Socio-economic factors, cultural values, national personality and antibiotics use: A cross-cultural study among European countries

GAYGISIZ Ü., Lajunen T., Gaygisiz E.

JOURNAL OF INFECTION AND PUBLIC HEALTH, vol.10, no.6, pp.755-760, 2017 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 10 Issue: 6
  • Publication Date: 2017
  • Doi Number: 10.1016/j.jiph.2016.11.011
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.755-760
  • Keywords: Antibiotic, Cultural values, Personality characteristics, Socio-economic factors, ECONOMIC-FACTORS, SELF-MEDICATION, RESISTANCE, HEALTH, CARE, DETERMINANTS, AWARENESS, OUTCOMES
  • Gazi University Affiliated: No


There are considerable cross-national differences in public attitudes towards antibiotics use, use of prescribed antibiotics, and self-medication with antibiotics even within Europe. This study was aimed at investigating the relationships between socio-economic factors, cultural values, national personality characteristics and the antibiotic use in Europe. Data included scores from 27 European countries (14 countries for personality analysis). Correlations between socio-economic variables (Gross National Income per capita, governance quality, life expectancy, mean years of schooling, number of physicians), Hofstede's cultural value dimensions (power distance, individualism, masculinity, uncertainty avoidance, long-term orientation, indulgence), national personality characteristic (extraversion, neuroticism, social desirability) and antibiotic use were calculated and three regression models were constructed. Governance quality (r=-.51), mean years of schooling (r=-.61), power distance (r=.59), masculinity (r=.53), and neuroticism (r=.73) correlated with antibiotic use. The highest amount of variance in antibiotic use was accounted by the cultural values (65%) followed by socio-economic factors (63%) and personality factors (55%). Results show that socio-economic factors, cultural values and national personality characteristics explain cross-national differences in antibiotic use in Europe. In particular, governance quality, uncertainty avoidance, masculinity and neuroticism were important factors explaining antibiotics use. The findings underline the importance of socio-economic and cultural context in health care and in planning public health interventions. (C) 2017 The Authors. Published by Elsevier Limited.