ASEAN Institute for Health Development, Mahidol University, Salaya 73170, Thailand.
Department of Research Administration and Development, University of Limpopo, Sovenga 0727, South Africa.
Int J Environ Res Public Health. 2020 Oct 27;17(21):7860. doi: 10.3390/ijerph17217860.
The study aimed to estimate the prevalence and correlates of oral hygiene (OH) and hand hygiene (HH) behavior among school adolescents in three Caribbean countries.
In all, 7476 school adolescents (median age 14 years) from the Dominican Republic, Suriname, and Trinidad and Tobago responded to the cross-sectional Global School-Based Student Health Survey (GSHS) in 2016-2017.
The prevalence of poor OH (tooth brushing < 2 times/day) was 16.9%, poor HH (not always before meals) was 68.2%, poor HH (not always after toilet) was 28.4%, and poor HH (not always with soap) was 52.7%. In the adjusted logistic regression analysis, current cannabis use, inadequate fruit and vegetable intake, poor mental health, and low parental support increased the odds for poor OH. Rarely or sometimes experiencing hunger, trouble from alcohol use, inadequate fruit and vegetable intake, poor mental health, and low parental support were associated with poor HH (before meals and/or after the toilet, and/or with soap).
The survey showed poor OH and HH behavior practices. Several sociodemographic factors, health risk behaviors, poor mental health, and low parental support were associated with poor OH and/or HH behavior that can assist with tailoring OH and HH health promotion.
本研究旨在评估三个加勒比国家中学校青少年的口腔卫生（OH）和手部卫生（HH）行为的流行率及其相关因素。
在 2016-2017 年期间，共有来自多米尼加共和国、苏里南和特立尼达和多巴哥的 7476 名学校青少年（中位数年龄为 14 岁）参与了横断面全球学校学生健康调查（GSHS）。
不良 OH（每日刷牙次数<2 次）的流行率为 16.9%，不良 HH（饭前未经常洗手）为 68.2%，不良 HH（便后未经常洗手）为 28.4%，不良 HH（未经常用肥皂洗手）为 52.7%。在调整后的逻辑回归分析中，当前大麻使用、水果和蔬菜摄入不足、心理健康状况不佳和父母支持不足会增加不良 OH 的可能性。偶尔或经常感到饥饿、酗酒、水果和蔬菜摄入不足、心理健康状况不佳和父母支持不足与不良 HH（饭前和/或便后，和/或不用肥皂洗手）有关。
调查显示，OH 和 HH 行为实践不佳。一些社会人口因素、健康风险行为、心理健康状况不佳和父母支持不足与不良 OH 和/或 HH 行为有关，这些因素有助于制定 OH 和 HH 促进健康的措施。
