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COVID-19, public health messaging, and sanitation and hygiene practices in rural India 2019冠状病毒病、公共卫生信息以及印度农村的环境卫生和个人卫生习惯
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2022-10-21 DOI: 10.2166/washdev.2022.134
Emily L. Pakhtigian, Harlan Downs-Tepper, Anisha Anson, Subhrendu K. Pattanayak
Despite the importance of safe sanitation and hygiene for sustainable development and public health, approximately half of India's rural population lacks access to safely managed sanitation. Policies prioritizing improved sanitation access have accelerated coverage, yet barriers to universal access and use remain. In this paper, we investigate how personal experience with a public health shock impacts recall of public health messages and households' sanitation and hygiene practices. Using a panel survey conducted before and after the first wave of the COVID-19 pandemic, and the resulting lockdown, in Bihar, India, we compare public health messaging recall and hygiene and sanitation behaviors among households that experienced severe economic disruptions due to the COVID-19 lockdown and those that did not. We find that households that experienced economic disruptions had a higher recall of public health messaging around safe sanitation and hygiene. In addition, households that experienced these disruptions reported more social distancing, increased handwashing behavior, and reduced open defecation. A major public health shock, the COVID-19 pandemic, increased messaging around the importance of safe hygiene and sanitation for public health in India. We find that personal experience increased the salience of public health messaging, with positive returns to sanitation and hygiene practices.
尽管安全的环境卫生和个人卫生对可持续发展和公共健康至关重要,但印度大约一半的农村人口无法获得安全管理的环境卫生。优先考虑改善卫生设施的政策加快了覆盖速度,但普遍获得和使用卫生设施的障碍仍然存在。在本文中,我们调查了个人经历与公共卫生冲击如何影响公共卫生信息和家庭卫生和卫生习惯的回忆。通过在印度比哈尔邦第一波COVID-19大流行以及由此导致的封锁前后进行的小组调查,我们比较了因COVID-19封锁而遭受严重经济破坏的家庭和未遭受严重经济破坏的家庭的公共卫生信息召回和卫生和环境卫生行为。我们发现,经历过经济中断的家庭对安全卫生和个人卫生方面的公共卫生信息的回忆更高。此外,遭受这些干扰的家庭报告说,他们增加了社交距离,增加了洗手行为,减少了露天排便。2019冠状病毒病大流行是一场重大的公共卫生冲击,在印度,人们进一步认识到安全卫生和环境卫生对公共卫生的重要性。我们发现,个人经验提高了公共卫生信息的重要性,对环境卫生和个人卫生习惯产生了积极的影响。
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引用次数: 0
Integrated behaviour change intervention for sustainable community development: a KAP study of WASH in district Gujrat, Pakistan 可持续社区发展的综合行为改变干预:巴基斯坦古吉拉特地区讲卫生运动的KAP研究
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2022-10-19 DOI: 10.2166/washdev.2022.243
Afzaal Afzal, Muqaddas Javed, T. Jabeen
Behaviour change interventions are fundamental to achieve sustainability in communities through the identification of new practices and strengthening the existing positive practices. It is considered central to the quest for a sustainable future and solves multidimensional community problems, which require large-scale shifts in human behaviour with regard to their health, social, physical activities, and long-held habits. In this context, the study examines the role of integrated behaviour change interventions for sustainable community development (SCD) by exploring the direct and mediating impacts through knowledge, attitude, and practice (KAP) of water, sanitation, and hygiene (WASH). The primary data were collected from the district Gujrat (Pakistan) through stratified random sampling to explore the impacts of KAP of WASH and its relationship with child health (CH) and SCD. The hypotheses of the study were tested with smartPLS software. Findings of the overall sample of the study have revealed that integrated behaviour change interventions have significant impacts on KAP, WASH practices in daily life, CH, and SCD. Furthermore, the relationships among variables are positively significant and have direct and mediating impacts on SCD.
