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Community-Based Health Education and Communication Model Development for Opisthorchiasis Prevention in a High Risk Area, Khon Kaen Province, Thailand
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 Title & Authors
Community-Based Health Education and Communication Model Development for Opisthorchiasis Prevention in a High Risk Area, Khon Kaen Province, Thailand
Promthet, Paitoon; Kessomboon, Pattapong; Promthet, Supannee;
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 Abstract
Background: This study aimed to evaluate the impact of a community-based health education and communication programme on reducing liver fluke infections caused by the consumption of uncooked fish among people in a high-risk area of Thailand. Materials and Methods: The study was quasi-experimental in nature, with three-stages. Stage 1 involved a situational and capacity analysis of designated communities in Khon Kaen province. This was followed by the development of a model for community-based health education and communication to prevent liver fluke infections among high-risk people, and, lastly, implementation and evaluation of the model were performed. Data were collected using both qualitative and quantitative methods. In total, 390 people were surveyed, and quasi-experimental and comparison groups, each with 90 people, were assessed between May 2011 and April 2012. Analysis was using statistical OR, 95 % CI, the Willcoxon matched pairs signed ranks test, the chi-square test, and the Mann-Whitney U test. Results: The findings showed that most respondents had a high level of knowledge and understanding of liver fluke disease (89.5%, 95% CI:86.0-92.4), and positive attitudes toward the prevention of the disease (94.4%, 95% CI:91.6-96.4). However, with regard to changes in consumption of uncooked fish, most respondents were still in the pre-contemplation phase (55.1%, 95% CI:50.0-60.1), followed by the contemplation phase, 22.6%. Furthermore, four factors were found to be associated with the consumption of uncooked fish - the consumption of alcohol (OR 4.16, 95% CI:1.79-9.65), gender (OR 3.17, 95% CI:1.53-6.54), smoking (OR 3.03, 95% CI:1.31-7.05), and age 40 years and above (OR 2.68, 95% CI:1.02-7.05). After nine months of the health education and communication programme using local media based on local wisdom, culture and persons, the results showed that, compared to the control group, members of the experimental group had a higher level of knowledge, a better attitude and lower levels of ill-advised consumption behaviour. Also, it was found that consumption of uncooked fish, by an assessment of the level of stage of change, was reduced. (p-value 0.002). Conclusions: The health education and communication programme developed as part of the study was effective in changing the consumption of uncooked fish. Therefore, this approach should be promoted in other high-risk areas in Thailand in the future.
 Keywords
Opisthorchiasis;health education;raw fish eating;stage of change;
 Language
English
 Cited by
1.
Implementation of Health Behavior Education Concerning Liver Flukes among Village Health Volunteers in an Epidemic Area of Thailand, Asian Pacific Journal of Cancer Prevention, 2016, 17, 4, 1713  crossref(new windwow)
2.
Health Behavior Regarding Liver Flukes among Rural People in Nakhon Ratchasima, Thailand, Asian Pacific Journal of Cancer Prevention, 2016, 17, 4, 2111  crossref(new windwow)
 References
1.
Duangsong R, Promthet S, Thaewnongiew K (2013). Development of a community-based approach to opisthorchiasis control. Asian Pac J Cancer Prev, 14, 7039-43. crossref(new window)

2.
Jongsuksuntigul P, Imsomboon T (2003). Opisthorchiasis control in Thailand. Actatropica, 88, 229-32.

3.
Kaewpitoon N, Kaewpitoon SJ, Pengsaa P (2008). Opisthorchiasis in Thailand: review and current status. World J Gastroenterol, 14, 2297-302. crossref(new window)

4.
Kaewpitoon N, Kaewpitoon SJ, Pengsaa P, et al (2008). Opisthorchisviverrini: the carcinogenic human liver fluke. World J Gastroenterol, 14, 666-74. crossref(new window)

5.
Kamsa-Ard S, Wiangnon S, Suwanrungruang K, et al (2011). Trends in liver cancer incidence between 1985 and 2009, Khon Kaen, Thailand: cholangiocarcinoma. Asian Pac J Cancer Prev, 12, 2209-13.

