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The Role of Multidimensional Poverty in Antibiotic Misuse: A Study of Self-Medication and Non-Adherence in Kenya, Tanzania, and Uganda (Record no. 19664)

MARC details
000 -LEADER
fixed length control field	03699nam a22005297a 4500
003 - CONTROL NUMBER IDENTIFIER
control field	OSt
005 - DATE AND TIME OF LATEST TRANSACTION
control field	20240305193736.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field	221123b \|\|\|\|\|\|\|\| \|\|\|\| 00\| 0 eng d
028 ## - PUBLISHER OR DISTRIBUTOR NUMBER
Source	Phone: +255 28 298 3384

Source	Fax: +255 28 298 3386

Source	Email: vc@bugando.ac.tz

Source	Website: www.bugando.ac.tz
040 ## - CATALOGING SOURCE
Language of cataloging	English
Transcribing agency	DLC
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title	English
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name	Dominique L Green
9 (RLIN)	45803
245 ## - TITLE STATEMENT
Title	The Role of Multidimensional Poverty in Antibiotic Misuse: A Study of Self-Medication and Non-Adherence in Kenya, Tanzania, and Uganda
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc.	Mwanza, Tanzania:
Name of publisher, distributor, etc.	The Lancet &
--	Catholic University of Health and Allied Sciences [CUHAS – Bugando]
Date of publication, distribution, etc.	8 Oct 2021
490 ## - SERIES STATEMENT
Volume/sequential designation	The Lancet
520 ## - SUMMARY, ETC.
Summary, etc.	Abstract:<br/><br/>Background: Poverty is a proposed driver of antimicrobial resistance (AMR), influencing inappropriate antibiotic (AB) use in low and middle-income countries (LMICs). However, at sub-national levels, studies investigating poverty and AB use are sparse and the results inconsistent.<br/><br/>Methods: The Holistic Approach to Unravelling Antimicrobial Resistance (HATUA) Consortium collected data from 6,827 patients presenting with urinary tract infection (UTI) symptoms in Kenya, Uganda, and Tanzania. Using Bayesian hierarchical modelling, we investigated the association between multidimensional poverty and self-reported AB self-medication and treatment non-adherence (skipping a dose and not completing the course). We also analysed linked qualitative in-depth patient interviews (IDIs) (n = 82) and unlinked focus group discussions (FGDs) with community members (n = 44 groups).<br/><br/>Findings: AB self-medication and non-adherence to treatment courses was significantly more common in the least deprived group compared with those in severe poverty. Adjustment for AB ‘knowledge’, attitudes and socio-demographics diminished the association with self-medication, but not non-adherence. IDIs and FGDs suggested that self-medication and non-adherence are driven by perceived inconvenience of the healthcare system, financial barriers, and ease of unregulated AB access.<br/><br/>Interpretation: Structural barriers to optimal AB use exist at all levels of the socioeconomic hierarchy. Inefficiencies in public healthcare may be fuelling alternative antibiotic access points, for those who can afford it. In designing interventions to tackle AMR and reduce AB misuse, the behaviours and needs of wealthier population groups should not be neglected.<br/><br/>Funding Information: UK National Institute for Health Research, Medical Research Council and the Department of Health and Social Care.
700 ## - ADDED ENTRY--PERSONAL NAME
9 (RLIN)	44928

9 (RLIN)	45696

9 (RLIN)	45897

9 (RLIN)	45792

9 (RLIN)	45898

9 (RLIN)	45693

9 (RLIN)	44923

9 (RLIN)	44926

9 (RLIN)	45797

9 (RLIN)	44885

9 (RLIN)	45804

9 (RLIN)	45806

9 (RLIN)	45799

9 (RLIN)	45801

9 (RLIN)	45694

9 (RLIN)	45805

9 (RLIN)	22996

9 (RLIN)	45697

9 (RLIN)	15820

9 (RLIN)	45698

9 (RLIN)	45846

9 (RLIN)	45800

9 (RLIN)	19663

9 (RLIN)	44925

9 (RLIN)	45802
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier	<a href="http://dx.doi.org/10.2139/ssrn.3938836 ">http://dx.doi.org/10.2139/ssrn.3938836 </a>
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme	ddc
Koha item type	RESEARCH ARTICLES

Holdings
Withdrawn status	Lost status	Source of classification or shelving scheme	Damaged status	Not for loan	Collection	Home library	Current library	Shelving location	Date acquired	Total checkouts	Barcode	Date last seen	Copy number	Price effective from	Koha item type
						MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO	MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO		11/23/2022		RA0872	11/23/2022	RA0872	11/23/2022	RESEARCH ARTICLES