Vivas A P, Gelaye B, Aboset N, Kumie A, Berhane Y, Williams M A
Department of Epidemiology, Multidisciplinary International Research Training Program, University of Washington School of Public Health, Seattle, Washington 98195, USA.
J Prev Med Hyg. 2010 Jun;51(2):73-9.
Poor hygiene practices and inadequate sanitary conditions play major roles in the increased burden of communicable diseases within developing countries. This study evaluated the KAP of hygiene among rural school children in Ethiopia and assessed the extent to which proper knowledge of hygiene was associated with personal hygiene characteristics.
This cross-sectional study was comprised of 669 students who were interviewed by trained staff Participants were in grades 1-6 at Angolela Primary School, located in rural Ethiopia. Data consisted of hygiene and hand washing practices, knowledge about sanitation, personal hygiene characteristics, and presence of gastrointestinal parasitic infection. Results. Approximately 52% of students were classified as having adequate knowledge of proper hygiene. Most students reported hand washing before meals (99.0%), but only 36.2% reported using soap. Although 76.7% of students reported that washing hands after defecation was important, only 14.8% reported actually following this practice. Students with adequate knowledge of proper hygiene were more likely to have clean clothes (AOR 1.62, CI 1.14-2.29) and to have a lower risk of parasitic infection (AOR 0.78, CI 0.56-1.09) although statistical significance was not achieved for the latter
Study findings underscore the need for more hand washing and hygiene education in schools; and provide objective evidence that may guide the development of comprehensive health and hygiene intervention programs in rural Ethiopian schools. Successful implementation of these programs is likely to substantially attenuate the transmissible disease burden borne by school children in rural settings.
卫生习惯不良和卫生条件不足在发展中国家传染病负担加重方面起着主要作用。本研究评估了埃塞俄比亚农村学童的卫生知识、态度和行为,并评估了正确的卫生知识与个人卫生特征之间的关联程度。
这项横断面研究由669名学生组成,由经过培训的工作人员进行访谈。参与者是位于埃塞俄比亚农村的安戈莱拉小学1至6年级的学生。数据包括卫生和洗手习惯、卫生设施知识、个人卫生特征以及胃肠道寄生虫感染情况。结果。约52%的学生被归类为对正确的卫生知识有充分了解。大多数学生报告在饭前洗手(99.0%),但只有36.2%的学生报告使用肥皂。尽管76.7%的学生报告排便后洗手很重要,但只有14.8%的学生报告实际遵循了这种做法。对正确的卫生知识有充分了解的学生更有可能穿着干净的衣服(调整后比值比1.62,可信区间1.14 - 2.29),并且寄生虫感染风险较低(调整后比值比0.78,可信区间0.56 - 1.09),尽管后者未达到统计学显著性。
研究结果强调了在学校开展更多洗手和卫生教育的必要性;并提供了客观证据,可指导埃塞俄比亚农村学校制定全面的健康和卫生干预计划。成功实施这些计划可能会大幅减轻农村地区学童所承担的传染病负担。