Prevalence rates of G6PD deficiency and factors associated with malaria preventive behaviors among primary school children in border patrol police schools, Maehongson province

Authors

  • Nardlada Khantikul Office of Disease Prevention and Control, Region 1 Chiang Mai
  • Aungkana Saejeng Division of Vector Borne Diseases, Department of Disease Control
  • Sarinee Srithep Office of Disease Prevention and Control, Region 1 Chiang Mai
  • Thunyapan Ruanthip Office of Disease Prevention and Control, Region 1 Chiang Mai
  • Somchart Booncomma Office of Disease Prevention and Control, Region 1 Chiang Mai
  • Mallika Imwong Faculty of Tropical Medicine, Mahidol University

DOI:

https://doi.org/10.14456/dcj.2021.106

Keywords:

G6PD Deficiency, Malaria prevention, Border patrol police school

Abstract

G6PD deficiency may trigger hemolytic crisis after receiving treatment with some malaria drugs. This cross-sectional descriptive study aimed to investigate the prevalence of Glucose-6-Phosphate Dehydrogenase (G6PD) deficiency and determinants affecting malaria preventive behaviors of the primary school children in the border patrol police schools in Mae Hong Son province. The samples were recruited 392 students aged between 7-13 years from 11 schools in high-risk malaria territory. Data were collected by an interview with a structure questionnaire and a modified fluorescent spot test set for screening G6PD deficiency (in house method). The data analyses were to compute G6PD prevalence rates and their relationships of the determinants by displaying values of means, SD, 2test, and Multiple Logistic Regression. Findings showed the prevalence rate of G6PD deficiency of all children was 10.46 where the rate of male was significantly higher than that of female students, 13.54% vs 7.50%. It was necessitated to correct for their better knowledge of G6PD, knowledge of malaria, malaria perception and preventive behaviors within the rates of 95.15, 87.76, 55.61 and 80.87%, respectively. Associations between the determinants of preventive behaviors were significantly correlated with malaria risk perception, benefit of drugs for treatment, preventive methods, overall malaria perception, and self-care in normal life (p<0.05). Multiple Logistic Regression could predict malaria preventive behaviors that associated with perception of treatment benefits and prevention at 80.87% (adjusted odds ratio [OR]: 3.07, 95% confidence interval [CI]: 1.69-5.56, Pseudo R2=80.87). An avoidance of exposure with chemicals and malaria drugs treatment is necessary. It is needed for giving educational programs to the school children to increase perception and their participation of disease prevention.

Downloads

Download data is not yet available.

References

Sudathip P, Kitchakarn S, Shah JA, Bisanzio D, Young F, Gopinath D, et al. A foci cohort analysis to monitor successful and persistent foci under Thailand ’ s Malaria Elimination Strategy. Malar J [Internet]. 2021 [cited 2021 Apr 2];20:1-9. Available from: https://malaria-journal.biomedcentral.com/articles/10.1186/ s12936-021-03648-8.

Hotez PJ, Molyneux DH, Fenwick A, Kumaresan J, Sachs SE, Sachs JD, et al. Control of neglected tropical diseases. N Engl J Med [Internet]. 2007 [cited 2021 Apr 2];10:1018-27. Available from: https://pubmed.ncbi.nlm.nih.gov/ 17804846/

WHO. World malaria report 2020 [Internet]. Geneva: WHO; 2020 Nov [cited 2021 Apr 2]. 299 p. Available from: https://www.who.int/ publications/i/item/9789240015791

WHO Regional Office for the Western Pacific. Strategy for Malaria Elimination in the Greater Mekong Subregion (2015-2030) [Internet]: Manila: WHO Regional Office for the Western Pacific; 2015 Jan [cited 2021 Apr 2]. 64 p. Available form: https://apps.who.int/iris/han¬dle/10665/208203

Domingo GJ, Satyagraha AW, Anvikar A, Baird K, Bancone G, Bansil P, et al. G6PD testing in support of treatment and elimination of malaria: recommendations for evaluation of G6PD tests. Malar J [Internet]. 2013 [cited 2020 May 7];12:1-12. Available from: https://link. springer.com/article/10.1186/1475-2875 -12-391

ong KIC, Kosugi H, Thoeun S, Araki H, Than¬dar MM, Iwagami M, et al. Systematic review of the clinical manifestations of glucose-6-phos¬phate dehydrogenase deficiency in the Greater Mekong Subregion: implications for malaria elimination and beyond. BMJ global health [Internet]. 2017 [cited 2020 May 7];2:1-8. Available form: https://pubmed.ncbi.nlm.nih. gov/ 29082022/

Division of Vector Borne Disease, Department of Disease Control. The report of surveillance, prevention, control and elimination of malaria from the Development Project for Children and Youths in scarcity areas under the Royal Patron¬age of Princess Maha Chakri Sirindhon 2020 [Internet]: Nonthaburi: Deparment of Disease Control; 2020 Oct [cited 2021 Apr 2]. 12 p. Available form: https://drive.google.com/file/d/ 1M-7y7FNOpTiY7hfxlcXYIwPaLIeSxbI-/ view (In Thai).

