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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

Author

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  • Liyan Shen

    (NHC Key Lab of Health Economics and Policy Research, Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, China)

  • Oliver James Dyar

    (Department of Global Public Health, Karolinska Institutet, 17177 Stockholm, Sweden)

  • Qiang Sun

    (NHC Key Lab of Health Economics and Policy Research, Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, China)

  • Xiaolin Wei

    (Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5S 2E8, Canada)

  • Ding Yang

    (NHC Key Lab of Health Economics and Policy Research, Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, China)

  • Chengtao Sun

    (Beijing Advanced Innovation Center for Food Nutrition and Human Health, College of Veterinary Medicine, China Agricultural University, Beijing 100083, China)

  • Yang Wang

    (Beijing Advanced Innovation Center for Food Nutrition and Human Health, College of Veterinary Medicine, China Agricultural University, Beijing 100083, China)

  • Hongyu Li

    (NHC Key Lab of Health Economics and Policy Research, Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, China)

  • Yuqing Liu

    (Institute of Animal Science and Veterinary Medicine, Shandong Academy of Agricultural Science, Jinan 250100, China)

  • Yanbo Luo

    (Institute of Animal Science and Veterinary Medicine, Shandong Academy of Agricultural Science, Jinan 250100, China)

  • Jia Yin

    (NHC Key Lab of Health Economics and Policy Research, Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, China)

  • Cecilia Stålsby Lundborg

    (Department of Global Public Health, Karolinska Institutet, 17177 Stockholm, Sweden)

Abstract

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.

Suggested Citation

  • 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, 2021. "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," IJERPH, MDPI, vol. 18(4), pages 1-12, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:1940-:d:500706
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    References listed on IDEAS

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    1. Nazim Habibov & Hakim Zainiddinov, 2017. "Effect of TV and radio family planning messages on the probability of modern contraception utilization in post-Soviet Central Asia," International Journal of Health Planning and Management, Wiley Blackwell, vol. 32(1), pages 17-38, January.
    2. Xiaolin Wei & Zhitong Zhang & Joseph P Hicks & John D Walley & Rebecca King & James N Newell & Jia Yin & Jun Zeng & Yan Guo & Mei Lin & Ross E G Upshur & Qiang Sun, 2019. "Long-term outcomes of an educational intervention to reduce antibiotic prescribing for childhood upper respiratory tract infections in rural China: Follow-up of a cluster-randomised controlled trial," PLOS Medicine, Public Library of Science, vol. 16(2), pages 1-20, February.
    3. Xiujuan Chen & Linhai Wu & Xuyan Xie, 2018. "Assessing the Linkages between Knowledge and Use of Veterinary Antibiotics by Pig Farmers in Rural China," IJERPH, MDPI, vol. 15(6), pages 1-13, May.
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