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研究生: 戴怡安
Tai, Yi-An
論文名稱: 大學生抗生素用藥素養及使用行為之相關研究
A Study on Medication Literacy and Antibiotics Use among College Students
指導教授: 張鳳琴
Chang, Fong-Ching
口試委員: 紀雪雲
Chi, Hsueh-Yun
黃莉蓉
Huang, Li-Jung
張鳳琴
Chang, Fong-Ching
口試日期: 2023/07/21
學位類別: 碩士
Master
系所名稱: 健康促進與衛生教育學系健康促進與衛生教育碩士在職專班
Department of Health Promotion and Health Education_Continuing Education Master's Program of Health Promotion and Health Education
論文出版年: 2023
畢業學年度: 111
語文別: 中文
論文頁數: 126
中文關鍵詞: 用藥素養抗生素大學生正確使用抗生素行為
英文關鍵詞: medication literacy, antibiotics, university students, proper antibiotic use behavior
研究方法: 調查研究
DOI URL: http://doi.org/10.6345/NTNU202301439
論文種類: 學術論文
相關次數: 點閱:116下載:0
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  • 本研究旨在了解臺灣大學生的抗生素用藥素養及正確使用行為之現況及其關係。研究對象為在學的大學生,在2023年透過網路進行問卷調查,回收有效問卷共計482份,研究結果如下。
    一、大學生的抗生素用藥素養(功能性、互動性、批判性)整體表現中等偏高,但部分知識尚待加強;抗生素的使用行為表現偏良好。
    二、在功能性素養方面,就讀科系屬「醫藥衛生及社會福利」領域的大學生素養高於科系非屬「醫藥衛生及社會福利」領域者。
    三、在互動性素養方面,大學生在過去一年曾有醫師、藥師主動說明或提供處方藥物資訊經驗者互動性素養高於無經驗大學生;四年級大學生的素養高於一年級大學生。
    四、大學生接觸抗生素訊息的管道愈多元,其抗生素用藥素養(功能性、互動性、批判性)能力愈佳。
    五、以多元迴歸進行分析,結果顯示大學生的抗生素用藥素養(功能性、互動性、批判性)可預測正確使用抗生素行為。
    建議於相關教育活動中針對抗生素藥品特性、抗生素相關知識及細菌抗藥性的風險觀念作加強,以提升大學生的抗生素用藥素養及正確使用行為。

    This study examined the relationship between antibiotic literacy and proper antibiotic use behavior among university students in Taiwan. The research participants were undergraduate students. In 2023, an online questionnaire survey was conducted, and a total of 482 valid responses were collected. The research findings were as follows:
    1. The antibiotic literacy (functional, interactive, critical literacy) of university students was moderately high, but there was still room for improvement in certain knowledge areas. Additionally, the antibiotic use behavior of the students was relatively good.
    2. University students majoring in the fields of medicine, health, and social welfare exhibited higher functional antibiotics literacy compared to those in other fields.
    3. University students who had received proactive explanations or prescription medication information from doctors or pharmacists in the past year exhibited higher interactive antibiotics literacy compared to those without such experiences. Fourth-year students had higher interactive antibiotics literacy compared to first-year students.
    4. University students who received more diverse channels of antibiotic information had better antibiotic literacy (functional, interactive, critical literacy).
    5. Multiple regression analysis showed that university students' antibiotic literacy (functional, interactive, critical literacy) could predict proper antibiotic use behavior.
    This study recommends incorporating antibiotic-related knowledge and the concept of bacterial antibiotic resistance in relevant educational activities to enhance university students' antibiotic literacy and promote proper antibiotic use behavior.

    謝辭 i 摘要 iii ABSTRACT iv 第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究目的 5 第三節 研究問題 5 第四節 研究假設 6 第五節 名詞界定 6 第六節 研究限制 7 第二章 文獻探討 9 第一節 抗生素及細菌抗藥性現況 9 第二節 細菌對抗生素抗藥性的防治策略及教育活動 14 第三節 民眾不當使用抗生素行為 19 第四節 抗生素用藥素養 21 第五節 民眾使用抗生素相關研究文獻 28 第三章 研究方法 34 第一節 研究架構 34 第二節 研究對象 35 第三節 研究步驟與研究工具 35 第四節 資料處理與統計分析 43 第四章 研究結果 45 第一節 背景變項、抗生素用藥素養及使用行為之現況 45 第二節 背景變項與抗生素用藥素養之關係 64 第三節 背景變項與正確使用抗生素行為之關係 79 第四節 抗生素用藥素養與正確使用行為之關係 82 第五節 背景變項、抗生素用藥素養對正確使用行為之預測力 83 第五章 討論 87 第一節 大學生的抗生素用藥素養現況 87 第二節 大學生的正確使用抗生素行為現況 90 第三節 背景變項、抗生素用藥素養與正確使用行為的關係 91 第四節 背景變項、抗生素用藥素養對正確使用行為之預測力 96 第六章 結論與建議 99 第一節 結論 99 第二節 建議 100 參考文獻 103 中文部分 103 英文部分 106 附錄一、問卷專家效度名單 116 附錄二、大學生抗生素用藥素養及使用行為調查問卷 117

    方啟泰、張上淳(1998)。抗生素的合理使用。當代醫學 (296),460-468。https://doi.org/10.29941/mt.199806.0010
    王英偉、魏米秀、張美娟(2017)。健康識能與醫病共享決策。醫療品質雜誌,11(4),42-49。
    江云懷(2012)。國中學生正確用藥知識、態度與行為之研究─以新北市立某國民中學學生為例。(碩士)。國立臺灣師範大學,台北市。https://hdl.handle.net/ 11296/6xmxf9
