PMID- 29126213
OWN - NLM
STAT- MEDLINE
DCOM- 20180806
LR  - 20181113
IS  - 1878-3503 (Electronic)
IS  - 0035-9203 (Print)
IS  - 0035-9203 (Linking)
VI  - 111
IP  - 7
DP  - 2017 Jul 1
TI  - Comparison of respondent-reported and sensor-recorded latrine utilization 
      measures in rural Bangladesh: a cross-sectional study.
PG  - 308-315
LID - 10.1093/trstmh/trx058 [doi]
AB  - BACKGROUND: Health improvements realized through sanitation are likely achieved 
      through high levels of facilities utilization by all household members. However, 
      measurements of sanitation often rely on either the presence of latrines, which 
      does not guarantee use, or respondent-reported utilization of sanitation 
      facilities, which is prone to response bias. Overstatement of sanitation metrics 
      limits the accuracy of program outcome measures, and has implications for the 
      interpretation of related health impact data. METHODS: We conducted a 
      cross-sectional study of 213 households in 14 village water, sanitation and 
      hygiene committee clusters throughout rural Bangladesh and used a combined data- 
      and relationship-scale approach to assess agreement between respondent-reported 
      latrine utilization and sensor-recorded measurement. RESULTS: Four-day 
      household-level respondent-reported defecation averaged 28 events (inter-quartile 
      range [IQR] 20-40), while sensor-recorded defecation averaged 17 events (IQR 
      11-29). Comparative analyses suggest moderately high accuracy (bias correction 
      factor=0.84), but imprecision in the data (broad scatter of data, Pearson's 
      r=0.35) and thus only weak concordance between measures (rhoc=0.29 [95% BCa CI 0.15 
      to 0.43]). CONCLUSIONS: Respondent-reported latrine utilization data should be 
      interpreted with caution, as evidence suggests use is exaggerated. Coupling 
      reported utilization data with objective measures of use may aid in the 
      estimation of latrine use.
CI  - (c) The Author 2017. Published by Oxford University Press on behalf of Royal 
      Society of Tropical Medicine and Hygiene.
FAU - Delea, Maryann G
AU  - Delea MG
AD  - Department of Environmental Health, Rollins School of Public Health, Emory 
      University, Atlanta, Georgia, USA.
FAU - Nagel, Corey L
AU  - Nagel CL
AD  - School of Public Health, Oregon Health and Science University, Portland State 
      University, Portland, OR, USA.
FAU - Thomas, Evan A
AU  - Thomas EA
AD  - School of Public Health, Oregon Health and Science University, Portland State 
      University, Portland, OR, USA.
FAU - Halder, Amal K
AU  - Halder AK
AD  - Environmental Intervention Unit, International Centre for Diarrhoeal Disease 
      Research, Bangladesh, Dhaka, Bangladesh.
FAU - Amin, Nuhu
AU  - Amin N
AD  - Environmental Intervention Unit, International Centre for Diarrhoeal Disease 
      Research, Bangladesh, Dhaka, Bangladesh.
FAU - Shoab, Abul K
AU  - Shoab AK
AD  - Environmental Intervention Unit, International Centre for Diarrhoeal Disease 
      Research, Bangladesh, Dhaka, Bangladesh.
FAU - Freeman, Matthew C
AU  - Freeman MC
AD  - Department of Environmental Health, Rollins School of Public Health, Emory 
      University, Atlanta, Georgia, USA.
FAU - Unicomb, Leanne
AU  - Unicomb L
AD  - Environmental Intervention Unit, International Centre for Diarrhoeal Disease 
      Research, Bangladesh, Dhaka, Bangladesh.
FAU - Clasen, Thomas F
AU  - Clasen TF
AD  - Department of Environmental Health, Rollins School of Public Health, Emory 
      University, Atlanta, Georgia, USA.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Trans R Soc Trop Med Hyg
JT  - Transactions of the Royal Society of Tropical Medicine and Hygiene
JID - 7506129
SB  - IM
MH  - Adult
MH  - Bangladesh
MH  - Child
MH  - Cross-Sectional Studies
MH  - *Defecation
MH  - *Family Characteristics
MH  - Female
MH  - Humans
MH  - Hygiene/*standards
MH  - Male
MH  - *Rural Population
MH  - Sanitation
MH  - *Self Report
MH  - *Toilet Facilities
PMC - PMC5914303
OTO - NOTNLM
OT  - Bangladesh
OT  - Public health
OT  - Sanitation
OT  - WASH
EDAT- 2017/11/11 06:00
MHDA- 2018/08/07 06:00
PMCR- 2017/11/20
CRDT- 2017/11/11 06:00
PHST- 2017/04/28 00:00 [received]
PHST- 2017/10/11 00:00 [accepted]
PHST- 2017/11/11 06:00 [pubmed]
PHST- 2018/08/07 06:00 [medline]
PHST- 2017/11/11 06:00 [entrez]
PHST- 2017/11/20 00:00 [pmc-release]
AID - 4590286 [pii]
AID - trx058 [pii]
AID - 10.1093/trstmh/trx058 [doi]
PST - ppublish
SO  - Trans R Soc Trop Med Hyg. 2017 Jul 1;111(7):308-315. doi: 10.1093/trstmh/trx058.