Influence of Environmental Risk Exposure on the Determinants of COVID-19 Booster Vaccination in an Urban Thai Population.

This study aimed to identify the influence of environmental risk exposure levels on the predictive factors of COVID-19 booster dose vaccination in an urban Thai population in the post-pandemic era. Six study locations, including the three provinces with the highest environmental risk levels and the three provinces with the lowest environmental risk levels, were selected by calculating the environmental risk exposure indexes. Participants from the capital district of each province were chosen via the simple random sampling technique and interviewed using a structured questionnaire. A total of 1315 individuals were included in a sample in this study, and the best predictors of booster dose vaccination were determined using multiple regression analysis. The results showed that a high level of environmental risk exposure occurred in the provinces with a high number of total days exceeding the limits set for PM10 and high rates of mortality for lung cancer. The number of COVID-19 booster vaccinations given amount to 43.4% of the population during the post-COVID-19 pandemic period. Our multivariate analysis indicated that individuals in the working age group (≥25 years old); those with higher education (diploma degree and above); full-time employment (government and private sectors); those with high monthly incomes (≥USD144.1); and those in areas with the lowest risk level of environmental exposure significantly contributed to the number of booster dose vaccinations given during the post-pandemic period. To summarize, the rate of COVID-19 booster dose vaccination acceptance in Thailand was influenced by socio-economic factors with environmental concerns. These findings improve our understating of both the global pandemic and how environmental exposure affects behavioral change patterns and could improve the effectiveness of post-pandemic management.

Effect of Fitness-To-Drive and Metacognition on Road Traffic Injury Among Older Taxi Drivers: Hierarchical Modeling.

Age-related cognitive and somatic motor skills changes have been linked to impaired driving abilities. Taxi drivers play an important role in providing public transportation services and security. This study aimed to examine the level of fitness-to-drive (FTD) and identify the predictors of self-reported traffic injury among the older taxi drivers. Taxi drivers 60 years and older in Bangkok and the metropolitan area were enrolled. Hierarchical regression models were carried out to examine the effects of demographics, FTD, and metacognition towards self-reported road traffic injury. Totally, 46.1% of the respondents were classified as at-risk drivers. Drivers with alcohol consumption and low risk perception toward road safety were more likely to experience road traffic injury. Regular assessment of physical and psychometric capacity among older taxi drivers could provide another empirical basis to improve public safety transport.

Assessing the Determinants of Compliance with Contribution Payments to the National Health Insurance Scheme among Informal Workers in Indonesia.

This study aimed to investigate the determinants of compliance with contribution payments to the National Health Insurance (NHI) scheme among informal workers in Bogor Regency, West Java Province, Indonesia. Surveys of 418 informal workers in Bogor Regency from April to May 2023 were conducted. Multivariate logistic regression analyses were performed to assess the factors associated with informal workers' compliance with NHI contribution payments. The results revealed that being female, having lower secondary education or below, perceiving good health of family members, having negative attitudes toward and poor knowledge of the NHI, experiencing financial difficulties, preferring to visit health facilities other than public ones, and utilizing fewer outpatient services were significantly associated with the noncompliance of informal workers with NHI contribution payments. It was concluded that economic factors alone cannot contribute to informal workers' payment compliance and that motivational factors (knowledge, attitudes toward the insurance system, and self-related health status) also encourage them to comply with contribution payments. Improving people's knowledge, especially on the risk-sharing concept of the NHI, should be done through extensive health insurance education using methods that are appropriate for the population's characteristics.

Preventive Behaviors and Influencing Factors among Thai Residents in Endemic Areas during the Highest Epidemic Peak of the COVID-19 Outbreak.

