The role of psychological factors in predicting latrine ownership and consistent latrine use in rural Ethiopia: a cross-sectional study.
The role of psychological factors in predicting latrine ownership and consistent latrine use in rural Ethiopia: a cross-sectional study.
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DOI：
10.1186/s12889-018-5143-0
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发表时间：
2018-02-08
影响因子：
4.5
通讯作者：
Gasana J
中科院分区：
文献类型：
--
作者：
Alemu F;Kumie A;Medhin G;Gasana J
卫生设施不足是贫穷和中等收入国家疾病的主要原因之一。这项研究的目的是确定心理因素，预测厕所所有权和一致的厕所使用在埃塞俄比亚中部的农村Becho区。一个定量的，横断面的，以社区为基础的研究进行。共有1 047名户主接受了结构式问卷调查。拥有厕所和坚持使用厕所构成了研究的结果变量。使用Epi Info 3.5.4版输入数据，并使用SPSS 20版进行分析。在1047户家庭中，73%拥有传统的坑式厕所。在心理因素中，态度（AOR 1.70; 95%CI 1.21-2.37）和强制规范（AOR 6.18; 95%CI 4.46-10.44）与厕所拥有率呈正相关。在人口统计学因素中，家庭规模超过6人（AOR = 1.43; 95%CI 1.01-1.97），有一个孩子上学（AOR = 1.88; 95%CI 1.17-3.02），高中教育程度（AOR = 1.98; 95%CI 1.34-2.87）与厕所所有权显著相关。关于暴露于有关卫生设施的沟通（行动线索），有家庭成员参加社区主导的全面卫生和个人卫生（CLTSH）触发的家庭成为厕所所有者的可能性是没有参加CLTSH触发的家庭的三倍（95% CI 1.92-4.78）。对持续使用厕所的潜在预测因素进行调整后的logistic回归分析结果显示，（行政准备金7.00; 95% CI 4.55-10.55），拥有带有上部结构的厕所（AOR 2.3 95% CI 1.47-3.48），有干净的厕所（AOR 1.69 95%CI 1.00-3.00）和拥有带防护门的厕所（AOR 1.94; 95%CI 1.10-3.48）与持续使用厕所显着相关。研究结果表明，态度和禁令规范的心理预测厕所的所有权，和一致的厕所使用与态度，厕所的清洁，其隐私。因此，卫生干预措施需要侧重于改变社会规范、态度和提高厕所质量。
Inadequate sanitation is one of the leading causes of disease in poor and middle-income countries. The objective of the study was to identify the psychological factors that predict latrine ownership and consistent latrine use in the rural Becho district of central Ethiopia. A quantitative, cross-sectional, community based study was conducted. A total of 1047 heads of household were interviewed using a structured questionnaire. Ownership of latrine and consistent latrine use constituted the outcome variable of the study. Data were entered using Epi Info version 3.5.4 and were analyzed using SPSS version 20. Of the 1047 households, 73% owned a traditional pit latrine. Among the psychological factors, attitude (AOR 1.70; 95% CI 1.21–2.37) and injunctive norm (AOR 6.18; 95% CI 4.46–10.44) were positively and significantly associated with latrine ownership. Among the demographic factors, having a family size of more than six (AOR = 1.43; 95% CI 1.01–1.97, having a child attending school (AOR = 1.88; 95% CI 1.17–3.02), and having a high school education (AOR = 1.98; 95% CI 1.34–2.87) were significantly associated with latrine ownership. With respect to exposure to communication about sanitation (the cues to action), households that had a family member who took part in Community Led Total Sanitation and Hygiene (CLTSH) triggering were three times more likely to be latrine owners than those who did not participate in CLTSH triggering (95% CI 1.92–4.78.) Results from adjusted logistic regression analysis of potential predictors of consistent latrine use showed that having a positive attitude (AOR 7.00; 95% CI 4.55–10.55), owning of a latrine that had superstructure (AOR 2.3 95% CI 1.47–3.48), having a clean latrine (AOR 1.69 95% CI 1.00–3.00), and having a latrine with a protected door (AOR 1.94; 95% CI 1.10–3.48) were significantly associated with consistent latrine use. The study findings showed that attitude and injunctive norm are the psychological predictors of latrine ownership, and consistent latrine use was associated with attitude, cleanliness of the latrine, and its privacy. Hence, sanitation intervention needs to focus on changing societal norms, attitudes, and the promotion of latrine quality.
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影响因子：
4.5
作者：
Dreibelbis R;Winch PJ;Leontsini E;Hulland KR;Ram PK;Unicomb L;Luby SP
通讯作者：
Luby SP
DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
影响因子：
4.5
作者：
Awoke, Worku;Muche, Semahegn
通讯作者：
Muche, Semahegn
影响因子：
--
作者：
Cairncross, S.;Shordt, K.
通讯作者：
Shordt, K.
影响因子：
3
作者：
Engel, Susan;Susilo, Anggun
通讯作者：
Susilo, Anggun