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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >Contextual and Psychosocial Determinants of Effective Handwashing Technique: Recommendations for Interventions from a Case Study in Harare, Zimbabwe
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Contextual and Psychosocial Determinants of Effective Handwashing Technique: Recommendations for Interventions from a Case Study in Harare, Zimbabwe

机译：有效洗手技术的上下文和心理社会决定因素：津巴布韦哈拉雷案例研究的建议

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摘要

Handwashing has been shown to considerably reduce diarrhea morbidity and mortality. To decontaminate hands effectively, the use of running water, soap, and various scrubbing steps are recommended. This study aims to identify the behavioral determinants of effective handwashing. Everyday handwashing technique of 434 primary caregivers in high-density suburbs of Harare, Zimbabwe, was observed and measured as an 8-point sum score of effective handwashing technique. Multiple linear and logistic regression analyses were performed to predict observed handwashing technique from potential contextual and psychosocial determinants. Knowledge of how to wash hands effectively, availability of a handwashing station with functioning water tap, self-reported frequency of handwashing, perceived vulnerability, and action planning were the main determinants of effective handwashing technique. The models were able to explain 39% and 36% of the variance in overall handwashing technique and thoroughness of handscrubbing. Memory aids and guided practice are proposed to consolidate action knowledge, and personalized risk messages should increase the perceived vulnerability of contracting diarrhea. Planning where, when, and how to maintain a designated place for handwashing with sufficient soap and water is proposed to increase action planning. Since frequent self-reported handwashing was associated with performing more effective handwashing technique, behavior change interventions should target both handwashing frequency and technique concurrently.
机译：手术已经显示出显着降低腹泻发病率和死亡率。为了有效地防污手，建议使用运行水，肥皂和各种擦洗步骤。本研究旨在识别有效洗手的行为决定因素。观察到津巴布韦的高密度郊区434个主要护理人员的日常洗手技术，并被测量为有效洗手技术的8点和分数。进行多种线性和逻辑回归分析以预测来自潜在语境和心理社会决定因素的观察到的洗手技术。了解如何有效洗手，用功能水龙头，自我报告的洗手，感知脆弱性和动作规划的洗手站的可用性是有效洗手技术的主要决定因素。该模型能够解释整体洗手技术的39％和36％的差异和手中的彻底性。建议巩固行动知识的记忆辅助和指导惯例，个性化风险消息应增加腹泻的侵犯脆弱性。提出了规划在哪里，何时以及如何维持用足够的肥皂和水的用足够的肥皂和水来维护指定地点。由于频繁的自我报告的洗手与执行更有效的洗手技术相关，因此行为改变干预措施应同时针对洗手频率和技术。

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