Factors associated with fruit and vegetable consumption among people in the highest risk area for Cholangiocarcinoma in Thailand

Authors

  • Natpapat Master of Public Health Program, Faculty of Public Health, Ubon Ratchathani Rajabhat University, Ubon Ratchathani, Thailand
  • Monthicha Department of Health Sciences, Faculty of Public Health, Ubon Ratchathani Rajabhat University, Ubon Ratchathani, Thailand
  • Assoc. Prof. Nopparat Songserm Department of Health Sciences, Faculty of Public Health, Ubon Ratchathani Rajabhat University, Ubon Ratchathani, Thailand

DOI:

https://doi.org/10.62992/8ehm2m36

Keywords:

Cholangiocarcinoma, Fruit and vegetable consumption, Income, Multimedia, Attitude

Abstract

Background: Over the past 30 years, the incidence of cholangiocarcinoma (CCA) in the Northeast of Thailand has been high and has tended to increase. Fruits and vegetables (FV) were accepted as protective factors against CCA. The prevalence of FV consumption among Northeast people is lower than recommended, which is a significant health problem that must be urgently solved.

Objectives: This study investigated the factors associated with FV consumption among people in Ubon Ratchathani, one of the high-risk areas of Thailand.

Methods: A multi-stage sampling method was used to select the population aged 40 years and over. Data were analyzed using descriptive and inferential statistics. A logistic regression analysis was performed to identify the factors associated with FV consumption.        

Results: Out of the total 744 respondents, only 11.83% consumed FV according to the standard of <400 grams/day. The bio-social factor regarding an average family income of more than 15,000 Baht had a 10.54 times greater effect on FV consumption (AOR=10.54, 95% CI: 7.59-20.57). Purchasing FVs from mobile sales trucks (AOR=4.11, 95% CI: 1.69-9.97) and receiving information from radio (AOR=1.97, 95% CI: 1.14-3.39) were associated with standard FV consumption. However, a good level of attitude had decreased the risk of FV consumption (AOR=0.30, 95% CI: 0.18-0.49).

Conclusion:  The prevalence of FV consumption among the study population is considerably low. Family income, purchasing from mobile sales trucks, receiving information from radio, and having a positive attitude were associated with standard FV consumption among people in Thailand's highest-risk area for CCA. Relevant organizations should organize activities to provide people of every economic status with knowledge and attitude on FV consumption via radio or social media and support access to quality and safe mobile sales trucks to meet consumption standards and prevent as well as reduce the risk of CCA.

References

National Cancer Prevention and Control Planning Committee. National Cancer Prevention and Control Plan. Bangkok: Ministry of Public Health; 2018.

Strategy and Planning Division. Public Health Statistics 2019. In: Office of the Permanent Secretary, editor. Bangkok: Ministry of Public Health; 2020.

Department of Health Service Support. Manual for village health volunteers on surveillance, prevention, and control of liver fluke and cholangiocarcinoma. Bangkok: Ministry of Public Health; 2020.

Jongsuksuntigul P, Imsomboon T. The impact of a decade long opisthorchiasis control program in northeastern Thailand. The Southeast Asian journal of tropical medicine and public health. 1997;28(3):551-7.

Jongsuksuntigul P, Imsomboon T. Epidemiology of opisthorchiasis and national control program in Thailand. The Southeast Asian journal of tropical medicine and public health. 1998;29(2):327-32.

Jongsuksuntigul P, Imsomboon T. Opisthorchiasis control in Thailand. Acta tropica. 2003;88(3):229-32.

Songserm N, Charoenbut P, Bureelerd O, Pintakham K, Woradet S, Vanhnivongkham P, et al. Behavior-related risk factors for opisthorchiasis-associated cholangiocarcinoma among rural people living along the mekong river in five greater mekong subregion countries. Acta tropica. 2020;201:105221.

Tamngam P, Pamulila S, Sarakum N, Inpang S. Knowledge, attitude, and consumption behavior associated with cholangiocarcinoma in a sub-district, Warinchamrab District, Ubon Ratchathani Province. J Sci Technol Ubon Ratchathani University. 2019;21(3):74-85.

Kamsa-ard S, Kamsa-ard S, Luvira V, Suwanrungruang K, Vatanasapt P, Wiangnon S. Risk Factors for Cholangiocarcinoma in Thailand: A Systematic Review and Meta-Analysis. Asian Pacific journal of cancer prevention : APJCP. 2018;19(3):605-14.

Manwong M, Songserm N, Promthet S, Matsuo K. Risk factors for cholangiocarcinoma in the lower part of Northeast Thailand: a hospital-based case-control study. Asian Pacific journal of cancer prevention : APJCP. 2013;14(10):5953-6.

