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. 2020 Nov 12;5(11):e003599. doi: 10.1136/bmjgh-2020-003599

Table 1.

Summary of characteristics of included studies that investigated non-biomedical factors influencing outpatient and community antibiotic use in China

Characteristic Number of studies Studies
Total 54 13–36 38–63 73–76
Language
 Chinese 11 29 33 35 41 42 44 46 49 62 63 76
 English 43 13–28 30–32 34 36 38–40 43 45 47 48 50–61 73–75
Year of study
 2001–2005 2 26 39
 2006–2010 3 15 33 58
 2011–2015 19 16 18 21 23 24 29–32 34 40–44 47 49 57 73
 2016–later 30 13 14 17 19 20 22 25 27 28 35 36 38 45 46 48 50–56 59–63 74–76
Study design
Quantitative study 44 13–15 17–26 28–30 33–36 38–55 62 63 73–76
 Longitudinal 1 53
 Cross-sectional 38 13–15 17–22 26 28–30 33–36 38–52 62 63 73–76
 Experiment 6 23–25 53–55
Qualitative study 5 27 57–59 61
Mixed-methods 5 16 31 32 56 60
 Experiment 1 56
Study region
Mainland China
 East 14 23 24 34 35 40–42 46 48 49 52 60 62 63
 Central 7 14 18 27 47 61 75 76
 West 6 22 29 43 44 58 59
 Across regions 17 13 17 19 20 25 28 36 38 45 50 51 53–57 74
Hong Kong 9 15 16 21 26 30–32 39 73
Taiwan 1 33
Urbanicity
 Urban 10 28 33 34 41 42 55 61 62 73 76
 Rural 7 14 25 27 52 57 59 60
 Both 33 13 15–24 26 29–32 35 36 38 39 43–47 49–51 53 54 56 58 63
 Unknown 4 40 48 74 75
Participants
Healthcare consumers
 General public
 (adults >18 years)
29 14–17 19–21 29–36 38 40 43 44 46–50 52 57 62 63 73
 Parents or caregivers 8 13 18 28 41 42 45 51 76
Healthcare providers
 Healthcare professionals and/or community pharmacies 13 22–26 39 53–55 60 61 74 75
Both sides of healthcare system 4 27 56 58 59
Antibiotic misuse in the community
 Self-medication with antibiotics 34 13–21 27–36 40–46 48–52 58 62 63
 Taking antibiotics as prophylaxis 12 13 17–20 36 38 43 50–52 57
 Over-the-counter purchases/sales 22 15 16 18 21 28 30–33 41 44 48 50 52–59 76
  Patient side reported 19 15 16 18 21 28 30–33 41 44 48 50 52 56–59 76
  Experiment 4 53–56
 Household storage of antibiotics 23 13 14 16–21 28 29 31 32 35 41–43 46 50–52 58 62 63
 Demand for antibiotic prescriptions 23 13 16–21 27–36 38 47 57 62 63 76