Planned, motivated and habitual hygiene behaviour: an eleven country review.

Planned, motivated and habitual hygiene behaviour: an eleven country review.
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DOI:
10.1093/her/cyp002
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发表时间:
2009-08
影响因子:
2.4
通讯作者:
Aunger RV
Aunger RV
中科院分区:
医学4区
文献类型:
--
作者:
Curtis VA;Danquah LO;Aunger RV

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用肥皂洗手(HWWS)可能是发展中国家预防感染的最具成本效益的方法之一。然而,HWWS在这些环境中是罕见的。我们回顾了来自11个国家的形成性研究的结果,以了解HWWS涉及的计划,动机和习惯性因素。平均而言,只有17%的儿童照顾者HWWS后厕所。洗手的“习惯”一般不会在很小的时候就被灌输。洗手的主要“动机”是厌恶、教养、舒适和归属感。对疾病的恐惧通常不会促使洗手,除了在霍乱等流行病的情况下短暂地洗手。包括洗手在内的“计划”包括改善家庭健康和教孩子们礼貌。环境障碍很少,因为几乎每家每户都有肥皂和水。由于洗手是习惯性的,因此决定洗手的因素的自我报告是不可靠的。促进HWWS的候选策略包括建立社会规范,强调对脏手的厌恶,并将HWWS作为良好的礼貌教育儿童。将决定与健康有关的行为的因素分为有计划的、有动机的和习惯性的类别,提供了一个简单但全面的概念模型。许多与健康有关的行为的习惯方面需要进一步研究。
Handwashing with soap (HWWS) may be one of the most cost-effective means of preventing infection in developing countries. However, HWWS is rare in these settings. We reviewed the results of formative research studies from 11 countries so as to understand the planned, motivated and habitual factors involved in HWWS. On average, only 17% of child caretakers HWWS after the toilet. Handwash ‘habits’ were generally not inculcated at an early age. Key ‘motivations’ for handwashing were disgust, nurture, comfort and affiliation. Fear of disease generally did not motivate handwashing, except transiently in the case of epidemics such as cholera. ‘Plans’ involving handwashing included to improve family health and to teach children good manners. Environmental barriers were few as soap was available in almost every household, as was water. Because much handwashing is habitual, self-report of the factors determining it is unreliable. Candidate strategies for promoting HWWS include creating social norms, highlighting disgust of dirty hands and teaching children HWWS as good manners. Dividing the factors that determine health-related behaviour into planned, motivated and habitual categories provides a simple, but comprehensive conceptual model. The habitual aspects of many health-relevant behaviours require further study.
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