行为改变干预措施对于通过确定新的做法和加强现有的积极做法来实现社区的可持续性至关重要。它被认为是寻求可持续未来的核心,并解决了多层面的社区问题,这些问题需要人类在健康、社交、体育活动和长期习惯方面的行为发生大规模转变。在此背景下,本研究通过探索水、环境卫生和个人卫生(WASH)的知识、态度和实践(KAP)的直接和中介影响,探讨了综合行为改变干预措施对可持续社区发展(SCD)的作用。通过分层随机抽样从Gujrat(巴基斯坦)地区收集主要数据,以探讨讲卫生运动的KAP影响及其与儿童健康(CH)和SCD的关系。该研究的假设用smartPLS软件进行了检验。该研究的总体样本结果表明,综合行为改变干预措施对KAP、日常生活中的讲卫生习惯、CH和SCD有重大影响。此外,变量之间的关系具有正显著性,对SCD具有直接和中介影响。
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引用次数: 1
Complexity of adoption and diffusion of ecological sanitation technology: a review of literature 生态卫生技术采用与传播的复杂性:文献综述
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2022-10-19 DOI: 10.2166/washdev.2022.041
Celestin Banamwana, D. Musoke, Théoneste Ntakirutimana, E. Buregyeya, J. Ssempebwa, Gakenia W. Maina, N. Tumwesigye
Ecological sanitation (Ecosan) technology was introduced to improve sanitation through the reuse of excreta resources, particularly in developing countries. However, the adoption of Ecosan technology is low which makes its diffusion complex, especially in diverse spatial and socio-cultural contexts. This review of literature aimed to use the innovation theory to identify the issues that make the process of adoption of Ecosan technology complex. A total of 105 published studies were reviewed. Of these, only 34 studies were analyzed and grouped according to the complexity of the diffusion of Ecological sanitation technology using the five stages of innovation diffusion conceptual model identified by Everett Rogers (2003) namely: knowledge, persuasion, decision, implementation, and confirmation. The studies revealed the existence of diverse complexities of adoption, such as lack of sanitation policy, phobia against the use of Ecosan by-products, lack of technical support, and safety issues. In addition, poor practical knowledge, illiteracy, high capital cost, disgust with human excreta, religious taboos, and cultural boundaries were also found to hinder the smooth diffusion of Ecosan technology in various geographical settings. The scale-up of Ecosan technology, therefore, needs to focus on addressing these barriers and adopting implementation best practices.
引入生态卫生技术是为了通过排泄物资源的再利用来改善卫生条件,特别是在发展中国家。然而,Ecosan技术的采用率较低,这使得其传播变得复杂,尤其是在不同的空间和社会文化背景下。这篇文献综述旨在利用创新理论来确定使Ecosan技术采用过程复杂的问题。共审查了105项已发表的研究。其中,只有34项研究根据生态卫生技术扩散的复杂性,使用Everett Rogers(2003)提出的创新扩散概念模型的五个阶段进行了分析和分组,即:知识、说服、决策、实施和确认。这些研究揭示了采用的复杂性,如缺乏卫生政策、对使用Ecosan副产品的恐惧、缺乏技术支持和安全问题。此外,实践知识贫乏、文盲、高资本成本、对人类排泄物的厌恶、宗教禁忌和文化界限也阻碍了Ecosan技术在各种地理环境中的顺利传播。因此,扩大Ecosan技术需要重点解决这些障碍并采用实施最佳实践。
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引用次数: 1
Application of tannin-based coagulant for high-range turbidity surface water clarification 单宁型混凝剂在高浊度地表水澄清中的应用
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2022-10-18 DOI: 10.2166/washdev.2022.120
Camila Nascimento de Oliveira, Viviane Trevisan, E. Skoronski
This study aimed to evaluate the performance of a tannin-based coagulant in clarifying drinking water from a high-range turbidity river and characterizing the sludge. Tanfloc MTH product was selected for this investigation. The study site was surface water located in southern Brazil (Caveiras River, Brazil). Samples were collected just before the Parshall flume in the municipal water treatment plant in Lages (Brazil) for nine months, at least once a week. Jar testing evaluated turbidity removal, alkalinity consumption, optimal coagulant dosage, and settling velocity. After flocculation and settling, the sludge generated from the jar test was submitted to metal and thermogravimetric analyses. The use of tannin reduced the average water turbidity from 26.1 ± 56.1 to 0.94 ± 0.26 NTU, apparent color from 145 ± 190 to 3 ± 3 Pt-Co, and there was no variation in the pH. Additionally, the settling velocity of the flocs reached a maximum turbidity removal at 3.5 cm·min−1. Furthermore, the metal concentrations in the sludge showed a majority of aluminum and iron, and thermogravimetric analysis revealed 64% weight loss. In conclusion, Tanfloc presented the potential to be used in surface water clarification from the Caveiras river, and the extensive turbidity range observed during this study did not affect the operational stability.
