Hand-Washing Practices among Adolescents Aged 12-15 Years from 80 Countries

The objectives were to (1) assess the prevalence of hand-washing practices across 80 countries and (2) assess frequency of hand-washing practice by economic status (country income and severe food insecurity), in a global representative sample of adolescents. Cross-sectional data from the Global School-based Student Health Survey 2003-2017 were analyzed. Data on age, sex, hand-washing practices in the past 30 days, and severe food insecurity (i.e., proxy of socioeconomic status) were self-reported. Multivariable logistic regression and meta-analysis with random effects based on country-wise estimates were conducted to assess associations. Adolescents (n = 209,584) aged 12-15 years [mean (SD) age 13.8 (1.0) years; 50.9% boys] were included in the analysis. Overall, the prevalence of hand-washing practices were as follows: never/rarely washing hands before eating (6.4%), after using toilet (5.6%), or with soap (8.8%). The prevalence of never/rarely washing hands after using the toilet (10.8%) or with soap (14.3%) was particularly high in low-income countries. Severe food insecurity was associated with 1.34 (95%CI = 1.25-1.43), 1.61 (95%CI = 1.50-1.73), and 1.44 (95%CI = 1.35-1.53) times higher odds for never/rarely washing hands before eating, after using the toilet, and with soap, respectively. A high prevalence of inadequate hand washing practices was reported, particularly in low-income countries and those with severe food insecurity. In light of the present COVID-19 pandemic and the rapid expansion being observed in low- and middle-income locations, interventions that disseminate good hand-washing practices are urgently required. Such interventions may also have cross-over benefits in relation to other poor sanitation-related diseases.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:18

Enthalten in:

International journal of environmental research and public health - 18(2020), 1 vom: 27. Dez.

Sprache:

Englisch

Beteiligte Personen:

Smith, Lee [VerfasserIn]
Butler, Laurie [VerfasserIn]
Tully, Mark A [VerfasserIn]
Jacob, Louis [VerfasserIn]
Barnett, Yvonne [VerfasserIn]
López-Sánchez, Guillermo F [VerfasserIn]
López-Bueno, Rubén [VerfasserIn]
Shin, Jae Il [VerfasserIn]
McDermott, Daragh [VerfasserIn]
Pfeifer, Briona A [VerfasserIn]
Pizzol, Damiano [VerfasserIn]
Koyanagi, Ai [VerfasserIn]

Links:

Volltext

Themen:

Adolescents
Epidemiology
Hand-washing
Hygiene
Journal Article
Multi-country study
Poverty

Anmerkungen:

Date Completed 05.01.2021

Date Revised 10.11.2023

published: Electronic

Citation Status MEDLINE

doi:

10.3390/ijerph18010138

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM319396509