@article{ref1,
title="Analysis of factors affecting students going to school toilets in a rural primary school in China",
journal="BMC public health",
year="2021",
author="Zhang, Qi and Hu, Haijuan and Zhao, Jingjing and Shao, Tang",
volume="21",
number="1",
pages="e32-e32",
abstract="BACKGROUND: Several factors may affect students going to school toilets, but a few studies have analyzed the reasons for students using toilets. This study aimed to  use a structural equation model to understand the factors that impacted children's  toilet behavior. <br><br>METHODS: This study was performed in 12 rural nonboarding primary  schools (6 schools in the northern and 6 schools in the southern regions of China). All students of the third and sixth grades (761 students) were examined. A  questionnaire on students' toilet behavior was used. The questionnaire included 33  perceptual items based on 5 factors: toilet facilities, cleanliness, hygiene  practices, peer relationship, and experience. The questionnaire also covered the  frequency of voiding and defecating by themselves. The exploratory factor analysis,  confirmatory factor analysis, and pathway analysis were used to analyze the causes  of students' toilet behavior. <br><br>RESULTS: A statistically significant correlation  coefficient of 0.300 indicated that cleanliness impacted the toilet frequency of  students. The visual experience of the overall cleanliness of the toilet had the  most significant impact on students' toilet behavior (path coefficient, 0.81). Washing facilities and convenient handwashing had the least impact on toilet use  (path coefficient, 0.52). <br><br>CONCLUSION: Cleanliness was the primary consideration for  students' toilet use on campus. The visual experience of the overall cleanliness of  toilets had the most significant impact when students used toilets. No pre-survey  was conducted to test the reliability and validity of the questionnaire. Using  self-reported data might be associated with potential recall errors.<p /> <p>Language: en</p>",
language="en",
issn="1471-2458",
doi="10.1186/s12889-020-10099-4",
url="http://dx.doi.org/10.1186/s12889-020-10099-4"
}