You are here: Home > Research > Publications > Full record view

Full record view

Back to list

Three kinds of psychological determinants for hand-washing behaviour in Kenya.

Aunger, R.; Schmidt, W.P.; Ranpura, A.; Coombes, Y.; Maina, P.M.; Matiko, C.N.; Curtis, V.;
Soc Sci Med, 2009; 70(3):383-91
Edit
Delete
Code Authors

pub_id
19914758
pubmedid
19914758
ISI
274321500007
reference_type
author
Aunger, R.; Schmidt, W.P.; Ranpura, A.; Coombes, Y.; Maina, P.M.; Matiko, C.N.; Curtis, V.;
title
Three kinds of psychological determinants for hand-washing behaviour in Kenya.
secondary_title
Soc Sci Med
ISBNISSN
1873-5347
volume
70
number
3
pages
383-91
year
2009
abstract
Washing hands with soap at the right times - primarily after contact with faeces, but also before handling food or feeding an infant - can significantly reduce the incidence of childhood infectious disease. Here, we present empirical results which substantiate a recent claim that washing hands can be the consequence of different kinds of psychological causes. Such causes can be divided into three kinds of control over behaviour: automatic or habitual responses, motivated or goal-driven behaviour to satisfy needs, and cognitive causes which reflect conscious concerns. Empirical results are based on 3-h-long structured observations of hand-washing behaviour in 802 nationally representative Kenyan households with children under five, and structured interviews with the primary female caretaker in these households, collected in March 2007. Factor analysis of questionnaire responses identified three psychological factors which are also significant predictors of observed hand-washing behaviour: having the habit of hand-washing at particular junctures during the day, the motivated need for personal or household cleanliness, and a lack of cognitive concern about the cost of soap use. These factors each represent a different kind of psychological cause. A perceived link between clean hands and sexual attractiveness also appeared in the factor analysis, but was not a determinant of actual behaviour. We also report evidence that those who express concern about the cost of soap use are those with relatively few economic resources. We suggest that those developing hygiene promotion programmes should consider the possible existence of multiple types of strategies for increasing hand-washing behaviour.
keywords
secondary_author
place_published
publisher
number_of_volumes
tertiary_author
tertiary_title
edition
date
type_of_work
subsidiary_author
alternate_title
call_number
accession_number
custom_1
WOS OK
custom_2
Unknown
custom_3
custom_4
10.1016/j.socscimed.2009.10.038
custom_5
Subscription Required
custom_6
10
label
2016-10-18
notes
Journal Article
url
author_address
London School of Hygiene and Tropical Medicine, ITD, Keppel Street, London, United Kingdom. robert.aunger@lshtm.ac.uk
library
S0277-9536(09)00728-X 10.1016/j.socscimed.2009.10.038 19914758
date_accepted
date_online
created
2009-11-18 11:15:52
modified
2016-07-08 00:00:00
library

<ArticleId IdType="pii">S0277-9536(09)00728-X</ArticleId>
<ArticleId IdType="doi">10.1016/j.socscimed.2009.10.038</ArticleId>
<ArticleId IdType="pubmed">19914758</ArticleId>