1. Risk factors for Clonorchis sinensis infection transmission in humans in northern Vietnam: A descriptive and social network analysis study
- Author
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Do Trung Dung, Banchob Sripa, Sirikachorn Tangkawattana, Waraphon Phimpraphai, Hoang Quang Vinh, John F. Smith, Tran Thanh Duong, and Sasithorn Kaewkes
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Male ,Cross-sectional study ,030231 tropical medicine ,Social Environment ,Article ,law.invention ,Feces ,03 medical and health sciences ,0302 clinical medicine ,Food Parasitology ,Raw Foods ,Risk Factors ,law ,Surveys and Questionnaires ,Environmental health ,medicine ,Animals ,Humans ,030212 general & internal medicine ,Risk factor ,Family Characteristics ,Meal ,Clonorchis sinensis ,biology ,Ecology ,Fishes ,Feeding Behavior ,Liver fluke ,medicine.disease ,biology.organism_classification ,Cross-Sectional Studies ,Infectious Diseases ,Transmission (mechanics) ,Seafood ,Vietnam ,Clonorchiasis ,Female ,Parasitology - Abstract
Clonorchis sinensis is major fish-borne trematode, endemic in North Vietnam. Risk factors described so far include individual eating behaviors and environmental factors. Here, additional to conventional risk factors, we report on socially influenced liver fluke transmission in endemic communities. A cross-sectional study on risk factors and fish sharing networks was conducted in 4 villages of Gia Thinh Commune, Ninh Binh Province. A total of 510 residents in 272 households were recruited for risk factor analysis while 220 households, 28 fishermen and 10 fish-sellers were enrolled for social network study. Fecal examination for C. sinensis eggs was performed. Average C. sinensis infection rate at Gia Thinh commune was 16.5% (range 2% to 34.4%). Higher infection rates were significantly associated with males, lower educational levels, eating raw fish, and location of the villages. Social network analysis (SNA) showed a strong positive correlation between ego network size (number of households in fish sharing network) and quantity of raw fish consumed (r=0.603, P< 0.05). The infection rate in people who ate raw-fish caught from a nearby river was significantly higher than those who consumed fish taken from farmed ponds (P
- Published
- 2017
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