title: Modifying Health Behavior for Liver Fluke and Cholangiocarcinoma Prevention with the Health Belief Model and Social Support Theory.
abstract: The liver fluke Opisthorchis viverrini is a serious health problem in Thailand. Infection is associated with cholangiocarcinoma (CCA), endemic among human populations in northeast and north Thailand where raw fish containing fluke metacercariae are frequently consumed. Recently, Thailand public health authorities have been organized to reduce morbidity and mortality particularly in the northeast through O. viverrini and CCA screening projects. Health modfication is one of activities included in this campaign, but systemic guidelines of modifying and developing health behavior for liver flukes and CCA prevention in communities towards health belief and social support theory are still various and unclear. Here we review the guidelines for modifying and developing health behavior among populations in rural communities to strengthen understanding regarding perceived susceptibility, severity, benefits, and barriers to liver fluke and CCA prevention. This model may be useful for public health of cancers and related organizations to further health behavior change in endemic areas.
authors.affiliation: Parasitic Disease Research Unit, Suranaree University of Technology, Nakhon Ratchasima, Thailand E-mail : soraya.k@sut.ac.th.
authors.forename: Natnapa
authors.initials: N
authors.lastname: Padchasuwan
authors.forename: Soraya J
authors.initials: SJ
authors.lastname: Kaewpitoon
authors.forename: Ratana
authors.initials: R
authors.lastname: Rujirakul
authors.forename: Parichart
authors.initials: P
authors.lastname: Wakkuwattapong
authors.forename: Jun
authors.initials: J
authors.lastname: Norkaew
authors.forename: Jirawoot
authors.initials: J
authors.lastname: Kujapun
authors.forename: Sukanya
authors.initials: S
authors.lastname: Ponphimai
authors.forename: Wasugree
authors.initials: W
authors.lastname: Chavenkun
authors.forename: Pontip
authors.initials: P
authors.lastname: Kompor
authors.forename: Natthawut
authors.initials: N
authors.lastname: Kaewpitoon
mesh_terms: D000818:Animals; D018281:Cholangiocarcinoma / Q000517:prevention & control* / Q000523:psychology*; D005210:Fasciola hepatica / Q000472:pathogenicity; D005211:Fascioliasis / Q000517:prevention & control* / Q000523:psychology*; D015438:Health Behavior / Q000502:physiology*; D006801:Humans; D009889:Opisthorchiasis / Q000517:prevention & control* / Q000523:psychology*; D009891:Opisthorchis / Q000472:pathogenicity; D012944:Social Support; D013785:Thailand