This research aims to investigate COVID-19 preventive behavior and influencing factors among Thai residents during the highest epidemic peak of COVID-19. Nine hundred and forty-six residents in five districts with high COVID-19 infection cases in Thailand were systematically included in this cross-sectional survey. The results showed that 87.2% and 65.2% of the residents had a high level of general knowledge and preventive measures, respectively. As to COVID-19 attitudes, poor levels of attitude among Thai residents were found in risk perception (53.6%) and mistrust issues (70.4%). Moreover, this study presents good preventive behavior (77.0%) among Thai residents. Multiple logistic regression showed that the influence factors of COVID-19 preventive behavior were the young age group (AOR 2.97, 95% CI 1.68-5.25), high income (AOR 1.38, 95% CI 1.03-1.86), and high level of general COVID-19 knowledge (AOR 2.21, 95% CI 1.64-2.96). The conclusion was that providing information on COVID-19 via social media was the key mechanism of policy action for increasing the level of COVID-19 preventive behavior during the highest epidemic peak in Thailand. In addition, the pandemic preparedness and response policy, with resident participation and involvement, could be recommended for the resilience of pandemic preparedness.

Combined Impact of Omicron Vaccination and Environmental Risk Exposure: A Thailand Case Study.

This research aimed to determine the levels of COVID-19 booster dose vaccinations in Thai populations in areas with environmental risk exposure during the Omicron outbreak. Five of twenty provinces in Thailand were selected by assessing environmental risk exposure for study settings. A total of 1038 people were interviewed by a structured questionnaire. The predicting factors of COVID-19 booster dose vaccinations were analyzed by univariate and multivariate analysis. The results showed that 69.4% (95% CI 66.5-72.1) of the population was vaccinated with COVID-19 booster doses. Multiple logistics regression revealed that the female gender (AOR 1.49, 95% CI 1.11-2.00), all age groups from 38 to 60 years old, all education levels of at least secondary school, high income (AOR 1.16, 95% CI 1.15-2.24), populations having experience with COVID-19 infection (AOR 2.27, 95% CI 2.05-3.76), knowledge of vaccine (AOR 1.78, 95% CI 1.11-2.83), and trusting attitude (AOR 1.76, 95% CI 1.32-2.36) were factors among those more likely to take COVID-19 booster dose vaccinations in high-environmental-risk-exposure areas. Therefore, an effective booster dose campaign with education programs to increase attitudes toward booster vaccinations should be implemented for the resilience of COVID-19 prevention and control.

The Effects of Personality and Attitude on Risky Driving Behavior Among Public van Drivers: Hierarchical Modeling.

Background: Traffic injuries have become a significant public health problem in low- and middle-income countries. Several studies have examined the role of personality and attitude toward traffic safety in predicting driving behaviors in diverse types of drivers. Few studies have investigated risky behavior among public passenger van drivers. This study aims to identify the predictors of self-reported risky driving behavior among public van drivers. Method: A total of 410 public van drivers were interviewed at terminal stations in Bangkok. Hierarchical regression models were applied to determine the effects of demographics, personality traits, and attitude on self-reported risky driving behaviors. Results: The results indicated that drivers with a high education level, more working days, and high scores for normlessness and anger were more likely to report risky driving behaviors (p < 0.05). Conclusion: The personality traits and attitude toward speeding account for aberrant self-reported risky driving behavior in passenger van drivers. This could be another empirical basis for evidence-based road safety interventions in the context of public transport.

The effectiveness of traditional Thai massage versus massage with herbal compress among elderly patients with low back pain: A randomised controlled trial.

OBJECTIVES: To determine the effectiveness of including an herbal compress in a traditional Thai massage regimen for the care of low back pain in the elderly. DESIGN AND METHODS: This study was a randomised controlled trial. The sample consisted of 140 patients suffering from non-specific chronic low back pain, who were randomly assigned to either the TTM (n = 70) or TMH (n = 70) group. The primary outcome was pain intensity (Visual Analogue Scale), and the secondary outcomes were disability, back performance and quality of life. The outcome measurements were assessed at baseline, 6 weeks and 15 weeks. RESULTS: There were no statistically significant differences in the primary and secondary outcomes between the two study groups (p-value > 0.05). Although improvement was observed for both groups in pain intensity, disability, quality of life, and back performance. CONCLUSIONS: There was no additional benefit of including an herbal compress in a regimen of Thai massage for the care of low back pain in the elderly.

Physical and cognitive functions affecting road traffic injuries among senior drivers.

