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ชื่อบทความ Community based health education and communication model development for Opisthorchiasis prevention in high risk area, Khon Kaen Province 
วัน/เดือน/ปี ที่ได้ตอบรับ 27 สิงหาคม 2558 
วารสาร
     ชื่อวารสาร Asian Pacific Journal of Cancer Prevention 
     มาตรฐานของวารสาร SCOPUS 
     หน่วยงานเจ้าของวารสาร UICC-Asia Regional Office/The Asian Pacific Organization for Cancer Prevention (APOCP) Coordination  
     ISBN/ISSN 1513-7368 
     ปีที่ 16 
     ฉบับที่ 16 
     เดือน October
     ปี พ.ศ. ที่พิมพ์ 2558 
     หน้า  
     บทคัดย่อ Objective: 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 high-risk areas. Material and Method: The study was of a quasi-experimental nature. This was a three-stage research study. Stage 1 involved the situational and capacity analysis study 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, the implementation and evaluation of the model. The data was collected using both qualitative and quantitative methods. In total, 390 people were surveyed, and a quasi - experimental group and a comparison group, each with 90 people in them, were assessed between May 2011 and April 2012.The data was then analyzed 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:86.00-92.35), and positive attitudes toward the prevention of the disease (94.4%, 95% CI:91.58-96.43). However, with regard to changes in consumption of uncooked fish, most respondents were still in the pre-contemplation phase (55.1%, 95% CI:50.04-60.14), 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) Conclusion: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. 
     คำสำคัญ opisthorchiasis, health education, raw fish eating, stage of change 
ผู้เขียน
527070028-2 นาย ไพฑูรย์ พรหมเทศ [ผู้เขียนหลัก]
คณะแพทยศาสตร์ ปริญญาเอก ภาคปกติ

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