Factors Related to Serum Cholinesterase Level and Health Education of Insecticide Usage among Agriculturists in Wiang Kaen District, Chiang Rai Province, Thailand
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Abstract
Introduction: Pesticides have been implicated in toxicity through routes including consumption of residues and inhalation. The previous reports show high amounts of agriculturists who obtained the toxic substance from pesticide throughout Thailand and Chiang Rai that leading to waste of public health funds. Methods: This study was surveying the 146 agriculturists by quota sampling for measuring serum cholinesterase level and assessing pre-test knowledge attitude and practice (KAP) in pesticide usage by using questionnaire as quantitative data. Only 62 people were completed the questionnaire in both pre- and post-test. The data were then analyzed the significant related factors associated with cholinesterase level by chi-square and descriptive statistical analysis. Related factors obtained were then used for preparing knowledge provided to agriculturists. Post-test of KAP and post serum cholinesterase level were later assessed. Qualitative data were also analyzed by dividing agriculturists into 2 groups of improved and non-improved of post-test KAP. The questionnaire for in-depth interview using open-ended question have been used to interview both groups for finding out the difference between two groups. Result: Three factors were found to be related with the enzyme cholinesterase level including family status, manure, and plant disease. KAP score of post-test questionnaire after providing knowledge to agriculturists were significantly higher at the p-values less than 0.05. In qualitative data, chemical storage, period of exposure time and eating behavior were found to be different between KAP improved and non-improved group. Conclusion: The knowledge program for agriculturists which prepared from related factor were efficiently improved KAP among them.
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