Abstract
Opisthorchiasis is a health problem in Thailand particularly in northeast and north regions where have been reported the highest of cholangiocarcinoma. Active surveillance is required, therefore a cross-sectional surveyed was conducted in Nong Bunnak sub-district of Nakhon Ratchasima province, Thailand. A total of 367 participants were selected by multistage sampling from 5 villages located near natural water resources. Participants completed a predesigned questionnaire containing behavior questions regarding liver fluke disease, covering reliability and validity knowledge (Kuder-Richardon-20) = 0.80, attitude and practice (Cronbach's alpha coefficient) = 0.82 and 0.79, respectively. Descriptive statistics included frequencies, percentages, means, and standard deviations. The majority of the participants were female (58.3%), age group between 21-30 years old (42.5%), with primary school education (59.9%), occupation in agriculture (38.1%), and married (80.9%). They had past histories of raw fish consumption (88.3%), stool examination (1.4%), anti-parasite medication used (4.6%). Heads of villages, village health volunteers, television, and village newstations were the main sources for disease information. Participants had a moderate level of behavior regarding liver fluke disease. The mean scored of knowledge regarding liver fluke life cycle, transmission, severities, treatment, prevention and control was 10.9 (SD=0.5), most of them had a moderate level, 95.1%. The mean score for attitude regarding liver fluke prevention and control was 45.7 (SD=9.7), and for practice was 30.6 (SD=10.5). Participants had a moderate level of attitude and practice, 94.5% and 47.7, respectively. This study indicates that health education is required in this community including stool examination for liver fluke as further active surveillance screening.
Highlights
Liver fluke caused by Opisthorchis viverrini, is a health problem in Thailand in the northeast and north region (IARC, 1994; Kaewpitoon et al, 2008; Shin et al, 2010; Sripa et al, 2010; Sithithaworn et al, 2012; Wongsaroj et al, 2014; Kaewpitoon et al, 2015e)
The mean scored of knowledge regarding liver fluke life cycle, transmission, severities, treatment, prevention and control was 10.9 (SD=0.5), most of them had a moderate level, 95.1%
This study indicates that health education is required in this community including stool examination for liver fluke as further active surveillance screening
Summary
Liver fluke caused by Opisthorchis viverrini, is a health problem in Thailand in the northeast and north region (IARC, 1994; Kaewpitoon et al, 2008; Shin et al, 2010; Sripa et al, 2010; Sithithaworn et al, 2012; Wongsaroj et al, 2014; Kaewpitoon et al, 2015e). The mortality rate of CCA in Nakhon Ratchasima province, Thailand was ranked between 13.67-16.2 (Sripa et al, 2012). Stool examination showed that 2.48% were infected with O. viverrini (Kaewpitoon et al, 2012). Re-examination in Nakhon Ratchasima province has been reported and found that O. viverrini infection is still problem in rural communities (Kaewpitoon et al, 2016a; 2016c)
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