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首页> 外文期刊>International Journal of Environmental Research and Public Health >The Role of Perceived Social Norms in Rural Sanitation: An Explorative Study from Infrastructure-Restricted Settings of South Ethiopia
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The Role of Perceived Social Norms in Rural Sanitation: An Explorative Study from Infrastructure-Restricted Settings of South Ethiopia

机译：社会规范在农村环境卫生中的作用：南埃塞俄比亚基础设施受限地区的探索性研究

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The perception of social sanitation norms (PSSNs) around unacceptability of open defecation has been a key aspect of recent sanitation interventions. However, underlying mechanisms through which “reconstructed” PSSNs affect sanitation outcomes have been a black box. This explorative cross-sectional study examines direct and indirect links between PSSNs and sanitation safety using data from structured interviews and observations in 368 households in rural South Ethiopia. In addition to a positive association between PSSNs and sanitation safety, we propose and examine the following two mechanisms: First, we confirm a potentially adverse feedback of PSSNs on future sanitation safety by enhancing the emotional satisfaction with current sanitation practice (satisfaction independent of the functionality of sanitation facilities). Second, inspired by the social amplification/attenuation of risk framework, we demonstrate that PSSNs work as a “social filter” that can amplify or attenuate the effects of other variables targeted in sanitation interventions such as perceived health-related and non-health risks and benefits associated with open defecation and private latrine ownership, respectively, and factual hygiene and sanitation knowledge. These findings imply that PSSNs are not only important per se, but they are also important instrumentally because sanitation outcomes depend upon the capacity of social influences to shape the perception of sanitation risks and benefits and sanitation-related awareness in desirable ways. The mechanisms outlined in this paper as well as the sustainability of sanitation outcomes depend on whether and how social sanitation norms are internalized.
机译：围绕不可接受露天排便的社会卫生规范（PSSN）感知已成为近期卫生干预措施的关键方面。但是，“重构”的PSSN通过其影响卫生结果的潜在机制一直是一个黑匣子。这项探索性的横断面研究使用来自结构性访谈和观察的数据对PSSN与卫生安全之间的直接和间接联系进行了调查，这些数据来自埃塞俄比亚南部农村地区的368户家庭。除了PSSN与卫生安全之间存在正相关关系外，我们还建议并研究以下两种机制：首先，通过增强当前卫生习惯的满意度（与功能无关的满意度），确认PSSN对未来卫生安全可能产生不利的反馈卫生设施）。其次，受社会风险放大/减弱框架的启发，我们证明PSSN可以作为“社会过滤器”，可以放大或减弱卫生干预措施中其他目标变量的影响，例如与健康相关的非健康风险和分别与露天排便和私人厕所所有权以及实际的卫生和卫生知识有关的好处。这些发现表明，PSSN不仅本身很重要，而且在工具上也很重要，因为卫生结果取决于社会影响力以可取的方式塑造对卫生风险和收益的感知以及与卫生相关的意识的能力。本文概述的机制以及环境卫生结果的可持续性取决于是否以及如何内部化社会环境卫生规范。

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