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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >Access to waterless hand sanitizer improves student hand hygiene behavior in primary schools in nairobi, kenya
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Access to waterless hand sanitizer improves student hand hygiene behavior in primary schools in nairobi, kenya

机译：在肯尼亚内罗毕的小学使用无水洗手液可以改善学生的手部卫生习惯

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摘要

Handwashing is difficult in settings with limited resources and water access. In primary schools within urban Kibera, Kenya, we investigated the impact of providing waterless hand sanitizer on student hand hygiene behavior. Two schools received a waterless hand sanitizer intervention, two schools received a handwashing with soap intervention, and two schools received no intervention. Hand cleaning behavior after toilet use was monitored for 2 months using structured observation. Hand cleaning after toileting was 82% at sanitizer schools (N = 2,507 toileting events), 38%at soap schools (N = 3,429), and 37% at control schools (N = 2,797). Students at sanitizer schools were 23% less likely to have observed rhinorrhea than control students (P = 0.02); reductions in student-reported gastrointestinal and respiratory illness symptoms were not statistically significant. Providing waterless hand sanitizer markedly increased student hand cleaning after toilet use, whereas the soap intervention did not. Waterless hand sanitizer may be a promising option to improve student hand cleansing behavior, particularly in schools with limited water access.
机译：在资源和水有限的情况下，难以洗手。在肯尼亚基贝拉市区的小学，我们调查了提供无水洗手液对学生手部卫生行为的影响。两所学校接受了无水洗手液干预，两所学校接受了用肥皂洗手的干预，两所学校没有接受干预。使用结构化观察对厕所使用后的手清洁行为进行了2个月的监控。在消毒学校中，上厕所后的手清洁率为82％（N = 2,507次上厕所事件），在肥皂学校中为38％（N = 3,429），而在对照学校中为37％（N = 2,797）。消毒学校的学生发生鼻漏的可能性比对照组的学生低23％（P = 0.02）;学生报告的胃肠道和呼吸系统疾病症状的减少没有统计学意义。提供无水洗手液后，厕所使用后学生的手部清洁明显增加，而肥皂干预则没有。无水洗手液可能是改善学生手部清洁行为的一种有前途的选择，尤其是在用水有限的学校中。

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