Factors Associated With Attitudes Towards Antibiotic Usage in Pharmacy Students
The increase in antibiotic resistance caused by inappropriate usage has been influenced by many factors. A positive attitude can lead to proper usage of antibiotics. This study aimed to identify socio-demographic factors that influence the attitudes towards antibiotic usage in pharmacy students at the University of Muhammadiyah Malang. A cross-sectional study design was conducted with 327 respondents recruited using incidental sampling. The data were analyzed through the Chi-square test and logistic multivariate regression. More than half of the respondents (65.4%) had a positive attitude toward antibiotic usage. The results showed a significant correlation between attitudes and socio-demographic factors (i.e., age and semester level) with a p-value < 0.05. The findings showed that fifth and seventh semester students were more likely to have positive attitude than first semester students with an odds ratio of 4.286 and 16.482, respectively (p < 0.01). In conclusion, there were two factors associated with attitudes toward antibiotic usage: age and semester level.
Keywords: attitude, antibiotic, students, pharmacy, UMM
 U. D. of H. and H. Services. Antibiotic resistance threats in the United States. Centers for Disease Control and Prevention; 2019. p. 10.
 “Gunakan Antibiotik Secara Tepat, Untuk Mencegah Kekebalan Kuman - Sehat Negeriku.,”
 “Antibiotic resistance response - GARDP.,”
 Handayani RS, Siahaan S, Herman MJ. Antimicrobial resistance and its control policy implementation in hospital in Indonesia. Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan. 2018; 131-https://doi.org/10.22435/jpppk.v1i2.537
 Bela AM, Suryawati S. Intervensi CBIA untuk meningkatkan pengetahuan, sikap, dan perilaku penggunaan antibiotik yang rasional pada anggota bina keluarga balita cbia intervention to enhance community development of knowledge, attitudes, and behavior of antibiotic’s rational use. Jurnal Kedokteran Brawijaya. 2016;29(2):165–9.
 Zulu A, Matafwali SK, Banda M, Mudenda S. Assessment of knowledge, attitude. and practices on antibiotic resistance among undergraduate medical students in. the school of medicine at the University of Zambia. Int J Basic Clin Pharmacol. 2020;9(2):263.
 Desai AJ, Gayathri GV, Mehta DS. Public’s perception, knowledge, attitude and behaviour on antibiotic resistance- A survey in Davangere City, India. Journal of Preventive Medicine and Holistic Health. 2015;2(1):17.
 Pan DS, Huang JH, Lee MH, Yu Y, Chen MI, Goh EH, et al. Knowledge, attitudes and practices towards antibiotic use in upper respiratory tract infections among patients seeking primary health care in Singapore. BMC Fam Pract. 2016 Nov;17(1):148.
 Sakr S, Ghaddar A, Hamam B, Sheet I. Antibiotic use and resistance: an unprecedented assessment of university students’ knowledge, attitude and practices (KAP) in Lebanon. BMC Public Health. 2020 Apr;20(1):535.
 Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020 Feb;395(10223):497– 506.
 Shi H, Han X, Jiang N, Cao Y, Alwalid O, Gu J, et al. Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: A descriptive study. Lancet Infect Dis. 2020 Apr;20(4):425–34.
 Peng D, Wang X, Xu Y, Sun C, Zhou X. Antibiotic misuse among university students in developed and less developed regions of China: a cross-sectional survey. Global Health Action. 11(1):2018.
 Sakeena MH, Bennett AA, Carter SJ, McLachlan AJ. A comparative study regarding antibiotic consumption and knowledge of antimicrobial resistance among pharmacy students in Australia and Sri Lanka. PLoS One. 2019 Mar;14(3):0213520.
 Al-Yasseri BJ, Hussain NA. Public knowledge and attitudes towards antibiotics use and resistance in Baghdad, Iraq: A survey conducted in Outpatient Department of University Teaching Hospital. Open Public Health J. 2020;12(1):567–74.
 Hu Y, Wang X, Tucker JD, et al. Knowledge, attitude, and practice with respect to antibiotic use among Chinese medical students: A multicentre cross-sectional study. International Journal of Environmental Research and Public Health. 15(6): https://doi.org/10.3390/ijerph15061165.
 Jairoun A, Hassan N, Ali A, Jairoun O, Shahwan M. Knowledge, attitude and practice of antibiotic use among university students: a cross sectional study in UAE. BMC Public Health. 2019 May;19(1):518.
 Tadvi NA, Al Olah HA, AlMjlad AB, et al. Knowledge, Attitudes and Practice Regarding Antimicrobial Resistance and Antimicrobial Use among Undergraduate Medical Students in Majmaah, Saudi Arabia. J Res Med Dent Sci. 2019;7(2):75–81.
 Isaac S, Michael WB. Handbook in Research and Evaluation: Educational and Industrial Testing Services. Group Organ Manage. 1982:124–6.
 Abu Taha A, Abu-Zaydeh AH, Ardah RA, Al-Jabi SW, Sweileh WM, Awang R, et al. Public knowledge and attitudes regarding the use of antibiotics and resistance: Findings from a cross-sectional study among palestinian adults. Zoonoses Public Health. 2016 Sep;63(6):449–57.
 Shah P, Shrestha R, Mao Z, et al. Knowledge, attitude, and practice associated with antibiotic use among university students: A survey in Nepal. International Journal of Environmental Research and Public Health. 16(20): https://doi.org/10.3390/ijerph16203996.
 Fakhri G, Id A, Id ME, Id AE. “Public practices on antibiotic use: A cross- sectional study among Qatar University students and their family members. 2019;1–22.
 Ramchurren K, Balakrishna Y, Mahomed S. Patients’ knowledge, attitudes and practices regarding antibiotic use at a regional hospital in KwaZulu-Natal, South Africa 2017. S Afr J Infect Dis. 2018;0(0):1–6.
 Nwagbara UI, Osual EC, Chireshe R, Bolarinwa OA, Saeed BQ, Khuzwayo N, et al. Knowledge, attitude, perception, and preventative practices towards COVID-19 in sub-Saharan Africa: A scoping review. PLoS One. 2021 Apr;16(4):0249853.
 Haftom M, Petrucka PM. Determinants of face mask utilization to prevent covid-19. pandemic among quarantined adults in Tigrai Region, Northern Ethiopia, 2020. Clin Nurs Res. 2021 Sep;30(7):1107–12.
 Awad AI, Aboud EA. Knowledge, attitude and practice towards antibiotic use among the public in Kuwait. PLoS One. 2015 Feb;10(2):0117910.