Publication:
Antibiotics and activity spaces: Protocol of an exploratory study of behaviour, marginalisation and knowledge diffusion

Issued Date

2018-03-01

Resource Type

Article

ISSN

20597908

DOI

10.1136/bmjgh-2017-000621

Other identifier(s)

2-s2.0-85056625843

Rights

Mahidol University

Rights Holder(s)

SCOPUS

Bibliographic Citation

BMJ Global Health. Vol.3, No.2 (2018)

Suggested Citation

Marco J. Haenssgen, Nutcha Charoenboon, Giacomo Zanello, Mayfong Mayxay, Felix Reed-Tsochas, Caroline O.H. Jones, Romyen Kosaikanont, Pollavat Praphattong, Pathompong Manohan, Yoel Lubell, Paul N. Newton, Sommay Keomany, Heiman F.L. Wertheim, Jeffrey Lienert, Thipphaphone Xayavong, Penporn Warapikuptanun, Yuzana Khine Zaw, Patchapoom U-Thong, Patipat Benjaroon, Narinnira Sangkham, Kanokporn Wibunjak, Poowadon Chai-In, Sirirat Chailert, Patthanan Thavethanutthanawin, Krittanon Promsutt, Amphayvone Thepkhamkong, Nicksan Sithongdeng, Maipheth Keovilayvanh, Nid Khamsoukthavong, Phaengnitta Phanthasomchit, Chanthasone Phanthavong, Somsanith Boualaiseng, Souksakhone Vongsavang, Rachel C. Greer, Thomas Althaus, Supalert Nedsuwan, Daranee Intralawan, Tri Wangrangsimakul, Direk Limmathurotsakul, Proochista Ariana Antibiotics and activity spaces: Protocol of an exploratory study of behaviour, marginalisation and knowledge diffusion. BMJ Global Health. Vol.3, No.2 (2018). doi:10.1136/bmjgh-2017-000621 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/46931

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Title

Antibiotics and activity spaces: Protocol of an exploratory study of behaviour, marginalisation and knowledge diffusion

Author(s)

Marco J. Haenssgen
 Nutcha Charoenboon
 Giacomo Zanello
 Mayfong Mayxay
 Felix Reed-Tsochas
 Caroline O.H. Jones
 Romyen Kosaikanont
 Pollavat Praphattong
 Pathompong Manohan
 Yoel Lubell
 Paul N. Newton
 Sommay Keomany
 Heiman F.L. Wertheim
 Jeffrey Lienert
 Thipphaphone Xayavong
 Penporn Warapikuptanun
 Yuzana Khine Zaw
 Patchapoom U-Thong
 Patipat Benjaroon
 Narinnira Sangkham
 Kanokporn Wibunjak
 Poowadon Chai-In
 Sirirat Chailert
 Patthanan Thavethanutthanawin
 Krittanon Promsutt
 Amphayvone Thepkhamkong
 Nicksan Sithongdeng
 Maipheth Keovilayvanh
 Nid Khamsoukthavong
 Phaengnitta Phanthasomchit
 Chanthasone Phanthavong
 Somsanith Boualaiseng
 Souksakhone Vongsavang
 Rachel C. Greer
 Thomas Althaus
 Supalert Nedsuwan
 Daranee Intralawan
 Tri Wangrangsimakul
 Direk Limmathurotsakul
 Proochista Ariana

Other Contributor(s)

University of Oxford, Saïd Business School
 Wellcome Trust Research Laboratories Nairobi
 London School of Hygiene & Tropical Medicine
 Green Templeton College
 University of Oxford
 Mae Fah Luang University
 National Human Genome Research Institute
 Mahidol University
 University of Reading
 Nuffield Department of Clinical Medicine
 University of Health Sciences
 Medical Microbiology Department
 Oxford University Clinical Research Unit (OUCRU)
 Salavan Provincial Hospital
 Chiangrai Prachanukroh Hospital

Abstract

© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. Background Antimicrobial resistance (AMR) is a global health priority. Leading UK and global strategy papers to fight AMR recognise its social and behavioural dimensions, but current policy responses to improve the popular use of antimicrobials (eg, antibiotics) are limited to education and awareness-raising campaigns. In response to conceptual, methodological and empirical weaknesses of this approach, we study people's antibiotic-related health behaviour through three research questions. RQ1: What are the manifestations and determinants of problematic antibiotic use in patients' healthcare-seeking pathways? RQ2: Will people's exposure to antibiotic awareness activities entail changed behaviours that diffuse or dissipate within a network of competing healthcare practices? RQ3: Which proxy indicators facilitate the detection of problematic antibiotic behaviours across and within communities? Methods We apply an interdisciplinary analytical framework that draws on the public health, medical anthropology, sociology and development economics literature. Our research involves social surveys of treatment-seeking behaviour among rural dwellers in northern Thailand (Chiang Rai) and southern Lao PDR (Salavan). We sample approximately 4800 adults to produce district-level representative and social network data. Additional 60 cognitive interviews facilitate survey instrument development and data interpretation. Our survey data analysis techniques include event sequence analysis (RQ1), multilevel regression (RQ1-3), social network analysis (RQ2) and latent class analysis (RQ3). Discussion Social research in AMR is nascent, but our unprecedentedly detailed data on microlevel treatment-seeking behaviour can contribute an understanding of behaviour beyond awareness and free choice, highlighting, for example, decision-making constraints, problems of marginalisation and lacking access to healthcare and competing ideas about desirable behaviour. trial registration number NCT03241316; Pre-results.

Keyword(s)

Medicine

Availability

URI

https://repository.li.mahidol.ac.th/handle/20.500.14594/46931

Collections

Scopus 2018