Hand Sanitizer Use During the Pandemic: Frequency and Health Effects Among Healthcare and Non-Healthcare Professionals

Workplace Health Saf. 2026 May;74(5):218-227. doi: 10.1177/21650799251392217. Epub 2025 Dec 4.

Abstract

Background: Hand sanitizer use increased dramatically during the COVID-19 pandemic, yet knowledge about its safe use and potential health impacts remains limited, particularly across different occupational groups. There is a need to better understand the frequency and health effects of hand sanitizer use, especially when comparing healthcare professionals and non-healthcare professionals.

Methods: This cross-sectional study included 305 adults from a central district of Türkiye, with 48.5% being healthcare professionals. Data were collected on participants' knowledge of sanitizer contents, frequency of use, and any health problems experienced. Regression analysis was performed to identify factors associated with sanitizer-related health problems.

Results: Only 28.4% of healthcare professionals and 12.1% of non-healthcare professionals reported full knowledge of the contents of the sanitizers they used. Daily use of hand sanitizer 10 or more times was reported by 53.4% of healthcare professionals and 33.8% of non-healthcare professionals. Regression analysis indicated that female gender and being a healthcare professional were significantly associated with sanitizer-related health problems (p < .01). Despite frequent use, both groups demonstrated insufficient knowledge regarding safe sanitizer use, which may contribute to increased health risks such as skin irritation or allergic reactions.

Conclusions: These findings highlight the importance of implementing targeted, evidence-based educational interventions and developing clear guidelines on the safe use of hand sanitizers for both healthcare and non-healthcare professionals. Future studies should focus on the effectiveness of these interventions in reducing healthcare-associated infections and improving hygiene practices.

Application to practice: Occupational health and public health professionals can use these results to design workplace and community-based training programs, promote safer hygiene practices, and minimize sanitizer-related health risks across diverse populations.

Keywords: hand sanitizer; health outcomes; healthcare professionals; pandemic.

MeSH terms

  • Adult
  • COVID-19* / epidemiology
  • COVID-19* / prevention & control
  • Cross-Sectional Studies
  • Female
  • Hand Sanitizers* / adverse effects
  • Hand Sanitizers* / therapeutic use
  • Health Knowledge, Attitudes, Practice
  • Health Personnel* / psychology
  • Health Personnel* / statistics & numerical data
  • Humans
  • Male
  • Middle Aged
  • Pandemics
  • SARS-CoV-2
  • Surveys and Questionnaires

Substances

  • Hand Sanitizers