Davis Mark D M, Lohm Davina B, Whittaker Andrea, Flowers Paul
School of Social Sciences, Monash University, Melbourne, VIC, Australia.
School of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK.
Sociol Health Illn. 2020 Jul;42(6):1394-1408. doi: 10.1111/1467-9566.13111. Epub 2020 May 25.
Increased public engagement is a feature of policy and communications focussed on the reduction of antimicrobial resistance. Explaining antimicrobial resistance for general publics has proven difficult and they continue to endorse apparently mistaken knowledge, including the conflation of antimicrobial resistance with the notion of the resistant body. We interviewed members of the general public in Melbourne, Australia, to explore explanatory models for antimicrobial resistance and shed light on the persistence of the resistant body assumption and related concepts. In the face of AMR's complexity and the portended antibiotic apocalypse, publics rely on a heavily inscribed understanding of the body defending itself against microbes. Publics also read antibiotic misuse and overuse messages as the responsibility of other patients and medical practitioners, and not themselves. Significantly, the scientific world view that has created expert knowledge about AMR hails publics in ways that discredits them and limits their capacity to take action. Increased engagement with publics will be required to ensure that collaborative and sustainable AMR approaches are fashioned for the future.
公众参与度的提高是旨在减少抗菌药物耐药性的政策和宣传工作的一个特点。向普通公众解释抗菌药物耐药性已被证明是困难的，他们仍然认可一些明显错误的认知，包括将抗菌药物耐药性与耐药机体的概念混为一谈。我们采访了澳大利亚墨尔本的普通民众，以探索抗菌药物耐药性的解释模型，并揭示耐药机体假设及相关概念持续存在的原因。面对抗菌药物耐药性的复杂性和预示的抗生素末日，公众依赖于对机体抵御微生物的一种根深蒂固的理解。公众还将抗生素滥用和过度使用的信息解读为其他患者和医生的责任，而非自己的责任。重要的是，创造了关于抗菌药物耐药性的专家知识的科学世界观以诋毁公众并限制其采取行动能力的方式来称呼他们。需要加强与公众的互动，以确保为未来制定协作性和可持续的抗菌药物耐药性应对方法。
