Factors Associated with Personal Hygiene, use of Personal Protective Equipment, and the Risk of Contact Dermatitis among Scavengers: A Path Analysis Evidence from Surakarta, Central Java
Abstract
Background: Scavengers with poor personal hygiene and do not use complete personal protective equipment (PPE) are at risk of developing contact dermatitis. This study aimed to analyze factors associated with personal hygiene, use of personal protectif equipment, and the risk of contact dermatitis among scavengers using path analysis and health belief model.
Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted at Putri Cempo landfill, Surakarta, Central Java. A sample of 203 scavengers was selected by total sampling. The dependent variable was contact dermatitis. The independent variables were personal hygiene, PPE, perceived susceptibility, perceived severity, perceived benefit, self-efficacy, cues to action, social support, education, and age. The data were collected by questionnaire and analyzed by path analysis.
Results: The risk of contact dermatitis was directly and positively affected by poor individual hygiene (b= 4.58; 95% CI= 1.42 to 3.55; p<0.001) and incomplete PPE (b= 5.52; 95% CI= 2.38 to 5.01; p<0.001). The risk of contact dermatitis was indirectly affected by and ages 15-35 years, perceived benefit, cues to action, self-efficacy, perceived susceptibility, perceived severity, low education, and social support.
Conclusion: The risk of contact dermatitis is directly and positively affected by poor individual hygiene and incomplete PPE. The risk of contact dermatitis is indirectly affected by and ages 15-35 years, perceived benefit, cues to action, self-efficacy, perceived susceptibility, perceived severity, low education, and social support.
Keywords: personal protective equipment, contact dermatitis, personal hygiene, health belief model, path analysis
Correspondence:
Niken Kartika Sari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: knikenkartika@gmail.com. Mobile: 085229509061.
Journal of Health Promotion and Behavior (2019), 4(3): 198-211
https://doi.org/10.26911/thejhpb.2019.04.03.05
References
Adisesh A, Robinson E, Nicholson PJ, Sen D, Wilkinson M (2013). U.K. Standards of care for occupational contact dermatitis and occupational contact urticaria. Br J Dermatol. 1-68(6): 1167–1175. https://doi.org/10.1111/bjd.12256
Agustin DA, Prasetyo AA, Murti B (2018). A path analysis on adherence to antiretroviral therapy among HIV/ AIDS patients at Dr. Moewardi Hospital, Surakarta using health belief model. J Health Promot Behav. 03(01): 48–55. https://doi.org/10.26911/thejhpb.2018.03.01.05
Albayrak S, Çakır B, Kılınç FN, Vergili Ö, Erdem Y (2018). Reliability and validity study of the Turkish version of child and adolescent social support scale for healthy behaviors. Asian Nurs Res. 12(4): 273–278. https://doi.org/10.1016/j.anr.2018.10.004
Arisa A, Soemanto RB, Rahardjo SS (2017). The effect of internal and external factors on preventive reproductive health behaviors in adolescents, in Banjarmasin, Kalimantan, J Health Promot Behav. 2(4): 350-358. https://doi.org/10.26911/thejhpb.2017.02.04.07
Aunger R, Greenland K, Ploubidis G, Schmidt W, Oxford J, Curtis V (2016). The determinants of reported personal and household hygiene behaviour: a multi country study. Plos One. 14(8): 1-35. https://doi.org/10.1371/journal.pone.0159551
Bhoyrul B, Lecamwasam K, Wilkinson M, Latheef F, Stocks SJ, Agius R, Carder M (2019). A review of non-glove personal protective equipment-related occupational dermatoses reported to epiderm between 1993 and 2013. Contact Dermatitis. 80(4): 217–221.https://doi.org/10.1111/cod.13177
Campbell K, Baker B, Tovar A, Economos E, Williams B, McCauley L (2017). The association between skin rashes and work environment, personal protective equipment, and hygiene practices among female farmworkers. Work-place Health and Saf. 65(7): 313–321. https://doi.org/10.1177/21650799166-71955
Carder M, McNamee R, Gittins M, Agius R (2017). Time trends in the incidence of work-related ill-health in the UK, 1996-2016: estimation from THOR surveillance data report to the UK health and safety executive (August): 1996–2016. Retrieved from http://www.hse.gov.uk/statistics/pdf/thortrends17.pdf
