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

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dc.contributor.authorJatrana, Santosh
dc.contributor.authorHasan, Md. Mehedi
dc.contributor.authorMamun, Abdullah
dc.contributor.authorFatima, Y.
dc.date.accessioned2022-10-31T04:15:37Z
dc.date.available2022-10-31T04:15:37Z
dc.date.issued2021-05-07
dc.date.updated2021-11-28T07:25:41Z
dc.description.abstractWhile 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 “ap-propriate”, “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 (ad-justed 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 fo-cus on both school (bullying, exercise) and family-level factors (parental supervision and parental bonding) factors.en_AU
dc.format.mimetypeapplication/pdfen_AU
dc.identifier.citationJatrana, S.; Hasan, M..M.; Mamun, A.A.; Fatima, Y. Global Variation in Hand Hygiene Practices Among Adolescents: The Role of Family and School-Level Factors. Int. J. Environ. Res. Public Health 2021, 18, 4984. https://doi.org/10.3390/ ijerph18094984en_AU
dc.identifier.issn1661-7827en_AU
dc.identifier.urihttp://hdl.handle.net/1885/276818
dc.language.isoen_AUen_AU
dc.provenanceThis article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/4.0/).en_AU
dc.publisherM D P I AGen_AU
dc.rights© 2021 by the authorsen_AU
dc.rights.licenseCreative Commons Attribution (CC BY) licenseen_AU
dc.rights.urihttps:// creativecommons.org/licenses/by/4.0/en_AU
dc.sourceInternational Journal of Environmental Research and Public Healthen_AU
dc.subjecthand hygieneen_AU
dc.subjecthand washingen_AU
dc.subjectglobalen_AU
dc.subjectadolescentsen_AU
dc.subjectschool childrenen_AU
dc.titleGlobal variation in hand hygiene practices among adolescents: The role of family and school-level factorsen_AU
dc.typeJournal articleen_AU
dcterms.accessRightsOpen Accessen_AU
dcterms.dateAccepted2021-05-04
local.bibliographicCitation.issue9en_AU
local.bibliographicCitation.lastpage14en_AU
local.bibliographicCitation.startpage1en_AU
local.contributor.affiliationJatrana, Santosh, College of Arts and Social Sciences, ANUen_AU
local.contributor.affiliationHasan, Md. Mehedi, The University of Queenslanden_AU
local.contributor.affiliationMamun, Abdullah, University of Queenslanden_AU
local.contributor.affiliationFatima, Y., University of Queenslanden_AU
local.contributor.authoremailu3826500@anu.edu.auen_AU
local.contributor.authoruidJatrana, Santosh, u3826500en_AU
local.description.notesImported from ARIESen_AU
local.identifier.absfor440305 - Population trends and policiesen_AU
local.identifier.ariespublicationa383154xPUB19281en_AU
local.identifier.citationvolume18en_AU
local.identifier.doi10.3390/ijerph18094984en_AU
local.identifier.scopusID2-s2.0-85105369603
local.identifier.uidSubmittedBya383154en_AU
local.publisher.urlhttps://www.mdpi.com/en_AU
local.type.statusPublished Versionen_AU

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