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Exploring the links between water, sanitation and hygiene and disability; Results from a case-control study in Guatemala

OBJECTIVE: To assess the Water, Sanitation and Hygiene (WASH) access and appropriateness of people with disabilities compared to those without, in Guatemala. METHODS: A case-control study was conducted, nested within a national survey. The study included 707 people with disabilities, and 465 age- an...

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Autores principales: Kuper, Hannah, Mactaggart, Islay, White, Sian, Dionicio, Carlos, Cañas, Rafael, Naber, Jonathan, Polack, Sarah, Biran, Adam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5983415/
https://www.ncbi.nlm.nih.gov/pubmed/29856770
http://dx.doi.org/10.1371/journal.pone.0197360
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author Kuper, Hannah
Mactaggart, Islay
White, Sian
Dionicio, Carlos
Cañas, Rafael
Naber, Jonathan
Polack, Sarah
Biran, Adam
author_facet Kuper, Hannah
Mactaggart, Islay
White, Sian
Dionicio, Carlos
Cañas, Rafael
Naber, Jonathan
Polack, Sarah
Biran, Adam
author_sort Kuper, Hannah
collection PubMed
description OBJECTIVE: To assess the Water, Sanitation and Hygiene (WASH) access and appropriateness of people with disabilities compared to those without, in Guatemala. METHODS: A case-control study was conducted, nested within a national survey. The study included 707 people with disabilities, and 465 age- and sex-matched controls without disabilities. Participants reported on WASH access at the household and individual level. A sub-set of 121 cases and 104 controls completed a newly designed, in-depth WASH questionnaire. RESULTS: Households including people with disabilities were more likely to use an improved sanitation facility compared to control households (age-sex-adjusted OR: 1.7, 95% CI 1.3–2.5), but otherwise there were no differences in WASH access at the household level. At the individual level, people with disabilities reported greater difficulties in relation to sanitation (mean score 26.2, SD 26.5) and hygiene access and quality (mean 30.7, SD 24.2) compared to those without disabilities (15.5, 21.7, p<0.001; 22.4, 19.1, p<0.01). There were no differences in different aspects of water collection between people with and without disabilities in this context where over 85% of participants had water piped into their dwelling. Among people with disabilities, older adults were more likely to experience difficulties in hygiene and sanitation than younger people with disabilities. CONCLUSIONS: People with disabilities in Guatemala experience greater difficulties in accessing sanitation facilities and practicing hygienic behaviours than their peers without disabilities. More data collection is needed using detailed tools to detect these differences, highlight which interventions are needed, and to allow assessment of their effectiveness.
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spelling pubmed-59834152018-06-17 Exploring the links between water, sanitation and hygiene and disability; Results from a case-control study in Guatemala Kuper, Hannah Mactaggart, Islay White, Sian Dionicio, Carlos Cañas, Rafael Naber, Jonathan Polack, Sarah Biran, Adam PLoS One Research Article OBJECTIVE: To assess the Water, Sanitation and Hygiene (WASH) access and appropriateness of people with disabilities compared to those without, in Guatemala. METHODS: A case-control study was conducted, nested within a national survey. The study included 707 people with disabilities, and 465 age- and sex-matched controls without disabilities. Participants reported on WASH access at the household and individual level. A sub-set of 121 cases and 104 controls completed a newly designed, in-depth WASH questionnaire. RESULTS: Households including people with disabilities were more likely to use an improved sanitation facility compared to control households (age-sex-adjusted OR: 1.7, 95% CI 1.3–2.5), but otherwise there were no differences in WASH access at the household level. At the individual level, people with disabilities reported greater difficulties in relation to sanitation (mean score 26.2, SD 26.5) and hygiene access and quality (mean 30.7, SD 24.2) compared to those without disabilities (15.5, 21.7, p<0.001; 22.4, 19.1, p<0.01). There were no differences in different aspects of water collection between people with and without disabilities in this context where over 85% of participants had water piped into their dwelling. Among people with disabilities, older adults were more likely to experience difficulties in hygiene and sanitation than younger people with disabilities. CONCLUSIONS: People with disabilities in Guatemala experience greater difficulties in accessing sanitation facilities and practicing hygienic behaviours than their peers without disabilities. More data collection is needed using detailed tools to detect these differences, highlight which interventions are needed, and to allow assessment of their effectiveness. Public Library of Science 2018-06-01 /pmc/articles/PMC5983415/ /pubmed/29856770 http://dx.doi.org/10.1371/journal.pone.0197360 Text en © 2018 Kuper et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Kuper, Hannah
Mactaggart, Islay
White, Sian
Dionicio, Carlos
Cañas, Rafael
Naber, Jonathan
Polack, Sarah
Biran, Adam
Exploring the links between water, sanitation and hygiene and disability; Results from a case-control study in Guatemala
title Exploring the links between water, sanitation and hygiene and disability; Results from a case-control study in Guatemala
title_full Exploring the links between water, sanitation and hygiene and disability; Results from a case-control study in Guatemala
title_fullStr Exploring the links between water, sanitation and hygiene and disability; Results from a case-control study in Guatemala
title_full_unstemmed Exploring the links between water, sanitation and hygiene and disability; Results from a case-control study in Guatemala
title_short Exploring the links between water, sanitation and hygiene and disability; Results from a case-control study in Guatemala
title_sort exploring the links between water, sanitation and hygiene and disability; results from a case-control study in guatemala
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5983415/
https://www.ncbi.nlm.nih.gov/pubmed/29856770
http://dx.doi.org/10.1371/journal.pone.0197360
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