Baird JK. Point-of-care G6PD diagnostics for Plasmodium vivax malaria is a clinical and pub¬lic health urgency. BMC Med [Internet]. 2015 [cited 2020 May 7];13:4-7. Available form: https://bmcmedicine.biomedcentral.com/arti-cles/10.1186/s12916-015-0531-0

Cappellini MD, Fiorelli G. Glucose-6-phos¬phate dehydrogenase deficiency. Lancet [Inter¬net]. 2008 [cited 2020 May 7];371:64-74. Available form: https://pubmed.ncbi.nlm.nih. gov/18177777/

Division of Vector Borne Disease, Deparment of Disease Control. Standard operating procedures (SOP) for malaria case follow up in Thailand. 1st. Nonthaburi: Division of Vector Borne Disease; 2020. (In Thai)

Luzzatto L, Ally M, Notaro R. Glucose-6-Phos-phate Dehydrogenesr Deficiency. Blood [Inter¬net]. 2016 [cited 2020 May 8];136:1225- 1240. Available from: https://pubmed.ncbi. nlm.nih.gov/32702756/

Devi AS, Kodi M, Devi AM. Living with Glu¬cose-6-Phosphate Dehydrogenase Deficiency. Journal of Nursing Science & Practice [Internet]. 2016 [cited 2020 May 8];6:23-30. Available form: http://medicaljournals.stmjournals.in/in-dex.php/JoNSP/article/view/728

Luzzatto L, Arese P. Favism and Glucose-6- Phosphate Dehydrogenase Deficiency. New En-gland Journal of Medicine [Internet] 2018 [cited 2020 May 9];378:60-71. Available form: https://www.nejm.org/doi/10.1056/nejm-ra1708111?url_ver=Z39.88-2003&rfr_ id=ori:rid:crossref.org&rfr_dat=cr_pub%20%20 0pubmed

Saejeng A, Khantikul N, Boonin P, Anantasuk P, Srithep S, Pornprasert S. Modified Fluorescent Spot Test for screening G6PD deficiency among malaria patients in remote heath care services, Northern Thailand. Lanna Public health Journal [Internet]. 2018 [cited 2020 May 9];14:12-21. Available form: https://he02.tci-thaijo.org/in-dex.php/LPHJ/article/view/163063. (In Thai)

Bloom BS. Learning for Mastery. Instruction and Curriculum. Washington D.C.; 1968.

Babbie E. The basics of social research. 4th ed. United States: Thomson Wadsworth; 2008.

Nadarajan V, Shanmugam H, Sthaneshwar P, Jayaranee S, Sultan KS, Ang C, et al. Modification to reporting of qualitative fluorescent spot test results improves detection of glucose-6 -phos¬phate dehydrogenase (G6PD)-deficient hetero¬zygote female newborns. Int J Lab Hematol [Internet]. 2011 [cited 2020 May 10];33: 463-70. Available form: https://pubmed.ncbi. nlm.nih.gov/21501392/

Kitayaporn D, Charoenlarp P, Pattaraarechachai J, Pholpoti T. G6PD deficiency and fava bean consumption do not produce hemolysis in Thai¬land. Southeast Asian J Trop Med Public Health [Internet]. 1991 [cited 2020 May 10];22:176- 82. Available form: https://pubmed.ncbi.nlm.nih.gov/1948276/

Cheepsunthorn CL, Nuchprayoon I. G6PD defi¬ciency in Southeast Asia and G6PD diagnostic tests in support of primaquine treatment to elim¬inate malaria. Chula Med J [Internet]. 2014 [cited 2020 May 10];58:153-68. Available form: http://clmjournal.org/_fileupload/jour¬nal/22-5.pdf. (In Thai)

Nawanwat CP, Thitima Y. The Study of Preva¬lence and Haematological Parameters of G6PD Deficiency Patient : Case Report from Trang Hospital. J Med Tech Assoc Thailand [Internet]. 2014 [cited 2020 May 11];42:4964-73. Available form: https://www.researchgate.net/ publication/281777379_The_Study_of_Preva¬lence_and_Haematological_Parameters_of_ G6PD_Deficiency_Patient_Case_Report_from_ Trang_Hospital

Phompradit P, Kuesap J, Chaijaroenkul W, Rueangweerayut R, Hongkaew Y, Yamnuan R, et al. Prevalence and distribution of glucose-6-phos¬phate dehydrogenase (G6PD) variants in Thai and Burmese populations in malaria endemic areas of Thailand. Malar J [Internet]. 2011 [cited 2020 May 11];10:1-8. Available form: https://www.ncbi.nlm.nih.gov/pmc/articles/ PMC3286437/

Moosazadeh M, Amiresmaili M, Aliramezany M. Prevalence of G6PD Deficiency in Iran , a Mata-analysis. Acta Med Iran [Internet]. 2013 [cited 2020 May 11];52:256-264. Available form: https://acta.tums.ac.ir/index.php/acta/ article/view/4655

Harcke SJ, Rizzolo D, Harcke HT. G6PD defi¬ciency: An update. J Am Acad Physician Assist [Internet]. 2019 [cited 2020 May 11];32:21-6. Available form: https://journals.lww.com/jaa-pa/Fulltext/2019/11000/G6PD_deficiency__ An_update.4.aspx

Orem DE, Taylor SG, Repenning KM. Nursing¬:Concepts of Practice. 6th ed. St.Louis: Mosby; 2001.

Meleis AI. Theoretical nursing Development and progress. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2012.

Downloads

Published

2021-12-29

How to Cite

1.
Khantikul N, Saejeng A, Srithep S, Ruanthip T, Booncomma S, Imwong M. Prevalence rates of G6PD deficiency and factors associated with malaria preventive behaviors among primary school children in border patrol police schools, Maehongson province. Dis Control J [Internet]. 2021 Dec. 29 [cited 2024 Dec. 19];47(Suppl 2):1228-41. Available from: https://he01.tci-thaijo.org/index.php/DCJ/article/view/248690