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Framing a global health risk from the bottom-up: user perceptions and practices around antibiotics in four villages in China
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posted on 2023-06-08, 06:50 authored by Chenggang Jin, Adrian ElyAdrian Ely, Lijie Fang, Xiaoyun LiangThis paper describes an exploratory study that investigated perceptions and practices around antibiotic use amongst villagers in four villages in Hubei and Shandong, China, as part of a larger multi-level project investigating framings of technology risk and regulation from local to global levels. Adopting a ‘backward-mapping’ methodology, focus group discussions and in depth interviews were carried out during a field visit in the summer of 2008 to examine notions of antibiotics as a category of drug, their uses, patient preferences and strategies for managing risk by accessing what were seen as ‘better’ antibiotics. Most villagers, especially those identified by peers as coming from poorer groups, expressed their ignorance around antibiotics and admitted relying entirely on trusted doctors to provide information and administer drugs. The minority of villagers who differentiated between antibiotics and other drugs claimed to base their knowledge additionally upon their own experience with the drugs, and in some cases on information from the media. Villagers’ explanations for the high level of use of antibiotics (including drips) to treat infections such as common colds, and villagers’ awareness and understanding of antibiotic resistance are explored. We finally discuss the implications of these user ‘framings’ for international and national initiatives to manage the global threat of antibiotic resistance.
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Publication status
- Published
Journal
Health, Risk and SocietyISSN
1369-8575Publisher
Taylor and FrancisExternal DOI
Issue
5Volume
13Page range
433-449Department affiliated with
- SPRU - Science Policy Research Unit Publications
Full text available
- No
Peer reviewed?
- Yes
Legacy Posted Date
2012-02-06Usage metrics
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