Songserm Nopparat, Bureelerd Onanong, Thongprung Sumaporn, Woradet Somkiattiyos, Promthet Supannee
Department of Community Health, Faculty of Public Health, Ubon Ratchathani Rajabhat University, Ubon Ratchathani, Thailand E-mail :
Asian Pac J Cancer Prev. 2015;16(16):7375-9. doi: 10.7314/apjcp.2015.16.16.7375.
A high prevalence of Opisthorchis viverrini infection is usually found in wetland geographical areas of Thailand where people have traditional behavior of eating uncooked freshwater fish dishes which results in cholangiocarcinoma (CCA) development. There were several approaches for reducing opisthorchiasis-linked CCA, but the prevalence remains high. To develop community participation as a suitable model for CCA prevention is, firstly, to know what factors are related. We therefore aimed to investigate factors associated with the community participation in CCA prevention among rural residents in wetland areas of Ubon Ratchathani, Thailand. This was a cross-sectional analytic study. All participants were 30-69 years of age, and only one member per house was invited to participate. A total of 906 participants were interviewed and asked to complete questionnaires. Independent variables were socio-demographic parameters, knowledge, health belief and behavior to prevent CCA. The dependent variable was community participation for CCA prevention. Descriptive statistics were computed as number, percentage, mean and standard deviation. Associations were assessed using logistic regression analysis with a P-value <0.05 considered statistically significant. Of all the participants, more than 60% had regularly participated in activities to prevent CCA following health officials advice. Age and health behavior to prevent CCA were factors associated with community participation for CCA (p<0.001). Both factors will be taken into consideration for community participation approaches for CCA prevention through participatory action research (PAR) in future studies.
泰国的湿地地理区域通常存在较高的麝猫后睾吸虫感染率，当地居民有食用未煮熟淡水鱼菜肴的传统行为，这导致胆管癌（CCA）的发生。有几种方法可用于降低与后睾吸虫病相关的CCA发病率，但发病率仍然很高。要将社区参与发展成为预防CCA的合适模式，首先要了解相关因素。因此，我们旨在调查泰国乌汶府湿地地区农村居民参与CCA预防的社区参与相关因素。这是一项横断面分析研究。所有参与者年龄在30至69岁之间，每户仅邀请一名成员参与。总共对906名参与者进行了访谈，并要求他们填写问卷。自变量是社会人口统计学参数、知识、健康信念和预防CCA的行为。因变量是社区参与CCA预防。描述性统计以数量、百分比、均值和标准差计算。使用逻辑回归分析评估关联性，P值<0.05被认为具有统计学意义。在所有参与者中，超过60%的人按照卫生官员的建议定期参与预防CCA的活动。年龄和预防CCA的健康行为是与社区参与CCA相关的因素（p<0.001）。在未来的研究中，将通过参与式行动研究（PAR）将这两个因素纳入CCA预防的社区参与方法的考虑范围。
