Exploring the potential for children to act on antimicrobial resistance in Nepal: Valuable insights from secondary analysis of qualitative data.
Exploring the potential for children to act on antimicrobial resistance in Nepal: Valuable insights from secondary analysis of qualitative data.
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DOI：
10.1371/journal.pone.0285882
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
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作者：
本研究探讨了尼泊尔两个地点儿童在抗菌素耐药性（AMR）中的作用。AMR是一项全球性挑战，并受到许多复杂行为驱动因素的支持，包括抗菌药物的来源和使用。由于这种社会动态，一些研究小组正在使用社区参与（CE）方法来了解社区层面的AMR。然而，大多数数据否定了儿童在与AMR相关的行为中的重要性，并可能导致AMR。在这项研究中，作者采用二次分析方法，以10个成绩单代表的意见，23名成年人从事AMR为重点的电影制作项目。通过关注参与者对儿童的提及，我们发现抗菌药物的使用和对医疗服务提供者信息的依从性可能受到患者年龄的影响。第二，儿童参与了一些已知会导致抗菌素耐药性的行为，例如购买非处方抗生素药物。最后，社区成员讨论说，通过精心创造资源，可以在教育环境中有意义地介绍AMR，以期儿童成为改变AMR驾驶行为的推动者。研究结果表明，年龄包容性的社区参与项目可以有效地解决在尼泊尔和其他低资源环境中的社区一级的抗生素耐药性。
This study explores the perceived roles of children in antimicrobial resistance (AMR) in two sites across Nepal. AMR is a global challenge and underpinned by many complex behavioural drivers including how antimicrobial medicines are sourced and used. Because of this social dynamic, several research groups are using community engagement (CE) approaches to understand AMR at community level. However, most data negate the importance of children in behaviours linked to, and potentially driving AMR. In this study, authors apply secondary analysis methods to 10 transcripts representing the views of 23 adults engaged in an AMR-focused film-making project. By focusing on participants’ reference to children, we reveal that antimicrobial usage and adherence to health providers’ messages can be influenced by the age of the patient. Secondly that children are involved in some of the behaviours which are known to drive antimicrobial resistance such as purchasing over-the-counter antibiotic drugs. Finally, community members discuss that, with careful creation of resources, AMR could be meaningfully presented in educational settings with a view to children acting as agents of change around AMR-driving behaviours. Findings suggest that age-inclusive community engagement projects could be effective in tackling AMR at community level in Nepal and other low resource settings.
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影响因子：
168.9
作者：
Holmes, Alison H.;Moore, Luke S. P.;Piddock, Laura J. V.
通讯作者：
Piddock, Laura J. V.
影响因子：
5.5
作者：
Appiah B;Asamoah-Akuoko L;Samman E;Koduah A;Kretchy IA;Ludu JY;Odonkor G;Nam SH;Gyansa-Luterrodt M
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影响因子：
56.3
作者：
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通讯作者：
Ross-Degnan, Dennis
DOI：
10.1017/cbo9780511499739.007
发表时间：
2006-01-01
期刊：
PEER RELATIONSHIPS IN CULTURAL CONTEXT
影响因子：
--
作者：
Cole, Pamela M.;Walker, Alisha R.;Lama-Tamang, Mukta Sing
通讯作者：
Lama-Tamang, Mukta Sing
影响因子：
2.6
作者：
Haenssgen, Marco J.
通讯作者：
Haenssgen, Marco J.