评估埃塞俄比亚贡德尔市艾滋病毒/艾滋病家庭护理服务人群的水、环境卫生和个人卫生实践及其相关因素。
Assessment of water, sanitation, and hygiene practice and associated factors among people living with HIV/AIDS home based care services in Gondar city, Ethiopia.
机构信息
Department of Environmental and Occupational Health and Safety, Institute of Public Health, University of Gondar, Gondar, Ethiopia.
出版信息
BMC Public Health. 2012 Dec 7;12:1057. doi: 10.1186/1471-2458-12-1057.
BACKGROUND
People living with HIV/AIDS have substantially greater need for water, sanitation, and hygiene. Encouraging hygiene education for People Living with HIV/AIDS in home based care services and additional support for the provision of water, sanitation, and hygiene services is recommended.
METHODS
A cross-sectional study was carried during 2009 to assess water, sanitation status and hygiene practices and associated factors among People Living with HIV/AIDS in home based care services in Gondar city of Ethiopia. A systematic random sampling was used to select study subjects from 900 Home Based Care clients of People Living HIV/AIDS in Gondar city. Data was collected from 296 People Living with HIV/AIDS from two NGO's in the city. For in-depth interview, four different categories were participated. Logistic regression and thematic framework analysis were performed for quantitative and qualitative part respectively.
RESULTS
Two hundred ninety four subjects (72.8% (214) females and 27.2% (80) males) were studied. The mean age was 35.8 ± 8.7 years. In the study, 42.9% (126) of the households have unimproved water status, 67% (197) of the households have unimproved sanitation status, and 51.7% (152) of the households have poor hygienic practice. Diarrhoea with water status; educational status and latrine availability with sanitation status; and hand washing device availability and economical reasons for the affordability of soap with hygienic practice were significantly associated. Economical reasons and hygiene education were factors that affect water, sanitation, and hygienic practice. Stigma and discrimination were minimized as a factor in the study area.
CONCLUSIONS
There is high burden of water, sanitation and hygiene in people living HIV/AIDS in home based care services. Encouraging hygiene education for people living HIVAIDS in home based care services and additional support for the provision of water, sanitation, and hygiene services is recommended.
背景
HIV/AIDS 感染者对水、环境卫生和个人卫生有更大的需求。建议在家庭护理服务中为 HIV/AIDS 感染者提供卫生教育，并为提供水、环境卫生和个人卫生服务提供额外支持。
方法
本研究于 2009 年开展了一项横断面研究，以评估在埃塞俄比亚贡德尔市家庭护理服务中 HIV/AIDS 感染者的水、环境卫生状况和个人卫生习惯以及相关因素。采用系统随机抽样的方法，从贡德尔市的 900 名 HIV/AIDS 家庭护理服务对象中选择研究对象。从该市两家非政府组织中收集了 296 名 HIV/AIDS 感染者的数据。采用深入访谈的方式，参与了四个不同的类别。分别对定量和定性部分进行了逻辑回归和主题框架分析。
结果
共研究了 294 名对象（72.8%（214 名）为女性，27.2%（80 名）为男性）。平均年龄为 35.8 ± 8.7 岁。在研究中，42.9%（126 名）的家庭用水未得到改善，67%（197 名）的家庭环境卫生状况未得到改善，51.7%（152 名）的家庭个人卫生习惯较差。腹泻与水的状况；教育程度和厕所的可用性与环境卫生状况；手洗设备的可用性和肥皂的经济可负担性与个人卫生习惯有显著相关性。经济原因和卫生教育是影响水、环境卫生和个人卫生习惯的因素。污名化和歧视在研究地区被最小化。
结论
家庭护理服务中 HIV/AIDS 感染者的水、环境卫生和个人卫生负担很重。建议在家庭护理服务中为 HIV/AIDS 感染者提供卫生教育，并为提供水、环境卫生和个人卫生服务提供额外支持。
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