Factors Associated with Preventive Behaviors for Leptospirosis among People in Laem Som Subdistrict, Palian District, Trang Province

Abstract

Leptospirosis is a zoonotic disease that remains an important public health problem in Thailand, particularly in rural and agricultural areas. This study aimed to investigate preventive behaviors for leptospirosis and to analyze factors associated with preventive behaviors among people in Laem Som Subdistrict, Palian District, Trang Province. An analytical cross-sectional study design was employed. The study population consisted of 344 residents in Laem Som Subdistrict. Data were collected using a structured questionnaire covering demographic characteristics, knowledge, attitudes, perceptions, and preventive behaviors related to leptospirosis. Data were analyzed using descriptive statistics, the Chi-square test, and Fisher’s exact test.

             The results showed that most participants had a high level of knowledge regarding leptospirosis and positive attitudes toward disease prevention. Factors significantly associated with preventive behaviors included income sufficiency, ownership of protective boots, knowledge level regarding leptospirosis, attitudes toward leptospirosis prevention, and perception levels regarding leptospirosis (p < 0.05). These findings suggest that public health agencies should continuously promote health education and risk communication regarding leptospirosis among the population, particularly among farmers and individuals working in wet or high-risk environments. In addition, providing personal protective equipment, such as protective boots, should be encouraged to reduce the risk of exposure to contaminated environments. Community participation in improving environmental sanitation and controlling risk factors should also be promoted to ensure sustainable prevention of leptospirosis in the community.