PMID- 37760716
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231003
IS  - 2079-6382 (Print)
IS  - 2079-6382 (Electronic)
IS  - 2079-6382 (Linking)
VI  - 12
IP  - 9
DP  - 2023 Sep 8
TI  - Acculturation and Subjective Norms Impact Non-Prescription Antibiotic Use among 
      Hispanic Patients in the United States.
LID - 10.3390/antibiotics12091419 [doi]
LID - 1419
AB  - Using antibiotics without medical guidance (non-prescription antibiotic use) may 
      contribute to antimicrobial resistance. Hispanic individuals are a growing 
      demographic group in the United States (US) with a high prevalence of 
      non-prescription antibiotic use. We investigated the effects of acculturation and 
      subjective norms on Hispanic individuals' intentions to use antibiotics without a 
      prescription from the following sources: (1) markets in the United States (not 
      legal), (2) other countries (abroad), (3) leftovers from previous prescriptions, 
      and (4) friends/relatives. We surveyed self-identified Hispanic outpatients in 
      eight clinics from January 2020 to June 2021 using the previously validated Short 
      Acculturation Scale for Hispanics (SASH). Of the 263 patients surveyed, 47% 
      reported previous non-prescription use, and 54% expressed intention to use 
      non-prescription antibiotics if feeling sick. Individuals with lower 
      acculturation (Spanish-speaking preferences) expressed greater intentions to use 
      antibiotics from abroad and from any source. Individuals with more 
      friends/relatives who obtain antibiotics abroad were over 2.5 times more likely 
      to intend to use non-prescription antibiotics from friends/relatives (p = 0.034). 
      Other predictors of intention to use non-prescription antibiotics included high 
      costs of doctor visits and perceived language barriers in the clinic. Antibiotic 
      stewardship interventions in Hispanic communities in the United States should 
      consider the sociocultural and healthcare barriers influencing non-prescription 
      use and promote language-concordant healthcare.
FAU - Laytner, Lindsey A
AU  - Laytner LA
AUID- ORCID: 0000-0002-3790-7090
AD  - Department of Family and Community Medicine, Baylor College of Medicine, Houston, 
      TX 77098, USA.
AD  - Center for Innovations in Quality, Effectiveness and Safety (IQuESt), Houston, TX 
      77021, USA.
FAU - Olmeda, Kiara
AU  - Olmeda K
AUID- ORCID: 0000-0001-9174-6526
AD  - Department of Family and Community Medicine, Baylor College of Medicine, Houston, 
      TX 77098, USA.
FAU - Salinas, Juanita
AU  - Salinas J
AD  - Department of Family and Community Medicine, Baylor College of Medicine, Houston, 
      TX 77098, USA.
FAU - Alquicira, Osvaldo
AU  - Alquicira O
AD  - Tilman J. Fertitta Family College of Medicine, Houston, TX 77021, USA.
FAU - Nash, Susan
AU  - Nash S
AD  - Department of Family and Community Medicine, Baylor College of Medicine, Houston, 
      TX 77098, USA.
FAU - Zoorob, Roger
AU  - Zoorob R
AUID- ORCID: 0000-0001-7311-6723
AD  - Department of Family and Community Medicine, Baylor College of Medicine, Houston, 
      TX 77098, USA.
FAU - Paasche-Orlow, Michael K
AU  - Paasche-Orlow MK
AD  - Department of Medicine, Tufts Medical Center, Boston, MA 02111, USA.
FAU - Trautner, Barbara W
AU  - Trautner BW
AD  - Center for Innovations in Quality, Effectiveness and Safety (IQuESt), Houston, TX 
      77021, USA.
AD  - Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX 77030, USA.
AD  - Department of Medicine, Section of Health Services Research, Baylor College of 
      Medicine, Houston, TX 77030, USA.
FAU - Grigoryan, Larissa
AU  - Grigoryan L
AD  - Department of Family and Community Medicine, Baylor College of Medicine, Houston, 
      TX 77098, USA.
AD  - Center for Innovations in Quality, Effectiveness and Safety (IQuESt), Houston, TX 
      77021, USA.
LA  - eng
GR  - R01 HS026901/HS/AHRQ HHS/United States
PT  - Journal Article
DEP - 20230908
PL  - Switzerland
TA  - Antibiotics (Basel)
JT  - Antibiotics (Basel, Switzerland)
JID - 101637404
PMC - PMC10525363
OTO - NOTNLM
OT  - acculturation
OT  - antibiotic resistance
OT  - antibiotic stewardship
OT  - non-prescription antibiotic use
OT  - socio-cultural factors
OT  - subjective norms
COIS- B.W.T. reports grants or contracts from the VA Health Services Research & 
      Development, Agency for Healthcare Research and Quality R18, Craig H. Neilson 
      Foundation, Genentech, and Peptilogics, Inc.; payment from George Washington ID 
      Board for a Review Course; travel support for meeting attendance from the VA 
      Office of Research & Development and the Infectious Diseases Society of America; 
      and an unpaid role on a DSMB for CSP #2004. L.G. reports grants or contracts from 
      the Agency for Healthcare Research and Quality (AHRQ) R18, Craig H. Neilsen 
      Foundation, and a research education grant (1R25AA028203-01) from the National 
      Institute on Alcohol Abuse and Alcoholism Award. All other authors report no 
      potential conflicts.
EDAT- 2023/09/28 06:42
MHDA- 2023/09/28 06:43
PMCR- 2023/09/08
CRDT- 2023/09/28 01:08
PHST- 2023/07/28 00:00 [received]
PHST- 2023/08/31 00:00 [revised]
PHST- 2023/09/02 00:00 [accepted]
PHST- 2023/09/28 06:43 [medline]
PHST- 2023/09/28 06:42 [pubmed]
PHST- 2023/09/28 01:08 [entrez]
PHST- 2023/09/08 00:00 [pmc-release]
AID - antibiotics12091419 [pii]
AID - antibiotics-12-01419 [pii]
AID - 10.3390/antibiotics12091419 [doi]
PST - epublish
SO  - Antibiotics (Basel). 2023 Sep 8;12(9):1419. doi: 10.3390/antibiotics12091419.