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      Changes of environmental and personal hygiene in rural schools of Henan and Sichuan from 2016 to 2018


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          Objective To investigate the changes of environmental sanitation, health knowledge and behavior of students and diarrhea in rural schools in Henan and Sichuan Provinces from 2016 to 2018, and to provide data for improving environmental sanitation, health literacy, as well as reducing diarrhea and other infectious diseases among rural students.

          Methods Based on the “Community Approach to Total Sanitation (CATS)”, a total of 13 rural primary schools were selected in 2016 and 2018 respectively, including 8 in Henan and 5 in Sichuan. One class of fourth-grade students was selected from each school. Totally 450 students were surveyed in 2016 and 2018, respectively. The drinking water, environmental hygiene, students’ personal hygiene and behavior, and the incidence of diarrhea in recent 3 months were investigated by interview, observation, inquiry and questionnaire.

          Results Between 2016 and 2018, the number of schools providing safe drinking water for students increased from 6 to 8, the number of schools with proper hand washing facilities increased from 9 to 12, the number of schools with hand washing facilities equipped with soap or hand sanitizer increased from 2 to 9, and the number of schools with sanitary toilet type increased from 9 to 12. The awareness rate of students’ total health knowledge increased from 58.74% (793/1 350) to 64.96% (877/1 350), the formation rate of students’ total health behavior increased from 67.78% (1 220/1 800) to 75.28% (1 355/1 800), the proportion of diarrhea in recent 3 months decreased from 36.89% (166/450) to 21.11% (95/450), the differences were statistically significant (χ 2= 11.08, 24.86, 27.20, P<0.05).

          Conclusion The basic environmental sanitation facilities of rural schools in Henan and Sichuan has improved substantially, together with increased students’ health knowledge and hygiene behavior, and decreased incidence of students’ diarrhea.


          【摘要】 目的 了解 2016—2018 年河南和四川农村学校环境卫生、学生卫生知识和行为以及腹泻发生的变化情况, 为改 善农村学校环境卫生、提髙农村学生健康素养以及降低学生腹泻及其他传染性疾病发生率提供数据支持。 方法 以 “整 乡环境卫生全覆盖项目” 为基础, 分别于 2016 和 2018 年, 选择项目所有农村小学共 13 所, 其中河南 8 所, 四川 5 所, 每校 抽取四年级 1 个班的学生, 2016 和 2018 年分别调査 450 名学生, 通过访谈、观察、询问以及调査问卷等方法调査学校饮用 水、环境卫生、学生个人卫生及行为、近 3 个月腹泻发生情况。 结果 2016—2018 年, 为学生提供安全饮水的学校由 6 所增 加到 8 所, 洗手设施能正常使用的学校由 9 所增加到 12 所, 洗手设施配备肥皂或洗手液的学校由 2 所增加到 9 所, 厕所类 型为卫生厕所的学校由 9 所增加到 12 所。学生总卫生知识知晓率由 58.74% (793/1 350) 上升至 64.96% (877/1 350), 总 卫生行为形成率由 67.78% (1 220/1 800) 上升至 75.28% (1 355/1 800), 近 3 个月发生过腹泻的比例由36.89% (166/450) 下降到 21.11% (95/450), 差异均有统计学意义 (χ 2 值分别为 11.08, 24.86, 27.20, P 值均<0.05)。 结论 河南和四川农村学 校基础环境卫生设施明显改善, 学生卫生知识知晓率和卫生行为形成率均有提髙, 学生腹泻发生率下降。

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          Author and article information

          Chinese Journal of School Health
          Chinese Journal of School Health (China )
          01 October 2021
          01 December 2021
          : 42
          : 10
          : 1582-1585
          [1] 1National Center for Rural Water Supply Technical Guidance, Chinese Center for Disease Control and Prevention, Beijing (102200), China
          Author notes
          *Corresponding author: YAO Wei, E-mail: yaowei@ 123456ncrwstg.chinacdc.cn
          © 2021 Chinese Journal of School Health

          This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

          Journal Article

          Ophthalmology & Optometry,Pediatrics,Nutrition & Dietetics,Clinical Psychology & Psychiatry,Public health
          Rural health,Environmental health,Health,Organization and administration


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