A comparative study on knowledge, attitude and practices of personal hygiene among urban and rural school students in Mysuru
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20260682Keywords:
Health education, Hygiene, Public health, Schools, StudentsAbstract
Background: Personal hygiene is a critical component of overall health, especially among school-aged children, who are vulnerable to hygiene-related illnesses. Students often exhibit inconsistent hygiene practices shaped by their knowledge and attitude, posing public health risks in school environment. This study aimed to compare and assess the knowledge, attitude, and practices related to personal hygiene among urban and rural school students in Mysuru.
Methods: A school based cross-sectional study was conducted from January to April 2025 (four months) among 400 students, 200 each from urban and rural schools, selected through purposive sampling. Data were collected using a pretested semi-structured questionnaire covering socio-demographic characteristics and, knowledge, attitude and practice related to personal hygiene. Data were entered in Microsoft Excel and analysed using SPSS v28, applying descriptive and inferential statistics.
Results: Among urban students, 58.5% had good knowledge, 84.5% good attitude, and 79.5% good hygiene practices. In comparison, rural students showed higher levels across all domains: 79.0% had good knowledge, 93.5% good attitude, and 84.5% good practices. The Mann-Whitney U test indicated rural students had significantly higher knowledge (U=15900, Z=–4.417, p<0.001) and attitude scores (U=18200, Z=–2.873, p=0.004). The difference in practice scores, was not statistically significant (U=19000, Z=–1.300, p=0.194).
Conclusions: Rural students demonstrated significantly better knowledge and attitude. However, the lack of significant difference in practice scores suggests the need for interventions that emphasize behaviour reinforcement alongside awareness.
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References
Kaur B. A comparative study to assess the knowledge and attitude of school-going children regarding importance of personal hygiene in selected rural and urban schools of Ludhiana, Punjab. Int J Nurs Res. 2023;9(1):29-36. DOI: https://doi.org/10.31690/ijnr.2023.v09i01.006
Pukhraj KS, Deol R, Kodi M. Knowledge and practices regarding personal hygiene among primary school children. J Community Public Health Nurs. 2021;7:303.
Rahman MM, Arafat M, Parvez A, Shahriar M, Rahman T, Shameem D. Knowledge and practice of personal hygiene among primary school students in Dhaka, Bangladesh. J Pharm Sci Res. 2019;11(9):3140-4.
Mandleco BL, Potts NL. Pediatric nursing: caring for children and their families. 2nd ed. New Delhi: Thomson India; 2008:274-249.
Marlow DR, Redding BA. Textbook of pediatric nursing. Philadelphia: WB Saunders Company; 2001:124-125.
Taludkar K, Baruah R. Health status of primary school children: a community-based cross-sectional study in rural areas of Kamrup district, Assam. J Evol Med Dent Sci. 2015;4:2093-100. DOI: https://doi.org/10.14260/jemds/2015/301
Assefa M, Kumie A. Assessment of factors influencing hygiene behavior among school children in Mereb-Leke District, Northern Ethiopia: a cross-sectional study. BMC Public Health. 2014;14:1-8. DOI: https://doi.org/10.1186/1471-2458-14-1000
UNICEF. Drinking Water, Sanitation and Hygiene in Schools: Global Baseline Report. 2018.
Chutia L. Personal hygiene: knowledge, attitude and practice among higher primary school children in urban Bengaluru, India. JETIR. 2023;10(4):f295-304. DOI: https://doi.org/10.56975/brx2ja89
Chowdhury TN, Mahajan P. Knowledge, attitude and practices among government school students towards personal hygiene. Int J Sci Res Sci Tech. 2020;7(6):311-22.
Siddhanta S, Bhowmick S. Assessment of knowledge and practice of personal hygiene among school children in a government school in Liluah, Howrah: a cross-sectional observational study. Int J Innov Res Med Sci. 2021;12(2):12-7.
UNICEF. 2 in 5 schools around the world lacked basic handwashing facilities prior to COVID-19 pandemic. 2022. Available from: https://www.unicef.org/press-releases/2-5-schools-around-world-lacked-basic-handwashing-facilities-prior-covid-19-pandemic. Accessed on 14 November 2025.
Shrinivasa M. 21% of govt schools in Karnataka lack handwash facility: report. Times of India. 2021. Available from: https://timesofindia.indiatimes.com/ city/bengaluru/21-of-govt-schools-in-karnataka-lack-handwash-facility-report/articleshow/84256548.cms. Accessed on 14 November 2025.
Jacob N. Centre’s claim on hand wash facilities & girls’ toilets in schools doesn’t add up. FactChecker. 2022. Available from: factchecker.in/fact-check/centres-claim-on-hand-wash-facilities-girls-toilets-in-schools-doesnt-add-up-822352. Accessed on 14 November 2025.
UNICEF. Child Friendly Schools Manual: Water, Sanitation and Hygiene (WASH) in Schools. 2012.
Lakshminarayanan S, Jayalakshmy R. Diarrheal diseases among children in India: current scenario and future perspectives. J Nat Sci Biol Med. 2015;6:24-8. DOI: https://doi.org/10.4103/0976-9668.149073
Agrawal R, Pattnaik S, Kshatri JS, Kanungo S, Mandal N, Palo SK, et al. Prevalence and correlates of soil-transmitted helminths in schoolchildren aged 5-18 years in low- and middle-income countries: a systematic review and meta-analysis. Front Public Health. 2024;12:1283054. DOI: https://doi.org/10.3389/fpubh.2024.1283054
World Health Organization. Water, sanitation and health. 2024. Available from: http://www.who.int/teams/environment-climate-change-and-health/water-sanitation-and-health/monitoring-and-evidence/. Accessed on 20 November 2025.
Ramos-Morcillo AJ, Moreno-Martínez FJ, Susarte AM, Hueso-Montoro C, Ruzafa-Martínez M. Social determinants of health, the family, and children’s personal hygiene: a comparative study. Int J Environ Res Public Health. 2019;16:4713. DOI: https://doi.org/10.3390/ijerph16234713
Devi H, Baruah RR, Sharma NC, Borah S, Mahanta P, Mahanta Sr P. Knowledge and practice of personal hygiene among the primary school-going children in a rural district of Assam, India. Cureus. 2025;17(8). DOI: https://doi.org/10.7759/cureus.90694
Khamaiseh A. Knowledge, attitude, and practice of personal hygiene among primary school students in southern Jordan: a cross-sectional school-based study. Research Square. 2024. DOI: https://doi.org/10.21203/rs.3.rs-3849230/v1
Mangal N, Kumar LD, Varghese KA, Chauhan M. A cross-sectional study on personal hygiene among rural school students in southern Rajasthan. Int J Community Med Public Health. 2019;6(6):2646-50. DOI: https://doi.org/10.18203/2394-6040.ijcmph20192338
Minda GH, Tola HH, Amhare AF, Kebie A, Endale T. Personal hygiene practice and associated factors among elementary school students in Fiche Town, Oromia, Ethiopia. BMC Infect Dis. 2024;24(1):781. DOI: https://doi.org/10.1186/s12879-024-09665-7
Sadiq M, Bibi A, Bibi S, Kainat Khan S. Assessment of the personal hygiene practices among primary school children in Swat: personal hygiene practices among children. NURSEARCHER J Nurs Midwife Sci. 2025;48-52. DOI: https://doi.org/10.54393/nrs.v5i2.169