Determining behavioral factors for interventions to increase safe water consumption: a cross-sectional field study in rural Ethiopia

2013 ◽  
Vol 23 (2) ◽  
pp. 96-107 ◽  
Author(s):  
Alexandra Claudia Huber ◽  
Hans-Joachim Mosler
2021 ◽  
pp. 1-20
Author(s):  
Asher Y. Rosinger ◽  
Anisha I. Patel ◽  
Francesca Weaks

Abstract Objective As tap water distrust has grown in the US with greater levels among Black and Hispanic households, we aimed to examine recent trends in not drinking tap water including the period covering the US Flint Water Crisis and racial/ethnic disparities in these trends. Design Cross-sectional analysis. We used log-binomial regressions and marginal predicted probabilities examined US nationally-representative trends in tap and bottled water consumption overall and by race/ethnicity. Setting The National Health and Nutrition Examination Survey data, 2011–2018. Participants Nationally-representative sample of 9,439 children aged 2-19 and 17,268 adults. Results Among US children and adults, respectively, in 2017-2018 there was a 63% (adjusted prevalence ratio [PR]:1.63, 95%CI: 1.25-2.12, p<0.001) and 40% (PR:1.40, 95%CI: 1.16-1.69, p=0.001) higher prevalence of not drinking tap water compared to 2013-2014 (pre-Flint Water Crisis). For Black children and adults, the probability of not drinking tap water increased significantly from 18.1% (95%CI: 13.4-22.8) and 24.6% (95%CI: 20.7-28.4) in 2013–14 to 29.3% (95%CI: 23.5-35.1) and 34.5% (95%CI: 29.4-39.6) in 2017–2018. Among Hispanic children and adults, not drinking tap water increased significantly from 24.5% (95%CI: 19.4-29.6) and 27.1% (95%CI: 23.0-31.2) in 2013-14 to 39.7% (95%CI: 32.7-46.8) and 38.1% (95%CI: 33.0-43.1) in 2017-2018. No significant increases were observed among Asian or white persons between 2013-14 and 2017-18. Similar trends were found in bottled water consumption. Conclusions This study found persistent disparities in the tap water consumption gap from 2011–2018. Black and Hispanics’ probability of not drinking tap water increased following the Flint Water Crisis.


2020 ◽  
Vol 7 (12) ◽  
Author(s):  
Serge Tonen-Wolyec ◽  
Jérémie Muwonga Masidi ◽  
Luc Ferdinand Kamanga Lukusa ◽  
Gaetan Nsiku Dikumbwa ◽  
Angèle Sarassoro ◽  
...  

Abstract The Democratic Republic of the Congo (DRC) has begun implementing HIV self-testing to boost the first “95” of the UNAIDS 95-95-95 targets by 2025. This study aims to assess the performance and usability of the Exacto Test HIV (Biosynex, Strasbourg, France) self-test in the lab and in the field. The Exacto Test HIV self-test demonstrated high virological performance (sensitivity, 99.6%; specificity, 100%) in the lab and in the field in the hand of untrained users (sensitivity, 100%; specificity, 98.9%). Taken together, the excellent performance and usability characteristics of the Exacto Test HIV (Biosynex) self-test make the kit a viable option for HIV self-testing in the DRC.


Author(s):  
Diana Andriyani Pratamawati ◽  
Widiarti Widiarti ◽  
Wiwik Trapsilowati ◽  
Riyani Setiyaningsih

Tembalang Subdistrict is still ranked as the first highest IR Dengue in Semarang City in 2014-2016. Incidence rate of dengue in Tembalang Sub District in 2016 was Dengue hemorrhagic fever (DHF) IR 166.89/100,000 population with Case Fatality Rate (CFR) 1.02%. The Semarang City Government has implemented PERDA No.5 of 2010 concerning DHF control with the establishment of special larvae monitoring officers namely Semantik (Semarang Bebas Jentik) and Gasurkes (Health Surveillance Officer) to conduct routine larval monitoring and socialize PSN-3M Plus. However, dengue cases in Tembalang District continue to exist.The purpose of the study was to identify behavioral factors related to monitoring larva presence in Tembalang District, Semarang City. This study is based on the cross sectional method, with quota sampling was used to recruit 100 respondents. The criteria for the case were the latest DHF cases recorded in the Semarang City Health Office Data (January to September 2017). Samples were taken in quota with 100 respondents. Data were analyzed by analytic descriptive using chi-square analysis and odds ratio. The results showed behavioral factors to monitor larvae routinely related to the results of larvae examination (p <0,05) with risk factors OR = 5,02 and form observations obtained ABJ in Tembalang District by 89% in 2017. This needs additional attention in the larva monitoring procedure by Semantics and Gasurkes. The more complete the quality of the larvae examination, the existence of larvae can be eradicated, so that the incidence of DHF can be prevented


