Influent Factor toward Based Helminth Infections among of Thai-Cambodian Border in Phusing District, Sisaket Province, Thailand

Abstract

This cross-sectional study aimed to determine a) prevalence of helminth infection among pupils along six target Thai –Cambodian border primary schools in Phu Sing District, Sisaket Province via FECT under universal parasitology, and b) the influent factors via constructed questionnaire. Three hundred subjects were allocated sampling size under Taro Yamane formula within stratified simple random sampling based for each school. The meeting among pupils' parents and the local units of school-related and public health was formed for congruence and consent. Each pupil was provided Standard FECT while 125 items questionnaire, under five experts with a reliability range between 0.80-0.95 formulas of Kr 20 and Cronbach alpha, were conducted as well. Descriptive statistics and stepwise multiple regression were applied. The results, respectively to the prevalence and influent factors, were as follows; 1) The infected cases were 11.66%. Among the prevalence, sequentially, comprised the hookworm (74.00 %), Trichuris triciura (17.00 %), Ascaris lumbricoides (6.00 %), and Opisthorchis viverrini (3.00 %). Noticeable for high percentage data mode comprised age in 8-9 years who’s not attend boy scout regulation with wearing shoe uniform (77.10%), relevantly to, “not wearing shoes” (71.40%), family agricultural career (71.40%), majority of the Khmer ethnicity (71.40%), and unwell-cooked-food consuming (62.90%). 2) Five Statistically Significant influent factors were, respectively to Standardized Regression Coefficient (β), (i) Self-care for prevention practice (β= 0.834), (ii) Perceived its severity (β=-0.298), (iii) Attitudes (β=-0.245), (iv) Knowledge (β=-0.134), and (v)Recognizing the benefits (β=-0.081). Total predictive power was 85.60% (R2=0.856, p <0.05). These results inter-supported each other leading to accountability. “Not wearing shoes” and “Not well-cooked food eating” was for this crisis. The helminth-infection prevention should be on target behavior-changing as its output with additional school base regulation within a spontaneous holistic approach among collaborated units from school, family, community, profession, and policy under the five significant concerns related to cultural uniqueness of ethnicity and countryside agricultural ways as well as geographical concerns. The usefulness is the challenge to the effective holistic intervention integrated with GIS-based on stakeholders’ simultaneous collaboration within the concept of “One size will never fit all”, especially in the distinctive areas.