Christopher J, McKinley, Paul J, Wright (2014). Informational social support and online health information seeking:
Examining the association between factors contributing to healthy eating behavior. Comput Human Behav. 37(2014): 107-116. http://dx.doi.org/10.1016/j.chb.2014.04.023
Dinas Lingkungan Hidup (2019). Monthly waste volume data of Surakarta City in 2017. Retrieved from http://dlh.surakarta.go.id/new/?pasid=24
Johnston GA, Exton LS, Mustapa MF, Slack JA, Coulson IH, English JSC, Bourke JF (2017). British association of dermatologists’ guidelines for the management of contact dermatitis 2017. Br J Dermatol. 176(2): 317–329. https://doi.org/10.1111/bjd.15239
Lee LT, Bowen PG, Mosley MK, Turner CC (2017). Theory of planned behavior: social support and diabetes self-management. J Nurse Pract. 13(4): 265–270. https://doi.org/10.1016/j.nurpra.2016.07.013
McKinley CJ, Wright PJ (2014). Informational social support and online health information seeking: examining the association between factors contributing to healthy eating behavior. Comput Human Behav. 37: 107–116. https://doi.org/10.1016/j.chb.2014.04.023
Novianingrum, Mulasari SA (2017). Characteristics of scavengers with skin diseases in Wukisari. Kemas. 13(2): 224-229. https://doi.org/.224–229.10.15294/kemas.v13i2.4729
Nyathi S, Olowoyo JO, Oludare A (2018). Perception of scavengers and occupational health hazards associated with scavenging from a waste dumpsite in Pretoria, South Africa. J Environ Public Health. 2018(9458156): 7. https://doi.org/http://dx.doi.org/10.1155/20189458156
Otaibi STA, Alqahtani HAM (2015). Management of contact dermatitis. J Dermatol. 1-6. https://doi.org/10.1016/j.jdds.2015.01.001
Pardiansyah R (2015). Association between personal protective equipment with contact dermatitis in scavengers. J Majority. 4(4): 80-87. Retrieved from https://www.semanticscholar.org/paper/association-between-personal-protective-equipment-pardiansyah/fdd14045-f17b4f40ac29a3454deb257cd6c26a98
Permenaker (2010). Minister of manpower and transmigration of the Republic of Indonesia. 1–8.
Ren Y, Zhang Y, Castro CB, Loy JP (2018). Unhealthy consumption behaviors and their intergenerational persistence: the role of education. Chin J Popul Sci. 1-69 https://doi.org/10.1016/j.chieco.2018.08.004
Sari SAAY, Indarto D, Wijaya M (2018). Application of health belief model on preventive behaviors of patients with low back pain. J Health Promot Behav. 3(3): 192–198. https://doi.org/10.26911/thejhpb.2018.03.03.06
Silvestre MC, Dos RVMS (2018). Evaluation of the profile of inflammatory cytokines, through immunohistochemistry, in the skin of patients with allergic contact dermatitis to nickel in the acute and chronic phases. A Bras Dermatol. 93(6): 829–835. https://doi.org/10.1590/abd18064841.20187126
Siswandwika HD, Murti B, Dharmawan R (2017). Biopshychosocial and economic determinants of personal hygiene in the prevention of diarrheal diseases in Sragen District, Central Java. J Health Promot Behav. 02(01): 1–14. https://doi.org/10.26911/thejhpb.2017.02.01.01
Sproten AN, Diener C, Fiebach CJ, Schwieren C (2018). Decision making and age: factors influencing decision making under uncertainty. J Behav Exp Econ. 76: 43–54. https://doi.org/10.1016/j.socec.2018.07.002
Suryani ND, Martini, Susanto HS (2017) Comparison of risk factors for the incidence of irritant contact dermatitis from salt farmers and rice farmers in Kaliori District, Rembang Regency. JKM. 5(4):444-454. Retrieved from https://ejournal3.undip.ac.id/index.php/jkm/article/view/18661
Thirtarattanasunthon P, Siriwong W, Robson M, Borjan M (2012). Health risk reduction behaviors model for scavengers exposed to solid waste in municipal dump sites in Nakhon Ratchasima Province, Thailand. Risk Manag Health. 5: 97–104. https://doi.org/10.2147/RMHP.S30707
Wright T, Adhikari A, Yin J, Vogel R, Smallwood S, Shah G (2019). Issue of compliance with use of personal protective equipment among wastewater workers across the southeast region of the United States. Int J Environ Public Health. 16(11): 1-18. https://doi.org/10.3390/ijerph16112009
Zolnikov TR, Silva RC, Tuesta AA, Marques CP, Cruvinel VRN (2018). Ineffective waste site closures in Brazil: a systematic review on continuing health conditions and ocupational hazards of waste collectors. Waste Manag. 80: 26–39. https://doi.org/10.1016/j.wasman.2018.08.047
