Factors Related to the Consumption of Raw Fish among the People in Sisaket Province 2016

Abstract

This is an analytical cross-sectional study aimed to investigate factors related to the consumption of raw fish among the people in Sisaket province. The sample consisted of 900 people aged 15 years and above from 22 districts, 30 villages which sampling 30 people from each village. A simple logistic regression was used to find the relationship of each variable. Crude odds ratio (ORc) and 95% confidence interval were presented. It was found that 69.4% of the subjects consumed the food prepared from rawfish or uncooked freshwater fish and 38.7% ate raw-fish or uncooked freshwater fish less than 1-time a month. The popular food that was the common source of liver fluke infection was papaya salad with pickled raw fish sauce (94.2%). Thinking that a little and infrequently of eating raw fish could not be infected Opisthorchis viverrini (56.1%). The statistically significant factors related to the consumption of raw fish included male gender (ORc=1.4, 95%CI: 1.1-1.9), Alcohol drinker (ORc=1.8, 95%CI: 1.3-2.4), cigarette smoker (ORc=2.1, 95%CI: 1.5-3.1), lack of knowledge of eating raw fish or uncooked freshwater fish is the cause of CCA (ORc=32.0, 95%CI: 21.6-47.5), the people who were agriculturer compared with government officer (ORc=3.9, 95%CI: 1.9-7.9); and high education level, high income, higher family income were more likely to reduce consumption of raw fish. Therefore, health personnel should speed up to educate and build the correct attitude on the dangers of eating raw fish or uncooked freshwater fish that led to liver fluke infection and died with Cholangiocarcinoma. As well, campaigns to eat cooked pickled fish should be conducted to reduce liver fluke infection rate and incident of cholangiocarcinoma (CCA).