Family factors associated with handwashing behavior among children aged 3 to 12 years in Beijing

CAO Yuan; GUO Mingjie; CHAI Jingxin; YU Tong; LIU Xiurong

doi:10.16835/j.cnki.1000-9817.2022.11.019

Volume 43 Issue 11

Nov. 2022

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CAO Yuan, GUO Mingjie, CHAI Jingxin, YU Tong, LIU Xiurong. Family factors associated with handwashing behavior among children aged 3 to 12 years in Beijing[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(11): 1677-1681. doi: 10.16835/j.cnki.1000-9817.2022.11.019

Citation:

CAO Yuan, GUO Mingjie, CHAI Jingxin, YU Tong, LIU Xiurong. Family factors associated with handwashing behavior among children aged 3 to 12 years in Beijing[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(11): 1677-1681. doi: 10.16835/j.cnki.1000-9817.2022.11.019

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Family factors associated with handwashing behavior among children aged 3 to 12 years in Beijing

doi: 10.16835/j.cnki.1000-9817.2022.11.019

Health Education Institute of Beijing Center for Disease Control and Prevention, Beijing (100020), China

Received Date: 2022-03-21
Rev Recd Date: 2022-06-02

Available Online: 2022-11-30

Publish Date: 2022-11-25

Abstract

Abstract

Objective To understand the proper handwashing behavior of preschool children and primary school students in Beijing, and to analyze associated family factors to provide reference for further health intervention related to handwashing. Methods From November to December 2020, parents of 36 kindergartens and 18 primary schools in 9 districts of Beijing were investigated online by using a self-designed questionnaire with questionnaire star software. The contents of the survey included the basic situation of children and their families, parents' correct knowledge of the prevention of novel coronavirus pneumonia, their perception of the epidemic risk, the provision of handwashing guidance for children, and children's handwashing behavior. Results The proportion of proper handwashing of preschool children was 70.2%, which was higher than that of primary school students (61.9%) (χ²=57.63, P < 0.01). The proportion of parents of preschool children who correctly knew handwashing related knowledge (36.2%, 33.4%), had low perception of epidemic risk (28.9%, 25.4%), and provided handwashing guidance (99.1%, 97.9%) was higher than that of parents of primary school students, and the differences were statistically significant (χ²=6.72, 22.84, 18.68, P < 0.05). But the proportion of parents of preschool children who had high self-efficacy (75.7%, 78.2%)was lower compared to parents of primary school students(χ²=6.43, P=0.04). Multivariate regression results showed that whether preschool children or primary school students, urban areas and parents had high self-efficacy, low risk perception, and provided hand washing guidance for children, children were more likely to wash their hands correctly. For preschool children, non-only children were 0.79(95%CI=0.69-0.92) times more likely to wash their hands correctly than only children. For primary school students, girls were 1.21(95%CI=1.06-1.39) times more likely to wash their hands correctly than boys, and parents who know knowledge correctly were 1.20(95%CI=1.04-1.40) times more likely to know it incorrectly(P < 0.05). Conclusion Proper hand washing behavior of preschool children is higher than that of primary school students. Parental awareness of COVID-19 epidemic, handwashing behavior, self-efficacy and guidance behavior have effects on the development of children's health behavior. Measures should be taken to enhance parents' awareness of infectious diseases and their ability and self-efficacy of guiding children in disease prevention.
- Hand disinfection,
- Health behavior,
- Health education,
- Regression analysis,
- Child

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References(17)

