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BMC Public Health
Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

Does depression moderate handwashing in children?

Authors: Jurgita Slekiene, Hans-Joachim Mosler

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

Although diarrheal diseases are preventable and treatable, they are the leading cause of child mortality and morbidity as a consequence of poor hygiene and contaminated water. Handwashing with soap is an effective method for preventing and decreasing the incidence of diarrhea. However, mental disorders such as depression can substantially moderate an individual’s ability to cope with daily life and can exert a negative influence on daily hygiene activities such as handwashing with soap, especially in children. The aim of this study was to explain the influence of depression on pupils’ hand-washing behavior in Zimbabwe.

Methods

In a cross-sectional study, face-to-face interviews were carried out with primary school pupils in peri-urban Harare, Zimbabwe (n = 556) using a quantitative questionnaire to assess handwashing and its behavioral determinants in school settings. The Center for Epidemiological Studies Depression Scale for Children (CES-DC) was used to assess depression.

Results

More than half of the assessed children were depressed. Self-reported handwashing with soap among depressed children was significantly lower than among non-depressed children. Almost all behavioral determinants of hand-washing behavior were significantly lower in depressed children. The behavioral determinants worked differently in the depressed children than in the non-depressed children’s group. The effects of important behavioral determinants on handwashing were moderated by depression.

Conclusions

Depression exerts a negative influence on handwashing in children. These results suggest depression-relieving measures should be conducted together with any water, sanitation, and hygiene (WASH) interventions to make such interventions more effective.
Literature
1.
2.
Curtis V, Cairncross S. Effect of washing hands with soap on diarrhoea risk in the community: a systematic review. Lancet Infect Dis. 2003;3:275–81.CrossRefPubMed
3.
Curtis V, Schmidt W, Luby S, Florez R, Touré O, Biran A. Hygiene: new hopes, new horizons. Lancet Infect Dis. 2011;11:312–21.CrossRefPubMed
4.
Peal A, Evans B, van der Voorden C. Hygiene and sanitation software. An overview of approaches. Water Supply and Sanitation Collaborative Council: Geneva, Switzerland; 2010.
5.
6.
Biran A, Schmitdt W-P, Varadharajan KS, Rajaraman D, Kumar R, Greenland K, et al. Effect of a behaviour-change intervention on handwashing with soap in India (SuperAmma): a cluster-randomised trial. Lancet Glob Health. 2014;2(3):e145–54.CrossRefPubMed
7.
Lopez-Quintero C, Freeman P, Neumark Y. Handwashing among school children in Bogota. Colombia Am J Public Health. 2009;99:94–101.CrossRefPubMed
8.
Patel V, Abas M, Broadhead J, Todd C, Reeler A. Depression in developing countries: lessons from Zimbabwe. BMJ Clin Res. 2001;322(7284):482–4.CrossRef
9.
10.
Allgower A, Wardle J, Steptoe A. Depressive symptoms, social support, and personal health behaviors in young men and women. Health Psychol. 2001;20:223–7.CrossRefPubMed
11.
Norris F, Friedman M, Watson P. 60,000 disaster victims speak: part II, summary and implications of the disaster mental health research. Psychiatry. 2002;65:240–60.CrossRefPubMed
12.
13.
Langhaug LF, Cheung YB, Pascoe S, Hayes R, Cowan FM. Difference in prevalence of common mental disorder as measured using four questionnaire delivery methods among young people in rural Zimbabwe. J Affect Disord. 2009;118:220–3.CrossRefPubMedPubMedCentral
14.
Hawkins WE, Hawkins MJ, Seeley J. Stress, health-related behavior and quality of life on depressive symptomatology in a sample of adolescents. Psychol Rep. 1992;71:183–6.CrossRefPubMed
15.
Contzen N, Meili IH, Mosler H-J. Changing handwashing behaviour in southern Ethiopia: a longitudinal study on infrastructural and commitment interventions. Soc Sci Med. 2015;124:103–14.CrossRefPubMed
16.
Contzen N, Mosler H-J. Impact of different promotional channels on handwashing behaviour in an emergency context: Haiti post-earthquake public health promotions and cholera response. J Public Health. 2013;21:559–73.CrossRef
17.
Mosler H-J. A systematic approach to behavior change interventions for the water and sanitation sector in developing countries: a conceptual model, a review, and a guideline. Int J Environ Health Res. 2012;22(5):431–49.CrossRefPubMed
18.
19.
20.
Sonego IL, Huber AC, Mosler H-J. Does the implementation of hardware need software? A longitudinal study on fluoride-removal filter use in Ethiopia. Environ Sci Technol. 2013;47:12661–8.CrossRefPubMed
21.
Piaget J. The origins of intelligence in children. New York: International Universities Press; 1952.CrossRef
22.
Crain W. Theories of development: concepts and applications. 5th ed. New York: Pearson Education; 2005.
23.
Narayan JS, Heward WL, Gardner R, Courson FH, Omness CK. Using response cards to increase student participation in an elementary classroom. J Appl Behav Anal. 1990;23:483–90.CrossRefPubMedPubMedCentral
24.
Randolph JJ. Meta-analysis of the research on response cards: effects on test achievement, quiz achievement, participation, and off-task behavior. J Posit Behav Interv. 2007;9:113–28.CrossRef
25.
26.
Weissman MM, Orvaschel H, Padian N. Children's symptom and social functioning self- report scales: comparison of mothers' and children's reports. J Nerv Ment Dis. 1980;168(12):736–40.CrossRefPubMed
27.
Faulstich ME, Carey MP, Ruggiero L, Enyart P, Gresham F. Assessment of depression in childhood and adolescence: an evaluation of the Center for Epidemiological Studies Depression Scale for children (CES-DC). Am J Psychiatry. 1986;143(8):1024–7.CrossRefPubMed
28.
Fendrich M, Weissman MM, Warner V. Screening for depressive disorder in children and adolescents: validating the center for epidemiologic studies depression scale for children. Am J Epidemiol. 1990;131(3):538–51.CrossRefPubMed
29.
30.
Field AP. Discovering statistics using IBM SPSS statistics: and sex and drugs and rock 'n' roll. 4th ed. London: Sage Publications; 2013.
31.
Hayes AF. Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York: Guilford; 2013.
32.
33.
Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84:191–215.CrossRefPubMed
34.
Schwarz N. Emotion, cognition, and decision making. Cogn Emot. 2000;14:433–40.CrossRef
35.
Beck AT. Thinking and depression 1: idiosyncratic content and cognitive distortions. Arch Gen Psychiatry. 1963;9:324–33.CrossRefPubMed
36.
Beck AT. Depression: clinical, experimental, and theoretical aspects. New York: Harper & Row; 1967.
37.
Abela JRZ, D'Alessandro DU. Beck's cognitive theory of depression: a test of the diathesis-stress and causal mediation components. Brit J Clin Psychol. 2002;41:111–28.CrossRef
38.
Strong WB, Malina RM, Blimkie CJ, Daniels SR, Dishman RK, Gutin B, et al. Evidence-based physical activity for school-age youth. J Pediatr. 2005;146:732–7.CrossRefPubMed
39.
Haaga DAF, Beck AT. Perspectives of depressive realism: implications for cognitive theory of depression. Behav Res Ther. 1995;33:41–8.CrossRefPubMed
Metadata
Title
Does depression moderate handwashing in children?
Authors
Jurgita Slekiene
Hans-Joachim Mosler
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-017-4638-4

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