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Cholangiocarcinoma protective factors in Greater Mekong Subregion: Critical issues for joint planning to sustainably solve regional public health problems.
Songserm, Nopparat; Woradet, Somkiattiyos; Kankarn, Waratip; Pintakham, Kanjanar; Vanhnivongkham, Phouthong; Uyen, Nguyen Thi To; Cuu, Nguyen Cong; Cua, Le Ngoc; Sripa, Banchob; Ali, Akhtar.
Afiliación
  • Songserm N; Faculty of Public Health, Ubon Ratchathani Rajabhat University, Ubon Ratchathani, Thailand.
  • Woradet S; Faculty of Health and Sports Science, Thaksin University, Phatthalung, Thailand.
  • Kankarn W; Faculty of Nursing, Ubon Ratchathani Rajabhat University, Ubon Ratchathani, Thailand.
  • Pintakham K; Faculty of Health Sciences, Chiang Rai Rajabhat University, Chiang Rai, Thailand.
  • Vanhnivongkham P; Champasak Health Science College, Champasak, Lao PDR.
  • Uyen NTT; Dong Thap Medical College, Dong Thap, Vietnam.
  • Cuu NC; Dong Thap Medical College, Dong Thap, Vietnam.
  • Cua LN; Faculty of Allied Health Sciences, Mekong University, Vinh Long, Vietnam.
  • Sripa B; Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
  • Ali A; WHO Collaborating Centre for Research and Control of Opisthorchiasis, Tropical Disease Research Laboratory, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
PLoS One ; 17(1): e0262589, 2022.
Article en En | MEDLINE | ID: mdl-35085313
Although Opisthorchis viverrini (OV), lifestyle, and diet co-factors have a relatively high prevalence in the Greater Mekong Subregion (GMS) population, cumulative (0-74) incidence rates of cholangiocarcinoma (CCA) do not reach 5% in this region. Other co-factors must influence, but in this study, we only highlighted positive factors for guiding joint planning to address public health problems at the regional level. Therefore, we aimed to study prevalence and factors associated with CCA incidence focusing only on protective factors. A cross-sectional analytic study was carried out from June to October 2017. Participants with informed consent completed the questionnaires. Descriptive statistics were used to analyze general information. Primary variables were classified into high and low levels by mean. Logistic regression was employed to investigate the correlation between interesting variables and the overall risk level of CCA. The overall prevalence of CCA protective factors of the whole region was knowledge (61.39%), health beliefs (42.32%), prevention behavior (31.93%), and community participation (14.53%). When considering the proportions at a high level, they were 49.53%, 53.72%, 35.37%, and 49.67%, respectively. Significant factors associated with CCA prevention were females with secondary or vocational education, a high level of perceived seriousness and benefits, and community participation. These findings are likely to be helpful for both the public and administrators. First, it can be information for people to be aware of CCA risk. Second, policy-driven authorities at the local or regional level should apply the critical issues from this study for joint planning to sustainably solve regional public health problems.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de los Conductos Biliares / Colangiocarcinoma Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Adult / Animals / Female / Humans / Male / Middle aged Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2022 Tipo del documento: Article País de afiliación: Tailandia Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de los Conductos Biliares / Colangiocarcinoma Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Adult / Animals / Female / Humans / Male / Middle aged Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2022 Tipo del documento: Article País de afiliación: Tailandia Pais de publicación: Estados Unidos