BACKGROUND: The size of elderly populations is growing in most areas of the world. The Thai Eleventh National Economic and Social Development Plan revealed an increase in the elderly, while numbers of younger, working-age adults decreased. Thailand has become an aging society since 2015, which is significant in that senior adults have a higher risk of involvement in motor vehicle accidents and are more susceptible to injuries and fatalities. This study investigated the role of physical and cognitive function with regard to road traffic injury in senior drivers. METHODS: A community survey was carried out among people aged 60 years and older in the villages representing four regions of Thailand. Face-to-face interviews and anthropometric measurements were used to gather data including individual characteristics, medical history, risk behaviors, cognitive function and traffic injury within the last 12 months. Associations between risk factors and injury were assessed by the chi-square tests, and comparison of the cognitive function score between the injury and non-injury groups was identified using the independent t-test. RESULTS: A total of 314 completed questionnaires were used for analysis. Ten percent of respondents had experienced a road traffic injury in the last 12 months. Analysis revealed that level of cognitive function, smoking behavior and been diagnosed with arthritis were associated with road traffic injury incidence in senior drivers (p-value < 0.05). CONCLUSION: Results revealed the potential need for strategies to increase road traffic safety in senior drivers. Special protection should be prioritized for the elderly with physical and cognitive impairment.

Intimate partner sexual violence and risk for femicide, suicidality and substance use among women in antenatal care and general out-patients in Thailand.

BACKGROUND: Little is known about the occurrence and health consequences of intimate partner sexual assault. The aim of this study was to assess the prevalence and correlates of sexual assault in the context of intimate partner violence (IPV) in Thailand. METHODS: In a cross-sectional survey adult female participants were systematically screened (self-administered or interview administered) for IPV in antenatal care and general outpatient clinics in nine randomly selected hospitals in two provinces in the central region. Measures included the Abuse Assessment Screen, Severity of Violence Against Women Scale, Danger assessment and suicidal behaviour. RESULTS: From 14,288 women screened, 1.5% were positive for IPV and 207 participated in the study. The mean age of the study participants was 26.8 years (SD = 9.3). Fifty-seven women, 27.5% of the sample, reported sexual assault, one or more times, during the relationship in the past 12 months. Most reported some form of psychological abuse (82.1%), physical violence (67.1%) and danger (72.0%). In all, 21.3% reported psychological, physical and sexual violence. Bivariate analyses found that older age, being recruited in the general out-patient department, greater number of children, high psychological abuse, high physical violence, danger and suicidal behaviour in the past 12 months were associated with sexual assault. In multivariable backward conditional logistic regression physical violence (OR = 5.32, CI = 2.52-11.24) and suicidal behaviour (OR = 3.28, CI = 1.37-7.83) were found to be associated with sexual assault. CONCLUSIONS: The study found a moderate rate of sexual assault in intimate violent partner relationships and those sexual assaults are more likely to co-occur with physical intimate partner violence and suicidal behaviour. This knowledge may be helpful in the detection and management of sexual assault in intimate violent partner relationships of women in health care settings in Thailand.

Nurses' intention to remain employed in hospitals: Understanding the shortage in the context of Myanmar.

PURPOSE: This study aims to ascertain the rate and identify the factors associated with nurses' intention to remain employed at hospitals in the Yangon Region. METHODS: A cross-sectional descriptive study was conducted among 300 nurses aged between 20 and 60 years working at both private and public hospitals in the Yangon Region during May to June 2015. Chi-square tests were used to identify factor associations, and multiple logistic regression was examined to determine predictive factors. RESULTS: The study revealed that 63.6% of nurses intended to remain employed. Marital status (adjusted odd ratio: 2.22; 95% confidence interval [CI]: 1.05-4.32), work characteristics (adjusted odd ratio: 2.42; 95% CI: 1.33-4.41), job stress and burnout (adjusted odd ratio: 1.77; 95% CI: 1.01-3.11), and recognition (adjusted odd ratio: 1.96; 95% CI: 1.07-3.59) were found to be significant predictors of nurses' intention to remain employed at the hospitals. CONCLUSIONS: Recognition and other nonmonetary incentive support systems should be provided to enhance the retention of nurses at the hospitals.

Determinants of cigarette smoking among school adolescents on the island of Java, Indonesia.

