2023年广东省居民手卫生知识与行为现况调查

    Cross-sectional study on hand hygiene knowledge and behavior of residents in Guangdong province, China, 2023

    • 摘要:
      目的 调查广东省居民手卫生知识与行为现状, 为进一步加强居民手卫生健康教育, 提高公众手卫生行为提供依据。
      方法 2023年“全球洗手日”期间在广东省内开展主题宣传活动, 使用中国疾控中心《公众手卫生知识、态度与行为现状》调查问卷对居民手卫生知识与行为情况进行调查, 采用χ2检验进行手卫生知识与行为影响因素的单因素分析, 采用二分类Logistic回归进行多因素分析。
      结果 共收集有效问卷26 340份, 2023年广东省居民手卫生知识知晓率为81.3%, 手卫生行为合格率为13.1%。85.6%的调查对象每天洗手频率≥4次, 47.1%的调查对象每天用肥皂或洗手液的洗手频率≥4次, 65.7%的调查对象九种洗手情景下均洗手, 仅23.7%的调查对象多数情况下洗一次手持续时间大于20 s。多因素Logistic回归分析结果显示, 女性(OR=0.92, 95% CI: 0.85~0.99)、医务人员(OR=0.35, 95% CI: 0.28~0.43)是居民手卫生行为合格的保护因素, 生活在非珠三角地区(OR=1.13, 95% CI 1.05~1.23)、乡村(OR=1.21, 95% CI: 1.03~1.21)、职业为工人(OR=1.25, 95% CI: 1.05~1.48)是居民手卫生行为合格的危险因素。
      结论 广东省居民手卫生知识知晓率较高, 但手卫生行为合格率较低; 居民洗手时间不达标问题突出, 洗手时间较短是居民手卫生行为合格率较低最主要的原因。

       

      Abstract:
      Objective To investigate the current status of hand hygiene knowledge and behavior of residents in Guangdong province, China, and to provide a basis for further strengthening hand hygiene health education and improving hand hygiene behavior of residents.
      Methods During the "Global Handwashing Day" in 2023, themed promotional activities were held in Guangdong Province. Residents' hand hygiene knowledge and behavior were assessed using the questionnaire "Current Status of Public Hand Hygiene Knowledge, Attitudes, and Behaviors" designed by the Chinese Center for Disease Control and Prevention. An univariate analysis of the factors influencing hand hygiene knowledge and behavior was conducted using the chi-square test, and a multivariate analysis was performed using binary Logistic regression.
      Results A total of 26 340 valid questionnaires were collected. The hand hygiene knowledge awareness rate among Guangdong residents was 81.3%, while the rate of qualified hand hygiene behavior was 13.1% in 2023. Of the respondents, 85.6% washed their hands at least four times a day, 47.1% used soap or hand sanitizer at least four times a day, and 65.7% washed their hands in all nine handwashing scenarios. However, only 23.7% of respondents washed their hands for more than 20 seconds in most cases. The results of multivariate Logistic regression showed that being female (odds ratio OR=0.92, 95% confidence interval CI: 0.85-0.99) and medical staff (OR=0.35, 95% CI: 0.28-0.43) were protective factors for qualified hand hygiene behavior. However, living in non-Pearl River Delta (OR=1.13, 95% CI: 1.05-1.23), residing in rural areas (OR=1.21, 95% CI: 1.03-1.21), and being worker (OR=1.25, 95% CI: 1.05-1.48) were risk factors for qualified hand hygiene behavior.
      Conclusion Guangdong residents have a high awareness rate of hand hygiene knowledge but a low rate of qualified hand hygiene behavior. The issue of inadequate handwashing duration was prominent, with short handwashing duration being the most significant factor contributing to the low rate of qualified hand hygiene behavior among residents.

       

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