    吳崇暉、林邑璁(2019)。社區型Methicillin抗藥性金黃色葡萄球菌。臨床醫學月刊,83(4),254-259。https://doi.org/10.6666/ClinMed.201904_83(4).0042
    李宜致、吳偉立、李佳珂、林陽助(2012)。大學生健康知能與健康行為之研究。清雲學報,32(3),51-63。https://doi.org/10.7049/jcyu.201207.0051
    李杰年(2002)。民眾對抗生素使用的認知、態度與其行為之研究。(碩士)。國立臺灣大學,台北市。https://hdl.handle.net/11296/7pxuyk
    李俊賢(2018)。臺灣地區高中職學生用藥素養評量工具發展及用藥素養與行為調查研究。(博士)。國立臺灣師範大學,台北市。https://hdl.handle.net/ 11296/7c4zg8
    李俊賢、張鳳琴、紀雪雲、黃莉蓉(2018)。學校結盟藥師推動正確用藥教育提升用藥知識、效能與行為之成效評價。台灣公共衛生雜誌, 37(2),196-205。https://doi.org/10.6288/tjph.201804_37(2).106135
    周方偉(2013)。家長對於學齡前兒童使用抗生素知識、態度、行為相關性研究-以台南地區為例。(碩士)。長榮大學,台南市。https://hdl.handle.net/11296/242ycp
    林永崇、張峰義、蕭樑基(2022)。多重抗藥性細菌防治之未來挑戰。醫療品質雜誌,16(2),80-85。https://doi.org/10.53106/199457952022031602012
    林季緯、何青蓉、黃如薏、王維典(2016)。健康識能的概念發展與實務應用。台灣家庭醫學雜誌,26(2),65-76。https://doi.org/10.3966/16823281201606260 2001
    林明儒、陳志榮(2020)。台灣兒童肺炎黴漿菌感染暨抗藥性現況及治療建議。感染控制雜誌,30(1),43-48。https://doi.org/10.6526/icj.202002_30(1).0005
    林淑貞、簡守信(2007)。用藥安全是病人安全的首要目標。慈濟醫學雜誌,19(1_s),1-3。https://doi.org/10.6440/tzucmj.200703.0012
    邱皓政(2019)。量化研究與統計分析:SPSS與R資料分析範例解析。五南圖書。https://books.google.com.tw/books?id=yTmfDwAAQBAJ
    紀雪雲(2012)。安全用藥,從小紮根-用藥安全推廣在校園。醫療品質雜誌,6(2),24-29。https://doi.org/10.30160/jhq.201203.0006
    紀雪雲、陳俊瑜、謝聖哲、郭淑瑜、莊麗貞、張榮珍 、孫秉良 、王惠珠 、黃雅文(2008)。補助辦理正確用藥教育與成果擴散計畫 (DOH97-PA-1020)。經國管理暨健康學院。
    張上淳(1994)抗生素使用的原則。當代醫學(247),339-343。https://doi.org/10.29941/ mt.199405.0002
    張上淳(2003)。台灣近年來抗生素使用改善措施及其影響。感染控制雜誌,13(1),33-42。https://doi.org/10.6526/icj.200302_13(1).0004
    莊美華(2020)。淺談加護病房抗生素使用。https://www.ysp.com.tw/tw/magazine/137
    陳宜君、呂學重、吳淑芳、吳彥穆、王采芷(2015)。急性感染病人抗生素服藥遵從性及其影響因素之研究護理雜誌,62(1),58-67。https://doi.org/ 10.6224/jn.62.1.58
    陳宥語(2017)。大學生家庭氣氛、成人依附與愛情風格之研究。(碩士)。國立臺中教育大學,台中市。https://hdl.handle.net/11296/4vpwc2
    陳靜宜(2018)。屏東縣國小教師對於抗生素使用的知識、態度及做法之研究。(碩士)。國立高雄師範大學,高雄市。https://hdl.handle.net/11296/3fa8nv
    傅中勇(2017)。探討台灣中部地區國中學生正確用藥知識、態度與行為之研究。(碩士)。中臺科技大學,台中市。
    程雅妤、王郁琮(2021)。青少年親子關係類型及親子互動差異比較:因素混合模式分析。教育心理學,52(3),707-729。https://doi.org/10.6251/bep.202103 _52(3).0010
    黃莉蓉(2009)。98年度強化正確用藥教育與成果擴散計畫 (DOH98-PA-1031)。財團法人醫院評鑑暨醫療品質策進會。
    楊俊龍、張鳳琴、紀雪雲、黃莉蓉(2015)。台灣地區高中職學生正確使用止痛藥知識、態度與行為之研究。台灣公共衛生雜誌,34(1),61-73。https://doi.org/ 10.6288/tjph201534103081
    廖建彰、張祐剛、陳秀熙、呂宗烟、黃鈴雅、宋鴻樟(2006)。台灣地區民眾抗生素認知與用藥行為。台灣公共衛生雜誌,25(2),135-142。https://doi.org/ 10.6288/TJPH2006-25-02-06
    廖書涵(2015)。臺灣地區高中職學生正確使用制酸劑知識、效能及藥袋素養之研究。(碩士)。國立臺灣師範大學,台北市。https://hdl.handle.net/11296/6bt292
    管玉娟、胡益進、陳漢瑛(2013)。臺北市某國中學生正確用藥知識、態度與行為之研究。學校衛生(62),93-116。https://doi.org/10.30026/cjsh.201306_(62).0005
    蔡慈儀、李守義、蔡憶文、郭耿南(2010)。中文健康識能評估表的發展與測試。醫學教育14(2),122-136。https://doi.org/10.6145/jme.201006_14(2).0005
    衛生福利部(2018)。邁向全球衛生安全-抗生素抗藥性管理行動策略計畫(109年至113年)。
    衛生福利部食品藥物管理署(2016)。用藥安全手冊。衛生福利部食品藥物管理署。https://www.fda.gov.tw/TC/siteList.aspx?sid=9522
    衛生福利部疾病管制署(2001)。「慎用抗生素民眾教育活動」-- 結合學術研究與行政管理。國家衛生研究院與疾病管制局聯手出擊。取自https:// www.cdc.gov.tw/ Bulletin/Detail/ ynpxLnUleSKQ6q0vfH-h2w?typeid=9
    衛生福利部疾病管制署(2022)。台灣醫院感染管制與抗藥性監測管理系統(THAS系統)2021年第 4季監視報告。https://www.cdc.gov.tw/File/Get?q=t9WnCInvv VMS9kUboNEwG9p1PSosObWNRXGH09xh5XZk5fSpioyCSHeNpaQkFSprMjPTIxJjuRaXXSp2YebNnIJDfNEQE132EGaw0340Vp4i8oxzvUFjOZWjuUYa0vgaliCS19h2Monw6M2Jr1ntuPDXK2CH1q2QlZbbMEECJX0CZlE5Doew5lwsjIIQHpsb5fRkqKgHD1Y-f6PJNBRz_Q
    衛生福利部疾病管制署、財團法人醫院評鑑暨醫療品質策進會(2015)。醫院使用抗生素衛教問答集(民眾版)。https://www.yuanrung.org.tw/wp-content/ uploads/2018/09/2-1.pdf
    鄭郁蓁(2022年11月17日)避免沒藥可用 台大醫院「抗生素合理使用巴士巡展」開跑. 工商時報。https://ctee.com.tw/livenews/ch/chinatimes/20221117001903-260405
    鄭雅文(2003)。服用抗生素知識與信念對用藥行為之影響。(碩士)。長庚大學,桃園縣。https://hdl.handle.net/11296/8w8gt6
    盧柏樑(2015)。新的超級細菌在台灣-具碳青黴烯抗藥性之腸桿菌科細菌。內科學誌,26(6),328-335。https://doi.org/10.6314/jimt.2015.26(6).04
    錢眞珠、孔方正、陳合進(2011)。各國藥品圖像標示之比較。元培學報(18),57-83。https://doi.org/10.30171/jyust.201112.0006
    魏米秀、王英偉、張美娟、謝至鎠(2017)。中文多面向健康識能量表(MMHLQ)之發展。台灣公共衛生雜誌,36(6),556-570。https://doi.org/10.6288/ tjph201736106061
