Understanding the role of household hygiene practices and foodborne disease risks in child stunting: a UKRI GCRF Action Against Stunting Hub protocol paper

Understanding the role of household hygiene practices and foodborne disease risks in child stunting: a UKRI GCRF Action Against Stunting Hub protocol paper
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了解家庭卫生习惯和食源性疾病风险在儿童发育迟缓中的作用:UKRI GCRF 针对发育迟缓中心的行动协议文件

DOI:
10.1136/bmjpo-2022-001695
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发表时间:
2024
影响因子:
2.6
通讯作者:
Dominguez-Salas P
Dominguez-Salas P
中科院分区:
医学4区
文献类型:
--
作者:
Dominguez-Salas P

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1.环境卫生和食品安全是儿童发育迟缓的重要决定因素。这项研究旨在探讨儿童发育迟缓与家庭卫生习惯和行为之间的关系,包括水、环境卫生和个人卫生设施的提供情况;安全食品和优质饮用水的使用(特别是用于补充喂养时);食品运输、储存和制备中的卫生习惯以及控制动物、其产品和废物的交叉污染。方法与分析本研究是一项更广泛的观察性研究的一部分,该研究旨在使用“全儿童”范式调查导致儿童发育迟缓的跨学科因素。这项观察性研究招募了印度海得拉巴、印度尼西亚龙目岛和塞内加尔卡夫林的怀孕期妇女,并对两对(即每个国家500对母婴)进行了纵向随访,直至出生后24个月。在跨学科的生态位内,这项研究开发了一些工具来研究食物和水的环境病原体污染的潜在暴露途径。为探索家庭一级的接触途径,开发了全面的饮水、环卫和个人卫生及食品安全数据收集工具,包括:(1)调查问卷;(2)抽查;(3)对饮用水、食品和家庭表面进行生物取样;(4)直接观察。将采用综合分析方法对证据进行三角分析,以审查儿童发育迟缓、讲卫生运动和食品安全行为之间的关系。本研究的伦理批准由LSHTM、RVC、ILRI、ICMR、IIPHG、SEAMEO-RECFON、University of Chelsea Anta Diop的伦理委员会授予。研究结果将通过在同行评审期刊上发表、相关国际会议、公众参与活动以及决策者和利益攸关方活动等方式传播。
Introduction Environmental hygiene and food safety are important determinants of child stunting. This research aims to explore the relationship between child stunting and household hygiene practices and behaviours, including the availability of water, sanitation and hygiene (WASH) facilities; the use of safe food and good quality drinking water (especially when used for complementary feeding); hygienic practices in food transport, storage and preparation and the control of cross-contamination from animals, their produce and waste. Methods and analysis This study is part of a wider observational study which aims to investigate the interdisciplinary factors contributing to child stunting using a ‘whole child’ paradigm. The observational study recruits women during pregnancy in Hyderabad, India, Lombok, Indonesia and Kaffrine, Senegal, and dyads (ie, 500 mother–infant pairs per country) are followed longitudinally up to 24 months after birth. Within the interdisciplinary niche, the study here has developed tools to investigate the potential exposure pathways to environmental pathogen contamination of foods and water. Holistic WASH and food safety data collection tools have been developed to explore exposure pathways at the household level, including: (1) survey questionnaires; (2) spot-checks; (3) biological sampling of drinking water, food and domestic surfaces and (4) direct observation. An integrated analytical approach will be used to triangulate the evidence in order to examine the relationships between child stunting, WASH and food safety behaviours. Ethics and dissemination Ethical approval of the study was granted by the ethics committee of the LSHTM, RVC, ILRI, ICMR, IIPHG, SEAMEO-RECFON, University of Cheikh Anta Diop. Findings of the study will be disseminated through publication in peer-reviewed journals, relevant international conferences, public engagement events, and policy-maker and stakeholder events.
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