ArticleThe American journal of tropical medicine and hygiene2016
The Influence of Contextual and Psychosocial Factors on Handwashing.
Article in The American journal of tropical medicine and hygiene, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 41 citations in OpenAlex.
- The nexus between household water insecurity, mother's handwashing practices, and diarrheal diseases among under-five children.Journal of water and health · 2024Article
- Assessing the Effectiveness of a Multicomponent Intervention on Hand Hygiene and Well-Being in Primary Health Care Centers and Schools Lacking Functional Water Supply in Protracted Conflict Settings: Protocol for a Cluster Randomized Controlled Trial.JMIR research protocols · 2024Article
- Assessment of water, sanitation, and hygiene among women living in precarious households in a Turkish urban area.BMC women's health · 2024Article
- Quantifying Factors Associated with Personal Hygiene as Measured by the qPHAT Methodology: Andilaye Trial, Ethiopia.The American journal of tropical medicine and hygiene · 2023Article
- Water and Handwashing in a Drought-Prone Region of Southern Niger: How Environment, Household Infrastructure, and Exposure to Social and Behavior Change Messages Interact.The American journal of tropical medicine and hygiene · 2023Article
- Assessing Sustainability Factors for Rural Household Sanitation Coverage in Bhutan, Kenya, Nepal, and Zambia: A Qualitative Analysis.Global health, science and practice · 2022Article
- Determinants of food preparation and hygiene practices among caregivers of children under two in Western Kenya: a formative research study.BMC public health · 2022Article
- Association between years with incidence of communicable diseases focused on COVID-19 and hand hygiene among adults in South Korea: a cross-sectional study.BMC public health · 2022Article
- A pre- and post-intervention study testing the effect of exposure to languageless animated images communicating COVID-19 preventive behaviours on behavioural intentions and beliefs of Guatemalan adults.Journal of global health · 2022Article
- Preparedness for and impact of COVID-19 on primary health care delivery in urban and rural Malawi: a mixed methods study.BMJ open · 2022Article
- Contextual and psychological factors influencing open defecation free status: an exploratory qualitative study in rural South Western Uganda.BMC public health · 2022Article
- Embracing challenging complexity: exploring handwashing behavior from a combined socioecological and intersectional perspective in Sierra Leone.BMC public health · 2021Article
- Improving Complementary Food Hygiene Behaviors Using the Risk, Attitude, Norms, Ability, and Self-Regulation Approach in Rural Malawi.The American journal of tropical medicine and hygiene · 2020Article
- A hierarchical Bayesian Belief Network model of household water treatment behaviour in a suburban area: A case study of Palu-Indonesia.PloS one · 2020Article
- Toward Complementary Food Hygiene Practices among Child Caregivers in Rural Malawi.The American journal of tropical medicine and hygiene · 2019Article
- The Impact of Various Promotional Activities on Ebola Prevention Behaviors and Psychosocial Factors Predicting Ebola Prevention Behaviors in the Gambia Evaluation of Ebola Prevention Promotions.International journal of environmental research and public health · 2019Article
- Improving Sanitation and Hygiene through Community-Led Total Sanitation: The Zambian Experience.The American journal of tropical medicine and hygiene · 2019Article
- Interventions to maximize facial cleanliness and achieve environmental improvement for trachoma elimination: A review of the grey literature.PLoS neglected tropical diseases · 2018Review
- Pilot of an Elementary School Cough Etiquette Intervention: Acceptability, Feasibility, and Potential for Sustainability.The American journal of tropical medicine and hygiene · 2017Article
- Contextual and psychosocial factors predicting Ebola prevention behaviours using the RANAS approach to behaviour change in Guinea-Bissau.BMC public health · 2017Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Even though washing hands with soap is among the most effective measures to reduce the risk of infection, handwashing rates in infrastructure-restricted settings remain seriously low. Little is known about how context alone and in interaction with psychosocial factors influence hand hygiene behavior. The aim of this article was to explore how both contextual and psychosocial factors affect handwashing practices. A cross-sectional survey was conducted with 660 caregivers of primary school children in rural Burundi. Hierarchical regression analyses revealed that household wealth, the amount of water per person, and having a designated place for washing hands were contextual factors significantly predicting handwashing frequency, whereas the contextual factors, time spent collecting water and amount of money spent on soap, were not significant predictors. The contextual factors explained about 13% of the variance of reported handwashing frequency. The addition of the psychosocial factors to the regression model resulted in a significant 41% increase of explained variation in handwashing frequency. In this final model, the amount of water was the only contextual factor that remained a significant predictor. The most important predictors were a belief of self-efficacy, planning how, when, and where to wash hands, and always remembering to do so. The findings suggest that contextual constraints might be perceived rather than actual barriers and highlight the role of psychosocial factors in understanding hygiene behaviors.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.