Antibiotic prescribing and use in United Kingdom general practices in socio-economically deprived areas: a critical interpretive synthesis

StatusVoR
Simple item page
dc.abstract.enGeneral Practice is where most antibiotics are prescribed, yet a concerning trend has been observed – higher prescribing/use of antibiotics in socio-economically deprived settings. We aimed to critically interrogate the literature by exploring if prescribing/use of antibiotics throughout United Kingdom general practices is associated with deprivation, and if so, how. Five databases (CINAHL, Embase, Medline, Science Citation Index/Social Science Citation Index and Scopus) were searched. From 1464 gathered papers, 23 were included. 21 identified an association between deprivation and antibiotic prescribing/use and two papers found no association. From the 21, 15 utilized prescribing data, with 12 of these showing that as deprivation increased, so did prescribing, and three papers finding the opposite trend. Of the remaining 6 papers, four studies utilizing self-reported data identified a perceived risk of increased prescribing among socioeconomically deprived patients and two papers identified mixed results. Author interpretations of the relationship between antibiotic prescribing/use and deprivation considered overlapping clinical and social factors, which we then used to support our final synthesizing argument – observed prescribing variation is linked to inequalities and could be conceptualized as a form of “structural violence.” Research is needed to establish how structural inequalities shape the prescribing/use dynamic within these vulnerable communities.
dc.affiliationInstytut Psychologii
dc.contributor.authorBell, Anthony
dc.contributor.authorFord, Tori
dc.contributor.authorRoberts, Nia
dc.contributor.authorBlane, David
dc.contributor.authorTonkin-Crine, Sarah
dc.contributor.authorBorek, Aleksandra
dc.date.access2026-01-27
dc.date.accessioned2026-02-12T07:33:27Z
dc.date.available2026-02-12T07:33:27Z
dc.date.created2025-12-15
dc.date.issued2026-01-27
dc.description.accesstimeat_publication
dc.description.issue1
dc.description.physical1-19
dc.description.sdgGoodHealthAndWellBeing
dc.description.versionfinal_published
dc.description.volume3
dc.identifier.doi10.1080/29944694.2025.2606722
dc.identifier.issn2994-4694
dc.identifier.urihttps://share.swps.edu.pl/handle/swps/2182
dc.identifier.weblinkhttps://www.tandfonline.com/doi/full/10.1080/29944694.2025.2606722
dc.languageen
dc.pbn.affiliationpsychologia
dc.rightsCC-BY
dc.rights.questionYes_rights
dc.share.articleOPEN_JOURNAL
dc.subject.enPrimary health care
dc.subject.enantimicrobial stewardship
dc.subject.ensocioeconomic factors
dc.subject.ensocial determinants ofhealth
dc.subject.ensocial deprivation
dc.swps.sciencecloudsend
dc.titleAntibiotic prescribing and use in United Kingdom general practices in socio-economically deprived areas: a critical interpretive synthesis
dc.title.journalJournal of Health Equity
dc.typeJournalArticle
dspace.entity.typeArticle