    Akbar, Z., Alquwez, N., Alsolais, A., Thazha, S. K., Ahmad, M. D., & Cruz, J. P. (2021). Knowledge about antibiotics and antibiotic resistance among health-related students in a Saudi University. J Infect Dev Ctries, 15(7), 925-933. https://doi.org/10.3855/jidc.12329
    Aljayyousi, G. F., Abdel-Rahman, M. E., El-Heneidy, A., Kurdi, R., & Faisal, E. (2019). Public practices on antibiotic use: A cross-sectional study among Qatar University students and their family members. PLoS One, 14(11), e0225499. https://doi.org/10.1371/journal.pone.0225499
    Ancillotti, M., Eriksson, S., Andersson, D. I., Godskesen, T., Nihlén Fahlquist, J., & Veldwijk, J. (2020). Preferences regarding antibiotic treatment and the role of antibiotic resistance: A discrete choice experiment. Int J Antimicrob Agents, 56(6), 106198. https://doi.org/10.1016/j.ijantimicag.2020.106198
    Ancillotti, M., Eriksson, S., Veldwijk, J., Nihlén Fahlquist, J., Andersson, D. I., & Godskesen, T. (2018). Public awareness and individual responsibility needed for judicious use of antibiotics: a qualitative study of public beliefs and perceptions. BMC Public Health, 18(1), 1153. https://doi.org/10.1186/s12889-018-6047-8
    Anderson, A. (2018). Online health information and public knowledge, attitudes, and behaviours regarding antibiotics in the UK: Multiple regression analysis of Wellcome Monitor and Eurobarometer Data. PLoS One, 13(10), e0204878. https://doi.org/10.1371/journal.pone.0204878
    Ashiru-Oredope, D., Casale, E., Harvey, E., Umoh, E., Vasandani, S., Reilly, J., & Hopkins, S. (2022). Knowledge and Attitudes about Antibiotics and Antibiotic Resistance of 2404 UK Healthcare Workers. Antibiotics (Basel), 11(8). https://doi.org/10.3390/antibiotics11081133
    Aslam, A., Zin, C. S., Ab Rahman, N. S., Gajdács, M., Ahmed, S. I., & Jamshed, S. (2021). Self-Medication Practices with Antibiotics and Associated Factors among the Public of Malaysia: A Cross-Sectional Study. Drug Healthc Patient Saf, 13, 171-181. https://doi.org/10.2147/dhps.S331427
    Baccolini, V., Rosso, A., Di Paolo, C., Isonne, C., Salerno, C., Migliara, G., Prencipe, G. P., Massimi, A., Marzuillo, C., De Vito, C., Villari, P., & Romano, F. (2021). What is the Prevalence of Low Health Literacy in European Union Member States? A Systematic Review and Meta-analysis. Journal of General Internal Medicine, 36(3), 753-761. https://doi.org/10.1007/s11606-020-06407-8
    Bianco, A., Licata, F., Zucco, R., Papadopoli, R., & Pavia, M. (2020). Knowledge and practices regarding antibiotics use: Findings from a cross-sectional survey among Italian adults. Evol Med Public Health, 2020(1), 129-138. https://doi.org/10.1093/emph/eoaa028
    Brach, C., & Harris, L. M. (2021). Healthy People 2030 Health Literacy Definition Tells Organizations: Make Information and Services Easy to Find, Understand, and Use. J Gen Intern Med, 36(4), 1084-1085. https://doi.org/10.1007/s11606-020-06384-y
    Carter, R. R., Sun, J., & Jump, R. L. (2016). A Survey and Analysis of the American Public's Perceptions and Knowledge About Antibiotic Resistance. Open Forum Infect Dis, 3(3), ofw112. https://doi.org/10.1093/ofid/ofw112
    Centers for Disease Control and Prevention. (2019). Antibiotic Resistance Threats in the United States, 2019. www.cdc.gov/DrugResistance/Biggest-Threats.html
    Centers for Disease Control and Prevention. (2022a). COVID-19 Reverses Progress in Fight Against Antimicrobial Resistance in U.S. Retrieved Jul 12 from https://www.cdc.gov/media/releases/2022/s0712-Antimicrobial-Resistance.html
    Centers for Disease Control and Prevention. (2022b). COVID-19: U.S. Impact on Antimicrobial
    Resistance, Special Report 2022. https://www.cdc.gov/drugresistance/pdf/covid19-impact-report-508.pdf
    Chen, C., Chen, Y. M., Hwang, K. L., Lin, S. J., Yang, C. C., Tsay, R. W., Liu, C. E., & Young, T. G. (2005). Behavior, attitudes and knowledge about antibiotic usage among residents of Changhua, Taiwan. J Microbiol Immunol Infect, 38(1), 53-59.
