Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
Research ArticleOriginal Research

Educating Patients on Unnecessary Antibiotics: Personalizing Potential Harm Aids Patient Understanding

Benjamin J. Miller, Kathryn A. Carson and Sara Keller
The Journal of the American Board of Family Medicine November 2020, 33 (6) 969-977; DOI: https://doi.org/10.3122/jabfm.2020.06.200210
Benjamin J. Miller
From the School of Medicine, Johns Hopkins, Baltimore, MD (BJM); Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD (KAC); Infectious Disease, Johns Hopkins Medicine, Baltimore, MD (SK).
BS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Kathryn A. Carson
From the School of Medicine, Johns Hopkins, Baltimore, MD (BJM); Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD (KAC); Infectious Disease, Johns Hopkins Medicine, Baltimore, MD (SK).
ScM
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sara Keller
From the School of Medicine, Johns Hopkins, Baltimore, MD (BJM); Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD (KAC); Infectious Disease, Johns Hopkins Medicine, Baltimore, MD (SK).
MD, MPH, MSPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Tables

    • View popup
    Table 1.

    Characteristics of 250 Adult Participants in a Survey about Harms of Antibiotic Use

    CharacteristicCount (%)
    Sex
     Male64 (25.6)
     Female184 (73.6)
     Other2 (0.8)
    Age, years
     18 to 2418 (7.2)
     25 to 3470 (28.0)
     35 to 4443 (17.2)
     45 to 5440 (16.0)
     55 to 6440 (16.0)
     65+39 (15.6)
    Education
     High school graduate or less54 (21.6)
     Any college or trade school up to bachelor’s degree140 (56.0)
     Master’s degree or higher56 (22.4)
    Race/ethnicity
     White (non-Hispanic/Latino)69 (27.6)
     Black or African American152 (60.8)
     All others29 (11.6)
    Living situation
     I live with family members or roommates190 (76.0)
     I live by myself60 (24.0)
    • View popup
    Table 2.

    Change in Likelihood of Requesting Antibiotics for upper respiratory infections (URI)-like Symptoms after Reading Each Statement about Potential Harm of Nonindicated Antibiotics

    StatementΔ Mean Likelihood (Standard Deviation)Median (Interquartile Range)Statement CategoryDiscusses Antibiotic Resistance?
    “Taking antibiotics can hurt your body’s natural defenses. This makes it easier for you to get another infection.”1,7−2.56 (2.14)−3 (−5 to −1)IndividualNo
    “Antibiotics can change how babies grow inside pregnant women.”8,9−2.54 (2.28)−3 (−5 to 0)Others close to youNo
    “By changing your normal gut bacteria, antibiotics can cause allergies, asthma, and stomach problems.” 8,10,11−2.54 (2.21)−3 (−5 to −1)IndividualNo
    “Antibiotics can make you more likely to be obese (fat).”12−2.51 (2.28)−3 (−5 to 0)IndividualNo
    “Pregnant women who take antibiotics are more likely to have babies with asthma.”9−2.50 (2.33)−3 (−5 to 0)Others close to youNo
    “Antibiotics can cause bad bacteria to overgrow in your gut. This can cause diarrhea and belly pain.”10,13−2.47 (2.17)−3 (−5 to −1)IndividualNo
    “In the future, antibiotic resistance will cause more deaths than cancer and diabetes combined.”6−2.42 (2.23)−3 (−5 to 0)SocietyYes
    “Resistant bacteria can still be found in your gut 4 years after taking antibiotics.”14−2.30 (2.25)−3 (−4 to 0)IndividualYes
    “A single dose of antibiotics makes the bacteria in your body more resistant to treatment.”15−2.12 (2.26)−2 (−4 to 0)IndividualYes
    “Antibiotics kill your normal gut bacteria. This can cause bad bacteria to overgrow.”12−1.99 (2.35)−2 (−4 to 0)IndividualNo
    “Antibiotic resistant bacteria cause over 2 million illnesses and 23,000 deaths in the US each year.”7−1.96 (2.45)−2 (−4 to 0)SocietyYes
    “Each antibiotic-resistant infection costs up to $30,000 more to treat than other infections.”6,16,17−1.93 (2.30)−2 (−4 to 0)SocietyYes
    “Taking antibiotics can cause you to get a yeast infection.”18−1.90 (2.46)−2 (−4 to 0)IndividualNo
    “Resistant bacteria can spread between people.”1,7−1.85 (2.66)−2 (−4 to 0)Others close to youYes
    “Antibiotics are the most common cause of Emergency Room visits for drug reactions in children.”7−1.83 (2.33)−2 (−4 to 0)Others close to youNo
    “One in 5 people who take an antibiotic in a hospital will have a side effect.”1−1.72 (2.25)−2 (−4 to 0)SocietyNo
    “In some countries like India, people in hospitals have infections so resistant that antibiotics can’t treat them.”19−1.40 (2.60)−1 (−4 to 0)SocietyYes
    “Antibiotic resistance costs the US between $20 and $35 billion each year.”7,16−1.35 (2.28)−1 (−3 to 0)SocietyYes
    • For the mean δ displayed, a “−5” meant the statement made the patient much less likely to request antibiotics, “0” meant the statement did not change their likelihood, and “5” would mean the statement made them much more likely to request antibiotics.

