Risk Communication Through Health Beliefs for Preventing Opisthorchiasis-Linked Cholangiocarcinoma: A Community- Based Intervention in Multicultural Areas of Thailand.

Nopparat Songserm,Pariwat Korsura,Somkiattiyos Woradet,Akhtar Ali

doi:10.31557/apjcp.2021.22.10.3181

Abstract

Objective:This research aimed to study the effects of the risk communication program through the Cambodian folk song to prevent Opisthorchiasis-linked cholangiocarcinoma (OV-CCA). Methods:We conducted the quasi-experimental research between August and December 2017 in the Cambodian communities, one-fourth of ethnic minorities residing in multicultural areas of Sisaket Province, Thailand. The samples consisted of 94 equally people divided into experimental group and control group. The experimental group included 47 people at-risk of OV-CCA who received the program for 12 weeks, while the control group received regular services. We collected data by using a questionnaire with a reliability of 0.93. Descriptive and inferential statistics were used for data analysis. Results:The study indicated that the socioeconomic information of both groups was not different. The mean scores of all issues (health beliefs, social support, and prevention behavior in the experimental group were higher than those of the control group with statistical significance. Closer inspection showed that the mean difference of the health beliefs was 55.61 points (95%CI: 52.39-57.42, p<0.001), social support was 9.09 points (95%CI: 8.12-10.05, p<0.001), and prevention behavior was 6.38 points (95%CI: 5.43-7.33, p<0.001). Conclusion:Through the Cambodian folk song, the risk communication program by applying the health beliefs and social support to prevent OV-CCA is beneficial for behavior modification in areas with similar cultures.

Highlights

Opisthorchiasis-linked cholangiocarcinoma (OV-CCA) occurs from eating raw or undercooked fish
Through the Cambodian folk song, the risk communication program by applying the health beliefs and social support to prevent OV-CCA is beneficial for behavior modification in areas with similar cultures
A comparison of mean scores of the health belief model, social support, and OV-CCA prevention behavior within the experimental and control groups before and after the experiment was used with a paired t-test, while an independent t-test was used to test between both groups

Summary

Introduction

Opisthorchiasis-linked cholangiocarcinoma (OV-CCA) occurs from eating raw or undercooked fish It has been classified as a group 1 carcinogen in humans since 1994 (IARC, 1994). The highest prevalence of OV was found in the Cambodian community (16.7%) (Khukhan District Public Health Office, 2016). It indicated that most OV prevalence in all areas was higher than the 5% standard. This study aimed to compare the effects of the risk communication program through the Cambodian folksong by applying the health belief model of Becker (1974) and social support to prevent OV-CCA in Cambodian communities in the Sisaket before and after the experiment within and between the experimental group and the control group

Materials and Methods

The tools used in the experiment

The tools used for data collection

Results

Discussion