| Enabling hygienic behavior among preschoolers: improving environmental conditions through a multifaceted intervention. | |
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MedLine Citation:
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PMID: 21361810 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Abstract Purpose . Environmental conditions often serve as critical enabling factors for health promotion. This article describes the effect of a preschool hygiene intervention program on classroom environmental conditions. Design . Cluster randomized trial, with randomization at the level of the preschool. Setting . State-run preschools in Jerusalem. Subjects . Forty secular and religious Jerusalem preschools (including 1029 children). Intervention . A multidisciplinary hygiene intervention that included changes to the preschool environment. Measures . Presence of soap, soap dispenser, paper towel, paper towel dispenser, cloth towels, communal cup, or personal cups. Analysis . Generalized estimating equations and Fisher?s exact test were used to estimate the effect of the intervention program on environmental conditions. Results . Information was obtained from most (97.9%) visits. Baseline environmental hygienic conditions were poor. Relative to the control group, the following environmental conditions were better in the intervention group after program implementation: soap (odds ratio [OR]?=?14.7; p?<?.01), paper towels (OR?=?13.5; p?<?.01), communal cups (OR?=?.05; p?<?.01), soap dispensers (secular preschools only, p?<?.01), individual cups (secular, p?<?.01; religious, OR?=?18.7; p?<?.02). Conclusions . Environmental hygiene in the Israeli preschools studied was deficient at baseline but amenable to change. Improvement in environmental conditions was a necessary enabling factor for the changes in hand-washing behavior that were observed among the children. Sustained environmental change is possible in the preschool environment. |
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Authors:
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Laura Rosen; David Zucker; David Brody; Dan Engelhard; Marina Meir; Orly Manor |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of health promotion : AJHP Volume: 25 ISSN: 0890-1171 ISO Abbreviation: Am J Health Promot Publication Date: 2011 Mar-Apr |
Date Detail:
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Created Date: 2011-03-02 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8701680 Medline TA: Am J Health Promot Country: United States |
Other Details:
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Languages: eng Pagination: 248-56 Citation Subset: T |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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