    Chen, Y. J., Chen, P. A., Chen, C. J., & Huang, Y. C. (2019). Molecular characteristics and clinical features of pediatric methicillin-susceptible Staphylococcus aureus infection in a medical center in northern Taiwan. BMC Infect Dis, 19(1), 402. https://doi.org/10.1186/s12879-019-4033-0
    Chen, Y. J., Liu, K. L., Chen, C. J., & Huang, Y. C. (2015). Comparative Molecular Characteristics of Community-Associated and Healthcare-Associated Methicillin-Resistant Staphylococcus aureus Isolates From Adult Patients in Northern Taiwan. Medicine (Baltimore), 94(49), e1961. https://doi.org/10.1097/md.0000000000001961
    Cutilli, C. C., & Bennett, I. M. (2009). Understanding the health literacy of America: results of the National Assessment of Adult Literacy. Orthop Nurs, 28(1), 27-32; quiz 33-24. https://doi.org/10.1097/01.NOR.0000345852.22122.d6
    Davis, M. E., Liu, T. L., Taylor, Y. J., Davidson, L., Schmid, M., Yates, T., Scotton, J., & Spencer, M. D. (2017). Exploring Patient Awareness and Perceptions of the Appropriate Use of Antibiotics: A Mixed-Methods Study. Antibiotics (Basel), 6(4). https://doi.org/10.3390/antibiotics6040023
    Dhingra, S., Rahman, N. A. A., Peile, E., Rahman, M., Sartelli, M., Hassali, M. A., Islam, T., Islam, S., & Haque, M. (2020). Microbial Resistance Movements: An Overview of Global Public Health Threats Posed by Antimicrobial Resistance, and How Best to Counter. Front Public Health, 8, 535668. https://doi.org/10.3389/fpubh.2020.535668
    Dyar, O. J., Hills, H., Seitz, L. T., Perry, A., & Ashiru-Oredope, D. (2018). Assessing the Knowledge, Attitudes and Behaviors of Human and Animal Health Students towards Antibiotic Use and Resistance: A Pilot Cross-Sectional Study in the UK. Antibiotics (Basel), 7(1). https://doi.org/10.3390/antibiotics7010010
    EclinicalMedicine. (2021). Antimicrobial resistance: a top ten global public health threat. EClinicalMedicine, 41, 101221. https://doi.org/10.1016/j.eclinm.2021.101221
    Economou, V., & Gousia, P. (2015). Agriculture and food animals as a source of antimicrobial-resistant bacteria. Infect Drug Resist, 8, 49-61. https://doi.org/10.2147/idr.S55778
    Estacio, E. V. (2013). Health literacy and community empowerment: It is more than just reading, writing and counting. Journal of Health Psychology, 18(8), 1056-1068. https://doi.org/10.1177/1359105312470126
    European Commission. (2017). A European One Health Action Plan against Antimicrobial Resistance (AMR). https://health.ec.europa.eu/system/files/2020-01/amr_2017_action-plan_0.pdf
    Eyler, R. F., & Shvets, K. (2019). Clinical Pharmacology of Antibiotics. Clin J Am Soc Nephrol, 14(7), 1080-1090. https://doi.org/10.2215/cjn.08140718
    Frost, I., Van Boeckel, T. P., Pires, J., Craig, J., & Laxminarayan, R. (2019). Global geographic trends in antimicrobial resistance: the role of international travel. Journal of Travel Medicine, 26(8). https://doi.org/10.1093/jtm/taz036
    Gentizon, J., Hirt, J., Jaques, C., Lang, P.-O., & Mabire, C. (2021). Instruments assessing medication literacy in adult recipients of care: A systematic review of measurement properties. International Journal of Nursing Studies, 113, 103785. https://doi.org/https://doi.org/10.1016/j.ijnurstu.2020.103785
    Guo, H., Hildon, Z. J., Lye, D. C. B., Straughan, P. T., & Chow, A. (2021). The Associations between Poor Antibiotic and Antimicrobial Resistance Knowledge and Inappropriate Antibiotic Use in the General Population Are Modified by Age. Antibiotics (Basel), 11(1). https://doi.org/10.3390/antibiotics11010047
    Gyssens, I. C. (2018). Role of Education in Antimicrobial Stewardship. Medical Clinics of North America, 102(5), 855-871. https://doi.org/https://doi.org/10.1016/j.mcna.2018.05.011
    Hagiya, H., Ino, H., Tokumasu, K., Ogawa, H., Miyoshi, T., Ochi, K., & Otsuka, F. (2020). Antibiotic literacy among Japanese medical students. Journal of Infection and Chemotherapy, 26(10), 1107-1109. https://doi.org/https://doi.org/10.1016/j.jiac.2020.06.021
    Harrington, N. G. (2014). Health Communication: Theory, Method, and Application (1st Edition ed.). Routledge. https://doi.org/https://doi.org/10.4324/9780203366820
    Hawkins, O., Scott, A. M., Montgomery, A., Nicholas, B., Mullan, J., van Oijen, A., & Degeling, C. (2022). Comparing public attitudes, knowledge, beliefs and behaviours towards antibiotics and antimicrobial resistance in Australia, United Kingdom, and Sweden (2010-2021): A systematic review, meta-analysis, and comparative policy analysis. PLoS One, 17(1), e0261917. https://doi.org/10.1371/journal.pone.0261917
