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Development and Application of an Antibiotic Knowledge Scale

18 Pages Posted: 8 Mar 2019

See all articles by Dandan Li

Dandan Li

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health

Yanhong Gong

Huazhong University of Science and Technology (Formerly Tongi Medical University) - Department of Social Medicine and Health Management

Yuxin Zhao

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health

Lei Qiu

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health

Xiaotong Li

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health

Na Sun

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health

Qin Yang

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health

Xiaoxv Yin

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health

More...

Abstract

Background: Misconceptions about antibiotics among the public can potentially lead to inappropriate use of antibiotics. Currently, there is no antibiotic knowledge assessment tool to address this issue. This study aimed to develop and validate an Antibiotic Knowledge Scale (AKS) to assess public knowledge of antibiotics in China.  

Methods: An initial 18-item AKS was designed and validated among 1,180 people recruited in June 2017. After removing redundant items, the reliability and validity of the AKS were examined. Subsequently, a cross-sectional Internet survey was conducted in China, and 12,772 people were recruited using convenience sampling and surveyed using a structured anonymous questionnaire. A logistic regression model was used to identify the factors associated with poor knowledge of antibiotics.  

Findings: The final AKS included two screening items and fifteen knowledge evaluation items. Cronbach's alpha, test-retest reliability, and split-half reliability were 0.90, 0.88, and 0.89, respectively. A confirmatory factor analysis indicated that the AKS has good construct validity. The mean score on the AKS was 7.25 (SD = 4.76) and 67% of participants had poor antibiotic knowledge, which was associated with male gender, rural residence, lower educational level, poor economic status, living in Western China, and lacking education on antibiotics.  

Interpretation: The AKS demonstrated satisfactory reliability and validity. The majority of participants had inadequate knowledge of antibiotics, and the government urgently need conduct interventions to improve public knowledge of antibiotics.  

Funding: This research was funded by National Natural Science Foundation of China (No.0204513254).  

Declaration of Interest: The authors declare no competing interests.

Ethical Approval: Ethical approval was provided by the Human Research Ethics Committee, Huazhong University of Science and Technology, Wuhan, China.

Keywords: Antibiotic Knowledge, Scale, Influencing factor, China

Suggested Citation

Li, Dandan and Gong, Yanhong and Zhao, Yuxin and Qiu, Lei and Li, Xiaotong and Sun, Na and Yang, Qin and Yin, Xiaoxv, Development and Application of an Antibiotic Knowledge Scale (March 6, 2019). Available at SSRN: https://ssrn.com/abstract=3347902 or http://dx.doi.org/10.2139/ssrn.3347902

Dandan Li

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health

1037 Luoyu Rd
Wuhan
China

Yanhong Gong

Huazhong University of Science and Technology (Formerly Tongi Medical University) - Department of Social Medicine and Health Management

Wuhan
China

Yuxin Zhao

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health

1037 Luoyu Rd
Wuhan
China

Lei Qiu

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health

1037 Luoyu Rd
Wuhan
China

Xiaotong Li

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health

1037 Luoyu Rd
Wuhan
China

Na Sun

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health

1037 Luoyu Rd
Wuhan
China

Qin Yang

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health

1037 Luoyu Rd
Wuhan
China

Xiaoxv Yin (Contact Author)

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health ( email )

1037 Luoyu Rd
Wuhan
China

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