Cent Eur J Public Health 2011, 19(4):222-227 | DOI: 10.21101/cejph.a3664

Evaluation of Students' Social Hand Washing Knowledge, Practices, and Skills in a University Setting

Ahmet Ergin1, Mehmet Bostancı1, Özgür Önal1, Ali İhsan Bozkurt1, Nesrin Ergin2
1 Pamukkale University, Faculty of Medicine, Department of Public Health, Denizli, Turkey
2 Denizli State Hospital, Denizli, Turkey

Background: Handwashing is an effective and inexpensive way to prevent diarrhea and acute respiratory infections. This study aimed to evaluate the Turkish University students' social hand washing knowledge, practices, skills and related factors.

Materials and Methods: All existing 1st year students in the Medical and Educational Faculty, plus all existing 2nd and 3rd year students in the Medical Faculty of Pamukkale University, Denizli, Turkey, from April to May, 2010, were eligible for the study. Participants filled in a questionnaire. The questionnaire tested the students' social hand washing knowledge (8 questions), practices (21 questions), and skills (10 questions) and it was prepared using previously published studies. Participants received 1 point for each correct answer provided. Final scores were calculated by summing up the points from all questions in the particular section divided by the number of questions in this section and multiplied by 100. The Family Affluence Scale was used to determine a socioeconomic status (SES).

Results: In all 303 students participated in this study. Participants' age (±SD) was 20.1±1.6 and the age range was between 18 and 32. Sixty two point seven percent of the participants were women. Forty four point nine percent of the participants were medical students. Fifty one point eight percent of the participants were in low SES. Twenty seven point four percent of the participants wash their hands less than 5 times a day. main reason for skipping hand washing was the participants' belief of 'no need' (63.7%). The mean scores (±SD) of participants' hand washing knowledge, practices, and skills were 71.2±20.7, 60.3±13.4 and 79.7±18.4, respectively. All scores were significantly higher in women. A multivariate analysis showed that gender was the main factor affecting all scores.

Conclusions: Increasing quantity and/or quality of available campus based public health educational programs, creating hand-hygiene promotion programs to the general public and using the findings from this study are recommended.

Keywords: hand hygiene, adolescents, social hand washing, education

Received: January 24, 2011; Revised: August 12, 2011; Accepted: August 12, 2011; Published: December 1, 2011  Show citation

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Ergin A, Bostancı M, Önal Ö, Bozkurt Aİ, Ergin N. Evaluation of Students' Social Hand Washing Knowledge, Practices, and Skills in a University Setting. Cent Eur J Public Health. 2011;19(4):222-227. doi: 10.21101/cejph.a3664. PubMed PMID: 22432398.
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    References

    1. World Health Organization. World Health Report 2005: make every mother and child count. Geneva: WHO; 2005.
    2. Beumer R, Bloomfield SF, Exner M, Fara GM, Nath KJ, Scott EA. Hygiene procedures in the home and their effectiveness: a review of the scientific evidence base [Internet]. International Scientific Forum on Home Hygiene; 2008 [cited 2010 Dec 4]. Available from: http://www.ifh-homehygiene.org/IntegratedCRD.nsf/f5236e2da2822fef8025750b000dc985/C9BF235B5D76AD09802572970063C5D8/$File/hygprocevbasefinal2.pdf.
    3. Hand washing: reducing the risk of common infections [Internet]. Hamilton: Canadian Center for Occupational Health and Safety; 2011 Available from: http://www.ccohs.ca/oshanswers/diseases/washing_hands.html.
    4. The Handwashing handbook: a guide for developing a hygiene promotion program to increase handwashing with soap [Internet].Washington:World Bank; 2005 [cited 2010 Dec 28]. Available from: http://vle.worldbank.org/bnpp/en/publications/energy-water/the-handwashing-handbook-aguide-developing-a-hygiene-promotion-program-in.
    5. JarvisWR. Handwashing-the Semmelweis lesson forgotten? Lancet. 1994 Nov 12;344(8933):1311-2. Go to original source...
    6. Teare L, Cookson B, Stone S. Hand hygiene. BMJ. 2001 Aug 25;323(7310):411-2. Go to original source...
    7. Curtis V, Cairncross S. Effect of washing hands with soap on diarrhoea risk in the community: a systematic review. Lancet Infect Dis. 2003 May;3(5):275-81. Go to original source... Go to PubMed...
    8. Luby SP, Agboatwalla M, Painter J, Altaf A, Billhimer WL, Hoekstra RM. Effect of intensive handwashing promotion on childhood diarrhea in high-risk communities in Pakistan: a randomized controlled trial. JAMA. 2004 Jun 2;291(21):2547-54. Go to original source... Go to PubMed...
    9. Rabie T, Curtis V. Handwashing and risk of respiratory infections: a quantitative systematic review. Trop Med Int Health. 2006 Mar;11(3):258-67. Go to original source... Go to PubMed...
    10. Boyce JM, Pittet D; Healthcare Infection Control Practices Advisory Committee; HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Guideline for Hand Hygiene in Health-Care Settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Society for Healthcare Epidemiology of America/Association for Professionals in Infection Control/Infectious Diseases Society of America. MMWR Recomm Rep [Internet]. 2002 Oct 25 [cited 2010 Dec 6]; 51(RR-16):1-45. Available from: http://www.cdc.gov/mmwr/PDF/rr/rr5116.pdf. Go to original source...
    11. Global Handwashing Day 15 October: planner's guide. Health in your hands: a public - private partnership [Internet]. [cited 2010 Dec 7].Available from: http://www.globalhandwashingday.org/Planners_Guide_Global_Handwashing_Day.pdf.
    12. Dirican R, Bilgel N. Personal health protection measures. Public Health (Community Medicine). 2nd ed. Bursa: Uludag University Printing House; 1993. (In Turkish.)
    13. Clean hands save lives. Handwashing fact sheet [Internet]. [cited 2010 Dec 7]. Available from: www.cdc.gov/h1n1flu/pdf/handwashing.pdf.
    14. Uner S, Sevencan F, Basaran E, Balci C, Bilaloglu B. Determining of persons'knowledge and attitudes on social hand washing who were admitted to a primary health care center. TAF Prev Med Bull. 2009;8(3):207-16. (In Turkish.)
    15. Currie CE, Elton RA, Todd J, Platt S. Indicators of socioeconomic status for adolescents: the WHO Health Behaviour in School-aged Children Survey. Health Educ Res. 1997 Sep;12(3):385-97. Go to original source...
    16. Pittet D, Mourouga P, Perneger TV. Compliance with handwashing in a teaching hospital. Infection Control Program. Ann Intern Med. 1999 Jan 19;130(2):126-30. Go to original source...
    17. Larson EL, Bryan JL, Adler LM, Blane C. A multifaceted approach to changinghandwashingbehavior.AmJInfectControl.1997Feb;25(1):3-10. Go to original source...
    18. Pittet D, SimonA, Hugonnet S, Pessoa-Silva CL, Sauvan V, Perneger TV. Hand hygiene among physicians: performance, beliefs, and perceptions. Ann Intern Med. 2004 Jul 6;141(1):1-8. Go to original source...
    19. World Health Organization. Baseline survey report: topic: risk factors influencing children's healthy environment in Kaplamai division TransNzoia district [Internet]. Nairobi: Division of environmental health [cited 2010 Nov 7]. Available from: www.who.int/entity/heca/activities/ Kenya1_baseline_survey.pdf.

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