Objective To understand and analyze the knowledge,attitude,and practice of people infected with Clonorchis sinensis in Nanning,Guangxi,providing scientific evidence to make effective prevention and control measures.Methods A face-to-face questionnaire surveys was conducted on individuals with Clonorchis sinensis eggs detected in fecal samples from 2019 to 2021 at the Parasitology Laboratory of Guangxi Medical University.The survey data were analyzed statistically using Chi-squared tests.Results A total of 2 054 valid questionnaires were received,of which the proportion of males(84.86%)was higher than females(15.14%).The age distribution was highest in the 31-40 and 41-50 age groups,at 32.22%and 27.36%,respectively.The distribution of personnel was both inside and outside Guangxi,involving 7 provinces outside Guangxi and 14 cities and their directly-administered counties within Guangxi,predominantly in Nanning city(87.38%).Among the infected individuals,99.46%(2 043/2 054)reported having consumed"raw fish",but only 27.26%were aware of the risk of infection of Clonorchis sinensis from this practice.The awareness rate among males(28.57%)was higher than females(19.94%),and the difference was statistically significant(x2=9.925,P=0.002).Among the people who consumed"raw fish",67.21%liked to consume"raw fish",and 32.79%were curious or encouraged to consume.In the venue for consuming"raw fish",the main eating places of people who liked to consume"raw fish"and those who consumed"raw fish"out of curiosity or being encouraged were different,and the difference was statistically significant(x2=393.235,P<0.001).80.91%of the people who liked"raw fish"consuming the"raw fish"more than 6 times a year.The number of times they ate"raw fish"each year,the proportion of those who actively introduced others to eat"raw fish"and those who would still eat"raw fish"after deworming treatment were all higher than those who ate"raw fish"out of curiosity or were encouraged,and the differences were statistically significant(x2=947.419,x2=616.270,x2=190.312,P<0.001).Conclusions The proportion of people infected with Clonorchis sinensis who eat"raw fish"is relatively high in Nanning,Guangxi,and people lack knowledge of prevention and control of Clonorchis sinensis and its hazards.It is difficult for some people to change the habits of consuming"raw fish",and it had become a common dish on the local table.Appropriate prevention and control measures should be taken according to the characteristics of different populations and new prevention and control strategies should be actively sought.
Clonorchis sinensisraw fish consumptionawareness rate