本研究旨在评估单宁基混凝剂在高浊度河流饮用水澄清中的性能,并对污泥进行表征。Tanfloc MTH产品被选择用于本研究。研究地点为巴西南部的地表水(巴西卡韦拉斯河)。样本是在Lages(巴西)市政水处理厂的Parshall水槽前采集的,为期九个月,每周至少一次。转鼓试验评估了浊度去除、碱度消耗、最佳混凝剂用量和沉降速度。絮凝和沉淀后,对罐式试验产生的污泥进行金属和热重分析。单宁的使用使水的平均浊度从26.1±56.1降低到0.94±0.26NTU,表观色度从145±190降低到3±3Pt-Co,pH值没有变化。此外,絮凝物的沉降速度在3.5cm·min-1时达到最大去除浊度。此外,污泥中的金属浓度显示大部分为铝和铁,热重分析显示重量损失64%。总之,Tanfloc具有用于Caviras河地表水澄清的潜力,并且在本研究期间观察到的广泛浊度范围不会影响操作稳定性。
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引用次数: 1
Reducing sexual violence through safe sanitation? 通过安全卫生设施减少性暴力?
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2022-10-18 DOI: 10.2166/washdev.2022.023
I. Ray
Reliable access to safe sanitation is a cornerstone of human health and gender equality. Over the last 10 years, the risks of sexual violence and sexual harassment (SVSH) associated with inadequate access to household latrines have received considerable attention. This is especially true of studies on seeking sanitation under cover of darkness. Here I examine the evidentiary basis of claims that incidences of SVSH can be reduced with better access to latrines. I focus on SVSH towards women and girls, though all genders can face sexual violence. I argue that promoting household (or on premises) latrines as a protection against sexual violence cements entrenched biases about ‘good’ girls, ‘true’ rape, and the place of women in public spaces. Thus, arguments claiming that latrine construction is an important tool against SVSH, while gender-sensitive in intent, can be misogynistic in impact.
可靠地获得安全卫生设施是人类健康和性别平等的基石。在过去十年中,与家庭厕所使用不足有关的性暴力和性骚扰风险受到了相当大的关注。在黑暗的掩护下寻找卫生设施的研究尤其如此。在这里,我审查的证据基础声称,SVSH的发生率可以减少与更好的厕所。我关注的是针对妇女和女孩的性暴力,尽管所有性别都可能面临性暴力。我认为,促进家庭(或场所)厕所作为防止性暴力的保护,巩固了关于“好”女孩、“真正”强奸和妇女在公共场所地位的根深蒂固的偏见。因此,声称厕所建设是反对SVSH的重要工具的论点,虽然在意图上对性别敏感,但在影响上可能是厌恶女性的。
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引用次数: 1
A longitudinal study of multiple water source use in Bekasi, Indonesia: implications for monitoring safely-managed services 印度尼西亚贝卡西多种水源使用的纵向研究:对监测安全管理服务的影响
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2022-10-18 DOI: 10.2166/washdev.2022.049
C. Priadi, G. L. Putri, Q. N. Jannah, S. Maryati, A. Afriana, M. A. Pratama, T. Foster, J. Willetts
Limited piped water services in low- and middle-income countries (LMICs) are likely to increase the use of multiple water sources, impacting access to safely managed water. The aim of this study was to analyze monthly variations of households' water source preferences in three subdistricts in Bekasi, adjacent to the capital city of Indonesia, through a monthly telephone survey of 87 households during 12 months. Households with 1, 2, and 3–4 drinking water sources formed 70, 27, and 3% of the 755 total responses, respectively. Of the 53 households that completed at least 11 of the 12 monthly surveys, around 32% of households resorted to other water sources as an alternative for drinking water and other domestic purposes. Households switched from borehole water to bottled water for their primary drinking water in the wet season but still used borehole water as their complementary source. Unimproved source use as primary drinking water also increased during the wet season from 6 to 8%. Monitoring and risk assessment of water sources need to consider the use of multiple water sources while balancing out the limited resources to protect the population, especially the vulnerable, from unacceptable health risks.
