Toghroli Razie, Aghamolaei Teamur, Hassani Laleh, Sharifi Hamid, Jajarmi Maziar
Social Determinants in Health Promotion Research Center, Hormozgan Health institute Hormozgan University of Medical Sciences Bandar Abbas Iran.
HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health Kerman University of Medical Sciences Kerman Iran.
Health Sci Rep. 2023 Mar 21;6(3):e1160. doi: 10.1002/hsr2.1160. eCollection 2023 Mar.
The determinants of antimicrobial resistance in human medicine have been copiously explored. On the other hand, the existing research in veterinary medicine and animal husbandry is in its infancy. The present qualitative study used the one-health approach to explore farmers' attitudes toward antimicrobial use and antimicrobial stewardship.
The present qualitative study was phenomenological in type. It was conducted in 2022 in the two cities of Kerman and Bandar Abbas in Iran. The data were collected through in-depth interviews by semistructured interviews with 17 livestock, poultry, and aquatic animal breeders selected through purposive sampling. The interviews lasted between 35 and 65 min in the Farsi language. The data were analyzed using conventional qualitative content analysis and Colaizzi's seven-step analysis technique.
The open coding was done in MAXQDA 10 and the results of data analysis were classified into five main themes and 17 subthemes subcategories. The main categories include personal determinants, contextual determinants, legal and regulatory determinants, social determinants, and economic determinants.
Considering the increasing use of antibiotics among livestock farmers and breeders of animals used as human food, different measures such as educational, regulatory, social, and even cultural interventions may be able to control and prevent antimicrobial resistance.
人类医学中抗生素耐药性的决定因素已得到大量研究。另一方面，兽医学和畜牧业方面的现有研究尚处于起步阶段。本定性研究采用“同一健康”方法，探讨农民对抗菌药物使用和抗菌药物管理的态度。
本定性研究属于现象学类型。于2022年在伊朗克尔曼和阿巴斯港这两个城市开展。通过目的性抽样选取了17位牲畜、家禽和水生动物养殖者，采用半结构化访谈进行深入访谈以收集数据。访谈用波斯语进行，时长在35至65分钟之间。采用常规定性内容分析法和科莱齐的七步分析法对数据进行分析。
在MAXQDA 10软件中进行了开放式编码，数据分析结果分为五个主要主题和17个子主题子类别。主要类别包括个人决定因素、环境决定因素、法律和监管决定因素、社会决定因素以及经济决定因素。
鉴于牲畜养殖户和用作人类食物的动物养殖者对抗生素的使用日益增加，教育、监管、社会乃至文化干预等不同措施或许能够控制和预防抗生素耐药性。
