Determinants of regional prevalence and variations in handwashing practices among households in Bangladesh: An application of generalized mixed-effects model

M. Hossain, M. Habib, Iqramul Haq, M. Zinnia, S. Kabir, A. Saleheen, M. Alam, M. Hasan, A. Talukder
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引用次数: 2

Abstract

Introduction: Handwashing practice is an effective way to minimize severe infectious diseases such as COVID-19, diarrhea, and pneumonia. The study aimed to explore the prevalence of handwashing behavior and associated determinants in rural and urban areas of Bangladesh. Methods: The research was performed using cross-sectional survey data from the 2019 Bangladesh Multiple Indicator Cluster Survey, and 61,242 household members were the sample for this study. The Chi-square test was applied for the bivariate analysis. A generalized linear mixed-effects model was used to identify the risk factors of practicing handwashing in both urban and rural areas of Bangladesh. Results: Only 65% of the country's households had access to handwashing facilities (place, water, and materials). While urban dwellers were more likely to wash their hands, rural dwellers were only 63% likely to do so. The level of education of household heads, wealth status, division, number of family members, sanitation facilities, and water source were the key factors associated with handwashing behavior. This study revealed that the odds were significantly lower among illiterate respondents compared to those with secondary and above-secondary education in both areas of Bangladesh, and a positive association was found between wealth status and handwashing behavior practiced in both urban and rural areas. In this study, the size of the family was statistically significant for both rural and urban areas of Bangladesh. Conclusion: Handwashing is the most prominent consideration for controlling COVID-19. Policymakers are striving to improve handwashing facilities by increasing awareness-raising programs, especially among rural residents of Bangladesh.
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孟加拉国家庭洗手习惯的区域流行率和差异的决定因素:广义混合效应模型的应用
介绍:勤洗手是减少COVID-19、腹泻、肺炎等严重传染病的有效途径。该研究旨在探讨洗手行为在孟加拉国农村和城市地区的流行程度及其相关决定因素。方法:采用2019年孟加拉国多指标聚类调查的横断面调查数据,以61242名家庭成员为样本进行研究。双变量分析采用卡方检验。采用广义线性混合效应模型来确定孟加拉国城市和农村地区实践洗手的危险因素。结果:全国只有65%的家庭拥有洗手设施(场所、水和材料)。城市居民洗手的可能性更高,而农村居民洗手的可能性只有63%。户主受教育程度、财富状况、家庭划分、家庭成员数量、卫生设施和水源是影响洗手行为的关键因素。这项研究显示,在孟加拉国的两个地区,文盲受访者的洗手率明显低于受过中等及中等以上教育的人,而且在城市和农村地区,财富状况和洗手行为之间存在正相关。在这项研究中,孟加拉国农村和城市地区的家庭规模在统计上都是显著的。结论:洗手是控制COVID-19最重要的考虑因素。政策制定者正在努力通过增加提高认识的项目来改善洗手设施,特别是在孟加拉国的农村居民中。
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来源期刊
Asian Journal of Social Health and Behavior
Asian Journal of Social Health and Behavior Social Sciences-Health (social science)
CiteScore
8.50
自引率
0.00%
发文量
18
审稿时长
17 weeks
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