Awareness and perceptions on prevention, first aid and treatment of snakebites among Sri Lankan farmers: a knowledge practice mismatch?
Awareness and perceptions on prevention, first aid and treatment of snakebites among Sri Lankan farmers: a knowledge practice mismatch?
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DOI：
10.1186/1745-6673-9-20
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发表时间：
2014-05-13
影响因子：
3
通讯作者：
Agampodi, Suneth
中科院分区：
文献类型：
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作者：
Silva, Anjana;Marikar, Faiz;Agampodi, Suneth
背景：蛇咬伤是一个全球性的健康问题，与高发病率和高死亡率有关。在斯里兰卡，蛇咬伤主要是与耕作有关的职业健康危害。了解危险人群对蛇咬伤的预防措施、急救和治疗的认识和看法，对于制定蛇咬伤预防和控制计划至关重要。我们使用调查员协助完成的问卷，对来自斯里兰卡三个以农业为主要经济活动的干旱地区的176名兼职和全职、Chena和水稻农民的认识和认知进行了评估。结果：高比例的参与者知道减少室内和室外蛇咬伤的做法、可用的治疗方法和大多数推荐的急救措施。与传统治疗相比，绝大多数农民更喜欢西医治疗。结论：部分农民知晓的防护措施在斯里兰卡并未普遍实施，提示存在知行不匹配现象。我们建议进行研究，以了解社会经济和文化决定因素对斯里兰卡蛇咬伤预防的影响。
Background: Snakebite is a global health problem associated with high morbidity and mortality. In Sri Lanka, snakebite is mainly an occupational health hazard associated with farming. Understanding awareness and perceptions in risk populations on the preventive measures, first aid and treatment for snakebite becomes pivotal in designing snakebite prevention and control programs. Using an investigator assisted self completed questionnaire, we assessed the awareness and perceptions of 176 part-time and full-time, Chena and paddy farmers from three dry zone districts of Sri Lanka where agriculture is the main economic activity.Findings: High percentages of the participants were aware of practices that minimize snakebites in houses and outside, available treatments and most of the recommended first aid measures. Western medical treatment was preferred by the vast majority of the farmers over the traditional treatment.Conclusion: Some of the protective measures that the farmers were aware of are not practiced generally in Sri Lanka, suggesting a knowledge-practice mismatch. We suggest studies to understand the effects of socioeconomic and cultural determinants on snakebite prevention in Sri Lanka.