中低收入国家有限的管道供水服务可能会增加多种水源的使用,影响获得安全管理的水。本研究的目的是通过对87户家庭在12个月内进行的月度电话调查,分析与印度尼西亚首都相邻的贝卡西三个分区的家庭水源偏好的月度变化。拥有1、2和3-4个饮用水源的家庭分别占755个回复总数的70%、27%和3%。在完成12个月调查中至少11个月的53户家庭中,约32%的家庭使用其他水源作为饮用水和其他家庭用途的替代品。在雨季,家庭的主要饮用水从钻孔水改为瓶装水,但仍使用钻孔水作为补充水源。未经改良的水源作为主要饮用水的使用在雨季也从6%增加到8%。对水源的监测和风险评估需要考虑使用多种水源,同时平衡有限的资源,以保护人口,特别是弱势群体,使其免受不可接受的健康风险。
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引用次数: 2
WASH and MHM experiences of disabled females living in Dhaka slums of Bangladesh 生活在孟加拉国达卡贫民窟的残疾女性的讲卫生和健康卫生经历
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2022-10-13 DOI: 10.2166/washdev.2022.060
Md. Arif Chowdhury, Sara Nowreen, Nusrat Jahan Tarin, M. Hasan, Rashed Uz Zzaman, Nazaha Izdihar Amatullah
The rapid expansion of slums with increasing population density are the main barriers to scaling-up sustainable Water, Sanitation, and Hygiene (WASH) facilities in the megalopolis of Dhaka, Bangladesh. The improper arrangement of ‘Cheap WASH’ (i.e., water access, sanitation access, and hygiene practices) and unmanaged disposal of non-biodegradable menstrual hygiene wastes, single-use medical, and plastic usage at slums are making the environment of city surroundings unfavourable and vulnerable posing a great threat to public health. Among the slum-dwellers, particularly, females with a disability are mostly the worst affected and vulnerable due to unfavourable conditions and lack of necessary support. Following the backdrops, this study purposively selected two Dhaka slums, with and without disabled-friendly facilities, to investigate female perspectives on different aspects related to WASH and menstrual hygiene management (MHM) for females with a disability. In total, 30 in-depth interviews, 12 focus group discussions, and 22 key informant interviews were conducted at Korail and Kalyanpur slums. Case studies from the megalopolis of Dhaka, Bangladesh, capture the economic burden added to the budgetary deficits of the family with female-disabled. Discrimination in extra care needed for toilet facilities, MHM education, and transport and overlooking the caretaker's requirement or loss in income are found as additional burdens.