    Hsiao, F. Y., Lee, J. A., Huang, W. F., Chen, S. M., & Chen, H. Y. (2006). Survey of medication knowledge and behaviors among college students in Taiwan. Am J Pharm Educ, 70(2), 30. https://doi.org/10.5688/aj700230
    Hu, Y., Wang, X., Tucker, J. D., Little, P., Moore, M., Fukuda, K., & Zhou, X. (2018). Knowledge, Attitude, and Practice with Respect to Antibiotic Use among Chinese Medical Students: A Multicentre Cross-Sectional Study. Int J Environ Res Public Health, 15(6). https://doi.org/10.3390/ijerph15061165
    Hyvert, S., Yailian, A.-L., Haesebaert, J., Vignot, E., Chapurlat, R., Dussart, C., De Freminville, H., & Janoly-Dumenil, A. (2022). Association between health literacy and medication adherence in chronic diseases: a recent systematic review. International Journal of Clinical Pharmacy. https://doi.org/10.1007/s11096-022-01470-z
    Jairoun, A., Hassan, N., Ali, A., Jairoun, O., & Shahwan, M. (2019). Knowledge, attitude and practice of antibiotic use among university students: a cross sectional study in UAE. BMC Public Health, 19(1), 518. https://doi.org/10.1186/s12889-019-6878-y
    Kamata, K., Tokuda, Y., Gu, Y., Ohmagari, N., & Yanagihara, K. (2018). Public knowledge and perception about antimicrobials and antimicrobial resistance in Japan: A national questionnaire survey in 2017. PLoS One, 13(11), e0207017. https://doi.org/10.1371/journal.pone.0207017
    Krejcie, R. V., & Morgan, D. W. (1970). Determining Sample Size for Research Activities. Educational and Psychological Measurement, 30(3), 607-610. https://doi.org/10.1177/001316447003000308
    Langford, B. J., Matson, K. L., Eljaaly, K., Apisarnthanarak, A., Bailey, P. L., MacMurray, L., Marra, A. R., Simonsen, K. A., Sreeramoju, P., Nori, P., & Bearman, G. M. (2022). Ten ways to make the most of World Antimicrobial Awareness Week. Antimicrob Steward Healthc Epidemiol, 2(1), e187. https://doi.org/10.1017/ash.2022.320
    Leal, H. F., Mamani, C., Quach, C., & Bédard, E. (2022). Survey on antimicrobial resistance knowledge and perceptions in university students reveals concerning trends on antibiotic use and procurement. J Assoc Med Microbiol Infect Dis Can, 7(3), 220-232. https://doi.org/10.3138/jammi-2022-0008
    Ligon, B. L. (2004). Penicillin: its discovery and early development. Seminars in Pediatric Infectious Diseases, 15(1), 52-57. https://doi.org/https://doi.org/10.1053/j.spid.2004.02.001
    Lim, J. M., Duong, M. C., Cook, A. R., Hsu, L. Y., & Tam, C. C. (2021). Public knowledge, attitudes and practices related to antibiotic use and resistance in Singapore: a cross-sectional population survey. BMJ Open, 11(9), e048157. https://doi.org/10.1136/bmjopen-2020-048157
    Limmathurotsakul, D., Sandoe, J. A. T., Barrett, D. C., Corley, M., Hsu, L. Y., Mendelson, M., Collignon, P., Laxminarayan, R., Peacock, S. J., & Howard, P. (2020). 'Antibiotic footprint' as a communication tool to aid reduction of antibiotic consumption-authors' response. J Antimicrob Chemother, 75(3), 785-786. https://doi.org/10.1093/jac/dkz533
    Lin, H. W., Chang, E. H., Ko, Y., Wang, C. Y., Wang, Y. S., Mafruhah, O. R., Wu, S. H., Chen, Y. C., & Huang, Y. M. (2020). Conceptualization, Development and Psychometric Evaluations of a New Medication-Related Health Literacy Instrument: The Chinese Medication Literacy Measurement. Int J Environ Res Public Health, 17(19). https://doi.org/10.3390/ijerph17196951
    Lin, T. Z., Jayasvasti, I., Tiraphat, S., Pengpid, S., Jayasvasti, M., & Borriharn, P. (2022). The Predictors Influencing the Rational Use of Antibiotics Among Public Sector: A Community-Based Survey in Thailand. Drug Healthc Patient Saf, 14, 27-36. https://doi.org/10.2147/dhps.S339808
    Mafruhah, O. R., Huang, Y.-M., Shiyanbola, O. O., Shen, G.-L., & Lin, H.-W. (2021). Ideal instruments used to measure health literacy related to medication use: A systematic review. Research in Social and Administrative Pharmacy, 17(10), 1663-1672. https://doi.org/https://doi.org/10.1016/j.sapharm.2021.01.017
    Mager, N. D., & Moore, T. S. (2020). Healthy People 2030: Roadmap for Public Health for the Next Decade. Am J Pharm Educ, 84(11), 8462. https://doi.org/10.5688/ajpe8462
    Mazińska, B., Strużycka, I., & Hryniewicz, W. (2017). Surveys of public knowledge and attitudes with regard to antibiotics in Poland: Did the European Antibiotic Awareness Day campaigns change attitudes? PLoS One, 12(2), e0172146. https://doi.org/10.1371/journal.pone.0172146
