title: Preparing for Antibiotic Resistance Campaigns: A Person-Centered Approach to Audience Segmentation.
abstract: Antibiotic resistance is a growing threat to public health that calls for urgent attention. However, creating campaigns to slow the emergence and spread of drug-resistant pathogens is challenging because the goal-antibiotic stewardship-encompasses multiple behaviors. This study provided a novel approach to audience segmentation for a multifaceted goal, by using a person-centered approach to identify profiles of U.S. adults based on shared stewardship intentions. The latent class analysis identified three groups: stewards, stockers, and demanders. The findings suggest campaigns with goals aimed at encouraging stewards to follow through on their intentions, encouraging stockers to dispose of their leftover antibiotics, and convincing demanders to accept providers' evidence-based judgment when a prescription for antibiotics is not indicated. Covariate analysis showed that people who held more inaccurate beliefs about what antibiotics can treat had higher odds of being demanders and stockers instead of stewards. People with stronger health mavenism also had higher odds of being stockers instead of stewards. The covariate analysis provided theoretical insight into the strategies to pursue in campaigns targeting these 3 groups.
authors.affiliation: a Department of Communication Arts & Sciences , The Pennsylvania State University , University Park , Pennsylvania , USA.
authors.forename: Rachel A
authors.initials: RA
authors.lastname: Smith
authors.affiliation: a Department of Communication Arts & Sciences , The Pennsylvania State University , University Park , Pennsylvania , USA.
authors.forename: Madisen
authors.initials: M
authors.lastname: Quesnell
authors.affiliation: b College of Agricultural Sciences , The Pennsylvania State University , University Park , Pennsylvania , USA.
authors.forename: Lydia
authors.initials: L
authors.lastname: Glick
authors.affiliation: c Penn State Hershey Children's Hospital , Hershey , Pennsylvania , USA.
authors.forename: Nicole
authors.initials: N
authors.lastname: Hackman
authors.affiliation: d Pennsylvania Department of Health, Harrisburg , Pennsylvania , USA.
authors.forename: Nkuchia M
authors.initials: NM
authors.lastname: M'Ikanatha
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004352:Drug Resistance, Microbial; D005260:Female; D006040:Goals; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods* / Q000458:organization & administration*; D006801:Humans; D033182:Intention; D008297:Male; D008875:Middle Aged; D011634:Public Health; D014481:United States; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents