Factors Associated with Liver Fluke Prevention and Control Behaviors in People Aged 15 and Up in High-Risk Areas Nong Pla Sawai Subdistrict, Ban Hong District, Lamphun Province.
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Abstract
This cross-sectional study aimed to investigate factors associated with self-care behaviors for the prevention and control of opisthorchiasis and to compare the results of Modified Kato's thick smear and OV rapid diagnosis test (OV-RDT) among 392 individuals aged 15 years and over in a high-risk area of Tambon Nong Plasawai, Ban Hong District, Lamphun Province. A questionnaire was used to collect data on socio-demographics, knowledge, attitudes, motivation, social support, and self-care behaviors. Binary logistic regression was used to analyze the factors associated with self-care behaviors and compare the results of liver fluke screening using two methods through statistical analysis with a Paired Samples T-test. Results: Motivation, social support, and attitudes were significantly associated with self-care behaviors (OR= 38.35, 95%CI:10.90-134.86, p-value<0.001; OR= 4.19, 95%CI: 1.25-14.09, p-value=0.020). There was a significant difference between the results of Modified Kato's thick smear and OV-RDT. Conclusion: Promotion of positive attitudes, motivation, and social support for self-care behaviors is recommended. OV-RDT can be used as an initial screening tool when time and budget are limited, followed by Modified Kato's thick smear for confirmation.
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