    Milanaik, R., Kahan, T. F., & Nair, M. (2019). Diversion of Prescription Antibiotics: Should You Take from Peter to Treat Paul. Pediatrics, 144(2_MeetingAbstract), 82-82. https://doi.org/10.1542/peds.144.2MA1.82
    Mira, J. J., Lorenzo, S., Guilabert, M., Navarro, I., & Pérez-Jover, V. (2015). A systematic review of patient medication error on self-administering medication at home. Expert Opin Drug Saf, 14(6), 815-838. https://doi.org/10.1517/14740338.2015.1026326
    Miri, M. R., Moghadam, H. M., Eftekhari, H., Yousefi, A., & Norozi, E. (2020). Developing and Validating the Functional, Communicative, and Critical Health Literacy Questionnaire among the Iranian General Population. Oman Med J, 35(2), e106. https://doi.org/10.5001/omj.2020.24
    Miyano, S., Htoon, T. T., Nozaki, I., Pe, E. H., & Tin, H. H. (2022). Public knowledge, practices, and awareness of antibiotics and antibiotic resistance in Myanmar: The first national mobile phone panel survey. PLoS One, 17(8), e0273380. https://doi.org/10.1371/journal.pone.0273380
    Mosher, H. J., Lund, B. C., Kripalani, S., & Kaboli, P. J. (2012). Association of health literacy with medication knowledge, adherence, and adverse drug events among elderly veterans. J Health Commun, 17 Suppl 3, 241-251. https://doi.org/10.1080/10810730.2012.712611
    Mostafa, A., Abdelzaher, A., Rashed, S., AlKhawaga, S. I., Afifi, S. K., AbdelAlim, S., Mostafa, S. A., & Zidan, T. A. (2021). Is health literacy associated with antibiotic use, knowledge and awareness of antimicrobial resistance among non-medical university students in Egypt? A cross-sectional study. BMJ Open, 11(3), e046453. https://doi.org/10.1136/bmjopen-2020-046453
    Muflih, S. M., Bashir, H. N., Khader, Y. S., & Karasneh, R. A. (2022). The impact of health literacy on self-medication: a cross-sectional outpatient study. J Public Health (Oxf), 44(1), 84-91. https://doi.org/10.1093/pubmed/fdaa188
    Murray, C. J. L., Ikuta, K. S., Sharara, F., Swetschinski, L., Robles Aguilar, G., Gray, A., Han, C., Bisignano, C., Rao, P., Wool, E., Johnson, S. C., Browne, A. J., Chipeta, M. G., Fell, F., Hackett, S., Haines-Woodhouse, G., Kashef Hamadani, B. H., Kumaran, E. A. P., McManigal, B., Agarwal, R., Akech, S., Albertson, S., Amuasi, J., Andrews, J., Aravkin, A., Ashley, E., Bailey, F., Baker, S., Basnyat, B., Bekker, A., Bender, R., Bethou, A., Bielicki, J., Boonkasidecha, S., Bukosia, J., Carvalheiro, C., Castañeda-Orjuela, C., Chansamouth, V., Chaurasia, S., Chiurchiù, S., Chowdhury, F., Cook, A. J., Cooper, B., Cressey, T. R., Criollo-Mora, E., Cunningham, M., Darboe, S., Day, N. P. J., De Luca, M., Dokova, K., Dramowski, A., Dunachie, S. J., Eckmanns, T., Eibach, D., Emami, A., Feasey, N., Fisher-Pearson, N., Forrest, K., Garrett, D., Gastmeier, P., Giref, A. Z., Greer, R. C., Gupta, V., Haller, S., Haselbeck, A., Hay, S. I., Holm, M., Hopkins, S., Iregbu, K. C., Jacobs, J., Jarovsky, D., Javanmardi, F., Khorana, M., Kissoon, N., Kobeissi, E., Kostyanev, T., Krapp, F., Krumkamp, R., Kumar, A., Kyu, H. H., Lim, C., Limmathurotsakul, D., Loftus, M. J., Lunn, M., Ma, J., Mturi, N., Munera-Huertas, T., Musicha, P., Mussi-Pinhata, M. M., Nakamura, T., Nanavati, R., Nangia, S., Newton, P., Ngoun, C., Novotney, A., Nwakanma, D., Obiero, C. W., Olivas-Martinez, A., Olliaro, P., Ooko, E., Ortiz-Brizuela, E., Peleg, A. Y., Perrone, C., Plakkal, N., Ponce-de-Leon, A., Raad, M., Ramdin, T., Riddell, A., Roberts, T., Robotham, J. V., Roca, A., Rudd, K. E., Russell, N., Schnall, J., Scott, J. A. G., Shivamallappa, M., Sifuentes-Osornio, J., Steenkeste, N., Stewardson, A. J., Stoeva, T., Tasak, N., Thaiprakong, A., Thwaites, G., Turner, C., Turner, P., van Doorn, H. R., Velaphi, S., Vongpradith, A., Vu, H., Walsh, T., Waner, S., Wangrangsimakul, T., Wozniak, T., Zheng, P., Sartorius, B., Lopez, A. D., Stergachis, A., Moore, C., Dolecek, C., & Naghavi, M. (2022). Global burden of bacterial antimicrobial resistance in 2019: a systematic analysis. The Lancet, 399(10325), 629-655. https://doi.org/10.1016/S0140-6736(21)02724-0
    Nutbeam, D. (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259-267. https://doi.org/10.1093/heapro/15.3.259
    O’Neill, J. (2016). TACKLING DRUG-RESISTANT INFECTIONS GLOBALLY: FINAL REPORT AND RECOMMENDATIONS. https://amr-review.org/sites/default/files/AMR%20Review%20Paper%20-%20Tackling%20a%20crisis%20for%20the%20health%20and%20wealth%20of%20nations_1.pdf
