Alcohol-Based Instant Hand Sanitizer Use in Military Settings: A Prospective Cohort Study of Army Basic Trainees

Mott, Peter J.; Sisk, Brian W.; Arbogast, James W.; Ferrazzano-Yaussy, Cristina; Bondi, Cara A. M.; Sheehan, James J.

doi:10.7205/milmed.172.11.1170

Cited by 35 publications

(36 citation statements)

References 15 publications

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“…A previous study conducted with military personnel, found that a Purell® instant hand sanitizer regimen helped to reduce healthcare encounters by 39% (p < 0.01), respiratory illness by 40% (p < 0.01), gastrointestinal illnesses by 48% (p < 0.02), and lost training time by 44% (p < 0.01) (Mott et al, 2007).…”

Section: Justificationmentioning

confidence: 93%

“…This lack of hand hygiene has economic consequences for the military due to the increasing training time and the absentee rate among soldiers (Russell et al, 2006). The military has acknowledged the critical need to identify a costeffective method to prevent communicable diseases in the military population (Altman & Fechter, 1967;Mott et al, 2007;Riddle, Murray, Cash, Pimentel, & Porter, 2013;Russell et al, 2006). Ideally, a proactive approach to the prevention of communicable diseases would allow the military to recover a significant amount of training time while reducing outpatient physician visits and medical costs.…”

Section: Statement Of the Problemmentioning

confidence: 99%

“…One effective approach to preventing communicable diseases in congregate settings is the implementation of hand sanitation programs. Implementation of such programs has shown significant reductions in communicable diseases in many congregate settings, including schools (Dyer, Shinder, & Shinder, 2000;Hilburn, Hammond, Fendler, & Groziak, 2003), university campuses (White, Shinder, Shinder, & Dyer, 2001), healthcare facilities (Bischoff, Reynolds, Sessler, Edmond, & Wenzel, 2000;Doebbelin et al, 1992;Eaton, 2005;Hilburn, Hammond, Fendler, & Groziak, 2003;Larson et al, 2005;Park et al, 2010;White, Kolble, Carlson & Lipson, 2003), and military bases (Ryan & Christian 2001;Mott et al, 2007). Little research has been conducted to identify the cognitive stimulants and barriers of using hand sanitizers among military personnel in dining facilities.…”

Section: Statement Of the Problemmentioning

confidence: 99%

“…Very few studies on hand sanitizer use have been done within the military (Mott et al, 2007;Gibson, 1997). Proper hand sanitation has proven to be critical during distribution and consumption of food (Armed Forces Health Surveillance Center, 2014; Arness et al, 2000;Hedberg et al, 2006).…”

Section: Justificationmentioning

confidence: 99%

“…Hand hygiene is a proven infection control measure in the military setting (Mott et al, 2007). According to the CDC (2009), Larson (1995), and the World Health Organization (2009) simple hand washing is one of the most effective methods to prevent the spread of infectious diseases.…”

Section: Chapter 1 -Introductionmentioning

confidence: 99%

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Predicting and explaining behavioral intention and hand sanitizer use among US Army soldiers

Lin

Roberts

2017

American Journal of Infection Control

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Many pathogenic microorganisms are spread by contaminated hands and may lead to foodborne illness. The use of hand sanitizers can significantly reduce bacterial contamination and is an efficient and inexpensive method to prevent infections and sickness. Previous researchers have found that the routine use of hand sanitizers allowed the U.S. Army to significantly reduce illness. However, few studies have been conducted within a U.S. Army dining facility, which is considered to be one of the primary sources of foodborne illness within the U.S. Army. Therefore, using the Theory of Planned Behavior, the purpose of this study was to identify the behavioral intention, attitudes, subjective norms, and perceptions of control of using hand sanitizer among military personnel.The study targeted soldiers using a written survey during their lunch hour on the U.S.Army base at Fort Riley, KS. A total of 201 surveys were collected. All data were screened and entered into IBM SPSS for analysis.Results indicated that attitudes, subjective norms, and perceived behavioral control explained 64% of the variance in behavioral intention. Attitude and subjective norms were found to be significant predictors of behavioral intention, with attitude being the strongest predictor.In general, behavioral beliefs were positive among soldiers. Related to normative beliefs, soldiers did perceive negative social pressure from other soldiers not to use hand sanitizers.Analysis of control beliefs found soldiers perceived hand sanitizers were readily available, but disliked their smell and feel after application.Food production managers and Army commanders can use these results to implement hand sanitation behavioral interventions within military dining environments. Practical implications will likely translate to reduced healthcare costs, decreased absenteeism rates, and improved mission readiness.Some of the limitations include commonly perceived social psychology bias. Further, clustered samples were collected within one military installation in a relatively short amount of time.

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Section: Justificationmentioning

confidence: 93%

Section: Statement Of the Problemmentioning

confidence: 99%