随着人口密度的增加,贫民窟的迅速扩大是孟加拉国达卡特大城市扩大可持续水、环境卫生和个人卫生(WASH)设施的主要障碍。“廉价WASH”(即供水、卫生设施和卫生习惯)的不当安排以及贫民窟对不可生物降解的经期卫生废物、一次性医疗和塑料使用的无管理处置,使城市周围的环境变得不利和脆弱,对公众健康构成巨大威胁。在贫民窟居民中,特别是残疾妇女,由于条件不利和缺乏必要的支助,受影响最严重和最脆弱。在此背景下,本研究有目的地选择了两个达卡贫民窟,有和没有残疾人友好设施,调查女性对残疾女性的WASH和月经卫生管理(MHM)相关的不同方面的看法。在Korail和Kalyanpur贫民窟共进行了30次深度访谈、12次焦点小组讨论和22次关键线人访谈。对孟加拉国首都达卡的个案研究表明,有残疾妇女的家庭的预算赤字增加了经济负担。在厕所设施、MHM教育和交通所需的额外照顾方面存在歧视,忽视照顾者的要求或收入损失被认为是额外的负担。
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引用次数: 1
Effect of peracetic acid–ultraviolet combination treatment on microbial and endotoxin levels in a pharmaceutical water system 过氧乙酸-紫外线联合处理对制药用水系统微生物和内毒素水平的影响
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2022-10-05 DOI: 10.2166/washdev.2022.071
Afsaneh Farjami, Shiva Eradati, H. Hamishehkar, M. Siahi-Shadbad, F. Lotfipour
In the pharmaceutical industry, the microbiological quality of water is vital. This research investigated how combining peracetic acid (0.1% V/V) and UV light (>150 mJ/cm2) as wide-spectrum disinfectants affect microbial and endotoxin levels in a pharmaceutical water system. Water samples were taken aseptically from 12 points across the system. The pour plate technique and membrane filtration were used for microbial counts. The presence of endotoxin in distilled water samples was investigated by the Limulus amebocyte lysate (LAL) test gel-clot method. After peracetic acid–UV combination treatment, microbial counts of samples significantly decreased (P < 0.05) compared with UV treatment alone, and they were lower than the action limits specified by the European Pharmacopeia (100 CFU/ml for purified water and 10 CFU/100 ml for water for injection). In addition, water samples were mainly LAL-negative (10 negative weekly reports out of 12 total reports). It is concluded that disinfection of all stages of the water system with peracetic acid–UV combination remarkably improved the microbial quality of the water system. Therefore, rotation between more than one disinfectant policy and periodic disinfection of the water system by peracetic acid–UV combination is recommended to minimize contamination of the water system and pharmaceutical products as well as bacterial infections in product consumers.
在制药行业,水的微生物质量至关重要。本研究调查了过乙酸(0.1%V/V)和紫外线(>150mJ/cm2)作为广谱消毒剂如何影响制药用水系统中的微生物和内毒素水平。从整个系统的12个点无菌采集水样。采用平板法和膜过滤法进行微生物计数。用鲎试剂(LAL)凝胶凝块法研究了蒸馏水中内毒素的存在。过乙酸-紫外线联合处理后,样品的微生物计数与单独紫外线处理相比显著下降(P<0.05),并且低于欧洲药典规定的作用限值(纯化水为100 CFU/ml,注射用水为10 CFU/100ml)。此外,水样主要为LAL阴性(12份报告中有10份为阴性周报)。结果表明,过乙酸-紫外线组合对水系统各阶段的消毒显著改善了水系统的微生物质量。因此,建议在多个消毒政策和过乙酸-紫外线组合定期消毒水系统之间轮换,以最大限度地减少对水系统和药品的污染以及产品消费者的细菌感染。
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引用次数: 0
Validation of the UNICEF fiscal diagnostic tool for SDGs 6.1 and 6.2 in East and Southern Africa using the analytical hierarchy process (AHP) 使用层次分析法(AHP)验证联合国儿童基金会在东非和南部非洲用于可持续发展目标6.1和6.2的财政诊断工具
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2022-09-28 DOI: 10.2166/washdev.2022.098
S. Godfrey, M. Wambugu, P. Parikh, Farai Tunhuma
The UN High Level Panel on Water notes that a total annual capital expenditure (CAPEX) of $114 billion and operation and maintenance expenditure (OPEX) of $129 billion is required globally to meet the safe drinking water and sanitation targets 1 and 2 of Sustainable Development Goal 6 (SDG 6). In Sub-Saharan Africa, $36 billion is required and UNICEF estimates $15 billion is required to meet these targets in 21 countries in East and Southern Africa. Currently, only 15% of the financial investments in the sector are accounted for, which falls significantly short of delivering SDG 6. Consequently, innovative finance tools that maximise taxes, tariffs and transfers (3ts) are required to mobilise finances for the region's sector. This paper presents a diagnostic methodology for identifying bankable and blended finance projects in East and Southern Africa's water and sanitation sector. Potential projects were identified in Malawi, Mozambique and Ethiopia. Findings from applying the AHP (analytical hierarchy process) analysis recommend the use of the decision-making tool for prioritisation and selection of water and sanitation projects in the context of multiple projects requiring blended finance. The methods are applicable to other parts of Sub-Saharan Africa to enhance project pipelines whose collective cost and revenue mitigate investment risk.
