Abstract

Hand hygiene practices are important not only during the corona virus disease 2019 (COVID-19) pandemic, but also critical to prevent the possible spread of other infectious diseases. This study aims to examine the current hand hygiene behaviors during the COVID-19 pandemic, post pandemic behavior intentions, and the relationship between behavior, psychosocial and contextual factors. A cross-sectional online survey was conducted from 28 May to 12 June 2020, with 896 valid responses obtained from Indonesian citizens over 18 years old. The survey questions included demographic characteristics, individual practices, risk perceptions, attitude, norm factors and ability factors related to hand hygiene during the COVID-19 pandemic. Descriptive analysis, chi square and multiple logistic regression tests were used to analyse the data. The results showed that 82.32% of female respondents and 73.37% male respondents reported handwashing practice 8 times or more per day during COVID-19 pandemic. Participants who perceived themselves at higher risk of contracting SARS-CoV-2 (OR 7.08, 2.26–22.17), had less negative perception toward the practice (OR 1.93, 1.32–2.82), perceived handwashing as an effective preventive measure (OR 1.77, 1.23–2.54), were female (OR 1.71, 1.21–2.41), perceived a more supportive norm (OR 1.68, 1.15–2.44) and noticed more barriers in access to handwashing facilities (OR 1.57, 1.05–2.36) were more likely to engage in hand hygiene practice more frequently during the pandemic. In conclusion, the majority of respondents did increase their frequency of hand hygiene practices during COVID-19 pandemic. In line with previous studies in other pandemic contexts, sex, perceived susceptibility and effectiveness are important predictors of hand hygiene practices, which are similar to findings from previous studies in other pandemic contexts. Addressing social norm related to the perceived hand hygiene practices of friends and important people is a potential health promotion strategy by creating hand hygiene norms in the community.

Highlights

  • Corona virus disease 2019 (COVID-19) is a disease caused by severe acute respiratory syndrome coronavirus 2 (SARS CoV-2), a pathogen similar to SARS coronavirus that causes respiratory disease [1]

  • The 896 respondents who participated in this survey represented many provinces of Indonesia and mostly originated from provinces with mid- level category of COVID-19 cases

  • This study examines the frequency of hand hygiene practices before and during the COVID-19 pandemic in Indonesia 10 weeks following the first announcement of social restrictions in

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Summary

Introduction

Corona virus disease 2019 (COVID-19) is a disease caused by severe acute respiratory syndrome coronavirus 2 (SARS CoV-2), a pathogen similar to SARS coronavirus that causes respiratory disease [1]. People with COVID-19 can suffer from mild infection to very severe disease. The SARS CoV2 is carried in the nasopharynx, spreading mainly through saliva droplets or nasal discharge when an infected person coughs or sneezes [2]. The first cases of COVID19 in Indonesia were announced by President Jokowi on March 2, 2020 in Jakarta. By 19th October, the Indonesian COVID-19 task Force reported 361,867 confirmed cases, 125,111 COVID-19 related deaths and 285,324 people recovered from COVID-19 [3]. The Government of Indonesia has subsequently recommended a strategy to prevent transmission by performing the “three M’s,” which stand for: memakai masker (using a mask), menjaga jarak (maintaining physical distance of 1 to 1.5 m) and mencuci tangan pakai sabun (handwashing with soap)

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