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Malika NM, Barbagelatta G, Penny M, et al. Impact of Housing and Infrastructure on handwashing in Peru. Int Health. 2021;13(6):615-623doi: 10.1093/inthealth/ihaa008.
Malika, N. M., Barbagelatta, G., Penny, M., Reynolds, K. A., & Sinclair, R. (2021). Impact of Housing and Infrastructure on handwashing in Peru. International health, 13(6), 615-623. https://doi.org/10.1093/inthealth/ihaa008
Malika, Nipher M, et al. "Impact of Housing and Infrastructure on handwashing in Peru." International health vol. 13,6 (2021): 615-623. doi: https://doi.org/10.1093/inthealth/ihaa008
Malika NM, Barbagelatta G, Penny M, Reynolds KA, Sinclair R. Impact of Housing and Infrastructure on handwashing in Peru. Int Health. 2021 Dec 01;13(6):615-623. doi: 10.1093/inthealth/ihaa008. PMID: 32239138.
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Int Health. 2021 Dec 01;13(6):615-623. doi: 10.1093/inthealth/ihaa008.

Impact of Housing and Infrastructure on handwashing in Peru.

International health

Nipher M Malika, Guisella Barbagelatta, Mary Penny, Kelly A Reynolds, Ryan Sinclair

Affiliations

  1. Loma Linda University School of Public Health, 11188 Anderson Street, Loma Linda, CA 92350, USA.
  2. Instituto de Investigacion Nutricional, Av. La Molina 1885 Peru.
  3. University of Arizona, Mel and Enid Zuckerman College of Public Health, 1295 N. Martin Avenue Tucson, AZ, USA.

PMID: 32239138 DOI: 10.1093/inthealth/ihaa008

Abstract

BACKGROUND: The metropolitan area of Lima, Peru has a third of the nation's population living in slum dwellings that are hypothesized to contribute to inefficient household hygienic practices. The purpose of this study was to quantitatively assess which living conditions have the greatest impact on handwashing practices.

METHODS: A cross-sectional epidemiological design of participants ≥16 y of age from San Juan de Miraflores, a slum on the outskirts of Lima, Peru, was used. Poisson regression was applied to assess the impact of living conditions on handwashing practices.

RESULTS: We could not demonstrate a relationship between living conditions (home structure, overcrowding, water, grey water disposal) and reported handwashing. The reported lack of handwashing is associated with the number of children in the home (those with children <5 y of age were more likely not to report washing their hands) and length of stay in the slum in years.

CONCLUSIONS: Living conditions play an important role in one's health, therefore improved study designs are needed to determine which strategies are likely to be the most effective in improving outcomes for slum dwellers.

© The Author(s) 2020. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.

Keywords: Peru; handwashing; hygiene practices; living conditions; slums

Publication Types

Grant support