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The Determinants of Reported Personal and Household Hygiene Behaviour: A Multi-Country Study
Robert Aunger1, Katie Greenland1, George Ploubidis2
1Environmental Health Group, London School of Hygiene and Tropical Medicine, London, England.
Household hygiene practices like handwashing and surface cleaning are crucial for preventing infectious diseases. This global study reveals that automaticity, routines, and a desire for tidiness significantly influence these behaviors, offering insights for public health programs.
Area of Science:
- Public Health
- Behavioral Science
- Infectious Disease Epidemiology
Background:
- Infectious diseases spread significantly through person-to-person transmission within households.
- Understanding the determinants of domestic hygiene is critical for disease prevention.
Purpose of the Study:
- To investigate the factors influencing handwashing with soap and household surface cleaning behaviors globally.
- To identify psychological and social determinants of hygiene practices.
Main Methods:
- A large-scale, questionnaire-based survey was conducted in over 12,000 households across twelve countries.
- Structural equation modeling was employed to analyze hygiene behavior determinants.
Main Results:
- Handwashing frequency correlated with automaticity, and being busy or tired.
- Surface cleaning was associated with routines, perceived environmental dirtiness, social norms, contamination sensitivity, and tidiness needs.
- Concern for good manners influenced both behaviors.
Conclusions:
- This study is the first to globally identify the roles of manners, orderliness, and routine in hygiene behaviors.
- Findings provide valuable insights for designing effective domestic hygiene improvement programs.
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