IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v212y2018icp43-49.html
   My bibliography  Save this article

Complex narratives of health, stigma and control: Antimicrobial resistance screening among non-hospitalized refugees

Author

Listed:
  • Kamenshchikova, A.
  • Wolffs, P.F.G.
  • Hoebe, C.J.
  • Penders, J.
  • Horstman, K.

Abstract

Antimicrobial resistance (AMR) is often presented as a major public health problem globally. Screening for AMR usually takes place in clinical settings. Recent developments in microbiology stimulated a series of studies focusing on AMR in communities, and particularly in travelers (any mobile individual), which was argued to be important for identifying potential public health risks. Against this background, microbiologists have become interested in non-hospitalized refugees as one of the traveler groups. However, this attention to refugees has provoked some professional debates on potential stigmatization of refugees as dangerous “others”. To contribute to these debates, and to explore the idea of AMR screening of non-hospitalized refugees from different perspectives, we conducted a qualitative study among four groups of stakeholders who were chosen because of their associations with potential microbiological screening: microbiologists, public health physicians, public health nurses, and refugees. The study took place in a Dutch city from June to August 2016 and had 17 participants: five microbiologists, two public health nurses, four public health physicians, and six refugees. While microbiologists and public health physicians demonstrated a de-contextualized biomedical narrative in arguing that AMR screening among non-hospitalized refugees could be important for scientific research as well as for AMR prevention in communities, public health nurses displayed a more contextualized narrative bringing the benefits for individuals at the center and indicating that screening exclusively among refugees may provoke fear and stigmatization. Refugees were rather positive about AMR screening but stressed that it should particularly contribute to their individual health. We conclude that to design AMR prevention strategies, it is important to consider the complex meanings of AMR screening, and to design these strategies as a process of co-production by diverse stakeholders, including the target populations.

Suggested Citation

  • Kamenshchikova, A. & Wolffs, P.F.G. & Hoebe, C.J. & Penders, J. & Horstman, K., 2018. "Complex narratives of health, stigma and control: Antimicrobial resistance screening among non-hospitalized refugees," Social Science & Medicine, Elsevier, vol. 212(C), pages 43-49.
  • Handle: RePEc:eee:socmed:v:212:y:2018:i:c:p:43-49
    DOI: 10.1016/j.socscimed.2018.07.012
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S027795361830368X
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2018.07.012?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Broom, Alex & Broom, Jennifer & Kirby, Emma, 2014. "Cultures of resistance? A Bourdieusian analysis of doctors' antibiotic prescribing," Social Science & Medicine, Elsevier, vol. 110(C), pages 81-88.
    2. Kevin R Foster & Hajo Grundmann, 2006. "Do We Need to Put Society First? The Potential for Tragedy in Antimicrobial Resistance," PLOS Medicine, Public Library of Science, vol. 3(2), pages 1-1, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Frid-Nielsen, Snorre Sylvester & Rubin, Olivier & Baekkeskov, Erik, 2019. "The state of social science research on antimicrobial resistance," Social Science & Medicine, Elsevier, vol. 242(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Gautham, Meenakshi & Spicer, Neil & Chatterjee, Soumyadip & Goodman, Catherine, 2021. "What are the challenges for antibiotic stewardship at the community level? An analysis of the drivers of antibiotic provision by informal healthcare providers in rural India," Social Science & Medicine, Elsevier, vol. 275(C).
    2. Costello, Christopher & Quérou, Nicolas & Tomini, Agnes, 2015. "Partial enclosure of the commons," Journal of Public Economics, Elsevier, vol. 121(C), pages 69-78.
    3. Broom, Alex & Kenny, Katherine & Kirby, Emma & Davis, Mark & Dodds, Susan & Post, Jeffrey & Broom, Jennifer, 2021. "The modern hospital executive, micro improvements, and the rise of antimicrobial resistance," Social Science & Medicine, Elsevier, vol. 285(C).
    4. Aaron Martin & Timothy B Gravelle & Erik Baekkeskov & Jenny Lewis & Yoshi Kashima, 2019. "Enlisting the support of trusted sources to tackle policy problems: The case of antimicrobial resistance," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-9, March.
    5. Broom, Alex & Broom, Jennifer & Kirby, Emma & Scambler, Graham, 2015. "The path of least resistance? Jurisdictions, responsibility and professional asymmetries in pharmacists' accounts of antibiotic decisions in hospitals," Social Science & Medicine, Elsevier, vol. 146(C), pages 95-103.
    6. Broom, Alex & Doron, Assa, 2022. "Resistant bugs, porous borders and ecologies of care in India," Social Science & Medicine, Elsevier, vol. 292(C).
    7. Yuhan Bao & Adrian Ely & Michael M. Hopkins & Xianzhe Li & Yangmu Huang, 2021. "Exploring the Antibiotics Innovation System and R&D policies in China: Mission Oriented Innovation?," SPRU Working Paper Series 2021-04, SPRU - Science Policy Research Unit, University of Sussex Business School.
    8. Rynkiewich, Katharina & Gole, Sarin & Won, Sarah & Schwartz, David N., 2023. "Cultures of antibiotic prescribing in medical intensive care," Social Science & Medicine, Elsevier, vol. 324(C).
    9. Wang, Sophie Y. & Cantarelli, Paola & Groene, Oliver & Stargardt, Tom & Belle, Nicola, 2023. "Patient expectations do matter - Experimental evidence on antibiotic prescribing decisions among hospital-based physicians," Health Policy, Elsevier, vol. 128(C), pages 11-17.
    10. Carlsson, Fredrik & Jacobsson, Gunnar & Lampi, Elina & Rönnestrand, Björn, 2021. "Peers, policy, and attitudes as drivers of antibiotic prescribing," Working Papers in Economics 803, University of Gothenburg, Department of Economics.
    11. Travis C Porco & Daozhou Gao & James C Scott & Eunha Shim & Wayne T Enanoria & Alison P Galvani & Thomas M Lietman, 2012. "When Does Overuse of Antibiotics Become a Tragedy of the Commons?," PLOS ONE, Public Library of Science, vol. 7(12), pages 1-12, December.
    12. Armstrong, Natalie & Hilton, Paul, 2014. "Doing diagnosis: Whether and how clinicians use a diagnostic tool of uncertain clinical utility," Social Science & Medicine, Elsevier, vol. 120(C), pages 208-214.
    13. Cabral, Christie & Lucas, Patricia J. & Ingram, Jenny & Hay, Alastair D. & Horwood, Jeremy, 2015. "“It's safer to …” parent consulting and clinician antibiotic prescribing decisions for children with respiratory tract infections: An analysis across four qualitative studies," Social Science & Medicine, Elsevier, vol. 136, pages 156-164.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:212:y:2018:i:c:p:43-49. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.