Prevalence and associated factors of oral and hand hygiene behaviour among adolescents in six Southeast Asian countries
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Supa Pengpid
and
Karl Peltzer
Abstract
Objectives
Regular tooth brushing, at least twice a day, is effective for the control and prevention of dental caries and periodontal disease, and regular hand washing with soap can effective prevent infections. The study aimed to assess the prevalence, associated factors of oral, hand hygiene behaviour, and associated factors among adolescents in six Southeast Asian countries.
Methods
The sample consisted of 36,173 adolescent school children (median age 14 years), from Bangladesh, Indonesia, Laos, Philippines, Thailand, and Timor-Leste that participated in the cross-sectional “Global School-based Student Health Survey” (GSHS) in 2014–2015.
Results
Results indicated that 17.1% of students reported <twice a day tooth brushing and sub-optimal (not always) hand washing behaviour (44.8% before meals, 31.9% after toilet use, and 55.8% with soap). In adjusted logistic regression analysis, male sex, health risk behaviour (<daily fruit and <daily vegetable consumption, sedentary behaviour), psychological distress, and lack of peer and parental or guardian support were associated with sub-optimal oral hygiene, and male sex, health risk behaviour (tobacco use, < daily fruit, <daily vegetable consumption, sedentary behaviour, physical inactivity), psychological distress and lack of peer and parental support were associated with sub-optimal hand washing hygiene behaviour.
Conclusions
Poor oral and hand hygiene behaviour was identified. Several factors associated with poor hygiene behaviour were identified that can help in designing programmes for promotion of adequate oral and hand hygiene practices.
Acknowledgments
We are grateful to the World Health Organization for making the data available for analysis.
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Research funding: This analysis did not receive any funding.
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Author contributions: SP and KP designed the study approach, analysed the data, wrote the first draft and approved the final version of the manuscript.
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Competing interests: The authors declare that they have no competing interests.
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Informed consent: The study proposal was approved by the country's Ministry of Health or Education and an ethics committee, and verbal or written informed consent was “obtained from the participating schools, parents and students prior to the survey”.
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Supplementary material
The online version of this article offers supplementary material (https://doi.org/10.1515/ijamh-2019-0177).
© 2020 Walter de Gruyter GmbH, Berlin/Boston
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