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Determinants of Latrine Use Behavior: The Psychosocial Proxies of Individual-Level Defecation Practices in Rural Coastal Ecuador.
Lopez, Velma K; Berrocal, Veronica J; Corozo Angulo, Betty; Ram, Pavani K; Trostle, James; Eisenberg, Joseph N S.
Afiliação
  • Lopez VK; Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan.
  • Berrocal VJ; Department of Biostatistics, University of Michigan School of Public Health, Ann Arbor, Michigan.
  • Corozo Angulo B; Universidad Técnica Luis Vargas Torres de Esmeraldas, Esmeraldas, Ecuador.
  • Ram PK; Department of Epidemiology and Environmental Health, University at Buffalo, Buffalo, New York.
  • Trostle J; Department of Anthropology, Trinity College, Hartford, Connecticut.
  • Eisenberg JNS; Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan.
Am J Trop Med Hyg ; 100(3): 733-741, 2019 03.
Article em En | MEDLINE | ID: mdl-30675841
There is increasing appreciation that latrine access does not imply use-many individuals who own latrines do not consistently use them. Little is known, however, about the determinants of latrine use, particularly among those with variable defecation behaviors. Using the integrated behavior model of water, sanitation, and hygiene framework, we sought to characterize determinants of latrine use in rural Ecuador. We interviewed 197 adults living in three communities with a survey consisting of 70 psychosocial defecation-related questions. Questions were excluded from analysis if responses lacked variability or at least 10% of respondents did not provide a definitive answer. All interviewed individuals had access to a privately owned or shared latrine. We then applied adaptive elastic nets (ENET) and supervised principal component analysis (SPCA) to a reduced dataset of 45 questions among 154 individuals with complete data to select determinants that predict self-reported latrine use. Latrine use was common, but not universal, in the sample (76%). The SPCA model identified six determinants and adaptive ENET selected five determinants. Three indicators were represented in both models-latrine users were more likely to report that their latrine is clean enough to use and also more likely to report daily latrine use; while those reporting that elderly men were not latrine users were less likely to use latrines themselves. Our findings suggest that social norms are important predictors of latrine use, whereas knowledge of the health benefits of sanitation may not be as important. These determinants are informative for promotion of latrine adoption.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: População Rural / Banheiros / Saneamento / Higiene / Defecação Tipo de estudo: Prognostic_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Ecuador Idioma: En Revista: Am J Trop Med Hyg Ano de publicação: 2019 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
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XML
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Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: População Rural / Banheiros / Saneamento / Higiene / Defecação Tipo de estudo: Prognostic_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Ecuador Idioma: En Revista: Am J Trop Med Hyg Ano de publicação: 2019 Tipo de documento: Article País de publicação: Estados Unidos