DOI QR코드

DOI QR Code

Related Factors for Not Washing Hands at School among Adolescents

청소년의 학교 내 손씻기 미실천율과 관련요인

  • SaGong, Hyo Jin (Graduate School of Public Health, Kyungpook National University) ;
  • Lee, Yu-Mi (Department of Preventive Medicine, School of Medicine, Kyungpook National University) ;
  • Choi, Eunsuk (College of Nursing.Research Institute of Nursing Science, Kyungpook National University) ;
  • Kim, Keonyeop (Department of Preventive Medicine, School of Medicine, Kyungpook National University)
  • 사공효진 (경북대학교 보건대학원 보건관리학과) ;
  • 이유미 (경북대학교 의과대학 예방의학교실) ;
  • 최은숙 (경북대학교 간호대학.간호과학연구소) ;
  • 김건엽 (경북대학교 의과대학 예방의학교실)
  • Received : 2022.02.22
  • Accepted : 2022.03.28
  • Published : 2022.03.31

Abstract

Objectives: Handwashing is one of the most effective methods to prevent the spread of infectious diseases. This study assessed the related factors and reasons for not practicing handwashing at school among adolescents. Methods: We analyzed data collected from 57,303 adolescents who participated in the 15th Korea Youth Risk Behavior Survey 2019. Results: The proportions of not washing hands "before meals at school" and "after using the toilet at school" were 15.9% and 4.4%, respectively. The adjusted odds ratio for not washing hands before meals at school was significantly higher in girls (Odds Ratio [OR]=1.52, 95% Confidence Intervals [CI]=1.42-1.63), metropolitan city (OR=1.32, 95% CI=1.11-1.56), city (OR=1.29, 95% CI=1.08-1.54), higher grade, higher academic performance, lower economic status, not handwashing at home (OR=14.36, 95% CI=13.37-15.42), and without annual personal hygiene education (OR=1.41, 95% CI=1.33-1.49). Reasons for not washing hands at school among adolescents who do not wash their hands before meals at school included 'it is bothersome (52.3%)', 'there is no soap or hand sanitizer (13.8%)', and 'I do not feel the need (9.5%)'. Conclusions: Improving handwashing before meals at school among adolescents requires raising awareness of the importance of handwashing before meals and establishing a suitable environment and handwashing-encouraging culture.

본 연구는 2019년 제15차 청소년건강행태조사자료를 이용하여 청소년에서 학교에서의 손씻기 미실천율과 관련요인을 파악하고자 하였다. 학교에서의 손씻기 실천은 성별, 도시 규모, 학년, 학교 유형, 학업 성적, 경제적 상태, 집에서의 손씻기 실천, 연간 개인위생교육 경험과 유의미한 관련성을 보였다. 청소년의 학교 내 손씻기 실천율을 높이기 위해서는 손씻기 실천 관련요인들을 고려한 지속적인 개인위생교육과 함께 손씻기를 용이하게 하는 적절한 환경과 문화 조성이 필요하다.

