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Foodborne zoonotic trematode infections in Yen Bai, Vietnam : integrated approach

Phi, Thi Thuy Ngan (2018) Foodborne zoonotic trematode infections in Yen Bai, Vietnam : integrated approach.

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Abstract:Background: FZTi is one of the public health concerns but the most neglected tropical disease due to helminthes. The transmission of FZTi is linked to human behavior patterns related to producing, processing, and preparing foods, particularly, habits eating raw fish and raw vegetables. The present study was undertaken to investigate the knowledge, attitude, and practice regarding to FZTi among local people in Yen Bai, Vietnam, and understand the reasons why local people show risk behaviors regarding to FZTi. Materials and method: This cross-sectional descriptive study with a representative sample was designed and involved local people aged from 15 to 65 in Yen Bai, Vietnam. The study used mixed method including quantitative and qualitative approaches. In the KAP Survey (quantitative part), 375 participants were face-to-face interviewed with a structured questionnaire. In the Risk Behavior Investigation (qualitative part), 27 participants were in-depth interviewed. The current knowledge, attitude, and practice regarding to FZTi were described. Associations were analyzed using correlation test, independent-samples t test, and post hoc test. The qualitative data were analyzed by deductive approach. Results: Of all participants (n=375), only 36.3% passed the knowledge assessment (n=136), 86.7% passed the attitude assessment (n=325), and only 24% passed the practice assessment (n=91). There were differences on average knowledge score among different gender (men higher than women, p<0.05), among different ethnicities (p<0.0001) and among different education (p<0.00001). There was a difference in the frequency of the habit of eating raw fish between men and women (men higher than women, p<0.001). There was difference on average practice score between men and women (women higher than man, p<0.05). There was weak correlation between the knowledge score and practice score (p<0.00001). Eating raw fish/vegetable and drinking untreated water from Thac Ba lake are risk behaviors. The performance of these risky habits can be explained by the lack of knowledge on liver fluke infections, poor economic conditions and typical cultural features of local people. Conclusion: Current knowledge of local people is poor, and local people still perform bad practice which leads to infecting with liver fluke; therefore, an integrated intervention in order to improve the current status in Yen Bai, Vietnam is essential.
Item Type:Essay (Master)
Faculty:TNW: Science and Technology
Subject:02 science and culture in general
Programme:Health Sciences MSc (66851)
Link to this item:http://purl.utwente.nl/essays/76115
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