Objectives. We assessed hand-washing behaviors and intentions among school children in Bogota, Colombia, to help identify and overcome barriers to proper hygiene practices. Methods. Data on hand-washing behavior and intentions and individual and contextual factors were collected from 2042 sixth- through eighth-grade students in 25 schools in Bogota via anonymous questionnaires. A member of the school administration or teaching staff completed a questionnaire about the school environment. Site inspections of bathroom facilities were conducted. Results. Only 33.6% of the sample reported always or very often washing hands with soap and clean water before eating and after using the toilet. About 7% of students reported regular access to soap and clean water at school. A high level of perceived control was the strongest predictor of positive hand-washing intentions (adjusted odds ratio [AOR] = 6.0; 95% confidence interval [Cl] = 4.8, 7.5). Students with proper hand-washing behavior were less likely to report previous-month gastrointestinal symptoms (OR=0.8; 95% CI=0.6, 0.9) or previous-year school absenteeism (OR=0.7; 95% CI=0.6, 0.9). Conclusions. Scarcity of adequate facilities in most schools in Bogota prevents children from adopting proper hygienic behavior and thwarts health promotion efforts. The current renovation program of public schools in Bogota provides a unique opportunity to meet the challenges of providing a supportive environment for adoption of healthy behaviors. (Am J Public Health. 2008;99:94-101. doi:10.2105/AJPH.2007.129759) [ABSTRACT FROM AUTHOR]
© 2001-2024 Fundación Dialnet · Todos los derechos reservados