Environmental factors and hygiene behaviors associated with facial cleanliness and trachoma in Kongwa, Tanzania

Chen, Xinyi; Muñoz, Beatriz; Wolle, Meraf A.; Woods, Geordie; Odonkor, Michelle; Naufal, Fahd; Mkocha, Harran; West, Sheila K.

doi:10.1371/journal.pntd.0009902

Cited by 4 publications

(2 citation statements)

References 27 publications

(38 reference statements)

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“…8,45 The associations with hygiene outcome measures in this analysis support the evidence showing household-level decisions regarding the use and prioritization of water for hygiene practices are driven by many factors, and these decisions may be different among households. 50,51 The more nuanced qPHAT metric was able to detect more relationships between intermediate behavioral factors and hygiene outcomes than dichotomous metrics, motivating its use in future evaluations of hygiene promotion interventions to gain a better understanding of what factors may be influencing people's decisions to practice hygiene behaviors.…”

Section: Resultsmentioning

confidence: 99%

Quantifying Factors Associated with Personal Hygiene as Measured by the qPHAT Methodology: Andilaye Trial, Ethiopia

Kann

Snyder

Woreta

et al. 2023

The American Journal of Tropical Medicine and Hygiene

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Many water, sanitation, and hygiene (WASH) interventions target improvements in personal hygiene behaviors. Yet measuring personal hygiene behaviors is a challenge due to a lack of reliable, valid, objective, and simple-to-use approaches. The purpose of this study was to examine differences between two types of hygiene outcome measures and their ability to detect relationships between WASH-related behavioral factors and behaviors. We compared hygiene outcomes generated by the Quantitative Personal Hygiene Assessment Tool (qPHAT), which yields objective measures of cleanliness on an 11-point scale, and those generated by conventional, dichotomous indicators of cleanliness. We used cross-sectional data on hygiene outcomes related to facial and hand cleanliness collected during the Andilaye Trial, an impact evaluation of a community-based WASH intervention implemented in Amhara, Ethiopia. We fit multivariable models to examine associations between measures of children’s facial and hand cleanliness, via both qPHAT and dichotomous indicators, and 1) household WASH conditions, 2) psychosocial factors, and 3) reported personal hygiene practices. The qPHAT-generated outcomes were able to detect relationships between intermediate behavioral factors and hygiene outcomes that dichotomous indicators were not, including associations with water insecurity and various psychosocial factors. qPHAT-generated outcomes were negatively associated with reported face washing practices, suggesting a bias in reported behaviors. Our study highlights the limitations of reported practices and dichotomous hygiene indicators and indicates that using more quantitative hygiene outcome measures, such as those generated by qPHAT, may reveal important intermediate factors that influence hygiene behavior and support improved monitoring and evaluation of interventions.

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Section: Resultsmentioning

confidence: 99%

Quantifying Factors Associated with Personal Hygiene as Measured by the qPHAT Methodology: Andilaye Trial, Ethiopia

Kann

Snyder

Woreta

et al. 2023

The American Journal of Tropical Medicine and Hygiene

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“…This is because the skin can serve as an entry point for microorganisms that may trigger Acne Vulgaris (Yolanda et al, 2021). The relationship between personal hygiene and Acne Vulgaris suggests that regular facial cleansing can help reduce excess oil and dirt on the face, potentially lowering the occurrence of Acne Vulgaris (Cabral et al, 2018;Chen et al, 2021). However, research indicates that the frequency and type of facial cleansing used by individuals may not significantly impact the occurrence of Acne Vulgaris.…”

Section: Introductionmentioning

confidence: 99%

Exploring the Connection Between Facial Skin Cleansing Habits and Acne Vulgaris: A Comprehensive Review

Sari,

Ramadhanty,

Anggraeni

et al. 2023

medicor

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Acne Vulgaris (AV) is a chronic inflammatory condition affecting the pilosebaceous follicles, characterized by multifactorial causative factors and clinical manifestations such as cysts, pustules, comedones, nodules, and papules. While AV is not life-threatening, it can significantly impact an individual's well-being by reducing self-esteem, increasing anxiety, and affecting their economic and social life. This paper conducts a comprehensive analysis of existing literature, synthesizing information from multiple reputable sources. The main objective of this review is to explore the implementation of treatments related to the relationship between skin cleansing habits and Acne Vulgaris. The connection between facial skin hygiene and the occurrence of Acne Vulgaris is of significant interest. One key aspect is the potential reduction in Acne Vulgaris when individuals maintain good facial skin hygiene practices. When facial skin is cleaned appropriately, it hinders the accumulation of excess sebum, one of the contributing factors to the development of Acne Vulgaris. It is essential to acknowledge the variability in research outcomes. While certain studies propose that excessive facial cleansing may worsen Acne Vulgaris due to potential skin irritation and glandular complications, others recommend a minimum of twice-daily facial cleansing with a gentle cleanser to maintain skin well-being. The optimal cleansing frequency may depend on individual skin conditions and the presence of comedonal lesions.

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Knowledge, Attitudes, and Practices of Hygiene and the Prevention of Trachoma in the Indigenous Population of the Colombian Amazon Vaupés Department

Trujillo-Trujillo

Meza-Cárdenas

Sánchez

et al. 2023

IJERPH

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The Colombian program to end trachoma implements the component F of the SAFE strategy in the Vaupés department of the Amazon rainforest. Cultural, linguistic, and geographical barriers and the coexistence of an ancestral medical system demand the technical and sociocultural adaptation of this component. A cross-sectional survey combined with focus-group discussions to understand the knowledge, attitudes, and practices of the indigenous population related to trachoma was conducted in 2015. Of the 357 heads of households that participated, 45.1% associated trachoma with a lack of hygiene, and 94.7% associated the concept of hygiene with taking one or more body baths per day, using commercial or handcrafted soap. In total, 93% reported cleaning their children’s faces and eyes more often when they have conjunctivitis, but 66.1% also did this with clothes or towels in use, and 52.7% of people shared towels; in total, 32.8% indicated that they would use ancestral medicine to prevent and treat trachoma. The SAFE strategy in Vaupés requires an intercultural approach to facilitate stakeholder support and participation to promote general and facial hygiene, washing clothes with soap, and not sharing towels and clothes to dry and clean children’s faces for effective and sustainable elimination of trachoma as a public health problem. This qualitative assessment facilitated an intercultural approach locally and in other Amazonian locations.

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Environmental factors and hygiene behaviors associated with facial cleanliness and trachoma in Kongwa, Tanzania

Cited by 4 publications

References 27 publications

Quantifying Factors Associated with Personal Hygiene as Measured by the qPHAT Methodology: Andilaye Trial, Ethiopia

Quantifying Factors Associated with Personal Hygiene as Measured by the qPHAT Methodology: Andilaye Trial, Ethiopia

Exploring the Connection Between Facial Skin Cleansing Habits and Acne Vulgaris: A Comprehensive Review

Knowledge, Attitudes, and Practices of Hygiene and the Prevention of Trachoma in the Indigenous Population of the Colombian Amazon Vaupés Department

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