A cluster-randomized controlled trial evaluating the effect of a handwashing-promotion program in Chinese primary schools
A cluster-randomized controlled trial evaluating the effect of a handwashing-promotion program in Chinese primary schools
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DOI：
10.4269/ajtmh.2007.76.1166
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发表时间：
2007-06-01
影响因子：
3.3
通讯作者：
Luby, Stephen
中科院分区：
文献类型：
--
作者：
Bowen, Anna;Ma, Huilai;Luby, Stephen
加强洗手的宣传可以减少腹泻和呼吸道疾病的发病率。为了确定强度较低，更具可扩展性的干预措施是否可以改善健康，我们评估了一个以学校为基础的洗手计划。我们将87所中国学校随机分为常规干预组：标准干预（洗手计划）或扩展干预（洗手计划，学校水槽肥皂和同伴卫生监督员）。我们比较了学生的缺勤率，调整了聚类设计。在对照学校，儿童每100个学生周经历了中位数2.0次（中位数2.6天）的缺席。在标准干预学校中，每100个学生周中有1.2次（P = 0.08）和1.9天（P = 0.14）的缺勤。扩大干预学校的儿童每100个学生周平均缺勤1.2次（P = 0.03）和1.2天（P = 0.03）。提供一个大规模的洗手推广计划和肥皂与显着减少缺勤。类似的项目可以改善全世界儿童的健康。
Intensive handwashing promotion can reduce diarrheal and respiratory disease incidence. To determine whether less intensive, more scalable interventions can improve health, we evaluated a school-based handwashing program. We randomized 87 Chinese schools to usual practices: standard intervention (handwashing program) or expanded intervention (handwashing program, soap for school sinks, and peer hygiene monitors). We compared student absence rates, adjusting for cluster design. In control schools, children experienced a median 2.0 episodes (median 2.6 days) of absence per 100 student-weeks. In standard intervention schools, there were a median 1.2 episodes (P = 0.08) and 1.9 days (P = 0.14) of absence per 100 student-weeks. Children in expanded intervention schools experienced a median 1.2 episodes (P = 0.03) and 1.2 days (P = 0.03) of absence per 100 student-weeks. Provision of a large-scale handwashing promotion program and soap was associated with significantly reduced absenteeism. Similar programs could improve the health of children worldwide.