BACKGROUND: The Integrated Model of Change has successfully explained the behavior change process. Cigarette smoking is a social phenomenon, which needs to be understood for devising effective preventive strategies. OBJECTIVES: The study aims to apply the Integrated Model of Change to determine predictive factors of cigarette smoking behavior among school adolescents in Indonesia. METHODS: A school-based cross-sectional study was designed to collect data in Banten, Indonesia. A total of 698 students from eight high schools were recruited by multi-stage cluster sampling. The association between cigarette smoking and the independent variables was examined by multiple logistic regressions. RESULTS: The majority of respondents (86.4%) were between the ages of 15 and 17 years (Mean=16.4 years; SD=1.01). Approximately half (48.8%) of the students ever tried a cigarette while 29.6% were current smokers. Curiosity was reported as the main reason for experimenting with cigarettes (32%). The significant factors regarding current cigarette smoking were attitude [adjusted odds ratio (AOR)=2.68], social norms (AOR=12.80), self-efficacy (AOR=15.85), and accessibility (AOR=4.39). CONCLUSION: The study revealed social influence and self-efficacy that were strongly associated with cigarette smoking can help authorities in guiding possible intervention programs for school adolescents.

Prevalence and risk factors of musculoskeletal disorders among Myanmar migrant workers in Thai seafood industries.

A cross-sectional descriptive study was conducted with self-administered questionnaires among 368 Myanmar migrant workers to investigate the prevalence of and to determine the risk factors for musculoskeletal disorders (MSDs) in the Thai seafood industry. The results showed the prevalence of MSDs was 45.1% occurring in the last 7 days. Marital status, number of dependents, other health problems, working hours, repetitive hand movements, awkward posture of wrists, prolonged standing, and manual handling of heavy loads were found to be associated with MSDs. Multiple logistic regression indicated that the workers who were married, had more than two dependents, and had more exposure to awkward wrist postures were at significantly increased risk of MSDs. The study findings suggest the need for adequate knowledge of ergonomics and for awareness campaign programs focusing on prevention of MSDs, especially low back pain, to be initiated in industries for earlier detection of symptoms among seafood processing workers.

Determinants of road traffic injury among adult motorcyclists in Malé, Maldives.

This study investigates the incidence of nonfatal road traffic injuries (RTIs) in Malé, the capital city of the Maldives, and identifies risk factors associated with RTIs. A cross-sectional descriptive study was conducted among young adult motorcyclists in 3 public areas. A total of 350 self-administered questionnaires were distributed to the motorcycle riders who visited the study areas between December 2012 and January 2013. The incidence of RTIs for the previous 12 months was 39.8% among the 294 respondents who returned a completed questionnaire. About half (49.6%) of those were caused by the riders. The majority of riders were male (96.6%). None of the motorcycle riders wore a helmet. RTIs had a significant association with sex, age, and attitude. Young riders were 1.6 times more likely to be involved in an RTI (adjusted odds ratio [AOR] = 1.67; 95% confidence interval [CI] = 0.94-2.95). Having a negative attitude about road safety was a risk factor of RTIs (AOR = 1.84; 95% CI = 1.11-3.03). Based on the results of the present study, it is important to promote safe riding attitudes in young riders.

Drowning risk perceptions among rural guardians of Thailand: A community-based household survey.

Drowning is one of the most common causes of death among young children in Thailand. Children in primary school in rural settings have a high rate of fatal drowning. Guardians' perceptions are important since children are normally in their care. This study aims to describe drowning risk perceptions of guardians and to identify barriers to developing a child's swimming skills. A cross-sectional household survey was conducted among guardians of children who attended 12 schools serving 48 villages in a rural community. The results revealed that less than one-fifth (18%) of children in the household could swim. Guardians reported that children should learn to swim at the age of seven years. About one-quarter (23%) of guardians did not perceive drowning as the leading cause of death among children. More than a quarter (25.4%) perceived that their child was not at the risk of drowning. No statistical differences were reported on drowning perception among guardians with different swimming skills as well as child's swimming skill. Significantly more parents of children who could not swim perceived lack of swimming instructors, clean water and school swimming lessons as barriers to a child's acquisition of swimming skill. The results highlight the need to consider improving the infrastructure in rural areas to facilitate swimming skills for school children to reduce drowning risk.

Depression among adolescents: a study in a Bangkok slum community.

