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The Effectiveness of an Educational Intervention on Knowledge, Attitudes and Reported Practices on Antibiotic Use in Humans and Pigs: A Quasi-Experimental Study in Twelve Villages in Shandong Province, China

1
NHC Key Lab of Health Economics and Policy Research, Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, China
2
Department of Global Public Health, Karolinska Institutet, 17177 Stockholm, Sweden
3
Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5S 2E8, Canada
4
Beijing Advanced Innovation Center for Food Nutrition and Human Health, College of Veterinary Medicine, China Agricultural University, Beijing 100083, China
5
Institute of Animal Science and Veterinary Medicine, Shandong Academy of Agricultural Science, Jinan 250100, China
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(4), 1940; https://doi.org/10.3390/ijerph18041940
Received: 22 December 2020 / Revised: 7 February 2021 / Accepted: 12 February 2021 / Published: 17 February 2021
Our aim was to evaluate the effectiveness of an intervention for residents in rural China on knowledge, attitudes and reported practices (KAP) on antibiotic use in humans and pigs. A quasi-experimental study was conducted in 12 villages in rural Shandong province, divided into intervention and control groups, covering a two-year period from July 2015 to June 2017. A package of health education-based interventions including training sessions, speakerphone messages, posters and handbooks for residents was developed and implemented over a one-year period to improve the use of antibiotics in humans and pigs. The intervention net effects were evaluated by Difference-in-Difference (DID) analysis based on responses to a questionnaire concerning KAP towards antibiotic use in humans and pigs. A total of 629 participants completed both baseline and post-trial questionnaires, including 127 participants with backyard pig farms. Significant improvements were found in KAP towards antibiotic use in humans, but changes related to antibiotic use for pigs were not significant. Participants who were in the intervention group (p < 0.001) were more likely to have improved their knowledge on antibiotic use in humans. Participants who had higher attitude scores were less likely to report self-medicating with stored antibiotics in the previous year (p < 0.001). Our results suggest that our health education-based intervention was effective in improving KAP on human antibiotic use, but it had little effect regarding antibiotic use for pigs. View Full-Text
Keywords: antibiotic; educational intervention; humans and animals; China antibiotic; educational intervention; humans and animals; China
MDPI and ACS Style

Shen, L.; James Dyar, O.; Sun, Q.; Wei, X.; Yang, D.; Sun, C.; Wang, Y.; Li, H.; Liu, Y.; Luo, Y.; Yin, J.; Stålsby Lundborg, C. The Effectiveness of an Educational Intervention on Knowledge, Attitudes and Reported Practices on Antibiotic Use in Humans and Pigs: A Quasi-Experimental Study in Twelve Villages in Shandong Province, China. Int. J. Environ. Res. Public Health 2021, 18, 1940. https://doi.org/10.3390/ijerph18041940

AMA Style

Shen L, James Dyar O, Sun Q, Wei X, Yang D, Sun C, Wang Y, Li H, Liu Y, Luo Y, Yin J, Stålsby Lundborg C. The Effectiveness of an Educational Intervention on Knowledge, Attitudes and Reported Practices on Antibiotic Use in Humans and Pigs: A Quasi-Experimental Study in Twelve Villages in Shandong Province, China. International Journal of Environmental Research and Public Health. 2021; 18(4):1940. https://doi.org/10.3390/ijerph18041940

Chicago/Turabian Style

Shen, Liyan, Oliver James Dyar, Qiang Sun, Xiaolin Wei, Ding Yang, Chengtao Sun, Yang Wang, Hongyu Li, Yuqing Liu, Yanbo Luo, Jia Yin, and Cecilia Stålsby Lundborg. 2021. "The Effectiveness of an Educational Intervention on Knowledge, Attitudes and Reported Practices on Antibiotic Use in Humans and Pigs: A Quasi-Experimental Study in Twelve Villages in Shandong Province, China" International Journal of Environmental Research and Public Health 18, no. 4: 1940. https://doi.org/10.3390/ijerph18041940

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