Please use this identifier to cite or link to this item: https://doi.org/10.1016/j.actatropica.2023.106957
Title: A socio-ecological framework for examining foodborne parasitic infection risk
Authors: Wang, YC 
Namsanor, J 
Law, A 
Sithithaworn, P
Keywords: Food culture
Human health
Liver fluke
Neglected tropical disease
Social-ecological model
Thailand
Animals
Humans
Opisthorchis
Opisthorchiasis
Fascioliasis
Fishes
Surveys and Questionnaires
Thailand
Issue Date: 1-Aug-2023
Publisher: Elsevier BV
Citation: Wang, YC, Namsanor, J, Law, A, Sithithaworn, P (2023-08-01). A socio-ecological framework for examining foodborne parasitic infection risk. Acta Tropica 244 : 106957-. ScholarBank@NUS Repository. https://doi.org/10.1016/j.actatropica.2023.106957
Abstract: Human liver fluke infection through the consumption of raw freshwater fish is one of the foodborne parasitic infections of global concern. Despite decades of health campaign efforts, high prevalence of infection remains in different areas of the Lower Mekong Basin. This necessitates the consideration of the infection differences between places and the human-environment complexities of disease transmission. This paper used the socio-ecological model as a framework to unraveled the social science dimensions of liver fluke infection. We conducted questionnaire surveys in Northeast Thailand to gather participants’ knowledge on liver fluke infection and reasons for raw fish consumption. We synthesized our findings with prior work to identify factors influencing liver fluke infection at four socio-ecological levels. At the individual level, gender and age differences in food consumption habits and personal hygiene of open defection presented the behavioral risks. At the interpersonal level, family tradition and social gathering affected the disease risk. At the community level, physical-social-economic environments of land use and modernization, community health infrastructure and health volunteer support accounted for the varying degree of infection. At the policy level, impacts of regional and national regulations on disease control, health system organization structure, and government development projects were of concerned. The findings provide insights into how infection risks are shaped by people's behavior, social connectedness, interactions with places, and the interplay of these multi-level socio-ecological influences. The framework therefore allows a more comprehensive understanding of liver fluke infection risks to inform a culturally sensitive and sustainable disease control program.
Source Title: Acta Tropica
URI: https://scholarbank.nus.edu.sg/handle/10635/242939
ISSN: 0001-706X
1873-6254
DOI: 10.1016/j.actatropica.2023.106957
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