    • View popup
    Table 3.

    Mean Δ of Likelihood to Request Antibiotics Overall and by Category and Participant Characteristics


    Statement Category
    IndividualClose ContactAbout SocietyAbout ResistanceNot about ResistanceAll Statements
    Total Sample (n = 250)−2.30−2.18−1.80−1.91−2.26−2.10
    Sex     
     Men (n = 64)−1.75−1.49−1.35−1.43−1.77−1.62
     Women (n = 184)−2.81−2.42−2.95−2.08−2.43−2.28
    Education      
     HS graduate or less (n = 54)−1.90−1.63−1.15−1.33−1.72−1.60
     Any college or trade school up to bachelor’s degree (n = 140)−2.30−2.33−1.86−1.95−2.33−2.16
     Master’s degree or higher (n = 56)−2.65−2.34−2.25−2.38−2.50−2.45
    Race      
     Black (n = 152)−1.97−1.94−1.51−1.56−2.01−1.81
     White (n = 69)−2.69−2.41−2.13−2.32−2.53−2.44
     Other (n = 29)−3.09−2.89−2.49−2.81−2.88−2.84
    • HS, high school.

    • A mean δ“−5” meant the statement made the patient much less likely to request antibiotics, “0” meant the statement did not change their likelihood, and “5” meant the statement made them much more likely to request antibiotics.

PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 33 (6)
The Journal of the American Board of Family Medicine
Vol. 33, Issue 6
November-December 2020
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Educating Patients on Unnecessary Antibiotics: Personalizing Potential Harm Aids Patient Understanding
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
3 + 10 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Educating Patients on Unnecessary Antibiotics: Personalizing Potential Harm Aids Patient Understanding
Benjamin J. Miller, Kathryn A. Carson, Sara Keller
The Journal of the American Board of Family Medicine Nov 2020, 33 (6) 969-977; DOI: 10.3122/jabfm.2020.06.200210

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Educating Patients on Unnecessary Antibiotics: Personalizing Potential Harm Aids Patient Understanding
Benjamin J. Miller, Kathryn A. Carson, Sara Keller
The Journal of the American Board of Family Medicine Nov 2020, 33 (6) 969-977; DOI: 10.3122/jabfm.2020.06.200210
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Introduction
    • Methods
    • Results
    • Discussion
    • Conclusions
    • Appendix: Copy of Survey Administered
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Lack of Knowledge of Antibiotic Risks Contributes to Primary Care Patients Expectations of Antibiotics for Common Symptoms
  • Must-Read Family Medicine Research--Glucosamine/Chondroitin Supplements and Mortality, Telomere Length and the Doctor-Patient Relationship, Reducing Opioid Use, and More
  • Google Scholar

More in this TOC Section

  • Evaluating Pragmatism of Lung Cancer Screening Randomized Trials with the PRECIS-2 Tool
  • Perceptions and Preferences for Defining Biosimilar Products in Prescription Drug Promotion
  • Successful Implementation of Integrated Behavioral Health
Show more Original Research

Similar Articles

Keywords

  • Ambulatory Care
  • Anti-Bacterial Agents
  • Anti-Bacterial Drug Resistance
  • Anti-Microbial Stewardship
  • Baltimore
  • Health Communication
  • Health Promotion
  • Linear Models
  • Patient Preference
  • Primary Health Care
  • Public Health
  • Surveys and Questionnaires

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2025 American Board of Family Medicine

Powered by HighWire