International School of Public Health and One Health, Hainan Medical University, No 3 Xueyuan Road, Longhua Zone, Haikou, Hainan Province, 571199, China.
Emergency Medicine Center of the Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Bull World Health Organ. 2024 Apr 1;102(4):234-243. doi: 10.2471/BLT.23.290169. Epub 2024 Jan 31.
To assess knowledge and practices related to snakebite prevention among Chinese residents.
By using a multistage random sampling approach augmented by snowball sampling, we surveyed residents from 10 provinces, one municipality and one autonomous region south of the Yangtze River Basin between May 2022 and February 2023. We supplemented the data with a national online survey. We used a -test to identify differences in knowledge and behaviour across various demographic characteristics. We conducted multifactor logistic regression analyses to evaluate factors potentially influencing snakebite knowledge and practices.
We obtained 55 775 valid survey responses, 16 200 respondents from the face-to-face survey and 39 575 respondents from the online survey. Only 25.7% (14 325) respondents demonstrated adequate knowledge about snakebites whereas 25.6% (14 295) respondents knew basic first-aid practices or preventive behaviours. Age, marital status, educational attainment, occupation, type of residence and frequency of exposure to nature are significant independent variables affecting snakebite knowledge (-values: < 0.05). On the other hand, gender, age, marital status, educational attainment, occupation and type of residence were significant independent variables affecting the behaviour of snakebite prevention and first aid (-values: < 0.05).
There is a notable shortfall in knowledge, first aid and preventive behaviours among Chinese residents regarding snakebites. Misguided first aid practices can severely compromise the effectiveness of evidence-based therapeutic interventions. Consequently, improving health education concerning snakes and snakebites in this population is needed.
评估中国居民预防蛇伤的知识和行为。
采用多阶段随机抽样方法(辅以雪球抽样),于 2022 年 5 月至 2023 年 2 月期间调查了长江流域以南的 10 个省、1 个直辖市和 1 个自治区的居民。我们还通过全国在线调查补充了数据。采用卡方检验比较不同人口统计学特征的知识和行为差异。采用多因素逻辑回归分析评估可能影响蛇伤知识和行为的因素。
我们获得了 55775 份有效调查回复,其中 16200 份来自面对面调查,39575 份来自在线调查。仅有 25.7%(14325 人)的受访者对蛇伤有足够的了解,而仅有 25.6%(14295 人)的受访者了解基本的急救措施或预防行为。年龄、婚姻状况、受教育程度、职业、居住类型和接触自然的频率是影响蛇伤知识的显著独立变量(值:<0.05)。另一方面,性别、年龄、婚姻状况、受教育程度、职业和居住类型是影响蛇伤预防和急救行为的显著独立变量(值:<0.05)。
中国居民对蛇伤的知识、急救和预防行为明显不足。错误的急救措施可能严重影响基于证据的治疗干预的效果。因此,需要对该人群进行有关蛇和蛇伤的健康教育。