Cited by 52Zoonotic diseases and public healthAnimal Disease Management and EpidemiologySalmonella and Campylobacter epidemiology

Household practices related to disease transmission between animals and humans in rural Cambodia

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Osbjer, Kristina, Boqvist, Sofia, Sokerya, Seng, Kannarath, Chheng, San, Sorn, Davun, Holl, Magnusson, Ulf·2015·BMC Public Health

Abstract

BACKGROUND: Zoonotic diseases are disproportionately affecting poor societies in low-income countries and pose a growing threat to public health and global food security. Rural Cambodian households may face an increased likelihood of exposure to zoonotic diseases as people there live in close association with livestock. The objectives of the study was to identify practices known to influence zoonosis transmission in rural Cambodian households and relate the practices to agro-ecological region, socio-economic position, demographics, livestock management and zoonosis awareness. METHODS: The study was conducted in three different agro-ecological regions of Cambodia; 10 villages each in the central lowlands, north-west wetlands and on the south coast, where information was obtained in questionnaires administered to 300 households, and 30 village heads and animal health workers. RESULTS: Descriptive analysis revealed a gender difference in responsibility for livestock and that the main purpose of raising livestock was for sale. Few respondents (6%) perceived a likelihood of disease transmission in their village between livestock, humans and wildlife, despite household practices related to zoonosis transmission being common. More than one-forth of households practised behaviours such as culling sick animals for consumption, eating animals found dead and allowing animals to enter sleeping and food preparation areas. Associations between household practices and possible explanatory factors were analysed with multivariable models using generalised estimation equations to account for clustering of practices within villages. Factors found to influence household practices were agro-ecological region, socio-economic position, number of people in the household, livestock species reared and awareness of zoonoses. CONCLUSIONS: Cambodia has experienced numerous fatal human cases of zoonotic influenza and extensive influenza information campaigns have been run, yet only a few of the households surveyed here reported the threat of zoonosis to be a concern in their village. Zoonosis awareness was positively related to hand washing behaviour, but other practices associated with an increased or decreased likelihood of exposure to zoonotic pathogens were unaffected by awareness. The findings indicate a knowledge-to-action gap among rural farmers and highlight the necessity for reconstructed interventions in zoonotic disease control.

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  • Clean water and detergents, standardized working tables, clean protective clothes, clean cooking areas and dining areas are among the minimum requirements to ensure customer safety from foodborne diseases.

    “Clean water and detergents, standardized working tables, clean protective clothes, clean cooking areas and dining areas are among the minimum requirements to ensure the safety of customers from foodborne diseases (Osbjer et al., 2015;Bintsis, 2017).”

    From Food safety and hygiene knowledge, attitudes and practices in street restaurants selling chicken in Ouagadougou, Burkina Faso (2024) · cites this paper as Osbjer et al., 2015

    Table 1 (Methods; page unavailable) reports handwashing with soap around cooking and keeping animals away from food-preparation areas, which supports the general hygiene point. The paper studies rural Cambodian households; it does not identify clean water, detergents, standardized tables, protective clothes, or dining areas as minimum requirements for protecting customers from foodborne disease. (LLM, conf=0.84)

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Research works printed but not linked: 34

