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Sustainable Prevention of Cholangiocarcinoma Through Community Participation in a High-incidence Area in Thailand

Opisthorchiasis and cholangiocarcinoma (CCA) are major public health problems in Northeast Thailand, especially in Ubon Ratchathani, which are the alluvial plains. Those with poor food habits are mostly at risk of having diseases. This study was a participatory action research (PAR) aimed to define...

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Autores principales: Songserm, Nopparat, Woradet, Somkiattiyos, Sripa, Banchop, Ali, Akhtar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: West Asia Organization for Cancer Prevention 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7437333/
https://www.ncbi.nlm.nih.gov/pubmed/32212807
http://dx.doi.org/10.31557/APJCP.2020.21.3.777
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author Songserm, Nopparat
Woradet, Somkiattiyos
Sripa, Banchop
Ali, Akhtar
author_facet Songserm, Nopparat
Woradet, Somkiattiyos
Sripa, Banchop
Ali, Akhtar
author_sort Songserm, Nopparat
collection PubMed
description Opisthorchiasis and cholangiocarcinoma (CCA) are major public health problems in Northeast Thailand, especially in Ubon Ratchathani, which are the alluvial plains. Those with poor food habits are mostly at risk of having diseases. This study was a participatory action research (PAR) aimed to define the models/plans for CCA prevention. The samples consisted of 40 community representatives. The data were collected by the PAR method. Qualitative data were analyzed by content analysis. The samples coordinately analyzed and prioritized the problems and presented information to the community. The plans consisted of (1) cultivating the right values and behaviors of eating food safe from CCA in children, (2) supervising the shops not to sell foods that are the main risk factors for CCA, (3) supporting the community leaders to act as good role models to the people, (4) assigning every housewife to cook clean and safe food from CCA, and (5) encouraging the villagers to have knowledge and awareness, which can protect them from CCA. After the community designed these plans, responsible persons were assigned to implement them. Two years later, researchers evaluated the outcome. The average scores on knowledge and attitude toward CCA were significantly higher than before implementation. For the impact of projects, prevalence of opisthorchiasis in 2016 was significantly lower than that in 2014. CCA prevention by community participation employed a combination of quantitative and qualitative studies. This study has been successful and sustainable since the community has human resources, budget, and appropriate management of the project.
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spelling pubmed-74373332020-09-02 Sustainable Prevention of Cholangiocarcinoma Through Community Participation in a High-incidence Area in Thailand Songserm, Nopparat Woradet, Somkiattiyos Sripa, Banchop Ali, Akhtar Asian Pac J Cancer Prev Research Article Opisthorchiasis and cholangiocarcinoma (CCA) are major public health problems in Northeast Thailand, especially in Ubon Ratchathani, which are the alluvial plains. Those with poor food habits are mostly at risk of having diseases. This study was a participatory action research (PAR) aimed to define the models/plans for CCA prevention. The samples consisted of 40 community representatives. The data were collected by the PAR method. Qualitative data were analyzed by content analysis. The samples coordinately analyzed and prioritized the problems and presented information to the community. The plans consisted of (1) cultivating the right values and behaviors of eating food safe from CCA in children, (2) supervising the shops not to sell foods that are the main risk factors for CCA, (3) supporting the community leaders to act as good role models to the people, (4) assigning every housewife to cook clean and safe food from CCA, and (5) encouraging the villagers to have knowledge and awareness, which can protect them from CCA. After the community designed these plans, responsible persons were assigned to implement them. Two years later, researchers evaluated the outcome. The average scores on knowledge and attitude toward CCA were significantly higher than before implementation. For the impact of projects, prevalence of opisthorchiasis in 2016 was significantly lower than that in 2014. CCA prevention by community participation employed a combination of quantitative and qualitative studies. This study has been successful and sustainable since the community has human resources, budget, and appropriate management of the project. West Asia Organization for Cancer Prevention 2020-03 /pmc/articles/PMC7437333/ /pubmed/32212807 http://dx.doi.org/10.31557/APJCP.2020.21.3.777 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Songserm, Nopparat
Woradet, Somkiattiyos
Sripa, Banchop
Ali, Akhtar
Sustainable Prevention of Cholangiocarcinoma Through Community Participation in a High-incidence Area in Thailand
title Sustainable Prevention of Cholangiocarcinoma Through Community Participation in a High-incidence Area in Thailand
title_full Sustainable Prevention of Cholangiocarcinoma Through Community Participation in a High-incidence Area in Thailand
title_fullStr Sustainable Prevention of Cholangiocarcinoma Through Community Participation in a High-incidence Area in Thailand
title_full_unstemmed Sustainable Prevention of Cholangiocarcinoma Through Community Participation in a High-incidence Area in Thailand
title_short Sustainable Prevention of Cholangiocarcinoma Through Community Participation in a High-incidence Area in Thailand
title_sort sustainable prevention of cholangiocarcinoma through community participation in a high-incidence area in thailand
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7437333/
https://www.ncbi.nlm.nih.gov/pubmed/32212807
http://dx.doi.org/10.31557/APJCP.2020.21.3.777
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