Associations among handwashing indicators, wealth, and symptoms of childhood respiratory illness in urban Bangladesh
Associations among handwashing indicators, wealth, and symptoms of childhood respiratory illness in urban Bangladesh
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DOI：
10.1111/j.1365-3156.2008.02074.x
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发表时间：
2008-06-01
影响因子：
3.3
通讯作者：
Halder, Amal K.
中科院分区：
文献类型：
--
作者：
Luby, Stephen P.;Halder, Amal K.
目的探讨洗手指标与社会经济地位和< 5岁儿童呼吸系统疾病报告的关系。方法我们在孟加拉国达卡的一项以人群为基础的呼吸系统疾病横断面研究中增加了几个洗手指标。我们构建了一个财富指数，使用12个家庭的特征与主成分分析，以评估社会经济地位。结果6970户，92%有一个肥皂的身体，41%有一个地方的水洗手的房子里，40%的肥皂目前在最方便的地方洗手。洗手指标在社会经济地位较高的家庭中更为普遍。在每个财富五分位数中，家庭中洗手的地方与洗手地点的肥皂存在密切相关（比值比13-70）。在控制社会经济地位的一般估计方程模型中，家中有洗手水的地方是唯一与在前7天内报告咳嗽或呼吸困难的家庭儿童显著相关的洗手指标结论洗手指标受社会经济地位的影响很大，因此不能作为洗手行为的独立指标。在达卡城市开展洗手宣传工作，包括在室内提供洗手设施的具体努力，比忽视这一部分的干预措施更有可能改善洗手行为。
OBJECTIVES To explore the relationship of easy to collect handwashing indicators with socioeconomic status and reported respiratory disease among children < 5 years of age.METHODS We added several handwashing indicators to a population-based, cross-sectional study of respiratory illness in Dhaka, Bangladesh. We constructed a wealth index using 12 household characteristics analysed with principal component analysis to assess socioeconomic status.RESULTS Of 6970 households, 92% had a bar of body soap, 41% had a place with water to wash hands inside the house, and 40% had soap present at the most convenient place to wash hands. Handwashing indicators were more common among households with higher socioeconomic status. Within each wealth quintile a place to wash hands within the household was strongly associated with the presence of soap at the handwashing location (odds ratios 13-70). In general estimated equation models that controlled for socioeconomic status, the presence of a place inside the house with water to wash hands was the only handwashing indicator significantly associated with a child in the household who reported cough or difficulty breathing in the preceding 7 days (adjusted odds ratio 0.95, 95% confidence interval 0.93-0.98, P < 0.001).CONCLUSION Handwashing indicators were strongly influenced by socio-economic status and so would not be an independent measure of handwashing behaviour. Handwashing promotion efforts in urban Dhaka that include specific efforts to provide handwashing facilities inside the house are more likely to improve handwashing behaviour than interventions that ignore this component.