Agaro Ashenafi, Hareru Habtamu Endashaw, Muche Temesgen, Sisay W/Tsadik Daniel, Ashuro Zemachu, Negassa Belay, Legesse Mehret Tesfu, Kaso Abdene Weya, Alemu Wagaye, Alemayehu Gube Addisu, Aregu Mekonnen Birhanie, Soboksa Negasa Eshete
School of Public Health, Medicine and Health Science College, Dilla University, Dilla, Ethiopia.
Department of Human Nutrition, Medicine and Health Science College, Dilla University, Dilla, Ethiopia.
Environ Health Insights. 2022 Aug 28;16:11786302221120784. doi: 10.1177/11786302221120784. eCollection 2022.
Various communicable and infectious diseases could be contained by proper hand washing leading to a reduction in mortality and morbidity of children.
To assess predictors of hand-washing practices at critical times among mothers of under 5 years old children in rural setting of Gedeo zone, Southern Ethiopia.
An institutional-based cross-sectional survey was conducted among 422 women with children under the age of 5 attended the Dilla Zuria health facility and were chosen using a systematic sampling method. Data was gathered using pre-tested interview-administered structured questionnaires. Data was entered into EPI info version 17 and analyzed using SPSS version 25. Binary logistic regression was employed to identify the association between dependent and independent variables. Finally, for variables with a < .05 in multivariable analysis, adjusted odds ratio (AOR) with a 95% confidence interval (CI) was determined and interpreted.
The hand washing practice of mothers at critical times was 44.9% [95% CI: 40.1, 49.7%]. The pertinent predictors were favorable attitude [AOR = 7.77, 95% CI: 4.56, 10.37], availability of water source near the household [AOR = 5.31, 95% CI: 3.56, 10.37], and constant availability of soaps at household [AOR = 2.32, 95% CI: 1.33, 6.70].
In our study, hand-washing practices at critical times was low. The pertinent predictors were attitude, the presence of a water source near the household, and the presence of soap. Therefore, it is advised to encourage domestic hygiene education to improve mothers' attitudes and to increase the availability of water and soap close to the household to promote handwashing with soap and water at critical times.
正确洗手可控制多种传染病，从而降低儿童的死亡率和发病率。
评估埃塞俄比亚南部盖德奥地区农村5岁以下儿童母亲在关键时期洗手行为的预测因素。
在迪拉祖里亚卫生设施就诊的422名有5岁以下儿童的妇女中进行了一项基于机构的横断面调查，采用系统抽样方法选取。通过预先测试的访谈式结构化问卷收集数据。数据录入EPI info 17版，并使用SPSS 25版进行分析。采用二元逻辑回归确定因变量和自变量之间的关联。最后，对于多变量分析中P<0.05的变量，确定并解释调整后的比值比（AOR）及其95%置信区间（CI）。
母亲在关键时期的洗手率为44.9%[95%CI：40.1，49.7%]。相关预测因素为积极态度[AOR = 7.77，95%CI：4.56，10.37]、家庭附近有水源[AOR = 5.31，95%CI：3.56，10.37]以及家中经常有肥皂[AOR = 2.32，95%CI：1.33，6.70]。
在我们的研究中，关键时期的洗手率较低。相关预测因素为态度、家庭附近有水源以及有肥皂。因此，建议鼓励家庭卫生教育以改善母亲的态度，并增加家庭附近水和肥皂的可得性，以促进在关键时期用肥皂和水洗手。
