Boonjaraspinyo Sirintip, Boonmars Thidarut, Ekobol Nuttapon, Artchayasawat Atchara, Sriraj Pranee, Aukkanimart Ratchadawan, Pumhirunroj Benjamabhorn, Sripan Panupan, Songsri Jiraporn, Juasook Amornrat, Wonkchalee Nadchanan
Department of Community Medicine, Family Medicine and Occupational Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.
Department of Parasitology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.
Trop Med Infect Dis. 2022 Dec 27;8(1):22. doi: 10.3390/tropicalmed8010022.
Intestinal parasitic infections are still a crucial problem among communities in Northeast Thailand. Misuse of antiparasitic drugs and unhealthy food behaviors are known. This study aimed to explore the prevalence, behavioral health factors, and motivation for self-treatment of anti-parasitic drugs in this area. A community-based cross-sectional study was conducted in Phra Lap sub-district, Mu Khon Kaen district, Khon Kaen province, Northeast Thailand, in 2016. A total of 419 participants were recruited to complete a self-administered questionnaire and stool examination. Binary logistic regression was used to assess the association between the risk factor and parasitic infection. Forty-two participants (10%; 95%CI 7.5-13.3) were positive for at least one parasite species. In this community, the most detected intestinal parasite was (5.3%), followed by (3.1%). A total of 67.5% of the participants had the experience of anti-parasitic drug treatment within previous 1 year, and "Often eat raw food" was the most common reason for the use of anti-parasitic drugs. On multivariate analysis, parasitic infections were significantly associated with male gender (ORadj. 2.42; 95%CI 1.00-5.85), age ≥ 60 years (ORadj. 7.55; 95%CI 1.60-35.76), and often consuming raw food of at least one type (ORadj. 2.37; 95%CI 1.03-5.44). Given these findings, correction of the dietary habit of eating raw fish/meat, which is the most important measure, and limitation of the use of anthelmintic treatment for individuals with stools positive for ova as well as emphasis on sanitary toilets will be implemented for the prevention and control of parasitic infection in endemic communities.
肠道寄生虫感染在泰国东北部的社区中仍然是一个关键问题。人们已知存在对抗寄生虫药物的滥用以及不健康的饮食行为。本研究旨在探究该地区抗寄生虫药物的患病率、行为健康因素以及自我治疗的动机。2016年在泰国东北部孔敬府孔敬市穆县的帕拉普分区开展了一项基于社区的横断面研究。共招募了419名参与者来完成一份自填式问卷和粪便检查。采用二元逻辑回归来评估风险因素与寄生虫感染之间的关联。42名参与者（10%；95%置信区间7.5 - 13.3）至少有一种寄生虫呈阳性。在这个社区中，检测到最多的肠道寄生虫是（5.3%），其次是（3.1%）。共有67.5%的参与者在过去1年内有过抗寄生虫药物治疗经历，“经常吃生食”是使用抗寄生虫药物最常见的原因。多因素分析显示，寄生虫感染与男性性别（调整后的比值比2.42；95%置信区间1.00 - 5.85）、年龄≥60岁（调整后的比值比7.55；95%置信区间1.60 - 35.76）以及经常食用至少一种生食（调整后的比值比2.37；95%置信区间1.03 - 5.44）显著相关。鉴于这些发现，将采取纠正食用生鱼/肉的饮食习惯这一最重要措施，限制对粪便虫卵阳性个体使用驱虫治疗，并强调卫生厕所，以防控流行社区的寄生虫感染。
