P. Padma Sri Lekha, E. P. Abdul Azeez, B. Latha Lavanya, V. Kalyani, Manoj Mathew, S. Giri Prasath, J. Leo Joshwin, U. Nithyasree
{"title":"贫民窟居民的幸福感与wash相关因素有关：来自印度的横断面研究","authors":"P. Padma Sri Lekha, E. P. Abdul Azeez, B. Latha Lavanya, V. Kalyani, Manoj Mathew, S. Giri Prasath, J. Leo Joshwin, U. Nithyasree","doi":"10.1002/hsr2.70811","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background and Aims</h3>\n \n <p>The adverse health outcomes due to unsafe Water, Sanitation, and Hygiene (WaSH) are a public health concern in low-and middle-income countries. However, evidence on how WaSH is associated with psychological outcomes is minimal. Insights on this association would help address the well-being of the slum population. Therefore, this study aimed to understand the association between knowledge, attitude and practice (KAP) of WaSH, water insecurity experiences, and sanitation-related quality of life on the well-being of individuals living in slums.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>We used the KAP of WaSH, water insecurity experience scale, sanitation-related quality of life scale, and WHO well-being index to collect data from adult slum dwellers aged 18 years and above from Vellore, Tamil Nadu, India. We adopted a cross-sectional study design and employed a systematic sampling procedure to select the households. The data was collected through a face-to-face household survey (<i>n</i> = 258; Male = 171; Female = 87). We employed a multiple regression model to understand the association of various factors with well-being.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The results indicated that a positive attitude toward WaSH and higher water insecurity experiences significantly reduced the well-being of the slum dwellers. However, good WaSH practices (<i>β</i> = 0.37; 99% CI = 0.23–0.51) and sanitation-related quality of life (<i>β</i> = 0.38; 99% CI = 0.25–0.50) led to good well-being among slum-dwellers. Also, the presence of toilets significantly contributed to the increase in well-being and sanitation-related quality of life. In summary, the accessibility to water sources, appropriate sanitation facilities, and hygiene practices increased the likelihood of well-being among slum-dwellers.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The results suggest that promoting adherence to proper WaSH practices, enhancing water security, and providing availability and access to toilet facilities for individuals living in slums are important to improving their well-being.</p>\n </section>\n </div>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 7","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hsr2.70811","citationCount":"0","resultStr":"{\"title\":\"The Well-Being of Slum Dwellers Are Associated With WaSH-Related Factors: A Cross-Sectional Study From India\",\"authors\":\"P. Padma Sri Lekha, E. P. Abdul Azeez, B. Latha Lavanya, V. Kalyani, Manoj Mathew, S. Giri Prasath, J. Leo Joshwin, U. Nithyasree\",\"doi\":\"10.1002/hsr2.70811\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background and Aims</h3>\\n \\n <p>The adverse health outcomes due to unsafe Water, Sanitation, and Hygiene (WaSH) are a public health concern in low-and middle-income countries. However, evidence on how WaSH is associated with psychological outcomes is minimal. Insights on this association would help address the well-being of the slum population. Therefore, this study aimed to understand the association between knowledge, attitude and practice (KAP) of WaSH, water insecurity experiences, and sanitation-related quality of life on the well-being of individuals living in slums.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>We used the KAP of WaSH, water insecurity experience scale, sanitation-related quality of life scale, and WHO well-being index to collect data from adult slum dwellers aged 18 years and above from Vellore, Tamil Nadu, India. We adopted a cross-sectional study design and employed a systematic sampling procedure to select the households. The data was collected through a face-to-face household survey (<i>n</i> = 258; Male = 171; Female = 87). We employed a multiple regression model to understand the association of various factors with well-being.