  1. [1]Jones KE Patel NG Levy MA Storeygard A Balk D Gittleman JL Global trends in emerging infectious diseases Nature 2008 451 7181 990 993 10.1038/nature06536 18288193 PMC5960580 · DOI · Paper page
  2. [2]Karesh WB Dobson A Lloyd-Smith JO Lubroth J Dixon MA Bennett M Ecology of zoonoses: natural and unnatural histories Lancet 2012 380 9857 1936 1945 10.1016/S0140-6736(12)61678-X 23200502 PMC7138068 · DOI
  3. [4]Grace D Gilbert J Randolph T Kang'ethe E The multiple burdens of zoonotic disease and an ecohealth approach to their assessment Tropl Anim Health Prod 2012 44 Suppl1 67 73 10.1007/s11250-012-0209-y 22886445 · DOI
  4. [5]Coker RJ Hunter BM Rudge JW Liverani M Hanvoravongchai P Emerging infectious diseases in southeast Asia: regional challenges to control Lancet 2011 377 9765 599 609 10.1016/S0140-6736(10)62004-1 21269678 PMC7159088 · DOI
  5. [6]McFarlene Adams LB Gray GD Murray G A multiregion perspective on human and animal emerging infectious diseases Proceedings of a workshop held in Siem Reap, Cambodia, 10–13 August 2010 2012 Canberra ACIAR Proceedings No 137 Australian Centre for International Agricultural Research 114
  6. [8]Engvall A Sjöberg O Sjöholm F Poverty in rural cambodia: The differentiated impact of linkages, inputs, and access to land* Asian Economic Papers 2008 7 2 74 95 10.1162/asep.2008.7.2.74 · DOI
  7. [9]Young JR, Evans-Kocinski S, Bush RD, Windsor PA: Improving Smallholder Farmer Biosecurity in the Mekong Region Through Change Management. Transboundary and emerging diseases 2013. 26302253
  8. [10]Vong S Ly S Van Kerkhove MD Achenbach J Holl D Buchy P Risk factors associated with subclinical human infection with avian influenza A (H5N1) virus–Cambodia, 2006 J Infect Dis 2009 199 12 1744 1752 10.1086/599208 19416078 · DOI
  9. [11]Petersen E Vesco G Villari S Buffolano W What Do We Know About Risk Factors for Infection in Humans with Toxoplasma gondii and How Can We Prevent Infections? Zoonoses Public Health 2010 57 1 8 17 10.1111/j.1863-2378.2009.01278.x 19744301 · DOI
  10. [13]Muchadeyi FC Wollny CBA Eding H Weigend S Simianer H Choice of breeding stock, preference of production traits and culling criteria of village chickens among Zimbabwe agro-ecological zones Tropl Anim Health Prod 2009 41 3 403 412 10.1007/s11250-008-9204-8 18626780 · DOI
  11. [14]Ibuka Y Chapman GB Meyers LA Li M Galvani AP The dynamics of risk perceptions and precautionary behavior in response to 2009 (H1N1) pandemic influenza BMC Inf Dis 2010 10 1 296 10.1186/1471-2334-10-296 PMC2964717 20946662 · DOI
  12. [15]Devleesschauwer B Aryal A Joshi DD Rijal S Sherchand JB Praet N Epidemiology of Taenia solium in Nepal: is it influenced by the social characteristics of the population and the presence of Taenia asiatica? Trop Med Int Health 2012 17 8 1019 1022 10.1111/j.1365-3156.2012.03017.x 22643112 · DOI
  13. [16]Rabbi S Dey N Exploring the gap between hand washing knowledge and practices in Bangladesh: a cross-sectional comparative study BMC Public Health 2013 13 1 89 10.1186/1471-2458-13-89 23363772 PMC3564897 · DOI
  14. [17]Bonheur N Lane BD Natural resources management for human security in Cambodia’s Tonle Sap Biosphere Reserve Environ Sci Pol 2002 5 1 33 41 10.1016/S1462-9011(02)00024-2 · DOI
  15. [19]Morse JM Determining Sample Size Qual Health Res 2000 10 1 3 5 10.1177/104973200129118183 · DOI
  16. [20]Resurreccion BP Rules, Roles and Rights: Gender, Participation and Community Fisheries Management in Cambodia's Tonle Sap Region Int J Water Res Develop 2006 22 3 433 447 10.1080/07900620500482949 · DOI
  17. [21]Filmer D Pritchett LH Estimating wealth effects without expenditure data–or tears: an application to educational enrollments in states of India Demography 2001 38 1 115 132 11227840
  18. [22]Yanagisawa S Mey V Wakai S Comparison of health-seeking behaviour between poor and better-off people after health sector reform in Cambodia Public Health 2004 118 1 21 30 10.1016/S0033-3506(03)00140-9 14643624 · DOI
  19. [23]Hong R Hong R Economic inequality and undernutrition in women: Multilevel analysis of individual, household, and community levels in Cambodia Food Nut Bull 2007 28 1 59 66 10.1177/156482650702800107 17718013 · DOI
  20. [24]Budtz-Jorgensen E Keiding N Grandjean P Weihe P Confounder selection in environmental epidemiology: assessment of health effects of prenatal mercury exposure Ann Epidemiol 2007 17 1 27 35 10.1016/j.annepidem.2006.05.007 17027287 · DOI
  21. [25]Somrongthong R Beaudoin A Bender J Sasipreeyajan J Laosee O Pakinsee S Use of Personal Protective Measures by Thai Households in Areas with Avian Influenza Outbreaks Zoonoses Public Health 2012 59 5 339 346 10.1111/j.1863-2378.2012.01460.x 22353554 · DOI
  22. [26]Kang’ethe E Kimani V Grace D Mitoko G McDermott B Ambia J Development and delivery of evidence-based messages to reduce the risk of zoonoses in Nairobi, Kenya Tropl Anim Health Prod 2012 44 1 41 46 10.1007/s11250-012-0205-2 22895893 · DOI
  23. [27]Gorter AC Sandiford P Pauw J Morales P Perez RM Alberts H Hygiene behaviour in rural Nicaragua in relation to diarrhoea Int J Epidemiol 1998 27 6 1090 1100 10.1093/ije/27.6.1090 10024209 · DOI
  24. [28]Cousens S Kanki B Toure S Diallo I Curtis V Reactivity and repeatability of hygiene behaviour: Structured observations from Burkina Faso Soc Sci Med 1996 43 9 1299 1308 10.1016/0277-9536(95)00380-0 8913000 · DOI
  25. [29]Biran A Rabie T Schmidt W Juvekar S Hirve S Curtis V Comparing the performance of indicators of hand-washing practices in rural Indian households Trop Med Int Health 2008 13 2 278 285 10.1111/j.1365-3156.2007.02001.x 18304276 · DOI · Paper page
  26. [30]Nasinyama GW McEwen SA Wilson JB Waltner-Toews D Gyles CL Opuda-Asibo J Risk factors for acute diarrhoea among inhabitants of Kampala district Uganda South Af Med J 2000 90 9 891 898 11081142
  27. [34]Khun M Heng C Harun-Or-Rashid M Kasuya H Sakamoto J Knowledge, attitudes and practices towards avian influenza A (H5N1) among Cambodian women: A cross sectional study Asian Pacific J Trop Med 2012 5 9 727 734 10.1016/S1995-7645(12)60115-1 22805726 · DOI
  28. [35]Ly S Van Kerkhove M Holl D Froehlich Y Vong S Interaction between humans and poultry, rural Cambodia Emerg Infect Dis 2007 13 130 132 10.3201/eid1301.061014 17370527 PMC2725837 · DOI
  29. [36]Alarcon P, Wieland B, Mateus AL, Dewberry C: Pig farmers’ perceptions, attitudes, influences and management of information in the decision-making process for disease control. Prev Vet Med. 2013. 24016600
  30. [37]Ajzen I The theory of planned behaviour: Reactions and reflections Psychol Health 2011 26 9 1113 1127 10.1080/08870446.2011.613995 21929476 · DOI
  31. [38]Conan A Ponsich A Luce Goutard F Khiev R Tarantola A Sorn S A community-based education trial to improve backyard poultry biosecurity in rural Cambodia Acta Trop 2013 125 3 294 302 10.1016/j.actatropica.2012.12.006 23262213 · DOI
  32. [39]Randolph TF Schelling E Grace D Nicholson CF Leroy JL Cole DC Invited Review: Role of livestock in human nutrition and health for poverty reduction in developing countries J Anim Sci 2007 85 11 2788 2800 10.2527/jas.2007-0467 17911229 · DOI
  33. [41]Mupawaenda AC Chawatama S Muvavarirwa P Gender issues in livestock production: a case study of Zimbabwe Trop Anim Health Prod 2009 41 7 1017 1021 10.1007/s11250-008-9268-5 19101818 · DOI
  34. [42]Ogawa Y Are Agricultural Extension Programs Gender Sensitive? Cases from Cambodia Gend Technol Dev 2004 8 3 359 380 10.1177/097185240400800303 · DOI

