Quang Vinh Hoang, Levecke Bruno, Do Trung Dung, Thi Lam Binh Vu, Dung Le Thuy, Nguyen Thuy Duc, Tuyen Tran Thi, Nguyen Hien Thi Thu, Ha Nguyen Ngoc, Devleesschauwer Brecht, Goossens Kathy, de Jong Theodorus, Paredis Linda, De Wilde Nathalie, Polman Katja, Callens Steven, Dorny Pierre, Dermauw Veronique
Department of Parasitology, National Institute of Malariology, Parasitology and Entomology, Hanoi, Vietnam.
Department of Translational Physiology, Infectiology and Public Health, Ghent University, Merelbeke, Belgium.
PLoS Negl Trop Dis. 2025 Jul 21;19(7):e0013324. doi: 10.1371/journal.pntd.0013324. eCollection 2025 Jul.
Fascioliasis, caused by Fasciola hepatica and Fasciola gigantica, is a zoonotic disease that significantly impacts public health in agricultural communities, particularly in Vietnam. This study aims to assess the knowledge, attitudes, and practices (KAP) regarding fascioliasis among residents in a rural community in Vietnam.
METHODOLOGY/PRINCIPAL FINDINGS: A cross-sectional study was conducted in Dong Thanh commune, north-central Vietnam. A random sample of 621 households was selected, and 1,398 individuals participated in this study. All participants were interviewed to assess their KAP regarding fascioliasis. Household heads were also interviewed about household practices, including life cycle knowledge, health-seeking behavior, water and sanitation practices, livestock and crop management, and dietary habits. Descriptive statistics were used to assess KAP, and generalized linear models were applied to examine the associations between socio-demographic variables and KAP. Awareness of fascioliasis was low, with 85% (1,193/1,398) of respondents reporting no prior knowledge. Detailed understanding of transmission, symptoms, and prevention was limited. Only 9% (124/1,398) of participants could accurately identify the symptoms, while 12% (168/1,398) were knowledgeable about preventive measures. A high percentage of households treated drinking water (99%, 613/619), and consumption of raw vegetables was widespread, with 93% (1,083/1,168) of individuals and 95% of households reporting this practice. Males were less likely to engage in non-risky practices than females (odds ratio: 0.696; 95% confidence interval: 0.591-0.819). Most households (85%, 522/617) sourced plants from their parcels, and 67% (395/588) used animal manure as fertilizer.
CONCLUSION/SIGNIFICANCE: The study reveals significant gaps in KAP related to fascioliasis in Dong Thanh commune. There is a pressing need for targeted educational programs to enhance community awareness and promote safer practices to mitigate the risk of fascioliasis transmission. Future interventions should emphasize gender-specific education and broader community involvement to address these gaps effectively.
由肝片吸虫和巨片吸虫引起的片形吸虫病是一种人畜共患病，对农业社区的公共卫生有重大影响，在越南尤为如此。本研究旨在评估越南一个农村社区居民对片形吸虫病的知识、态度和行为（KAP）。
方法/主要发现：在越南北中部的东清公社进行了一项横断面研究。随机抽取了621户家庭，1398人参与了本研究。所有参与者都接受了访谈，以评估他们对片形吸虫病的KAP。还对户主进行了关于家庭行为的访谈，包括生命周期知识、求医行为、水和卫生习惯、牲畜和作物管理以及饮食习惯。使用描述性统计来评估KAP，并应用广义线性模型来检验社会人口统计学变量与KAP之间的关联。对片形吸虫病的知晓率很低，85%（1193/1398）的受访者表示之前没有相关知识。对传播、症状和预防的详细了解有限。只有9%（124/1398）的参与者能够准确识别症状，而12%（168/1398）的人了解预防措施。很高比例的家庭对饮用水进行处理（99%，613/619），生食蔬菜的情况很普遍，93%（1083/1168）的个人和95%的家庭报告有这种行为。男性比女性从事无风险行为的可能性更小（比值比：0.696；95%置信区间：0.591 - 0.819）。大多数家庭（85%，522/617）从自家地块获取植物，67%（395/588）使用动物粪便作为肥料。
结论/意义：该研究揭示了东清公社在片形吸虫病相关KAP方面存在显著差距。迫切需要有针对性的教育项目来提高社区意识，并推广更安全的行为以降低片形吸虫病传播风险。未来的干预措施应强调针对性别的教育和更广泛的社区参与，以有效弥补这些差距。
