Knowledge and antibiotic use behavior of undergraduate students in Phuket Province

Main Article Content

Araya Khoka


This descriptive research aimed to study knowledge and behavior of undergraduate students in using antibiotics and factors predicting antibiotics use behavior. The population was undergraduate students from Phuket Rajabhat University, Rajapruk University and Prince of Songkla University, Phuket Campus. The 400 samples were randomly stratified to the study. Data collecting by the questionnaire. Descriptive statistics such as frequency, percentage, mean, standard deviation and stepwise multiple regression analysis were used to analyze data. The results revealed that the sample (46.25%) had knowledge of antibiotic use at the low level. Their antibiotic practice was at the moderate level (mean=2.77, S.D.=0.97). The significant variables which predicted antibiotics use behavior including knowledge about antibiotics use (β = .465, p < .001) income (β = .130, p < .01) female (β = .126, p < .01) experience in using antibiotics (β = .115, p < .01) underlying disease (β = .108, p < .05) and faculty of science and technology (β = .093, p < .05), respectively. The percentage of total variance explained by all study variables was 31.10 percent. (R2 = .311, p < .001). The results of this study could be used as basic information to promote the right knowledge and behavior of undergraduate students in using antibiotics.

Article Details

นิพนธ์ต้นฉบับ (Original Article)


[1] Zaman SB, Hussain MA, Nye R, Mehta V, Mamun KT, Hossain N. A review on antibiotic resistance: Alarm bells are ringing. Cureus. 2017;9(6):e1403.
[2] Uddin BM, Yusuf A, Ratan ZA. A review of superbug: A global threat in health care system. Bangladesh J Infect Dis. 2017;4(1):25-8.
[3] Alpert PT. Superbugs: Antibiotic resistance is becoming a major public health concern. Home Health Care Manag Pract. 2016; 29(2):130-3.
[4] O’Neill J. Antimicrobial Resistance: Tackling a crisis for the health and wealth of nations [Internet]. 2014 [cited 2020 December 20]; Available from: AMR%20Review%20Paper%20-%20Tackling%20a%20crisis%20for%20the%20health%20and%
20wealth%20of%20 nations_1.pdf.
[5] Centers for disease control and prevention (CDC). Antibiotic/antimicrobial resistance. [Internet]. 2020 [cited 2020 December 20]; Available from:
[6] Phumart P, Phodha T, Thamlikitkul V, Riewpaiboon A, Prakongsai P, Limwattananon S. Health and economic impacts of antimicrobial resistant infections in Thailand: A preliminary study. JHSR. 2012;6(3):352-60.
[7] National antimicrobial resistance surveillance center, Thailand (NARST) [Internet]. Antimicrobial resistance 2000-2019 (6M). 2019 [cited 2020 December 20]; Available from: http://narst.
[8] Tanthien P. Characteristic of drug use in Thai people. J Hematol Transfus Med. 2009;19(4):309-15.
[9] Food and Drug Administration, Ministry of Public Health, Thailand. Antibiotic smart use guideline. Nonthaburi 2009,1-7.
[10] Nutayakul K, Jivarungruang R. Annual report 2019 (service plan: RDU). Phuket. 2019.
[11] Kinkajorn V, Kanchanavishirakul S. Antibiotics use behavior of patients in health promotion hospital, Regional health promotion center 3. [Internet]. 2011 [cited 2020 December 20]; Available from:
[12] Abimbola IO. Knowledge and practices in the use of antibiotics among a group of Nigerian university students. Int J Infect Control. 2013;9(1):1-8.
[13] Angkanavisan K, Peungkiatpairote P, Pangdee N, Thongkumkoon S, Wilaiwongsathien K, Pienklintham P, et al. Knowledge and awareness on rational use of antibiotics among first year students of Mahidol University in the academic year 2011. JHSR. 2012;6(3):374-81.
[14] Papka K, Laohasiriwong W. Situation and factors associate antibiotic used of working aged group in Mahasarakham Province. JBCN_Bangkok. 2018;34(2):13-22.
[15] Yanti N. Factors associated to antibiotic practice among public health students in a University, Phathum Thani. var. 2017;7(2):57-66.
[16] Chaidilok W, Chanthapasa K. The meaning of Ya-Kae-Akseb in Lay’s perspective: A case study of Ban Nakhok, Moo 3, Srisongrak Subdistrict, Muang District, Loei Province. Isan J Pharm Sci. 2014;9(Supplement):93-8.
[17] Mongkolchaipak J, Raumsuk J, Chaiprateep E. The study of customer’s knowledge and behavior in using antibiotics at community drug store in Pathum Thani Province. EAU Heritage J. 2012;6(2):91-100.
[18] Porisutiwutiporn S, Hemchayat M. Influencing factors of antibiotics use behavior of clients in Khlung hospital, Chanthaburi. J Prapokklao Hosp Clin Med Educat Center. 2014;31(2):114-27.
[19] Lambert H, Chen M, Cabral C. Antimicrobial resistance, inflammatory responses: a comparative analysis of pathogenicities, knowledge hybrids and the semantics of antibiotic use. Palgrave Commun. 2019;5(85):1-13.
[20] Jandaeng B, Kosolkittiamporn S, Kenaphoom S. Factors that affecting behavior change. DAJ. 2019;19(4):235-44.
[21] Aunruean W, Saensom D. Behavior of KKU students on antibiotics use in sore throat, clean wound and acute diarrhea. KKU isr j. 2015;3(3):221-32.
[22] Phomma A, Netchang S, Kaewkong N, Mapiw P, Naktang N. Factors influencing antibiotics use of nursing students to sore throat, clean wound and diarrhea. BCNUT J Nurs. 2020;12(1):165-79.
[23] Li J, Xie S, Ahmed S, Wang F, Gu Y, Zhang C, et al. Antimicrobial activity and resistance: influencing factors. Front Pharmacol. 2017;8(364):1-11.
[24] Krzych LJ, Czok M, Putowski Z. Is antimicrobial treatment effective during therapeutic plasma exchange? Investigating the role of possible interactions. Pharmaceutics. 2020;12(395):1-16.
[25] Sornkrasetrin A, Thongma N, Rajataramya B. Factors predicting the rational antibiotic use among nursing students. JBCNM. 2019;25(1):43-59.
[26] Bunmusik S, Chantra R, Heeaksorn C. Knowledge attitude and behaviors in rational antibiotics use of nursing students Southern college of nursing and public health network. JHRI. 2019;2(1):25-36.
[27] Sukpaiboon S, Apinandecha C, Chaisiri K. Antibiotics use behavior of patients in Srangsoke, Ban Mo District. Saraburi Province. Proceeding of the national conference & research presentation 2016: Toward The second decade: sustainability knowledgement on research integration; 2016 Jun 17; Nakhon Ratchasima, 409-16.
[28] Orem DE, Taylor SG, Renpenning KM. Nursing: concepts of practice. 6th ed. St. Louis: Mosby;2001.
[29] Sakcharoen P. Adult learning theory and self-directed learning concept: learning process for promoting lifelong learning. JRTAN. 2015;16(1):8-13.
[30] Numdee W. Behavior in using antibiotics of village health volunteers Doembangnangbuat District Suphanburi Province. JMND. 2020;7(7):213-28.