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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >Determinants of Latrine Use Behavior: The Psychosocial Proxies of Individual-Level Defecation Practices in Rural Coastal Ecuador
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Determinants of Latrine Use Behavior: The Psychosocial Proxies of Individual-Level Defecation Practices in Rural Coastal Ecuador

机译：厕所使用行为的决定因素：农村沿海厄瓜多尔个人级排序实践的心理社会代理

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There is increasing appreciation that latrine access does not imply use-many individuals who own latrines do not consistently use them. Little is known, however, about the determinants of latrine use, particularly among those with variable defecation behaviors. Using the integrated behavior model of water, sanitation, and hygiene framework, we sought to characterize determinants of latrine use in rural Ecuador. We interviewed 197 adults living in three communities with a survey consisting of 70 psychosocial defecation-related questions. Questions were excluded from analysis if responses lacked variability or at least 10% of respondents did not provide a definitive answer. All interviewed individuals had access to a privately owned or shared latrine. We then applied adaptive elastic nets (ENET) and supervised principal component analysis (SPCA) to a reduced dataset of 45 questions among 154 individuals with complete data to select determinants that predict self-reported latrine use. Latrine use was common, but not universal, in the sample (76%). The SPCA model identified six determinants and adaptive ENET selected five determinants. Three indicators were represented in both models-latrine users were more likely to report that their latrine is clean enough to use and also more likely to report daily latrine use; while those reporting that elderly men were not latrine users were less likely to use latrines themselves. Our findings suggest that social norms are important predictors of latrine use, whereas knowledge of the health benefits of sanitation may not be as important. These determinants are informative for promotion of latrine adoption.
机译：升高的升值越来越欣赏，厕所访问并不意味着使用 - 拥有厕所的许多人并不一致地使用它们。然而，关于厕所使用的决定因素，特别是在具有可变排便行为的那些中，众所周知。利用水，卫生和卫生框架的综合行为模型，我们寻求在农村厄瓜多尔厕所使用的特征。我们采访了197名居住在三个社区的成年人，调查由70个有关的精神社会排便相关的问题。如果缺乏可变性或至少10％的受访者没有提供明确答案，则从分析中排除了问题。所有采访的个人都可以访问私人或共享的厕所。然后，我们将自适应弹性网（ENET）和监督主成分分析（SPCA）应用于45个问题的减少数据集，在154个个体中，具有完整的数据，以选择预测自我报告的LATRINE使用的决定因素。厕所使用是常见的，但不是普遍的，在样品中（76％）。 SPCA模型确定了六种决定因素和自适应eNET选择的五个决定簇。三种指标在两种模型中都是表示的，厕所用户更有可能报告他们的厕所足够干净，并且更有可能报告日常厕所使用;虽然那些报告称老年人不是厕所的用户不太可能使用厕所。我们的研究结果表明，社会规范是厕所使用的重要预测因子，而卫生保险公司的知识可能并不重要。这些决定簇是促进厕所采用的信息。

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