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Updated: Jul 8, 2025

Population and Single-Cell Analysis of Antibiotic Persistence in Escherichia coli
Published on: March 24, 2023
Prosocial Behaviour and Antibiotic Resistance: Evidence from a Discrete Choice Experiment
Mirko Ancillotti1, Samare P I Huls2,3, Eva M Krockow4
1Department of Public Health and Caring Sciences, Centre for Research Ethics and Bioethics, Uppsala University, Husargatan 3, BMC, SE 751 22, Uppsala, Sweden. mirko.ancillotti@crb.uu.se.
Altruism influences antibiotic choices, with more altruistic individuals preferring treatments that reduce antibiotic resistance and treatment failure. Prosocial messaging can lower demand for antibiotics.
Area of Science:
- Public Health
- Behavioral Science
- Infectious Disease Control
Background:
- Individual health behaviors significantly impact community health, especially for infectious diseases.
- Prosocial behavior is a critical resource for effective disease control and public health programs.
- Understanding prosociality is vital for optimizing health strategies.
Purpose of the Study:
- To investigate the role of altruism in public decision-making regarding antibiotic treatments.
- To extend the understanding of prosociality in the context of antibiotic use.
Main Methods:
- A discrete choice experiment surveyed 378 individuals in Sweden.
- Latent class analysis modeled public preferences for antibiotic treatment characteristics.
- Preference heterogeneity was analyzed to understand the impact of altruism.
Main Results:
- Higher levels of altruism correlated with preferences for treatments minimizing antibiotic resistance.
- Altruistic individuals showed a lower likelihood of preferring treatments with a higher risk of failure.
- Altruism was significantly associated with demographic factors including sex, education, and health literacy.
Conclusions:
- Judicious antibiotic use is supported by antibiotic awareness, trust in healthcare, and equitable priority setting.
- Prosocial messaging may effectively reduce the demand for unnecessary antibiotic treatments.
- Altruism is a key factor influencing public choices in antibiotic selection.
Related Concept Videos
Antibiotic Selection
Obedience
Social Proof
Milgram's Obedience to Authority
Conformity
Naturalistic Observations