2018 ◽  
Vol 21 (8) ◽  
pp. 1455-1464 ◽  
Author(s):  
Asher Y Rosinger ◽  
Kirsten A Herrick ◽  
Amber Y Wutich ◽  
Jonathan S Yoder ◽  
Cynthia L Ogden

AbstractObjectiveDifferences in bottled v. tap water intake may provide insights into health disparities, like risk of dental caries and inadequate hydration. We examined differences in plain, tap and bottled water consumption among US adults by sociodemographic characteristics.DesignCross-sectional analysis. We used 24 h dietary recall data to test differences in percentage consuming the water sources and mean intake between groups using Wald tests and multiple logistic and linear regression models.SettingNational Health and Nutrition Examination Survey (NHANES), 2007–2014.SubjectsA nationally representative sample of 20 676 adults aged ≥20 years.ResultsIn 2011–2014, 81·4 (se 0·6) % of adults drank plain water (sum of tap and bottled), 55·2 (se 1·4) % drank tap water and 33·4 (se 1·4) % drank bottled water on a given day. Adjusting for covariates, non-Hispanic (NH) Black and Hispanic adults had 0·44 (95 % CI 0·37, 0·53) and 0·55 (95 % CI 0·45, 0·66) times the odds of consuming tap water, and consumed B=−330 (se 45) ml and B=−180 (se 45) ml less tap water than NH White adults, respectively. NH Black, Hispanic and adults born outside the fifty US states or Washington, DC had 2·20 (95 % CI 1·79, 2·69), 2·37 (95 % CI 1·91, 2·94) and 1·46 (95 % CI 1·19, 1·79) times the odds of consuming bottled water than their NH White and US-born counterparts. In 2007–2010, water filtration was associated with higher odds of drinking plain and tap water.ConclusionsWhile most US adults consumed plain water, the source (i.e. tap or bottled) and amount differed by race/Hispanic origin, nativity status and education. Water filters may increase tap water consumption.


Water ◽  
2018 ◽  
Vol 10 (11) ◽  
pp. 1591 ◽  
Author(s):  
Carmen Anthonj ◽  
Lisa Fleming ◽  
Ryan Cronk ◽  
Samuel Godfrey ◽  
Argaw Ambelu ◽  
...  

This study examines the patterns, trends, and factors associated with functional community water points in rural Ethiopia and identifies potential areas of improvement in terms of practitioner response to functionality and functionality monitoring. It was part of an integrated WaSH and nutrition program implemented by UNICEF Ethiopia and the Government of Ethiopia. Cross-sectional surveys were conducted to collect WaSH-related data in communities and WaSH committees from four community-based nutrition (CBN) program groupings in Ethiopia. In all areas, CBN was implemented, but only in less than half of the areas, a WaSH intervention was implemented. Seventy-three representative kebeles, comprising 30 intervention and 43 control communities, were surveyed. Two structured surveys were conducted. The ‘community survey’ addressed community water points and their functionality and the main areas for improvement needed. The ‘WaSH committee survey’ investigated technical and management aspects of water points and their functionality. Data were analyzed using bivariate regression to identify community characteristics and management practices associated with functionality of water points and explore opportunities to improve water point functionality and monitoring. In the communities, 65% of water points were functional. Eighty percent of communities had a WaSH committee. The WaSH committee members reported that the most used water point types were protected dug wells and boreholes, and that 80% of their water points were functional. India Mark II pumps were more likely to be functional and communities with longer established WaSH committees had higher water point functionality. Communities suggested that the key factors for water point sustainability were improving water quality and water pressure, reducing water collection time, and speeding up repair times. Taking community leaders’ ‘priority lists’ into consideration offers sustainable opportunities for demand-driven, adaptive and targeted design and implementation of rural water supply programs, which, if they include the grassroots level as key informants and actors of change, can succeed. Interventions should integrate the ‘voice’ of the community, the WaSH committees, and other stakeholders and thereby facilitate transdisciplinary approaches at different stages of program management (planning, monitoring, and evaluation). This would help closing the knowledge to action gap and improve policy, programming, practice, and service delivery.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Maria Aparecida A. O. Serra ◽  
Antoninho B. Milhomem ◽  
Samae B. Oliveira ◽  
Francisca Aline A. S. Santos ◽  
Roberta Araújo e Silva ◽  
...  

