评估南非林波波省学童洗手的环境背景。
Assessing the environmental context of hand washing among school children in Limpopo, South Africa.
作者信息
Bulled Nicola, Poppe Kara, Ramatsisti Khuliso, Sitsula Londolani, Winegar Geoffrey, Gumbo Jabulani, Dillingham Rebecca, Smith James
机构信息
Worcester Polytechnic Institute, Worcester, United States.
University of Northern Iowa, Cedar Falls, United States.
出版信息
Water Int. 2017;42(5):568-584. doi: 10.1080/02508060.2017.1335140. Epub 2017 Jun 26.
Abstract
Despite its simplicity and efficacy, the promotion of hand washing for disease prevention remains a challenge particularly in resource-limited settings. Here we report on a quasi-experimental school-based study that aimed to improve habitual hand washing. Significant increases in hand washing occurred following improvements in hygiene and sanitation facilities (School A: t=13.86, p=0.0052). Smaller increases in hand washing occurred following education (School A: t=2.63; p=0.012; School B, no infrastructure improvements: t=1.66, p=0.239). Health policy and programming need to pay greater attention to the interplay of the structural, social, and individual dimensions of unique contextual environments that influence habitual behaviours.
摘要
尽管洗手预防疾病的方法简单有效，但推广洗手措施仍面临挑战，在资源有限的环境中尤为如此。在此，我们报告一项基于学校的准实验研究，该研究旨在促进养成洗手习惯。卫生和卫生设施改善后，洗手次数显著增加（学校A：t=13.86，p=0.0052）。开展教育后，洗手次数有较小幅度的增加（学校A：t=2.63；p=0.012；学校B，未进行基础设施改善：t=1.66，p=0.239）。卫生政策和规划需要更加关注影响习惯行为的独特背景环境中结构、社会和个人层面的相互作用。
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