Community Participation in Cholangiocarcinoma Prevention in Ubon Ratchathani, Thailand: Relations with Age and Health Behavior.

Nopparat Songserm,Sumaporn Thongprung,Somkiattiyos Woradet,Onanong Bureelerd,Supannee Promthet

doi:10.7314/apjcp.2015.16.16.7375

Nopparat Songserm, Sumaporn Thongprung + Show 3 more

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https://doi.org/10.7314/apjcp.2015.16.16.7375

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Abstract

A high prevalence of Opisthorchis viverrini infection is usually found in wetland geographical areas of Thailand where people have traditional behavior of eating uncooked freshwater fish dishes which results in cholangiocarcinoma (CCA) development. There were several approaches for reducing opisthorchiasis-linked CCA, but the prevalence remains high. To develop community participation as a suitable model for CCA prevention is, firstly, to know what factors are related. We therefore aimed to investigate factors associated with the community participation in CCA prevention among rural residents in wetland areas of Ubon Ratchathani, Thailand. This was a cross-sectional analytic study. All participants were 30-69 years of age, and only one member per house was invited to participate. A total of 906 participants were interviewed and asked to complete questionnaires. Independent variables were socio-demographic parameters, knowledge, health belief and behavior to prevent CCA. The dependent variable was community participation for CCA prevention. Descriptive statistics were computed as number, percentage, mean and standard deviation. Associations were assessed using logistic regression analysis with a P-value <0.05 considered statistically significant. Of all the participants, more than 60% had regularly participated in activities to prevent CCA following health officials advice. Age and health behavior to prevent CCA were factors associated with community participation for CCA (p<0.001). Both factors will be taken into consideration for community participation approaches for CCA prevention through participatory action research (PAR) in future studies.

Highlights

The incidence of cholangiocarcinoma (CCA) in Northeast Thailand accounts for about 60% to 90% (Kamsa-ard et al, 2011; Khuhaprema et al, 2013), which differ from about 15% worldwide (Parkin et al, 1993)
A high prevalence of Opisthorchis viverrini infection is usually found in wetland geographical areas of Thailand where people have traditional behavior of eating uncooked freshwater fish dishes which results in cholangiocarcinoma (CCA) development
This study aimed to investigate factors associated with the community participation for CCA prevention among rural people residing near wetland areas in Ubon Ratchathani, Thailand

Summary

Introduction

The incidence of cholangiocarcinoma (CCA) in Northeast Thailand accounts for about 60% to 90% (Kamsa-ard et al, 2011; Khuhaprema et al, 2013), which differ from about 15% worldwide (Parkin et al, 1993). From the survey in all of 19 northeastern provinces of Thailand in 2009, it was reported that the prevalence of O. viverrini infection in Ubon Ratchathani was 20.2% from 16.6% overall of the Northeast, which is still high prevalent (Sithithaworn et al, 2012). Rural residents in this area have traditional behaviors of eating uncooked freshwater fish dishes for several decades (Vatanasapt et al, 1990; Sripa et al, 2007; Grundy-Warr et al, 2012). This consumption behavior is a vehicle of O. viverrini infection resulting in progression to CCA (Songserm et al, 2012; Manwong et al, 2013)

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