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Original Article

Risk Factors of Clonorchis sinensis Human Infections in Endemic Areas, Haman-Gun, Republic of Korea: A Case-Control Study

Sang-Eun Lee1orcid, Hee-Eun Shin1, Myoung-Ro Lee1, Yang-Hee Kim2, Shin-Hyeong Cho1, Jung-Won Ju1,*orcid
The Korean Journal of Parasitology 2020;58(6):647-652.
Published online: December 31, 2020

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*Corresponding author (jupapa@korea.kr)
• Received: July 23, 2020   • Revised: December 9, 2020   • Accepted: December 9, 2020

Copyright © 2020 by The Korean Society for Parasitology and Tropical Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Risk Factors of Clonorchis sinensis Human Infections in Endemic Areas, Haman-Gun, Republic of Korea: A Case-Control Study
Korean J Parasitol. 2020;58(6):647-652.   Published online December 29, 2020
DOI: https://doi.org/10.3347/kjp.2020.58.6.647
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Risk Factors of Clonorchis sinensis Human Infections in Endemic Areas, Haman-Gun, Republic of Korea: A Case-Control Study
Korean J Parasitol. 2020;58(6):647-652.   Published online December 29, 2020
DOI: https://doi.org/10.3347/kjp.2020.58.6.647
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Risk Factors of Clonorchis sinensis Human Infections in Endemic Areas, Haman-Gun, Republic of Korea: A Case-Control Study
Image
Fig. 1 Distribution of residents positive for Clonorchis sinensis eggs in 10 administrative towns/villages in Haman-gun, Gyeongsangnam-do, Republic of Korea. Red dot represents a resident infected with C. sinensis. EPG, eggs per gram of feces.

Fig. 1

Risk Factors of Clonorchis sinensis Human Infections in Endemic Areas, Haman-Gun, Republic of Korea: A Case-Control Study

Clonorchis sinensis egg positive rate of residents categorized by gender and age

Group No. of residents No. of participants (%) No. of infected residents (%) Prevalence of eating raw fish (%)
Male - 1,729 (33.8) 132 (7.63) 64.8
Female - 3,385 (66.1) 138 (4.08) 58.3
Age (yr)
 <30 19,410 40 (0.28) 0 (0.00) 35.0
 30–39 8,144 89 (0.12) 3 (3.37) 50.6
 40–49 10,844 221 (0.16) 4 (1.81) 48.9
 50–59 11,851 593 (0.17) 41 (6.91) 63.6
 60–69 8,773 1,251 (0.13) 94 (7.51) 63.5
 >70 10,026 2,920 (0.15) 128 (4.38) 60.1
Total 69,048 5,114 (1.00) 270 (5.28) 60.5

Correlation between Clonorchis sinensis egg positive rates and risk factors in Haman-gun, Republic of Korea

Factor Clonorchis sinensis eggs Total OR (95% CI) P-value
Positive (%) Negative (%)
No. of alcoholic drinks/week
 None 152 (4.1) 3,530 (95.9) 3,682 Ref
 1/week 43 (6.4) 627 (93.6) 670 1.593 (1.123–2.258) 0.0090*
 2–3 times/week 25 (7.1) 327 (92.9) 352 1.776 (1.146–2.751) 0.0102*
 4 times/week 48 (14.2) 290 (85.8) 338 3.844 (2.720–5.432) <0.0001*
 Subtotal 268 (5.3) 4,774 (94.7) 5,042
No. of cigarettes/days
 None 226 (85.0) 4,372 (91.9) 4,598 Ref
 10/day 14 (5.3) 192 (4.0) 206 1.411 (0.807–2.467) 0.2276
 20/day 20 (7.5) 148 (3.1) 168 2.614 (1.608–4.249) 0.0001*
 20+/day 6 (2.3) 45 (1.0) 51 2.579 (1.089–6.109) 0.0313*
 Subtotal 266 (5.3) 4,757 (94.7) 5,023
History of C. sinensis infection 0.024**
 No 196 (4.9) 3,768 (95.1) 3,964
 Yes 62 (6.7) 869 (93.3) 931
 Subtotal 258 (5.3) 4,637 (94.7) 4,895
Eaten raw freshwater fish within the past year 0.000**
 No 79 (3.9) 1,940 (96.1) 2,019
 Yes 191 (6.2) 2,904 (93.8) 3,095
 Subtotal 270 (5.3) 4,844 (94.7) 5,114
Experienced symptoms of hepatitis in the last 3 mo
 No 222 (5.3) 4,844 (94.7) 5,114
 Yes 48 (3.7) 1,247 (96.3) 1,295 0.002**
 Subtotal 270 (5.3) 4,844 (94.7) 5,114

*Logistic regression analysis,

**χ2-test.

Detection of cancer markers in infected and non-infected residents

Cancer markers detected (%)
Subtotal 1 2 or more Not detected
Total (%) 600 27.3 3.3 69.3
Infected residents 270 43.7* 5.9* 50.4
Non-infected residents 330 13.9 1.2 84.8

*χ2-test (P<0.0001).

Table 1 Clonorchis sinensis egg positive rate of residents categorized by gender and age
Table 2 Correlation between Clonorchis sinensis egg positive rates and risk factors in Haman-gun, Republic of Korea

Logistic regression analysis,

χ2-test.

Table 3 Detection of cancer markers in infected and non-infected residents

χ2-test (P<0.0001).

Table 1

Table 2

Table 3

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