Toward Complementary Food Hygiene Practices among Child Caregivers in Rural Malawi.
Adolescent
Adult
Caregivers
/ education
Child
Child, Preschool
Diarrhea
/ epidemiology
Female
Foodborne Diseases
/ epidemiology
Hand Disinfection
Health Knowledge, Attitudes, Practice
Humans
Hygiene
Infant
Malawi
/ epidemiology
Middle Aged
Rural Population
/ statistics & numerical data
Soaps
/ economics
Surveys and Questionnaires
Young Adult
Journal
The American journal of tropical medicine and hygiene
ISSN: 1476-1645
Titre abrégé: Am J Trop Med Hyg
Pays: United States
ID NLM: 0370507
Informations de publication
Date de publication:
08 2019
08 2019
Historique:
pubmed:
27
6
2019
medline:
4
3
2020
entrez:
26
6
2019
Statut:
ppublish
Résumé
Despite being preventable, foodborne diseases remain a global health challenge. Poor food hygiene practices such as improper handling of kitchen utensils are among the major causes of diarrhea transmission. A formative study was conducted in Malawi to inform an intervention design to promote complementary food hygiene practices. An assessment of contextual and psychosocial factors for behavior change was conducted using Risk, Attitude, Norms, Ability, and Self-regulation model. We conducted 323 household surveys with caregivers of children aged 6 to 24 months. Analysis of variance was used to estimate difference between doers and non-doers of three targeted behaviors: washing utensils with soap, keeping utensils on a raised place, and handwashing with soap. Analysis of variance analyses revealed that literacy level, ownership of animals, and presence of handwashing facility and dish racks were contextual factors predicting storage of utensils on an elevated place and handwashing frequencies. Psychosocial factors, such as time spent to wash utensils with soap, distance to the handwashing facility, and cost for soap, had an influence on washing utensils and handwashing practices. Perceived vulnerability determined effective handwashing and storage of utensils. Perceived social norms and ability estimates were favorable for the three targeted behaviors. Promotion of already existing targeted beneficial behaviors should be encouraged among caregivers. Risk perceptions on storage of utensils and handwashing practices should be increased with motivational exercises such as paint games. Caregivers' technical know-how of local dish rack and tippy tap construction is essential.
Identifiants
pubmed: 31237230
doi: 10.4269/ajtmh.18-0639
pmc: PMC6685574
doi:
Substances chimiques
Soaps
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
294-303Références
J Trop Pediatr. 1989 Feb;35(1):14-8
pubmed: 2709484
Am J Trop Med Hyg. 2017 Jun;96(6):1415-1426
pubmed: 28719285
Lancet. 2010 Mar 13;375(9718):870-2
pubmed: 19833382
Am J Trop Med Hyg. 2018 Jan;98(1):295-299
pubmed: 29141742
Cost Eff Resour Alloc. 2015 Jan 10;13(1):1
pubmed: 25649323
Int J Environ Health Res. 2014;24(1):31-43
pubmed: 23578074
PLoS One. 2016 Jun 24;11(6):e0157780
pubmed: 27341102
Pediatrics. 2000 Nov;106(5):1304-5
pubmed: 11061846
Soc Sci Med. 2005 Nov;61(9):1958-70
pubmed: 15927329
J Environ Health. 2014 Jan-Feb;76(6):102-6
pubmed: 24645420
Int J Environ Health Res. 2003 Jun;13 Suppl 1:S161-8
pubmed: 12775392
Am J Trop Med Hyg. 2016 Jun 1;94(6):1407-17
pubmed: 27139449
J Food Prot. 1988 Apr;51(4):314-323
pubmed: 30978859
Health Policy Plan. 2007 Jul;22(4):216-24
pubmed: 17500052
Soc Sci Med. 1997 May;44(10):1453-64
pubmed: 9160436
Environ Sci Technol. 2017 Oct 17;51(20):11537-11552
pubmed: 28926696
Lancet. 2013 Apr 20;381(9875):1405-1416
pubmed: 23582727
Lancet Infect Dis. 2003 May;3(5):275-81
pubmed: 12726975
Food Nutr Bull. 2011 Sep;32(3):192-200
pubmed: 22073792
Int J Food Microbiol. 1988 Oct;7(2):123-34
pubmed: 3152803
Int J Food Microbiol. 2008 Jul 15;125(2):111-6
pubmed: 18558451
Infect Control Hosp Epidemiol. 2009 Jul;30(7):678-84
pubmed: 19489715
Cochrane Database Syst Rev. 2015 Sep 03;(9):CD004265
pubmed: 26346329
East Afr Med J. 1996 May;73(5):283-8
pubmed: 8756027
J Health Popul Nutr. 2009 Feb;27(1):41-52
pubmed: 19248647
Soc Sci Med. 2015 Jan;124:103-14
pubmed: 25461867
Bull World Health Organ. 2001;79(5):423-33
pubmed: 11417038
Am J Epidemiol. 1989 Apr;129(4):785-99
pubmed: 2646919
BMC Public Health. 2015 Jun 21;15:577
pubmed: 26093582
J Nutr Educ Behav. 2010 Jan-Feb;42(1):33-40
pubmed: 20129187
Food Nutr Bull. 2016 Jun;37(2):186-201
pubmed: 26944506
Gastroenterology. 2012 Sep;143(3):516-519
pubmed: 22925951
Int J Environ Health Res. 2012;22(5):431-49
pubmed: 22292899
Health Policy Plan. 1999 Mar;14(1):1-10
pubmed: 10351464
PLoS Med. 2011 Jun;8(6):e1001052
pubmed: 21738452
Am J Trop Med Hyg. 2015 Jul;93(1):57-65
pubmed: 25918206
Am J Trop Med Hyg. 2017 Apr;96(4):961-969
pubmed: 27994099
Appetite. 2010 Jun;54(3):504-11
pubmed: 20153389
Lancet Glob Health. 2014 Mar;2(3):e145-54
pubmed: 25102847
Int J Environ Health Res. 2013;23(2):96-107
pubmed: 22775759
Am J Trop Med Hyg. 2017 Feb 8;96(2):430-436
pubmed: 28044046