Document Type : Original Article


Department of Applied Medical Sciences, College of Health Sciences, Public Authority for Applied Education and Training, Adailiyah, Kuwait


BACKGROUND: Most infectious diseases result from a lack of knowledge and poor personal
hygiene. Hand hygiene, in particular, is one of the most common means by which pathogens are
transmitted. The aim of this study was to determine college student’s knowledge and awareness of
personal hygiene in Kuwait.
MATERIALS AND METHODS: A multi‑dimensional health assessment approach was followed
using a self‑administered questionnaire that was distributed among students of two colleges
(the College of Nursing and the College of Health Sciences). Item analysis was conducted on 33 items
of the questionnaire and measure five types of hygiene practices: hand hygiene, body hygiene, special
hair application, oral care, and clothes hygiene. The data collected in the questionnaires and results
were analyzed using statistical software SPSS version 23. Statistical analysis was performed using
ANOVA and Student’s t‑test. Internal consistency, reliability was good, with an overall Cronbach’s
Alpha value of 0.749.
RESULTS: Most respondents were female with 64%, while 80% of the college students were in the
age of <20‑year‑old. Twelve items were underhand hygiene practices, and four items under body
hygiene. Nine items were under oral care; three, items were under hair application. Three were
under clothes hygiene.
CONCLUSIONS: This study showed that female students had a better knowledge and were more
hygienic in hand hygiene, hair application, and body hygiene whereas, male students showed a
better oral hygiene practice. Nevertheless, this study shows that the hygiene questionnaire is an
acceptable and reliable measure of awareness and practice among college students.


1. Bloomfield SF, Exner M, Fara GM, Nath KJ, Scott EA,
C Van der Voorden. The Global Burden of Hygiene‑Related
Diseases in Relation to the Home and Community. An International
Scientific Forum on Home Hygiene;(IFH) Expert Review; Published
on; 2009. Available from:https://www.ifh‑
2. Curtis V, Cairncross S. Effect of washing hands with soap on
diarrhoea risk in the community: A systematic review. Lancet
Infect Dis 2003;3:275‑81.
3. Moe CL, Christmas WA, Echols LJ, Miller SE. Outbreaks of acute
gastroenteritis associated with Norwalk‑like viruses in campus
settings. J Am Coll Health 2001;50:57‑66.
4. White C, Kolble R, Carlson R, Lipson N, Dolan M, Ali Y, et al. The
effect of hand hygiene on illness rate among students in university
residence halls. Am J Infect Control 2003;31:364‑70.
5. White C, Kolble R, Carlson R, Lipson N. The impact of a health
campaign on hand hygiene and upper respiratory illness among
college students living in residence halls. J Am Coll Health
6. Bliss SJ, Manning SD, Tallman P, Baker CJ, Pearlman MD,
Marrs CF, et al. Group B Streptococcus colonization in male
and nonpregnant female university students: A cross‑sectional
prevalence study. Clin Infect Dis 2002;34:184‑90.
7. Tambekar DH, Shirsa S, Kakde S, Ambekar K. Hand hygiene and
health: An epidemiological study of students in Amravati. Afr J
Infect Dis 2009;3:14‑25.
8. Aiello AE, Coulborn RM, Perez V, Larson EL. Effect of hand
hygiene on infectious disease risk in the community setting:
A meta‑analysis. Am J Public Health 2008;98:1372‑81.
9. Sarkar M. Personal hygiene among primary school children living
in a slum of Kolkata, India. J Prev Med Hyg 2013;54:153‑8.
10. Al‑Wazzan B, Salmeen Y, Al‑Amiri E, Abul A, Bouhaimed M,
Al‑Taiar A, et al. Hand hygiene practices among nursing staff in
public secondary care hospitals in Kuwait: Self‑report and direct
observation. Med Princ Pract 2011;20:326‑31.
11. Field A. Discovering Statistics Using SPSS. 3rd ed. London: Sage;
12. George D, Mallery P. IBM SPSS Statistics 23 Step by Step: A Simple
Guide and Reference. 14th ed.Oxford‑UKRoutledge; 2016.
13. Nunnally JC, Bernstein IH. Psychometric Theory. 3rd ed.
New York: McGraw‑Hill; 1994.
14. DeVellisRF. Scale Development: Theory and Applications (Applied
Social Research Methods Series. 2nd ed., Vol. 26. Newbury Park:
Sage; 1991.
15. McDemott R, Sarvela P. Health Education Evaluation and
Measurement: A Practitioner’s Perspective. Boston, MA:
McGraw‑Hill Higher Education; 1999.
16. Bautista RE, Rundle‑Gonzalez V, Awad RG, Erwin PA.
Determining the coping strategies of individuals with epilepsy.
Epilepsy Behav 2013;27:286‑91.
17. Sax H, Uçkay I, Richet H, Allegranzi B, Pittet D. Determinants
of good adherence to hand hygiene among healthcare workers
who have extensive exposure to hand hygiene campaigns. Infect
Control Hosp Epidemiol 2007;28:1267‑74.
18. Snow M, White GL Jr., Alder SC, Stanford JB. Mentor’s hand
hygiene practices influence student’s hand hygiene rates. Am J
Infect Control 2006;34:18‑24.
19. Tai JW, Mok ES, Ching PT, Seto WH, Pittet D. Nurses and
physicians’ perceptions of the importance and impact of
healthcare‑associated infections and hand hygiene: A multi‑center
exploratory study in Hong Kong. Infection 2009;37:320‑33.