title: Health Behavior Regarding Liver Flukes among Rural People in Nakhon Ratchasima, Thailand.
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.
authors.affiliation: Graduate Student, Vongchavalitkul University, Nakhon Ratchasima, Thailand E-mail : natthawut.k@hotmail.com.
authors.forename: Sirinapa
authors.initials: S
authors.lastname: Painsing
authors.forename: Anan
authors.initials: A
authors.lastname: Sripong
authors.forename: Orramon
authors.initials: O
authors.lastname: Vensontia
authors.forename: Prasit
authors.initials: P
authors.lastname: Pengsaa
authors.forename: Pontip
authors.initials: P
authors.lastname: Kompor
authors.forename: Nusorn
authors.initials: N
authors.lastname: Kootanavanichapong
authors.forename: Soraya J
authors.initials: SJ
authors.lastname: Kaewpitoon
authors.forename: Natthawut
authors.initials: N
authors.lastname: Kaewpitoon
mesh_terms: D000293:Adolescent; D000328:Adult; D000818:Animals; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D001650:Bile Duct Neoplasms / Q000453:epidemiology / Q000209:etiology / Q000523:psychology*; D001653:Bile Ducts, Intrahepatic / Q000469:parasitology* / Q000473:pathology; D014408:Biomarkers, Tumor; D016022:Case-Control Studies; D018281:Cholangiocarcinoma / Q000453:epidemiology / Q000209:etiology / Q000523:psychology*; D003131:Combined Modality Therapy; D003430:Cross-Sectional Studies; D005210:Fasciola hepatica / Q000472:pathogenicity*; D005211:Fascioliasis / Q000150:complications / Q000469:parasitology / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007124:Immunoenzyme Techniques; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009364:Neoplasm Recurrence, Local / Q000188:drug therapy / Q000473:pathology; D009367:Neoplasm Staging; D009369:Neoplasms / Q000188:drug therapy* / Q000473:pathology; D015995:Prevalence; D011379:Prognosis; D011446:Prospective Studies; D012424:Rural Population; D011795:Surveys and Questionnaires; D015996:Survival Rate; D013785:Thailand / Q000453:epidemiology; D055815:Young Adult
chemical_list: D014408:Biomarkers, Tumor