Steele JA, Richter CH, Echaubard P, Saenna P, Stout V, Sithithaworn P, et al. Thinking beyond Opisthorchis viverrini for risk of cholangiocarcinoma in the lower Mekong region: a systematic review and meta-analysis. Infectious diseases of poverty. 2018;7(1):44.

Songserm N, Promthet S, Sithithaworn P, Pientong C, Ekalaksananan T, Chopjitt P, et al. Risk factors for cholangiocarcinoma in high-risk area of Thailand: Role of lifestyle, diet and methylenetetrahydrofolate reductase polymorphisms. Cancer Epidemiology. 2012;36(2):e89-e94.

Songserm N, Woradet S, Charoenbut P. Fruit and Vegetables Consumption: A Pointer for Cholangiocarcinoma Prevention in Northeast Thailand, the Highest Incidence Area in the World. Nutrition and cancer. 2016;68(8):1289-94.

Wattanayingcharoenchai S, Nithikathkul C, Wonsaroj T, Royal L, Reungsang P. Geographic information system of Opisthorchis viverrini in northeast Thailand. Asian Biomedicine. 2011;5(5):687-91.

Songserm N, Woradet S, Bureelerd O, Charoenbut P. Evaluation of Cholangiocarcinoma Risk and its Related Factors in Wetland Geographical Communities of Ubon Ratchathani, Thailand. Asian Pacific journal of cancer prevention : APJCP. 2016;17(4):1811-5.

Imsamran W, Pattatang A, Supaattagorn P, Chiawiriyabunya I, Namthaisong K, Wongsena M, et al. Cancer in Thailand vol. IX, 2013-2015. New Thammada Press (Thailand) Co, Ltd. 2018;202:19-21.

Ubon Ratchathani Provincial Public Health Office. Public Health Statistical Report. 2021.

Phulkerd S, Thapsuwan S, Thongcharoenchupong N, Chamratrithirong A, Gray RS. Linking Fruit and Vegetable Consumption, Food Safety and Health Risk Attitudes and Happiness in Thailand: Evidence from a Population-based Survey. Ecology of food and nutrition. 2021;60(2):257-72.

Li L, Ouyang Y, Wang H, Huang F, Wang Y, Zhang J, et al. Disparities in fresh fruit and vegetable intake by sociodemographic and behavioural factors among adults in China. Public Health Nutrition. 2022;25(3):649-56.

Valmórbida JL, Vitolo MR. Factors associated with low consumption of fruits and vegetables by preschoolers of low socio-economic level. Jornal de pediatria. 2014;90(5):464-71.

Myo HWL, Hosler AS, Schell LM, Allsopp MA, Reid K. Factors associated with fruit and vegetable consumption among Burmese refugees. Public Health Nutr. 2023;26(6):1264-70.

Lucan SC, Hillier A, Schechter CB, Glanz K. Objective and self-reported factors associated with food-environment perceptions and fruit-and-vegetable consumption: a multilevel analysis. Preventing chronic disease. 2014;11:E47.

Nithitantiwat P, Udomsapaya W. Food consumption behavior among Thai adolescents, impacts, and solutions. J Phrapokklao Nursing College. 2017;28(1):122-8.

Vassanadumrongdee S, Hoontrakool D, Marks DJAER. Perception and Behavioral Changes of Thai Youths Towards the Plastic Bag Charging Program. Applied Environmental Research. 2020.

Suriyut P, Songserm N, Raksilp M. Development of Fruit and Vegetable Consumption Promotion Model in a High-Risk Population for Cholangiocarcinoma in Thailand: An Action Research. Asian Pacific journal of cancer prevention : APJCP. 2023;24(9):3029-36.

Klinkulab C, Srisuriyawet R, Homsin P.. Factors predicting fruit and vegetable consumption among grade 6 primary school students in Pa Mok District, Ang Thong Province. Public Health J Burapha University. 2014;24(9):3029-26.

Yokphonchanachai C, Songserm N, Thongprung S, Thongchai C, Paengprakhon Y, Duangsri J, et al. Capacity Building of a Self-Reliant Model Community for Cholangiocarcinoma Prevention by Producing Fruit and Vegetable Juice Products in a High-Risk Area of Thailand. Asian Pacific journal of cancer prevention : APJCP. 2023;24(2):725-31.

Downloads

Published

07-06-2024 — Updated on 07-06-2024

Versions

How to Cite

1.
Factors associated with fruit and vegetable consumption among people in the highest risk area for Cholangiocarcinoma in Thailand. IJPHAP [Internet]. 2024 Jun. 7 [cited 2024 Jun. 20];3(5):84-93. Available from: https://ijphap.com/index.php/home/article/view/74