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Global variation in hand hygiene practices among adolescents: the role of family and school-level factors

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Version 2 2024-06-06, 06:31
Version 1 2021-05-27, 08:25
journal contribution
posted on 2024-06-19, 03:14 authored by Santosh JatranaSantosh Jatrana, MM Hasan, AA Mamun, Y Fatima
While appropriate hand hygiene practices (HHP) are protective against infections, the paucity of evidence on global estimates and determinants of HHP in adolescents limits effective design and planning of intervention to improve HHP in young people. We examined the prevalence and correlates of HHP in adolescents. We used nationally representative data from the Global School-based Student Health Survey (2003–2017) from 92 countries. HHP were categorized as “appropriate”, “inappropriate” and “lacking” based on the information about “hand washing before eating”, “hand washing after using the toilet”, and “hand washing with soap”. Multinomial logistic regression analyses were used to assess the role of socio-demographic, health, lifestyle, school, and family-related variables in HHP. Among 354,422 adolescents (13–17 years), only 30.3% were found to practice appropriate hand hygiene. Multivariable models suggest that sedentary behavior (adjusted relative risk ratio (ARRR) 1.41, 95% CI 1.31–1.51)), and bullying victimization (ARRR 1.20, 95% CI 1.10–1.30) promoted inappropriate HHP. In contrast, parental supervision (ARRR 0.55, 95% CI 0.50–0.59) and parental bonding (ARRR 0.81, 95% CI 0.75–0.87) were protective against inappropriate HHP. From a policy perspective, hand hygiene promotion policies and programs should focus on both school (bullying, exercise) and family-level factors (parental supervision and parental bonding) factors.

History

Journal

International journal of environmental research and public health

Volume

18

Article number

4984

Pagination

1-14

Location

Basel, Switzerland

Open access

  • Yes

ISSN

1661-7827

eISSN

1660-4601

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Issue

9

Publisher

MDPI AG

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