Preventive practices and parental attitudes towards snakebites in children in snakebite hotspots of rural Sri Lanka.

IF 2.3 4区 医学 Q2 PEDIATRICS
Kavinda Dayasiri, Gihan Gunarathna, Indika Gawarammana, Shaluka Jayamanne
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Abstract

Background: Snakebites remain a major public health issue in rural Sri Lanka, particularly among children under 5. Parental attitudes, knowledge and preventive practices significantly influence the risk of snakebites and the effectiveness of first aid responses. This study aimed to assess parental attitudes, knowledge sources and preventive practices related to snakebite prevention and management in children living in snakebite-endemic rural regions of Sri Lanka.

Methods: A descriptive cross-sectional study was conducted in the Ampara and Polonnaruwa Districts, two snakebite-endemic regions in Sri Lanka. The study targeted parents with at least one child under 5 years old, who were selected through cluster sampling facilitated by Public Health Midwives. A structured, self-administered questionnaire was used to collect data on demographic characteristics, parental attitudes towards snakes and snakebites, knowledge sources and preventive practices.

Results: A total of 518 parents participated, with the majority being mothers (94.2%). Extreme fear of snakes was reported by 92.7% of participants. Parental beliefs varied, with 23.7% believing that a snake should always be killed after biting a person and 18.0% holding the belief that snakes take revenge. Significant associations were found between extreme fear of snakes and the absence of prior training in snakebite first aid (p=0.035) as well as being a mother (p=0.001). Major challenges in snakebite care included transportation difficulties (90.5%), lack of proximity to hospitals with emergency treatment (81.5%) and reliance on traditional healing practices (32.6%). Traditional healing practices (32.6%) were significantly associated with low socioeconomic status (p=0.001) and low parental education (p=0.001). Social media (42.1%) was the most common source of knowledge on snakebite care. Storing paddy at home was significantly associated with a family history of snakebites (p=0.004) CONCLUSIONS: Parental fear, cultural beliefs and limited access to training programmes significantly influence snakebite prevention and management practices. Enhancing community-based education, improving healthcare accessibility and incorporating snakebite first-aid training into public health programmes could mitigate the risks and improve outcomes for paediatric snakebite cases in rural Sri Lanka.

斯里兰卡农村蛇咬伤热点地区儿童蛇咬伤的预防措施和家长态度。
背景:蛇咬伤仍然是斯里兰卡农村的一个主要公共卫生问题,特别是在5岁以下儿童中。父母的态度、知识和预防措施显著影响蛇咬伤的风险和急救反应的有效性。本研究旨在评估斯里兰卡蛇咬病流行农村地区儿童在蛇咬伤预防和管理方面的父母态度、知识来源和预防措施。方法:在斯里兰卡两个蛇咬病流行地区Ampara和Polonnaruwa区进行描述性横断面研究。这项研究的对象是至少有一个5岁以下孩子的父母,这些父母是通过公共卫生助产士的整群抽样选择的。一份结构化的、自我管理的问卷用于收集人口统计特征、父母对蛇和蛇咬伤的态度、知识来源和预防措施等方面的数据。结果:共518名家长参与调查,以母亲为主(94.2%)。92.7%的参与者极度害怕蛇。家长们的看法各不相同,23.7%的人认为蛇咬人后就应该被杀死,18.0%的人认为蛇会报复。对蛇的极度恐惧与缺乏蛇咬急救训练(p=0.035)以及是否为母亲(p=0.001)之间存在显著关联。蛇咬伤护理面临的主要挑战包括交通困难(90.5%)、距离医院不够近(81.5%)和依赖传统治疗方法(32.6%)。传统治疗方式(32.6%)与低社会经济地位(p=0.001)和低父母教育程度(p=0.001)显著相关。社交媒体(42.1%)是最常见的蛇咬伤护理知识来源。结论:父母的恐惧、文化信仰和有限的培训计划对蛇咬伤的预防和管理实践有显著影响。加强社区教育、改善保健可及性以及将蛇咬伤急救培训纳入公共卫生规划,可以减轻斯里兰卡农村儿童蛇咬伤病例的风险并改善其结果。
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来源期刊
BMJ Paediatrics Open
BMJ Paediatrics Open Medicine-Pediatrics, Perinatology and Child Health
CiteScore
4.10
自引率
3.80%
发文量
124
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