Objective. To analyze sociodemographic and behavioral factors associated with vulnerability to HIV according to sexual orientation. Method. This is a cross-sectional study conducted using data on 3,818 people in the city of Imperatriz, Brazil, during 2015 and 2016. The survey’s questionnaires addressed sociodemographic and behavioral variables. For the data analysis, association (chi-square test) and strength of association (odds ratio) were observed. A significance level of p<0.05 and adjustment for age and gender were taken into consideration. Results. A substantial portion of the sample stated they were heterosexual (88.8%). These individuals demonstrated a lower chance of HIV infection (p<0.001), sexually transmitted infections (p<0.001), alcohol use (p<0.001) and condom use (p<0.001), compared to men who have sex with men and/or bisexuals. In this group, after adjusting for confounding variables, the factors associated with HIV infection were being male (p<0.001), unmarried (p<0.001), having completed higher education (p<0.001) and boasting multiple sexual partners (p<0.001). Conclusion. Behavioral and sociodemographic factors of vulnerability to HIV are predominant among men who have sex with men and/or are bisexual.


Author(s):  
Anupam Dikshit ◽  
Afifa Qidwai ◽  
Manisha Pandey ◽  
Shashi Kant Shukla ◽  
Rajesh Kumar ◽  
...  

Background: Acne vulgaris is a very common dermatological problem of adolescence since the time immemorial. However, it is neither life threatening nor is a physical disability, but acne affects social and psychological functioning. Acne vulgaris is multifactorial, apart from basic factor of hormonal change and bacterial outbreak; there are several other factors that may influence the prevalence of acne.Methods: In the present study, populations were assessed for influence of various factors on acne prevalence. This cross-sectional study was a population based field study intending to discern the factors that influence the prevalence of acne in adolescents. The study carried out from April 2016 to October 2016 in north central India. For this survey, questionnaires were design to cover all the required information regarding occurrence of acne that include factors like gender, age, skin type, complexion, season of occurrence, dietary habit etc.Results: Acne vulgaris appears to be influenced by gender, age, seasonal variations, breakout area, complexion, skin types and dietary habits. Further, the influence of dietary habit on acne, by the consumption of dairy products or high-carbon diet has also been evaluated. Apart from depicting the vulnerable range of age (p=0.003288), sensitivity on various skin types (p=0.00039) and complexion (p=0.001355) on the basis of gender; This Field study on Acne Vulgaris, also reveals that the season has inordinate role in acne pervasiveness (p=0.115731).Conclusion: This study is helpful in categorizing the risk factors and evidencing the afflictions of acne in population thus, contributing health care planning. Keywords: Acne, Prevalence, Risk factors, Post management.


2006 ◽  
Vol 4 (4) ◽  
pp. 431-436 ◽  
Author(s):  
Abul Hasnat Milton ◽  
Habibur Rahman ◽  
Wayne Smith ◽  
Rupendra Shrestha ◽  
Keith Dear

Risk related to the ingestion of any water contaminants depends on many factors, including the daily per capita amount of consumed water relative to body weight. This study explored the water consumption pattern of a rural arsenic-affected population in Bangladesh. The study findings are likely to contribute to the risk estimation attributable to ingestion of arsenic and other drinking water contaminants. A total of 640 individuals participated in this cross-sectional study carried out in an arsenic-affected rural population in Bangladesh. In this study daily per capita water consumption for drinking purposes was found to be 73.04 ml/kg/d (range = 71.24–74.84 ml/kg/d), which is higher than for both the US and Taiwan populations. This difference in per capita drinking water consumption might contribute to much higher lifetime cancer mortality and other morbidity risks from arsenic among the Bangladesh population compared to either the US or Taiwan populations. Arsenic is also ingested through cooking water which, if considered, might increase the risk further. The findings of this study highlight the urgent need for a holistic water supply programme for Bangladesh, with special emphasis on the arsenic-affected population.


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