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首页> 外文期刊>Global health promotion >Analysis of a school-based health education model to prevent opisthorchiasis and cholangiocarcinoma in primary school children in northeast Thailand
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Analysis of a school-based health education model to prevent opisthorchiasis and cholangiocarcinoma in primary school children in northeast Thailand

机译：学校健康教育模式的分析为了防止opisthorchiasis和胆管癌小学生在泰国东北部

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摘要

Infection with the liver fluke Opisthorchis viverrini is the major causative factor inducing cholangiocarcinoma in the Mekong region of Southeast Asia. Northeast Thailand has the highest incidence of this cancer worldwide leading to about 20,000 deaths every year. Infection with the liver fluke comes from eating raw or undercooked fish, a tradition in this area that can potentially be countered by education programs at school level. Here we develop a school-based health education model, based on protection motivation theory (PMT), including module design, learning materials, student activities, and capacity building amongst teachers. This education program was applied and tested in primary school to pupils (9-13 years) in Khon Kaen province, northeast Thailand. Using a randomized control trial, four schools served as intervention groups (n = 118 pupils) and another four acted as controls (n = 113 pupils). Based on PMT constructs, we found that the pupils in the intervention group had significantly greater knowledge and perceived the severity, vulnerability, response efficacy, and self-efficacy parameters concerning the dangers of eating raw fish and of developing cholangiocarcinoma than those in the control schools (p 0.05). All of the PMT constructs measured were significantly intercorrelated with each other (p 0.001). At the same time, some background knowledge, from community-based education programs, was present in the control schools. The result from this initial study suggests that PMT can be used to predict protective attitude as well as behavior changes in evaluating the consequence of school health intervention programs.
机译：感染肝吸虫Opisthorchis诱导viverrini是主要的诱发因素胆管癌的湄公河地区东南亚。全球发病率最高的癌症每年导致约20000人死亡。肝吸虫感染来自饮食生的或未煮熟的鱼,在这个领域的传统可以反驳的教育项目在学校的水平。学校健康教育模式,基于保护动机理论(PMT),包括模块设计、学习资料、学生活动,和能力建设老师。测试在小学学生(第四年)在泰国孔敬省东北部。一个随机对照试验,4所学校任职干预组(n = 118名学生)另外四个作为对照组(n = 113名学生)。PMT构造的基础上,我们发现学生在干预组明显更大的知识和感知的程度,脆弱性,响应效果,自我效能参数有关的危险吃生鱼和发展中胆管癌比控制学校(p & 明显intercorrelated测量对方(p & 背景知识,从社区教育项目,在控制学校。可以用来预测表明,PMT保护态度以及行为的变化在评估学校健康的结果干预项目。

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