BACKGROUND: Adolescents represent approximately one-fifth of the total population of Thailand. Few comprehensive surveys of adolescents living in Bangkok slums are available in the literature. To appropriately consider adolescents' development in urban planning strategies calls for the study of the relationship between depression and quality of life (QoL) of adolescents in slums. This study aimed to assess the level of depression and to describe the relationship between depression and QoL for the adolescents in a slum community of Bangkok. METHODS: This is a descriptive study. Data from eight hundred and seventy-one adolescents in a Bangkok slum community were randomly collected by a survey that utilized a socio-demographic questionnaire, the Center for Epidemiologic Studies Depression (CES-D) scale for depression level, and the World Health Organization Quality of Life Brief (WHOQoL-BREF) assessment, Thai version, for quality of life. RESULTS: Thirty-four point nine percent of all respondents exhibited depressive symptoms: 27.6% of males and 40.4% of females. Twenty-six percent of adolescents indicated that they had a 'poor' quality of life. A Chi-squared test yielded a statistically significant difference in the level of depression according to the level of QoL when both genders were considered together (p < 0.001). Multiple regression analysis shown the association between depression and three factors: quality of life (p < 0.001), position in the family (p = 0.04) and the adolescent's place of origin (p = 0.02). CONCLUSIONS: These findings suggest channels to help adolescents with depression in Bangkok slum communities. Specifically, based on the findings, interventions for adolescent depression may be more effective if gender, age group and family participation in the adolescent's development are considered in the planning and implementation of health intervention programs.

Factors affecting the experiences of drug use by adolescents in a Bangkok slum.

The purpose of this research was to study the demography, financial status, social status, knowledge of amphetamines, perceived harmfulness of amphetamines, and life skills in the prevention of drug abuse in adolescents. The factors leading to drug use among young people were also studied. The study group was composed of 354 subjects aged 12 to 22 years, living in 2 slums in Bangkok. The research showed that about 7% of the sample group had used drugs before. Four percent had never used drugs, but someone had tried to talk them into using them. Almost 20% had friends who had used drugs, and 11% had friends who were still using drugs. About 13% of the adolescents in the study group had family members who used drugs and another 9% had family members who were still using drugs. In our study, we found that the most common drug group was amphetamines. On average, the participants had a low level of understanding about drug abuse, especially of the symptoms, side effects, and legal penalties. Most of the adolescents realized how harmful amphetamines and other drugs were and had a high degree life skills. Factors influencing adolescent drug use were (1) personal factors, such as monthly income/allowance and life skills; (2) family environment, such as drug abuse history in the family; and (3) social environment, such as a drug abuse history among friends. When studying the life skill factors of the adolescents, which is an independent factor capable of influencing the experience with drugs, the researchers found that the time spent with other members of the family and the family members' drug experiences were the only factors leading to life skills in the prevention of drug abuse in adolescents. In addition to letting children learn on their own, training them to acquire life skills is beneficial when faced with problematic situations. Creating relationships between adolescents and other members of the family, friends, and society can increase their life skills, diminishing the risk of drug abuse.

Prescription pattern for treatment of hemorrhoids under the universal coverage policy of Thailand.

The Universal Coverage Policy (UCP) or "30 Baht Scheme" was launched in Thailand in 2001. The policy caused a cutback in the budgets of all public hospitals and health service centers. Traditional medicine was then viewed as an alternative to save costs. This study examines whether this had any influence on hemorrhoid treatment prescription patterns, ratio of traditional/modern medicine, or the cost of hemorrhoid treatment after the UCP was implemented at a community hospital. The traditional medicine prescribed was Petch Sang Kart and the modern alternative was Proctosedyl. All hemorrhoid prescriptions at a community hospital from October 2000 to January 2003 were surveyed. Segmented Regression Analysis was applied to evaluate prescription trends, the ratios between the types of medicine, and the hemorrhoid treatment cost. A total of 256 prescriptions were analyzed. The average number of traditional medicine prescriptions per month were more than modern medicine (41 versus 16). During the study period, the trend of modern medicine use and the treatment cost was decreased (p < 0.01). The ratio of traditional/modern medicine increased 0.2 times (p = 0.02).