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Authors
Osbjer, K., Boqvist, S., Sokerya, S., Kannarath, C., San, S., Davun, H., & Magnusson, U.
Affiliations
  • Swedish University of Agricultural Sciences (SE)
  • Uppsala University (SE)
Corresponding author
Magnusson, Ulf
Venue
BMC Public Health
Published
2015-05-09
Volume
15
Issue
1
Pages
476-476
ISSN
1471-2458 (ISSN-L)
OpenAlex
W1844878362
Cited by
52
References
1
Citations by year
2026: 2 · 2025: 5 · 2024: 6 · 2023: 8 · 2022: 8 · 2021: 7 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 4 · 2016: 5
FWCI
3.93
Type
journal article
Language
en
Open access
Locations
  • BMC Public Health (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
Styrelsen för Internationellt Utvecklingssamarbete
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Zoonotic diseases and public health
  • Life Sciences › Agricultural and Biological Sciences › Agronomy and Crop Science › Animal Disease Management and Epidemiology
  • Life Sciences › Agricultural and Biological Sciences › Food Science › Salmonella and Campylobacter epidemiology
Keywords
zoonoses, household practices, livestock management, rural households, knowledge-practice gap, hand washing, gender division of labor, agro-ecological zones, socioeconomic position, wildlife exposure, zoonotic influenza, Cambodia
MeSH terms
Animals, Animal Husbandry, Cambodia, Communicable Disease Control, Family Characteristics, Humans, Health Knowledge, Attitudes, Practice, Male, Risk Factors, Rural Population, Zoonoses, Health Behavior, Disease Transmission, Infectious, Livestock

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