West Asia Organization for Cancer Prevention (WAOCP), APOCP's West Asia Chapter. Asian Pacific Journal of Cancer Prevention 1513-7368 17 6 2016 07 01 Raw Fish Consuming Behavior Related to Liver Fluke Infection among Populations at Risk of Cholangiocarcinoma in Nakhon Ratchasima Province, Thailand 2761 2765 16303 APJCP.2016.17.6.2761 EN Wasugree Chavengkun Faculty of Public Health, Institute of Medicine, Suranaree University, Nakhon Ratchasima 0000-0002-2806-2129 Wasugree Chavengkun Faculty of Public Health, Vongchavalitkul University, Khon Kaen Univeristy, Khon Kaen, Thailand Pontip Kompor Faculty of Public Health, Vongchavalitkul University, Khon Kaen Univeristy, Khon Kaen, Thailand Jun Norkaew Faculty of Public Health, Vongchavalitkul University, Khon Kaen Univeristy, Khon Kaen, Thailand Jirawoot Kujapun Faculty of Public Health, Vongchavalitkul University, Khon Kaen Univeristy, Khon Kaen, Thailand Mali Pothipim Faculty of Public Health, Vongchavalitkul University, Khon Kaen Univeristy, Khon Kaen, Thailand Sukanya Ponphimai Faculty of Public Health, Vongchavalitkul University, Khon Kaen Univeristy, Khon Kaen, Thailand Soraya Kaewpitoon School of Family Medicine and Community Medicine Khon Kaen Univeristy, Khon Kaen, Thailand Parasitic Disease Research Unit, Khon Kaen Univeristy, Khon Kaen, Thailand Suranaree University of Technology Hospital, Institute of Medicine, Suranaree University, Nakhon Ratchasima, Khon Kaen Univeristy, Khon Kaen, Thailand Natnapa Padchasuwan Faculty of Public Health, Khon Kaen Univeristy, Khon Kaen, Thailand Natthawut Kaewpitoon Faculty of Public Health, Vongchavalitkul University, Khon Kaen Univeristy, Khon Kaen, Thailand Parasitic Disease Research Unit, Khon Kaen Univeristy, Khon Kaen, Thailand Suranaree University of Technology Hospital, Institute of Medicine, Suranaree University, Nakhon Ratchasima, Khon Kaen Univeristy, Khon Kaen, Thailand Journal Article 1970 01 01 Opisthorchiasis is a health problem in rural communities of Thailand, particularly in the northeast and north regions. Therefore, this study aimed to investigate raw fish consuming behavior related to liver fluke infection among the population at risk for opisthorchiasis and cholangiocarcinoma (CCA). A cross-sectional descriptive study was conducted in Meuang Yang district, Nakhon Ratchasima province, northeast Thailand, between June and October 2015. Participants were screened for CCA, and samples who had a high score of CCA risk were purposively selected. A predesigned questionnaire was utilized to collect the data from all participants. X2-test was used for analysis of associations between demographic data and raw fish consumption. The results revealed that participants had past histories of stool examination (33.0%), liver fluke infection (21.0%), praziquantel use (24.0%), raw fish consumption (78.0%), relatives family consuming raw fish (73.0%), and relatives family with CCA (3.0%). Participants consumed several dished related to liver fluke infection, mainly raw fermented fish (13.0%), under smoked catfish (5.00%), raw pickled fish (4.00%), and raw spicy minced fish salad (3.00%). The most common types of cyprinoid fish were Barbodes gonionotus (39%), Hampala dispar (38%), Puntius brevis (37%), Cyclocheilichthys armatus (33%), Puntioplites proctozysron (32%), and Luciosoma bleekeri (30%), respectively. Participants had a low level of knowledge (mean=3.79, SD=0.74), moderate attitude (mean=7.31, SD=7.31) and practice (mean=38.64, SD=6.95) regarding liver fluke prevention and control. Demographic variables like age (>36 years old; X2-test=17.794, p-value=0.001), education (primary school; X2-test=18.952, p-value=0.001), marital status (married; X2-test=12.399, p-value=0.002), and income (<5,000 baht; X2-test=27.757, p-value=0.015) were significantly associated with raw fish consumption. This result indicates that the population had risk consumption for liver fluke infection particularly of various cyprinoid fishes that are 2nd intermediate hosts. Therefore, health education is required to improve their behavior.

https://journal.waocp.org/article_16303_ce4c6d5b4959200918bffa3671e8d4cd.pdf