6.
Marcos LA, Terashima A, Gotuzzo E (2008). Update on hepatobiliary flukes: fascioliasis, opisthorchiasis and clonorchiasis. Curr Opin Infect Dis, 2, 523-30.

7.
Rangsin R, Mungthin M, Taamasri P, et al (2009). Incidence and risk factors of Opisthorchis viverrini infections in a rural community in Thailand. The Am J Trop Med Hyg, 81, 152-5.

8.
Sornmani S, Schelp FP, Vivatanasesth P, et al (1983). A pilot project for controlling O. viverrini infection in NongWai, Northeast Thailand, by applying praziquantel and other measures. Arzneimittel-Forschung, 34, 1231-4.

9.
Sota C, Sithithaworn P, Duangsong R, et al (2011). The effectiveness of health education program for liver fluke preventing behavior by using hand book and vcd in primary school students. The Social Sciences, 6, 136-40. crossref(new window)

10.
Sriamporn S, Parkin DM, Pisani P, et al (2005). A prospective study of diet, lifestyle, and genetic factors and the risk of cancer in KhonKaen Province, northeast Thailand: description of the cohort. Asian Pac J Cancer Prev, 6, 295-303.

11.
Sriamporn S, Pisani P, Pipitgool V, et al (2004). Prevalence of Opisthorchis viverrini infection and incidence of cholangiocarcinoma in Khon Kaen, Northeast Thailand. Trop Med Int Health, 9, 588-94. crossref(new window)

12.
Sripa B (2012). Global burden of food-borne trematodiasis.The Lancet infectious diseases, 12, 171-2. crossref(new window)

13.
Sripa B, Kaewkes S, Sithithaworn P, et al (2007). Liver fluke induces cholangiocarcinoma. PLoS Med, 4, 201. crossref(new window)

14.
Sripa B, Laha T, et al (2008). "Opisthorchis viverrini infection and cholangiocarcinoma update from a endemic area in northeast Thailand." 2015, from http://www.icssc.org/ documents/presentations/irid2008abstracts/29-brindley.pdf.

15.
Sripa B, Pairojkul C (2008). Cholangiocarcinoma: lessons from Thailand. Curr Opin Gastroenterol, 24, 349-56. crossref(new window)

16.
Sripa B, Tangkawattana S, Laha T, et al (2015). Toward integrated opisthorchiasis control in Northeast Thailand: The Lawa project. Actatropica, 141, 361-7.

17.
Swee Chong Quek (2010). Cancer can be prevented too : Protection against-causing infections. World Cancer Campaign 2010. Geneva, Switzerland, 40-8.

18.
Thaewnongiew K, Singthong S, Kutchamart S, et al (2013). Prevalence and risk factors for Opisthorchis viverrini infections in upper Northeast Thailand. Asian Pac J Cancer Prev, 15, 6609-12.

19.
Vatanasapt V, Sripa B (2000). Liver cancer in Thailand : epidemiology, diagnosis and control. KhonKaen, Thailand, Siriphan Press, 188.

20.
Vatanasapt V, Uttaravichien T, Mairiang P, et al (1990). Cholangiocarcinoma in north-east Thailand. The Lancet, 335, 116-7.

21.
WHO (2004). Joint WHO/FAO workshop on foodborne trematode infections in Asia HaNoi, Viet Nam. World Health Organization. Manila, Philippines.

22.
Yeoh KW, Promthet S, Sithithaworn P, et al (2014). Reexamination of Opisthorchis viverrini infection in Northeast Thailand. Asian Pac J Cancer Prev, 16, 3413-8.

23.
Yossepowitch O, Gotesman T, Assous M, Marva E, Zimlichman R, and Dan, M (2004). Opisthorchiasis from imported raw fish. Emerg Infect Dis, 10, 2122-6. crossref(new window)