Objective:To determine the influence of geographic,knowledge and behavioral factors on Opisthorchis(O.)viverrini infection in the Northeast of Thailand.Methods:This cross-sectional study was conducted by using four da...Objective:To determine the influence of geographic,knowledge and behavioral factors on Opisthorchis(O.)viverrini infection in the Northeast of Thailand.Methods:This cross-sectional study was conducted by using four datasets of years 2016 and 2017.Generalized linear mixed model was employed to analyze association between geographic,knowledge and behavioral factors and O.viverrini infection.Results:Totally there were 1885 participants.The prevalence of O.viverrini infection was 10.03%.Geographic factors that showed statistically significant association with O.viverrini infection in the Northeast region were featured by at least a dam and reservoir(Adj.OR=4.21,95%CI:2.49-7.13,P<0.001),at least a weir(Adj.OR=1.74,95%CI:1.09-2.77,P=0.020),>50 dogs and cats per village(Adj.OR=3.40,95%CI:2.17-5.31,P<0.001),and rice fields covered>50%of its areas(Adj.OR=1.91,95%CI:1.04-4.01,P=0.036),as well as low to moderate levels of knowledge(Adj.OR=1.60,95%CI:1.32 to 1.94,P<0.001),consumed raw fish(Adj.OR=1.90,95%CI:1.02 to 3.52,P=0.040)and consumed processed raw fish(Adj.OR=3.03,95%CI:2.20 to 4.18,P<0.001).Other significant covariates were gender and age of the respondents.Conclusions:O.viverrini infection still remains a public health problem of the Northeast of Thailand.Geographic and demographic factors,knowledge,and consumption behaviors of raw fish products are significantly associated with O.viverrini infection.展开更多
文摘Objective:To determine the influence of geographic,knowledge and behavioral factors on Opisthorchis(O.)viverrini infection in the Northeast of Thailand.Methods:This cross-sectional study was conducted by using four datasets of years 2016 and 2017.Generalized linear mixed model was employed to analyze association between geographic,knowledge and behavioral factors and O.viverrini infection.Results:Totally there were 1885 participants.The prevalence of O.viverrini infection was 10.03%.Geographic factors that showed statistically significant association with O.viverrini infection in the Northeast region were featured by at least a dam and reservoir(Adj.OR=4.21,95%CI:2.49-7.13,P<0.001),at least a weir(Adj.OR=1.74,95%CI:1.09-2.77,P=0.020),>50 dogs and cats per village(Adj.OR=3.40,95%CI:2.17-5.31,P<0.001),and rice fields covered>50%of its areas(Adj.OR=1.91,95%CI:1.04-4.01,P=0.036),as well as low to moderate levels of knowledge(Adj.OR=1.60,95%CI:1.32 to 1.94,P<0.001),consumed raw fish(Adj.OR=1.90,95%CI:1.02 to 3.52,P=0.040)and consumed processed raw fish(Adj.OR=3.03,95%CI:2.20 to 4.18,P<0.001).Other significant covariates were gender and age of the respondents.Conclusions:O.viverrini infection still remains a public health problem of the Northeast of Thailand.Geographic and demographic factors,knowledge,and consumption behaviors of raw fish products are significantly associated with O.viverrini infection.