George Christine Marie, Perin Jamie, Neiswender de Calani Karen J, Norman W Ray, Perry Henry, Davis Thomas P, Lindquist Erik D
Johns Hopkins Bloomberg School of Public Health, Department of International Health, Baltimore, Maryland; Food for the Hungry, Hunger Corps, Phoenix, Arizona; Messiah College, Biological Sciences, Mechanicsburg, Pennsylvania
Johns Hopkins Bloomberg School of Public Health, Department of International Health, Baltimore, Maryland; Food for the Hungry, Hunger Corps, Phoenix, Arizona; Messiah College, Biological Sciences, Mechanicsburg, Pennsylvania.
Am J Trop Med Hyg. 2014 Dec;91(6):1190-6. doi: 10.4269/ajtmh.14-0057. Epub 2014 Oct 13.
This study examined the relationship between childhood diarrhea prevalence and caregiver knowledge of the causes and prevention of diarrhea in a prospective cohort of 952 children < 5 years of age in Cochabamba, Bolivia. The survey of caregiver knowledge found that more than 80% of caregivers were unaware that hand washing with soap could prevent childhood diarrhea. Furthermore, when asked how to keep food safe for children to eat only 17% of caregivers reported hand washing before cooking and feeding a child. Lack of caregiver awareness of the importance of practices related to hygiene and sanitation for diarrhea prevention were significant risk factors for diarrheal disease in this cohort. The knowledge findings from this study suggest that health promotion in these communities should put further emphasis on increasing knowledge of how water treatment, hand washing with soap, proper disposal of child feces, and food preparation relate to childhood diarrhea prevention.
本研究在玻利维亚科恰班巴对952名5岁以下儿童的前瞻性队列中，考察了儿童腹泻患病率与照料者对腹泻病因及预防知识的了解之间的关系。对照料者知识的调查发现，超过80%的照料者不知道用肥皂洗手可以预防儿童腹泻。此外，当被问及如何保证儿童食用的食物安全时，只有17%的照料者表示在做饭和喂孩子之前会洗手。在该队列中，照料者缺乏对与卫生和环境卫生相关的腹泻预防措施重要性的认识是腹泻疾病的显著危险因素。本研究的知识结果表明，这些社区的健康促进应进一步强调增加对水处理、用肥皂洗手、妥善处理儿童粪便以及食物制备与预防儿童腹泻之间关系的认识。
