| Titre : | Hygiene behaviour in rural Nicaragua in relation to diarrhoea. (1998) |
| Auteurs : | A.C. GORTER ; H. ALBERTS ; P. MORALES ; J. PAUW ; R.M. PEREZ ; P. SANDIFORD ; Fundacion de Desarrollo Social y Economico del Area Rural Desear Villa Carlos Fonseca. NIC |
| Type de document : | Article |
| Dans : | International journal of epidemiology (vol. 27, n° 6, 1998) |
| Pagination : | 1090-1100 |
| Langues: | Anglais |
| Mots-clés : | Lutte contre maladie diarrhéique ; Diarrhée ; Hygiène ; Comportement ; Programme santé ; Epidémiologie ; Education santé ; Evaluation ; Enfant ; Homme ; Prévention santé ; Nicaragua ; Amérique ; Appareil digestif [pathologie] ; Intestin [pathologie] ; Amérique centrale |
| Résumé : | [BDSP. Notice produite par INIST 1rQ1sR0x. Diffusion soumise à autorisation]. Background Childhood diarrhoea is a leading cause of morbidity and mortality in Nicaragua. Amongst the risk factors for its transmission are'poor'hygiene practices. We investigated the effect of a large number of hygiene practices on diarrhoeal disease in children aged<2 years and validated the technique of direct observation of hygiene behaviour. Methods A prospective follow-up study was carried out in a rural zone of Nicaragua. From the database of a previously conducted case-control study on water and sanitation 172 families were recruited, half of which had experienced a higher than expected rate of diarrhoea in their children and the other half a lower rate. Hygiene behaviour was observed over two mornings and diarrhoea incidence was recorded with a calendar, filled out by the mother, and collected every week for 5 months. Results Of 46'good'practices studied, 39 were associated with a lower risk of diarrhoea, five were unrelated and only for two a higher risk was observed. Washing of hands, domestic cleanliness (kitchen, living room, yard) and the use of a diaper/underclothes by the child had the strongest protective effect. Schooling (>3 years of primary school) and better economic position (possession of a radio) had a positive influence on general hygiene behaviour, education having a slightly stronger effect when a radio was present. (...) |
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