联合国水问题高级别小组指出,全球需要1140亿美元的年度资本支出和1290亿美元运营和维护支出,以实现可持续发展目标6(SDG 6)的安全饮用水和卫生指标1和2。在撒哈拉以南非洲,需要360亿美元,儿童基金会估计需要150亿美元才能在东非和南部非洲的21个国家实现这些目标。目前,该行业的金融投资仅占15%,大大低于实现可持续发展目标6。因此,需要最大限度地提高税收、关税和转移(3ts)的创新金融工具来为该地区的部门调动资金。本文提出了一种诊断方法,用于确定东非和南部非洲水和卫生部门的银行贷款和混合融资项目。在马拉维、莫桑比克和埃塞俄比亚确定了潜在的项目。应用AHP(层次分析法)分析的结果建议在需要混合融资的多个项目的背景下,使用决策工具对水和卫生项目进行优先排序和选择。这些方法适用于撒哈拉以南非洲的其他地区,以加强项目管道,这些管道的集体成本和收入可以降低投资风险。
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引用次数: 0
Psychosocial factors influencing handwashing behaviour and the design of behaviour change interventions for the Rohingya camps in Bangladesh 影响孟加拉国罗兴亚难民营洗手行为的社会心理因素和行为改变干预措施的设计
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2022-09-26 DOI: 10.2166/washdev.2022.167
K. Rahaman, Sílvia Ramos, M. Harter, H. Mosler
This study sought to identify the psychosocial factors that influence handwashing behaviour and to design behaviour change techniques applying the risk, attitude, norm, ability, and self-regulation (RANAS) behaviour change approach in Rohingya camps in Cox's Bazar, Bangladesh. This was a cross-sectional study conducted in four Rohingya camps located in Ukhiya and Teknaf sub-districts. Participants were selected by systematic random sampling. A structured interviewer-administered questionnaire was used. Analysis of variance testing (ANOVA) was used to determine the significant predicting variables. A total of 1,358 individuals participated in the interview. The mean age was 31.11 ranging from 13 to 75 years. The majority were female (84.9%). Around 75% of participants reported practising handwashing. Several psychosocial predictors were identified for handwashing behaviour with medium to large effect size such as health knowledge, beliefs about costs and benefits, feelings, social norms, abilities, and self-regulation factors. Significant predictors were additionally identified in individual camps. The behaviour change techniques included providing information, demonstration of handwashing, providing rewards, evoking emotions, and public commitments amongst others proposed in this study. Identified psychosocial determinants should be considered while promoting sustainable handwashing behaviour along with adequate supplies and infrastructure. This study also suggests to evaluate the proposed behaviour change interventions considering the contextual factors related to handwashing.
本研究试图确定影响洗手行为的心理社会因素,并在孟加拉国科克斯巴扎尔的罗兴亚难民营中应用风险、态度、规范、能力和自我调节(RANAS)行为改变方法设计行为改变技术。这是一项在位于Ukhiya和Teknaf分区的四个罗兴亚难民营进行的横断面研究。参与者是通过系统随机抽样选出的。采用结构化的访谈者管理问卷。方差分析(ANOVA)用于确定显著的预测变量。共有1358人参加了访谈。平均年龄31.11岁,年龄13~75岁。大多数是女性(84.9%)。约75%的参与者表示正在练习洗手。对洗手行为的一些心理社会预测因素进行了鉴定,这些因素具有中到大的影响大小,如健康知识、对成本和收益的信念、感受、社会规范、能力和自我调节因素。在各个营地中还发现了重要的预测因素。行为改变技术包括提供信息、洗手示范、提供奖励、唤起情绪和公开承诺等。在促进可持续洗手行为以及充足的用品和基础设施的同时,应考虑已确定的心理社会决定因素。本研究还建议,考虑到与洗手相关的背景因素,对拟议的行为改变干预措施进行评估。
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引用次数: 1
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