References

[1]	NEMETCHEK B, ENGLISH L, KISSION N, et al. Paediatric postdis-charge mortality in developing countries: a systematic review[J]. BMJ Open, 2018, 8(12): e023445. doi: 10.1136/bmjopen-2018-023445
[2]	LIU L, JOHNSON H L, COUSENS S, et al. Global regional and national cause of child mortality: an updated systematic analysis for 2010 with time trends since 2000[J]. Lancet, 2012, 379(9832): 2152-2161.
[3]	VALERIE A C, LISA O D, ROBERT V A, et al. Planned, motivated and habitual hygiene behaviour: an eleven country review[J]. Health Educ Res, 2009, 24(4): 656-673.
[4]	VISHWANATH R, SELVABAI A P, SHANMUGAM P. Detection of bacterial pathogens in the hands of rural school children across different age groups and emphasizing the importance of hand wash[J]. J Prev Med Hyg, 2019, 60(2): E103-E108.
[5]	韩煜, 吴强, 戎柯纬, 等. 新冠肺炎的预防与新冠病毒消毒方法研究进展[J]. 中国消毒学杂志, 2021, 38(12): 939-943. doi: 10.11726/j.issn.1001-7658.2021.12.018 HAN Y, WU Q, RONG K W, et al. Progress in the prevention of COVID-19 and the disinfection of novel coronavirus[J]. Chin J Disinfect, 2021, 38(12): 939-943. (in Chinese) doi: 10.11726/j.issn.1001-7658.2021.12.018
[6]	曹远, 柴晶鑫, 于彤, 等. 北京市幼儿家长新型冠状病毒知识及幼儿防护行为调查[J]. 中国公共卫生, 2020, 36(6): 967-970. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW202006027.htm CAO Y, CHAI J X, YU T, et al. Knowledge about coronavirus disease 2019 among parents of kindergarten children and prevention and control practices of the children in Beijing City[J]. Chin J Public Health, 2020, 36(6): 967-970. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW202006027.htm
[7]	MAO B Q, AO C L, CHENG Y, et al. Exploring the role of public risk perceptions on preferences for air quality improvement policies: an integrated choice and latent variable approach[J]. J Clean Prod, 2020, 269: 122379. doi: 10.1016/j.jclepro.2020.122379
[8]	马骁. 健康教育学[M]. 2版. 北京: 人民卫生出版社, 2012: 61. MA X. Health education[M]. 2 ed. Beijing: People's Medical Publishing House, 2012: 61. (in Chinese)
[9]	曹远, 钱运梁, 郭铭杰, 等. 新冠肺炎常态化防控时期北京市儿童校外口罩佩戴行为及影响因素分析[J]. 中国健康教育, 2022, 38(7): 631-637. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK202207012.htm CAO Y, QIAN Y L, GUO M J, et al. Analysis on mask wearing behavior and its risk factors of Beijing's children in off-campus environment under the normal prevention and control of COVID-19[J]. Chin Health Educ, 2022, 38(7): 631-637. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK202207012.htm
[10]	姚永娜, 张素华, 翟雯雯, 等. 凉山州彝族小学生洗手行为状况及影响因素分析[J]. 中国学校卫生, 2017, 38(6): 915-918. doi: 10.16835/j.cnki.1000-9817.2017.06.038 YAO Y N, ZHANG S H, ZHAI W W, et al. Analysis on hand washing behavior and influencing factors of Yi primary school students in Liangshan Prefecture[J]. Chin J Sch Health, 2017, 38(6): 915-918. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2017.06.038
[11]	郑建东, 杨剑, 牟笛, 等. 新型冠状病毒肺炎疫情前后个人手卫生状况及影响因素调查[J]. 实用预防医学, 2021, 28(6): 649-652. doi: 10.3969/j.issn.1006-3110.2021.06.003 ZHENG J D, YANG J, MOU D, et al. Personal hand hygiene status and its influencing factors before and after the COVID-19 epidemic[J]. Pract Prev Med, 2021, 28(6): 649-652. (in Chinese) doi: 10.3969/j.issn.1006-3110.2021.06.003
[12]	张利峰, 秦秀群, 张凝凝, 等. 家庭参与式洗手行为干预在幼托机构传染病防控中效果分析[J]. 中国公共卫生, 2021, 37(8): 1277-1281. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW202108023.htm ZHANG L F, QIN X Q, ZHANG N N, et al. Effects of family-involved hand washing intervention on prevention of infectious diseases among children in kindergartens[J]. Chin J Public Health, 2021, 37(8): 1277-1281. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW202108023.htm
[13]	符霞, 赵志广, 候万里, 等. 深圳幼儿园儿童手部卫生依从性及影响因素分析[J]. 中国公共卫生, 2017, 32(6): 946-949. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201706020.htm FU X, ZHAO Z G, HOU W L, et al. Status and influence factors of hand hygiene compliance among kinder garten children in Shenzhen City[J]. Chin J Public Health, 2017, 32(6): 946-949. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201706020.htm
[14]	吕香莲, 孙慧彦, 罗永园, 等. 三亚市中小学生健康知识行为及健康教育需求调查[J]. 中国学校卫生, 2020, 41(3): 427-430. http://www.cjsh.org.cn/article/id/zgxxws201410037 LYU X L, SUN H Y, LUO Y Y, et al. Investigation on health knowledge behavior and health education needs of primary and middle school students in Sanya City[J]. Chin J Sch Health, 2020, 41(3): 427-430. (in Chinese) http://www.cjsh.org.cn/article/id/zgxxws201410037
[15]	齐力, 石建辉, 徐露婷, 等. 北京市居民新型冠状病毒肺炎知信行调查[J]. 首都公共卫生, 2020, 14(3): 149-152. https://www.cnki.com.cn/Article/CJFDTOTAL-SDGW202003011.htm QI L, SHI J H, XU L T, et al. Knowledge, attitude and practice about coronavirus disease 2019 among Beijing residents[J]. Capital J Public Health, 2020, 14(3): 149-152. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SDGW202003011.htm
[16]	朱也凡, 沈永, 张欣, 等. 上海市嘉定区洗手干预对托幼机构缺勤率的影响[J]. 中国学校卫生, 2014, 35(10): 1553-1554. http://www.cjsh.org.cn/article/id/zgxxws201410037 ZHU Y F, SHEN Y, ZHANG X, et al. Influence of hand washing intervention on the absenteeism rate of nurseries and kindergartens in Jiading District, Shanghai[J]. Chin J Sch Health, 2014, 35(10): 1553-1554. (in Chinese) http://www.cjsh.org.cn/article/id/zgxxws201410037
[17]	罗春燕, 张喆, 杨东玲, 等. 非参与式观察法评估上海市中小学生洗手行为干预效果[J]. 中国学校卫生, 2019, 40(6): 824-826. doi: 10.16835/j.cnki.1000-9817.2019.06.010 LUO C Y, ZHANG Z, YANG D L, et al. Intervention effect of hand washing behavior in primary and secondary schools in Shanghai by non-participatory observation[J]. Chin J Sch Health, 2019, 40(6): 824-826. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.06.010