Potential factors influencing the diarrheal disease incidence: a case of Amphoe Sam-rong, Ubon-rajathani, Thailand.
1
Issued Date
2538
Resource Type
Language
eng
Rights
Mahidol University
Suggested Citation
Pakorn Sumethanurungkul, ปกรณ์ สุเมธานุรักขกุล, Shalasai Huangprasert, ชลาศัย ห่วงประเสริฐ, Prayoon Fongsatikul, ประยูร ฟองสถิตย์กุล, Siranee Sirisukhodom, ศิราณี ศิริสุโขดม (2538). Potential factors influencing the diarrheal disease incidence: a case of Amphoe Sam-rong, Ubon-rajathani, Thailand.. Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/63604
Title
Potential factors influencing the diarrheal disease incidence: a case of Amphoe Sam-rong, Ubon-rajathani, Thailand.
Abstract
Objectives To evaluate the potential factors and/or a group of parameters affecting diarrheal incidence of children under 5 years at Amphoe Sam-Rong, Ubon-rajathani, Thailand.
Material and Methods Sam-Rong district/Ubon-rajathani was targeted as a study area due to the seriousness of diarrheal incidence and the willingness of people to participate in the program. A number of investigaters have attempted to identify any possible causes of diarrheal incidence. The records of diarrheal disease incident during the past several years, kept at the health center, district hospitals, and/or district health office, were collected and reviewed. A sample size of approximately 500 households was established. The distribution of this sample size was further assigned based on geographical area conditions and diarrheal incidence categories (high-medium-low Incidence). Analytical survey with structured questionnaires were designed and developed, using interviewers to collect information from the designated samples of each village. The questionnaires were constructed with both closed and opened ended questions, divided into 8 separate sections according to the major potential parameters such as Water resources and supply, Human excreta disposal, Vectors and rodent control, Domestic wastewater treatment, Housing sanitation, Food sanitation, Solid waste disposal, Perception of diarrheal disease. Responses of each questionnaire were encoded and analyzed using SPSS Program. Analysis was carried out with the aim to search for any relationships between control and non-control cases, by odds ratio (OR) and to test the hypothesis of single parameter as mentioned earlier, by chi-square technique and logistic regression analysis.
Result Fifteen out of 38 potential environmental variables were statistically associated with diarrheal incidence at a 85-95% degree of confidence level. The most influential factors was house fly breeding places (OR=1.49 and 86.88% exposure), house fly control (OR=1.45 and 81.48% exposure) and its promoting conditions such as wastewater drainage, and cattle excrement around the housing area (OR=1.32 and 45.96% exposure), respectively. The moderately influential factors were personal hygiene and food sanitation (OR=1.84; but relatively low exposure level (9.64%) and water storage/delivery method (OR=0.23-1.40 and exposure level of 83.64 or less). This indicates that diarrheal disease is more likely to be food-borne disease than water-borne. The behavioral factors are likely to show no difference between “case” and “non-case” groups, which are considered to be weak influential factors. Vector control and food sanitation, coupled with personal hygiene are all recommended to be major interventions for the control of diarrheal disease incidence.
Recommendation Personal hygiene and eating place cleanliness (Receivers) are the most crucial factors influencing the diarrheal disease incident. House fly and water availability/accessibility (Carriers) are another two major influential factors. Cattle dung/refuse and/or garbage dump/wet soil are all critical breeding places (Sources) influencing the diarrheal disease incident. Family’s perception on diarrheal disease is significantly related to diarrheal disease incident.
Description
การประชุมวิชาการสาธารณสุขแห่งชาติ ครั้งที่ 7 วิถีชีวิตไทยยุคโลกาภิวัตน์กับกระบวนทัศน์ในการพัฒนาสุขภาพ, 6-8 ธันวาคม 2538 ณ โรงแรมเอเซีย กรุงเทพมหานคร. กรุงเทพฯ: คณะสาธารณสุขศาสตร์ มหาวิทยาลัยมหิดล; 2538. หน้า 80-2.