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首页> 外文期刊>Public health >Handwashing behaviour among Chinese adults: A cross-sectional study in five provinces
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Handwashing behaviour among Chinese adults: A cross-sectional study in five provinces

机译：中国成年人的洗手行为：五个省的横断面研究

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Objectives: To describe the patterns of handwashing behaviour among Chinese adults, and assess their associations with sociodemographic factors and knowledge of hand hygiene. Study design: A representative sample (n=6159) of Chinese adults aged 18-60 years in fiveprovinces was attained by multiple-stage, stratified sampling mainly based on geographical location and economic status. Data on handwashing behaviour, knowledge of hand hygiene and sociodemographic factors were collected through self-administrated questionnaires. Methods: Associations between handwashing behaviour and sociodemographic factors were tested in logistic models. Path analysis was applied to examine the associations between sociodemographic factors, knowledge of hand hygiene and proper handwashing behaviour in order to evaluate the relative magnitude of these determinants and internal relationships. Results: This study found that 52.7% (rural vs urban: 44.6% vs 56.8%) and 67.3% (rural vs urban: 59.7% vs 71.1%) of Chinese adults reported they always washed hands before eating and after defaecation, and 30.0% (rural vs urban: 25.1% vs 32.8%) of adults always used soap or other sanitizers during washing. Using the criteria of 'always or very often washing hands with soap before eating and after defaecation without sharing a towel with family members after washing', only 47.2% (rural vs urban: 23.8% vs 59.1%) of the adults were graded to practice proper handwashing behaviour. Urban area, high level of education level, high level of knowledge about diseases, female gender and older age were protective factors for good hand hygiene; of these, area was found to be associated most strongly with handwashing behaviour. Conclusions: Adherence to an appropriate handwashing method and duration of handwashing are critical problems among Chinese adults. Area difference, level of education and level of knowledge of hand hygiene were most strongly associated with handwashing behaviour, and should be targeted in future health education.
机译：目的：描述中国成年人洗手行为的模式，并评估他们与社会人口学因素和手卫生知识的关系。研究设计：通过基于地理位置和经济状况的多阶段分层抽样，获得了五个省的18-60岁中国成年人的代表性样本（n = 6159）。通过自我管理的问卷调查收集了有关洗手行为，手卫生知识和社会人口统计学因素的数据。方法：在逻辑模型中检验洗手行为与社会人口统计学因素之间的关联。为了评估这些决定因素的相对大小和内部关系，应用了路径分析法来检查社会人口统计学因素，手卫生知识和正确的洗手行为之间的关联。结果：这项研究发现，中国成年人中有52.7％（农村vs城市：44.6％vs 56.8％）和67.3％（农村vs城市：59.7％vs 71.1％）报告他们在进食前和排便后总是洗手，还有30.0％ （农村vs城市：25.1％vs 32.8％）的成年人在洗涤期间总是使用肥皂或其他消毒剂。使用“在进食前和排便后经常或经常用肥皂洗手而洗后不与家人共享毛巾”的标准，只有47.2％（农村vs.城市：23.8％vs 59.1％）的成年人被评定为可练习正确的洗手行为。市区，较高的教育水平，较高的疾病知识，性别和年龄等是良好手部卫生的保护因素;在这些区域中，发现与洗手行为密切相关。结论：坚持适当的洗手方法和洗手时间是中国成年人的关键问题。区域差异，教育程度和手卫生知识水平与洗手行为密切相关，应作为未来健康教育的目标。

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