Han Mi Ah
1 College of Medicine, Chosun University, Gwangju, Republic of Korea.
Asia Pac J Public Health. 2018 Jan;30(1):67-74. doi: 10.1177/1010539517751746. Epub 2018 Jan 9.
Hand hygiene is a basic but effective strategy against infectious disease. This study investigated an ecological association between hand hygiene and tuberculosis (TB) risk in Korea. Hand hygiene data were obtained from the 2015 Community Health Survey. Information on TB incidence and mortality in 2015 were obtained from the National Infectious Diseases Surveillance System and death monitoring database, respectively. In multiple linear regression analysis, frequent hand washing rates after using the restroom (B = -0.78, P = .037), after returning from the outdoors (B = -0.28, P = .049), and with soap or hand sanitizer (B = -0.54, P = .018) were negatively associated with TB incidence. TB mortality were associated with frequent hand washing rates after returning from the outdoors (B = -0.05, P = .035), and with soap or hand sanitizer (B = -0.10, P = .010), respectively. Hand washing was associated with lower TB incidence and mortality at the community level. These results could contribute to develop community-based health promotion strategies.
手部卫生是预防传染病的一项基本且有效的策略。本研究调查了韩国手部卫生与结核病（TB）风险之间的生态关联。手部卫生数据来自2015年社区健康调查。2015年结核病发病率和死亡率信息分别来自国家传染病监测系统和死亡监测数据库。在多元线性回归分析中，使用卫生间后频繁洗手率（B = -0.78，P = .037）、从户外返回后（B = -0.28，P = .049）以及使用肥皂或洗手液洗手率（B = -0.54，P = .018）与结核病发病率呈负相关。结核病死亡率分别与从户外返回后频繁洗手率（B = -0.05，P = .035）以及使用肥皂或洗手液洗手率（B = -0.10，P = .010）相关。在社区层面，洗手与较低的结核病发病率和死亡率相关。这些结果有助于制定基于社区的健康促进策略。
