Self-poisoning in rural Sri Lanka: small-area variations in incidence.

BMC Public Health
Celie ManuelFlemming Konradsen

Abstract

Self-poisoning is one of the most common methods of suicide worldwide. The intentional ingestion of pesticides is the main contributor to such deaths and in many parts of rural Asia pesticide self-poisoning is a major public health problem. To inform the development of preventive measures in these settings, this study investigates small-area variation in self-poisoning incidence and its association with area-based socioeconomic and agricultural factors. Ecological analysis of intentional self-poisoning in a rural area (population 267,613) of Sri Lanka in 2002. The geographic distribution of cases was mapped to place of residence. Using administrative division (GN), median population size 1416, as unit of analysis, associations with socioeconomic and agricultural indicators were explored using negative binomial regression models. The overall incidence of intentional self-poisoning in the study area was 315 per 100,000 (range: 0 - 2168 per 100,000 across GNs). Socioeconomic disadvantage, as indexed by poor housing quality (p = 0.003) and low levels of education (p < 0.001) but not unemployment (p = 0.147), was associated with a low self-poisoning incidence. Areas where a high proportion of the population worked in agriculture had...Continue Reading

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Citations

Jan 31, 2013·European Journal of Clinical Nutrition·E K CaltonM J Soares
Apr 12, 2013·BMC Public Health·Thilini RajapakseHelen Christensen
Sep 18, 2012·Journal of Occupational Medicine and Toxicology·Uditha Dassanayake, Christeine Ariaranee Gnanathasan
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