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孟加拉国农村人口在急救措施和蛇咬伤预防方面的健康素养。

Health literacy among the rural Bangladeshi population on first aid measures and prevention of snakebite.

作者信息

Farheen Chowdhury, Rahman A K M F, Ghose Aniruddha, Amin Md R, Rahman Abu S M M, Sayeed Abdullah A, Rahaman F M A, Howlader Chinmaya, Khan Sayra, Rashid Rumana, Chowdhury Nusaer, Debi Geeta R, Rahman Md Sahidur, Faiz M A

机构信息

C entre For Injury Prevention & Research Bangladesh, Dhaka 1206, Bangladesh.

Chattogram Medical College, 57 KB Fazlul Kader Road, Chattogram 4203, Bangladesh.

出版信息

Trans R Soc Trop Med Hyg. 2025 Jul 1;119(7):828-838. doi: 10.1093/trstmh/trae130.

Abstract

BACKGROUND

Bangladesh has a high rate of snakebite. In rural areas, there is a significant mortality and morbidity rate due to lack of awareness and inappropriate first aid practices. This study aims to determine the knowledge and practices of the rural population in two subdistricts of Bangladesh regarding snakebite prevention and first aid measures.

METHODS

This cross-sectional survey is part of an intervention study that was carried out in 250 randomly selected primary sampling units of Shibganj in the Chapainawabganj district and Kalapara in the Patuakhali district of Bangladesh. We enrolled a total of 2954 participants. The practice and knowledge were regarded adequate when the score exceeded 50%. We conducted a binomial logistic regression to identify the factors associated with inadequate knowledge and practice.

RESULTS

The community's knowledge (15.9%) and practice (14.5%) regarding snakebite prevention was insufficient. More than 77% and 45.4% of respondents believed that applying a tourniquet above the bite site and seeking a traditional healer after a snakebite were effective first aid measures. Poor knowledge was more likely to occur in farming, fishing, homemaker groups and those with lower incomes (11 000-24 000 Bangladeshi taka). Negative practices were associated with females and high family income.

CONCLUSIONS

This study highlights the necessity of community intervention, with a focus on appropriate first aid and prevention measures through widespread education.

摘要

背景

孟加拉国蛇咬伤发生率很高。在农村地区,由于缺乏认识和不恰当的急救措施,死亡率和发病率都很高。本研究旨在确定孟加拉国两个分区农村人口在蛇咬伤预防和急救措施方面的知识和做法。

方法

这项横断面调查是一项干预研究的一部分,该干预研究在孟加拉国查派纳瓦布甘杰区的希布甘杰和帕图阿卡利区的卡拉帕拉随机选择的250个初级抽样单位中进行。我们共招募了2954名参与者。当得分超过50%时,知识和做法被视为足够。我们进行了二项逻辑回归,以确定与知识和做法不足相关的因素。

结果

社区在蛇咬伤预防方面的知识(15.9%)和做法(14.5%)不足。超过77%和45.4%的受访者认为在咬伤部位上方使用止血带和蛇咬伤后寻求传统治疗师是有效的急救措施。知识水平低更有可能发生在从事农业、渔业的人群、家庭主妇群体以及收入较低(11000 - 24000孟加拉塔卡)的人群中。不良做法与女性和高家庭收入有关。

结论

本研究强调了社区干预的必要性,重点是通过广泛教育采取适当的急救和预防措施。

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