    Olmeda, K., Trautner, B. W., Laytner, L., Salinas, J., Marton, S., & Grigoryan, L. (2023). Prevalence and Predictors of Using Antibiotics without a Prescription in a Pediatric Population in the United States. Antibiotics (Basel), 12(3). https://doi.org/10.3390/antibiotics12030491
    Pahlman, K., Fehross, A., Fox, G. J., & Silva, D. S. (2022). Ethical health security in the age of antimicrobial resistance. BMJ Glob Health, 7(1). https://doi.org/10.1136/bmjgh-2021-007407
    Pan, D. S., Huang, J. H., Lee, M. H., Yu, Y., Chen, M. I., Goh, E. H., Jiang, L., Chong, J. W., Leo, Y. S., Lee, T. H., Wong, C. S., Loh, V. W., Poh, A. Z., Tham, T. Y., Wong, W. M., & Lim, F. S. (2016). Knowledge, attitudes and practices towards antibiotic use in upper respiratory tract infections among patients seeking primary health care in Singapore. BMC Fam Pract, 17(1), 148. https://doi.org/10.1186/s12875-016-0547-3
    Pouliot, A., Vaillancourt, R., Stacey, D., & Suter, P. (2018). Defining and identifying concepts of medication literacy: An international perspective. Research in Social and Administrative Pharmacy, 14(9), 797-804. https://doi.org/https://doi.org/10.1016/j.sapharm.2017.11.005
    Quinn, R. (2013). Rethinking antibiotic research and development: World War II and the penicillin collaborative. Am J Public Health, 103(3), 426-434. https://doi.org/10.2105/ajph.2012.300693
    Sørensen, K., Van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., Brand, H., & Consortium Health Literacy Project, E. (2012). Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 12(1), 80. https://doi.org/10.1186/1471-2458-12-80
    Sørensen, K., Pelikan, J. M., Röthlin, F., Ganahl, K., Slonska, Z., Doyle, G., Fullam, J., Kondilis, B., Agrafiotis, D., Uiters, E., Falcon, M., Mensing, M., Tchamov, K., van den Broucke, S., & Brand, H. (2015). Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Public Health, 25(6), 1053-1058. https://doi.org/10.1093/eurpub/ckv043
    Sakr, S., Ghaddar, A., Hamam, B., & Sheet, I. (2020). Antibiotic use and resistance: an unprecedented assessment of university students' knowledge, attitude and practices (KAP) in Lebanon. BMC Public Health, 20(1), 535. https://doi.org/10.1186/s12889-020-08676-8
    Samreen, Ahmad, I., Malak, H. A., & Abulreesh, H. H. (2021). Environmental antimicrobial resistance and its drivers: a potential threat to public health. Journal of Global Antimicrobial Resistance, 27, 101-111. https://doi.org/https://doi.org/10.1016/j.jgar.2021.08.001
    Santana, S., Brach, C., Harris, L., Ochiai, E., Blakey, C., Bevington, F., Kleinman, D., & Pronk, N. (2021). Updating Health Literacy for Healthy People 2030: Defining Its Importance for a New Decade in Public Health. J Public Health Manag Pract, 27(Suppl 6), S258-s264. https://doi.org/10.1097/phh.0000000000001324
    Schönfeld, M. S., Pfisterer-Heise, S., & Bergelt, C. (2021). Self-reported health literacy and medication adherence in older adults: a systematic review. BMJ Open, 11(12), e056307. https://doi.org/10.1136/bmjopen-2021-056307
    Shah, P., Shrestha, R., Mao, Z., Chen, Y., Chen, Y., Koju, P., Liu, X., & Li, H. (2019). Knowledge, Attitude, and Practice Associated with Antibiotic Use among University Students: A Survey in Nepal. Int J Environ Res Public Health, 16(20). https://doi.org/10.3390/ijerph16203996
    Shi, S., Shen, Z., Duan, Y., Ding, S., & Zhong, Z. (2019). Association Between Medication Literacy and Medication Adherence Among Patients With Hypertension. Front Pharmacol, 10, 822. https://doi.org/10.3389/fphar.2019.00822
    Simonds, S. K. (1974). Health Education as Social Policy. Health Education Monographs, 2(1_suppl), 1-10. https://doi.org/10.1177/10901981740020S102
    Spellberg, B., Powers, J. H., Brass, E. P., Miller, L. G., & Edwards, J. E., Jr. (2004). Trends in Antimicrobial Drug Development: Implications for the Future. Clinical Infectious Diseases, 38(9), 1279-1286. https://doi.org/10.1086/420937
    Stellefson, M., Paige, S. R., Alber, J. M., Chaney, B. H., Chaney, D., Apperson, A., & Mohan, A. (2019). Association Between Health Literacy, Electronic Health Literacy, Disease-Specific Knowledge, and Health-Related Quality of Life Among Adults With Chronic Obstructive Pulmonary Disease: Cross-Sectional Study. J Med Internet Res, 21(6), e12165. https://doi.org/10.2196/12165
    Suka, M., Odajima, T., Kasai, M., Igarashi, A., Ishikawa, H., Kusama, M., Nakayama, T., Sumitani, M., & Sugimori, H. (2013). The 14-item health literacy scale for Japanese adults (HLS-14). Environ Health Prev Med, 18(5), 407-415. https://doi.org/10.1007/s12199-013-0340-z
