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Childhood Handwashing Habit Formation and Later COVID-19 Preventive Practices: A Cohort Study
OBJECTIVE: This study identified developmental patterns of handwashing habit formation during childhood and examined their associations with later COVID-19 preventive practices. METHODS: We used data from the Taiwan Birth Cohort Study, which included 11,254 adolescents with complete data on childhoo...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
by Academic Pediatric Association
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9290330/ https://www.ncbi.nlm.nih.gov/pubmed/35863735 http://dx.doi.org/10.1016/j.acap.2022.05.014 |
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author | Chang, Ling-Yin Wang, C. Jason Chiang, Tung-liang |
author_facet | Chang, Ling-Yin Wang, C. Jason Chiang, Tung-liang |
author_sort | Chang, Ling-Yin |
collection | PubMed |
description | OBJECTIVE: This study identified developmental patterns of handwashing habit formation during childhood and examined their associations with later COVID-19 preventive practices. METHODS: We used data from the Taiwan Birth Cohort Study, which included 11,254 adolescents with complete data on childhood handwashing behavior and age-15 COVID-19 survey items. Bias-adjusted 3-step latent class analysis was used to test study hypotheses. RESULTS: The rates of handwashing and mask-wearing during the pandemic were 63.8% and 93.8%, respectively. Five distinct patterns of handwashing habit formation were identified: early formation (14.89%), delayed formation (17.73%), gradual formation (42.98%), inconsistent formation (9.78%), and nonformation (14.62%). Compared with adolescents with an early formation pattern of handwashing habits, those with other patterns exhibited lower odds ratios (ORs) of handwashing during COVID-19; these ORs were 0.67 (95% confidence interval [CI], 0.49–0.85), 0.60 (95% CI, 0.44–0.77), 0.29 (95% CI, 0.08–0.49), and 0.21 (95% CI, 0.01–0.40) for those with delayed formation, gradual formation, inconsistent formation, and nonformation patterns, respectively. Moreover, relative to that of adolescents with the early formation pattern, mask-wearing was less common among adolescents with gradual formation, inconsistent formation, and nonformation patterns, with ORs of 0.54 (95% CI, 0.16–0.92), 0.50 (95% CI, 0.03–0.96), and 0.26 (95% CI, 0.00–0.65), respectively. CONCLUSIONS: The early formation of hygienic habits is associated with higher adherence to pandemic preventive practices among adolescents. Our findings suggest that interventions to promote hygienic behaviors can start as early as age 3 through the introduction of healthy habits such as handwashing. |
format | Online Article Text |
id | pubmed-9290330 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | by Academic Pediatric Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-92903302022-07-18 Childhood Handwashing Habit Formation and Later COVID-19 Preventive Practices: A Cohort Study Chang, Ling-Yin Wang, C. Jason Chiang, Tung-liang Acad Pediatr Article OBJECTIVE: This study identified developmental patterns of handwashing habit formation during childhood and examined their associations with later COVID-19 preventive practices. METHODS: We used data from the Taiwan Birth Cohort Study, which included 11,254 adolescents with complete data on childhood handwashing behavior and age-15 COVID-19 survey items. Bias-adjusted 3-step latent class analysis was used to test study hypotheses. RESULTS: The rates of handwashing and mask-wearing during the pandemic were 63.8% and 93.8%, respectively. Five distinct patterns of handwashing habit formation were identified: early formation (14.89%), delayed formation (17.73%), gradual formation (42.98%), inconsistent formation (9.78%), and nonformation (14.62%). Compared with adolescents with an early formation pattern of handwashing habits, those with other patterns exhibited lower odds ratios (ORs) of handwashing during COVID-19; these ORs were 0.67 (95% confidence interval [CI], 0.49–0.85), 0.60 (95% CI, 0.44–0.77), 0.29 (95% CI, 0.08–0.49), and 0.21 (95% CI, 0.01–0.40) for those with delayed formation, gradual formation, inconsistent formation, and nonformation patterns, respectively. Moreover, relative to that of adolescents with the early formation pattern, mask-wearing was less common among adolescents with gradual formation, inconsistent formation, and nonformation patterns, with ORs of 0.54 (95% CI, 0.16–0.92), 0.50 (95% CI, 0.03–0.96), and 0.26 (95% CI, 0.00–0.65), respectively. CONCLUSIONS: The early formation of hygienic habits is associated with higher adherence to pandemic preventive practices among adolescents. Our findings suggest that interventions to promote hygienic behaviors can start as early as age 3 through the introduction of healthy habits such as handwashing. by Academic Pediatric Association 2022 2022-07-18 /pmc/articles/PMC9290330/ /pubmed/35863735 http://dx.doi.org/10.1016/j.acap.2022.05.014 Text en Copyright © 2022 by Academic Pediatric Association. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Article Chang, Ling-Yin Wang, C. Jason Chiang, Tung-liang Childhood Handwashing Habit Formation and Later COVID-19 Preventive Practices: A Cohort Study |
title | Childhood Handwashing Habit Formation and Later COVID-19 Preventive Practices: A Cohort Study |
title_full | Childhood Handwashing Habit Formation and Later COVID-19 Preventive Practices: A Cohort Study |
title_fullStr | Childhood Handwashing Habit Formation and Later COVID-19 Preventive Practices: A Cohort Study |
title_full_unstemmed | Childhood Handwashing Habit Formation and Later COVID-19 Preventive Practices: A Cohort Study |
title_short | Childhood Handwashing Habit Formation and Later COVID-19 Preventive Practices: A Cohort Study |
title_sort | childhood handwashing habit formation and later covid-19 preventive practices: a cohort study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9290330/ https://www.ncbi.nlm.nih.gov/pubmed/35863735 http://dx.doi.org/10.1016/j.acap.2022.05.014 |
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