Keywords

References

  1. U.S.Centers for Disease Control and Prevention. Why Wash Your Hands? [Internet] [cited 2021 Aug 9] Available from: https://www.cdc.gov/handwashing/why-handwashing.html.
  2. Freeman MC, Stocks ME, Cumming O, Jeandron A, Higgins JP, Wolf J, Pruss Ustun A, Bonjour S, Hunter PR, Fewtrell L. Systematic review: hygiene and health: systematic review of handwashing practices worldwide and update of health effects. Tropical Medicine & International Health 2014;19(8):906-916 https://doi.org/10.1111/tmi.12339
  3. Aiello AE, Coulborn RM, Perez V, Larson EL. Effect of hand hygiene on infectious disease risk in the community setting: a meta-analysis. Am J Public Health 2008;98(8):1372-1381 https://doi.org/10.2105/AJPH.2007.124610
  4. Ministry of Education. A Manual for Preventing and Responding to Infectious Diseases in Students; 2016. (Korean)
  5. Lee JH, Jeon YH, Kim DK, Choi JH. Analysis of Infection Preventive Behaviors (Hand washing and Cough etiquette): A national telephone and observation survey in Korea, 2019. Public Health Weekly Report 2020;13(43):3080-3093 (Korean)
  6. Korea Disease Control and Prevention Agency. 15th Korea Youth Risk Behavior Survey Statistics. Cheongju City, Chungcheongbuk-do; 2019. (Korean)
  7. Korea Disease Control and Prevention Agency. How to properly wash your hands. [Internet] [cited 2021 Jul 27] Available from: https://health.kdca.go.kr/healthinfo/biz/health/gnrlzHealthInfo/gnrlzHealthInfo/gnrlzHealthInfoView.do?cntnts_sn=18. (Korean)
  8. Kim HS, Hong SJ, Ahn CH, Lee MS, Hong JY, Bae SH, Kim EY, Hwang HJ, Jang MY. Perceptions and Behaviors related to Hand-washing and Cough Etiquette in a Metropolitan Citizen. Proceedings of Korea Academy Industrial Cooperation Society Conference 2014:672-675 (Korean)
  9. Lee H, Choi SM. Hand washing awareness among students in Seoul and antibiotic resistance of staphylococcus aureus isolated on their hands. Journal of Environmental Health Sciences 2009;35(4):278-286 (Korean) https://doi.org/10.5668/JEHS.2009.35.4.278
  10. Zhang DF, Lee MS, Hong S, Yang NY, Hwang HJ, Kim BH, Kim HS, Kim EY, Park YJ, Lim GU. Relationship between handwashing practices and infectious diseases in Korean students. Journal of Agricultural Medicine and Community Health 2015;40(4):206-220 (Korean) https://doi.org/10.5393/JAMCH.2015.40.4.206
  11. Jang YJ, Na BJ, Kim KY, Bae SH, Kim CW, Kim EY, Lee MS. A study on the knowledge, attitude and practice of handwashing of middle school students. Korean Journal of Health Education and Promotion 2007;24(4):1-22 (Korean)
  12. Park DK, Lee MS, Na BJ, Bae SH, Kim KY, Kim CW, Kim EY. Knowledge, attitude and practice of handwashing in high school students. Journal of the Korean Society of Maternal and Child Health 2008;12(1):74-91 (Korean) https://doi.org/10.21896/jksmch.2008.12.1.74
  13. Yang NY, Lee MS, Hwang HJ, Hong JY, Kim BH, Kim HS, Hong SJ, Kim EY, Kim YT, Park YJ. Related factors of handwashing with soap and its practices by students in South Korea. Journal of Korean Public Health Nursing 2014;28(2): 372-386 (Korean) https://doi.org/10.5932/JKPHN.2014.28.2.372
  14. Min JW, Chang YS. An experience of personal hygiene education and handwashing practices among adolescents in the Korean youth risk behavior web-based survey. The Journal of Korean Society for School & Community Health Education 2014;15(1):31-43 (Korean)
  15. Choi YS. Behaviors of hand washing practice Korean adolescents, 2011-2013: The Korea youth risk behavior web-based survey. Journal of the Korea Academia-Industrial Cooperation Society 2014;15(7): 4132-4138 (Korean) https://doi.org/10.5762/KAIS.2014.15.7.4132
  16. Hong MS, Yeo HN. Study on the correlation between personal hygiene education experience and hand washing performance in school in accordance with the characteristics of adolescent. The Journal of Humanities and Social Science 21 2020;11(1):553-564 (Korean) https://doi.org/10.22143/hss21.11.1.41
  17. Ministry of Education, Ministry of Health and Welfare, Korea Disease Control and Prevention Agency. The 15th Korea Youth Risk Behavior Survey. 2019 (Korean)
  18. Jeong JS, Choi JK, Jeong IS, In HK, Park KD, Paek KR. A nationwide survey on the hand washing behavior and awareness. Journal of Preventive Medicine and Public Health 2007;40(3):197-204 (Korean) https://doi.org/10.3961/jpmph.2007.40.3.197
  19. Choi EH, Jang IS, Choi JY. The effect of an educational hand washing program on knowledge, attitude and performance of hand washing in undergraduates. Journal of the Korean Society of School Health 2014;27(1):39-49 (Korean) https://doi.org/10.15434/KSSH.2014.27.1.039
  20. Kim YI, Choi MJ. The effect of handwashing education program on knowledge, attitude and practice of handwashing in late school-aged children. J Korean Soc Sch Health 2010;23(2):162-171 (Korean)
  21. Kim JE, Moon JH, Shin HA, Lee JS, Kwon SH, Lee JS, Om AS. Microbiological effect of hand safety after hand washing education for preschool children in a day care center. Culinary science and hospitality research 2011;17(3):141-150 (Korean) https://doi.org/10.20878/cshr.2011.17.3.011
  22. Kandel N, Lamichane J. Strategy of Making Hand Washing a Routine Habit: Principles of 5Es and 3Rs. Journal of the Nepal Medical Association 2016;55(203):40-44 https://doi.org/10.31729/jnma.2693
  23. Garg A, Taneja DK, Badhan SK, Ingle GK. Impact of a school-based hand washing promotion program on knowledge and hand washing behavior of girl students in a middle school of Delhi. Indian Journal of Public Health 2013;57(2):109-112 https://doi.org/10.4103/0019-557X.115009
  24. Kim YB. Infectious disease prevention and personal hygiene education: Focusing on the handwashing education. Korean Journal of Health Education and Promotion 2020;37(4):59-69 (Korean) https://doi.org/10.14367/kjhep.2020.37.4.59