    Tangcharoensathien, V., Chanvatik, S., Kosiyaporn, H., Kirivan, S., Kaewkhankhaeng, W., Thunyahan, A., & Lekagul, A. (2021). Population knowledge and awareness of antibiotic use and antimicrobial resistance: results from national household survey 2019 and changes from 2017. BMC Public Health, 21(1), 2188. https://doi.org/10.1186/s12889-021-12237-y
    Tsai, T.-A., Tsai, C.-K., Kuo, K.-C., & Yu, H.-R. (2021). Rational stepwise approach for Mycoplasma pneumoniae pneumonia in children. Journal of Microbiology, Immunology and Infection, 54(4), 557-565. https://doi.org/https://doi.org/10.1016/j.jmii.2020.10.002
    Tsuzuki, S., Fujitsuka, N., Horiuchi, K., Ijichi, S., Gu, Y., Fujitomo, Y., Takahashi, R., & Ohmagari, N. (2020). Factors associated with sufficient knowledge of antibiotics and antimicrobial resistance in the Japanese general population. Sci Rep, 10(1), 3502. https://doi.org/10.1038/s41598-020-60444-1
    Ventola, C. L. (2015). The antibiotic resistance crisis: part 1: causes and threats. P t, 40(4), 277-283. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4378521/pdf/ptj4004277.pdf
    Vervloet, M., van Dijk, L., Rademakers, J. J. D. J. M., Bouvy, M. L., De Smet, P. A. G. M., Philbert, D., & Koster, E. S. (2018). Recognizing and Addressing Limited PHarmaceutical literacy: Development of the RALPH interview guide. Research in Social and Administrative Pharmacy, 14(9), 805-811. https://doi.org/https://doi.org/10.1016/j.sapharm.2018.04.031
    Waaseth, M., Adan, A., Røen, I. L., Eriksen, K., Stanojevic, T., Halvorsen, K. H., Garcia, B. H., Holst, L., Ulshagen, K. M., Blix, H. S., Ariansen, H., & Nordeng, H. M. E. (2019). Knowledge of antibiotics and antibiotic resistance among Norwegian pharmacy customers - a cross-sectional study. BMC Public Health, 19(1), 66. https://doi.org/10.1186/s12889-019-6409-x
    Wali, H., & Grindrod, K. (2016). Don't assume the patient understands: Qualitative analysis of the challenges low health literate patients face in the pharmacy. Research in Social and Administrative Pharmacy, 12(6), 885-892. https://doi.org/https://doi.org/10.1016/j.sapharm.2015.12.003
    Wang, X., Lin, L., Xuan, Z., Li, L., & Zhou, X. (2018). Keeping Antibiotics at Home Promotes Self-Medication with Antibiotics among Chinese University Students. Int J Environ Res Public Health, 15(4). https://doi.org/10.3390/ijerph15040687
    World Health, O. (2015). Antibiotic resistance: multi-country public awareness survey. World Health Organization. https://apps.who.int/iris/handle/10665/194460
    World Health Organization. Raising awareness and educating on antimicrobial resistance. https://www.who.int/activities/raising-awareness-and-educating-on-antimicrobial-resistance
    World Health Organization. (1998). Health Promotion Glossary. http://apps.who.int/iris/bitstream/handle/10665/64546/WHO_HPR_HEP_98.1.pdf
    World Health Organization. (2011). World Health Day 2011. http://www.emro.who.int/world-health-days/2011/overview.html
    World Health Organization. (2015). Global action plan on antimicrobial resistance https://apps.who.int/iris/bitstream/handle/10665/193736/9789241509763_eng.pdf?sequence=1
    World Health Organization. (2020). Antibiotic resistance. World Health Organization. Retrieved Jul 31 from https://www.who.int/news-room/fact-sheets/detail/antibiotic-resistance
    World Health Organization. (2021, Nov 17). Antimicrobial resistance. World Health Organization. Retrieved Nov 22 from https://www.who.int/news-room/fact-sheets/detail/antimicrobial-resistance
    World Health Organization. (2022a). Global antimicrobial resistance and use surveillance system (‎GLASS)‎ report: 2022. World Health Organization. Retrieved Dec 9 from https://www.who.int/publications/i/item/9789240062702#cms
    World Health Organization. (2022b). Report signals increasing resistance to antibiotics in bacterial infections in humans and need for better data. Retrieved Dec 9 from https://www.who.int/news/item/09-12-2022-report-signals-increasing-resistance-to-antibiotics-in-bacterial-infections-in-humans-and-need-for-better-data
    World Health Organization. (2022c). World Antimicrobial Awareness Week 2021. https://www.emro.who.int/world-antimicrobial-awareness-week/2021/index.html
    World Health Organization. (2022d). World Antimicrobial Awareness Week 2022. https://www.emro.who.int/world-antimicrobial-awareness-week/2022/index.html

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