Community perceptions of infectious diseases, antibiotic use and antibiotic resistance in context of environmental changes: a study in Odisha, India.

Background The public health impact of environmental changes and the faceless threat of antibiotic resistance are currently among the top global health challenges. Community understanding of health, diseases and medicines in relation to the changing environment is necessary to mitigate the impact of...

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Publicado en:Health Expectations Vol. 17; no. 5; pp. 651 - 664
Autores principales: Sahoo, Krushna Chandra, Tamhankar, Ashok J., Johansson, Eva, Stålsby Lundborg, Cecilia
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Oct2014
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Community perceptions of infectious diseases, antibiotic use and antibiotic resistance in context of environmental changes: a study in Odisha, India.
      aug:
        au:
          Sahoo, Krushna Chandra
          Tamhankar, Ashok J.
          Johansson, Eva
          Stålsby Lundborg, Cecilia
        affil: Doctoral Student, Division of Global Health (IHCAR), Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
      sug:
        subj:
          Communicable Diseases Etiology
          Consumer Attitudes
          Antibiotics Therapeutic Use
          Drug Resistance, Microbial
          Social Environment
          Climate Trends
          Human
          Qualitative Studies India
          India
          Exploratory Research
          Focus Groups
          Interviews
          Content Analysis
          Hypothesis
          Sanitation
          Health Education
          Descriptive Statistics
      ab: Background The public health impact of environmental changes and the faceless threat of antibiotic resistance are currently among the top global health challenges. Community understanding of health, diseases and medicines in relation to the changing environment is necessary to mitigate the impact of these changes on health and for prudent use of antibiotics. Objective The objective is to explore community perceptions of infectious diseases, antibiotic use and antibiotic resistance in the context of environmental changes. Methods A qualitative study was conducted among community members with various backgrounds in education, gender, age and occupation of two districts of Odisha, India. Eight focus groups discussions and ten individual interviews were conducted. Data were analysed using content analysis. Results Two themes emerged: 'Interpretation of infectious diseases and health hazards in the context of environmental changes', and 'Understanding of antibiotic use and its consequences for resistance development and the environment'. The participants perceived that nowadays there is irregularity in the occurrence of seasons, particularly an increase in average temperature, which is influencing health. Participants' perceptions of infectious diseases, antibiotic use and resistance varied according to their social environment. Furthermore, they perceived that improved sanitation, choice of alternative medicine and awareness and education on prudent use of antibiotics are probably some ways to prevent antibiotic resistance. Conclusions The participants perceived that climate variability is increasing and that this has health consequences for the community. They also hypothesized an interrelationship between the environment, infectious diseases and medicine use, particularly antibiotics. This is helpful for further empirical studies.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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