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Publication
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| Title of Article |
Community based health education and communication model development for Opisthorchiasis prevention in high risk area, Khon Kaen Province |
| Date of Acceptance |
27 August 2015 |
| Journal |
| Title of Journal |
Asian Pacific Journal of Cancer Prevention |
| Standard |
SCOPUS |
| Institute of Journal |
UICC-Asia Regional Office/The Asian Pacific Organization for Cancer Prevention (APOCP) Coordination |
| ISBN/ISSN |
1513-7368 |
| Volume |
16 |
| Issue |
16 |
| Month |
October |
| Year of Publication |
2015 |
| Page |
|
| Abstract |
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. |
| Keyword |
opisthorchiasis, health education, raw fish eating, stage of change |
| Author |
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| Reviewing Status |
มีผู้ประเมินอิสระ |
| Status |
ได้รับการตอบรับให้ตีพิมพ์ |
| Level of Publication |
นานาชาติ |
| citation |
false |
| Part of thesis |
true |
| Attach file |
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| Citation |
0
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Journal Publication
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