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>The results indicated that a positive attitude toward WaSH and higher water insecurity experiences significantly reduced the well-being of the slum dwellers. However, good WaSH practices (<i>β</i> = 0.37; 99% CI = 0.23–0.51) and sanitation-related quality of life (<i>β</i> = 0.38; 99% CI = 0.25–0.50) led to good well-being among slum-dwellers. Also, the presence of toilets significantly contributed to the increase in well-being and sanitation-related quality of life. In summary, the accessibility to water sources, appropriate sanitation facilities, and hygiene practices increased the likelihood of well-being among slum-dwellers.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>The results suggest that promoting adherence to proper WaSH practices, enhancing water security, and providing availability and access to toilet facilities for individuals living in slums are important to improving their well-being.</p>\\n </section>\\n </div>\",\"PeriodicalId\":36518,\"journal\":{\"name\":\"Health Science Reports\",\"volume\":\"8 7\",\"pages\":\"\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2025-07-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hsr2.70811\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Science Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/hsr2.70811\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Science Reports","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/hsr2.70811","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
摘要
背景和目的不安全的水、环境卫生和个人卫生（WaSH）造成的不良健康后果是低收入和中等收入国家关注的公共卫生问题。然而，关于WaSH如何与心理结果相关的证据很少。对这种联系的见解将有助于解决贫民窟人口的福祉问题。因此，本研究旨在了解WaSH的知识、态度和实践（KAP）、水不安全经历以及与卫生相关的生活质量与贫民窟居民福祉之间的关系。方法采用WaSH的KAP、水不安全体验量表、卫生相关生活质量量表和世卫组织幸福指数，收集印度泰米尔纳德邦Vellore市18岁及以上成年贫民窟居民的数据。我们采用了横断面研究设计，并采用了系统的抽样程序来选择家庭。数据通过面对面的家庭调查收集(n = 258；男性= 171；女性= 87)。我们采用多元回归模型来了解各种因素与幸福感的关系。结果对WaSH的积极态度和较高的水不安全经历显著降低了贫民窟居民的幸福感。然而，良好的WaSH实践(β = 0.37；99% CI = 0.23-0.51)和卫生相关的生活质量(β = 0.38；99% CI = 0.25-0.50)导致贫民窟居民的良好幸福感。此外，厕所的存在极大地促进了福祉和与卫生有关的生活质量的提高。总之，获得水源、适当的卫生设施和卫生习惯增加了贫民窟居民幸福的可能性。结论：结果表明，促进遵守正确的WaSH做法，加强水安全，并为生活在贫民窟的个人提供厕所设施，对改善他们的福祉至关重要。
The Well-Being of Slum Dwellers Are Associated With WaSH-Related Factors: A Cross-Sectional Study From India
Background and Aims
The adverse health outcomes due to unsafe Water, Sanitation, and Hygiene (WaSH) are a public health concern in low-and middle-income countries. However, evidence on how WaSH is associated with psychological outcomes is minimal. Insights on this association would help address the well-being of the slum population. Therefore, this study aimed to understand the association between knowledge, attitude and practice (KAP) of WaSH, water insecurity experiences, and sanitation-related quality of life on the well-being of individuals living in slums.
Methods
We used the KAP of WaSH, water insecurity experience scale, sanitation-related quality of life scale, and WHO well-being index to collect data from adult slum dwellers aged 18 years and above from Vellore, Tamil Nadu, India. We adopted a cross-sectional study design and employed a systematic sampling procedure to select the households. The data was collected through a face-to-face household survey (n = 258; Male = 171; Female = 87). We employed a multiple regression model to understand the association of various factors with well-being.
Results
The results indicated that a positive attitude toward WaSH and higher water insecurity experiences significantly reduced the well-being of the slum dwellers. However, good WaSH practices (β = 0.37; 99% CI = 0.23–0.51) and sanitation-related quality of life (β = 0.38; 99% CI = 0.25–0.50) led to good well-being among slum-dwellers. Also, the presence of toilets significantly contributed to the increase in well-being and sanitation-related quality of life. In summary, the accessibility to water sources, appropriate sanitation facilities, and hygiene practices increased the likelihood of well-being among slum-dwellers.
Conclusion
The results suggest that promoting adherence to proper WaSH practices, enhancing water security, and providing availability and access to toilet facilities for individuals living in slums are important to improving their well-being.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
