a role. Methods: In 2015, a representative online panel survey of 2,064 adults in the United Kingdom was asked about antibiotic use and effectiveness for ILI. Explanatory variables in multivariable regression included AMR awareness, risk and time preferences and covariates. Results: The tendency not to prioritise immediate gain over later reward was independently strongly associated with greater awareness that antibiotics are inappropriate for ILI. Independently, believing antibiotics were effective for ILI and low AMR awareness significantly predicted reported antibiotic use. However, 272 (39%) of those with low AMR awareness said that the AMR information we provided would lead them to ask a doctor for antibiotics more often, significantly more than would do so less often, and in contrast to those with high AMR awareness (p < 0.0001). Conclusion: Information campaigns to reduce AMR may risk a paradoxical consequence of actually increasing public demand for antibiotics. Public antibiotic stewardship campaigns should be tested on a small scale before wider adoption. date: 2018-06-21 date_type: published publisher: EUR CENTRE DIS PREVENTION & CONTROL official_url: http://dx.doi.org/10.2807/1560-7917.ES.2018.23.25.1700424 oa_status: green full_text_type: pub language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 1556140 doi: 10.2807/1560-7917.ES.2018.23.25.1700424 lyricists_name: Walker, Ann lyricists_id: ASWAL40 actors_name: Allington-Smith, Dominic actors_id: DAALL44 actors_role: owner full_text_status: public publication: Eurosurveillance volume: 23 number: 25 pagerange: 13-23 pages: 11 issn: 1560-7917 citation: Roope, LSJ; Tonkin-Crine, S; Butler, CC; Crook, D; Peto, T; Peters, M; Walker, AS; Roope, LSJ; Tonkin-Crine, S; Butler, CC; Crook, D; Peto, T; Peters, M; Walker, AS; Wordsworth, S; - view fewer <#> (2018) Reducing demand for antibiotic prescriptions: evidence from an online survey of the general public on the interaction between preferences, beliefs and information, United Kingdom, 2015. Eurosurveillance , 23 (25) pp. 13-23. 10.2807/1560-7917.ES.2018.23.25.1700424 <https://doi.org/10.2807/1560-7917.ES.2018.23.25.1700424>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10048410/1/Walker_eurosurv-23-25-2.pdf document_url: https://discovery.ucl.ac.uk/id/eprint/10048410/6/Walker_roopefinal_supplement1.pdf document_url: https://discovery.ucl.ac.uk/id/eprint/10048410/11/Walker_roopefinal_supplement2.pdf document_url: https://discovery.ucl.ac.uk/id/eprint/10048410/21/Walker_roopefinal_supplement3.pdf