Mahidol University's Institutional Repository
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Recent Submissions
Health History, Health Condition, Health Behaviours and Health-Seeking Behaviours of Middle-Aged Women Living in a Modern Rural Community: A Survey Research
(2025-11-01) Arpanantikul M.; Unsanit P.; Lumdubwong A.; Rujiwatthanakorn D.; Sakunhongsophon S.; Pornsinsiriruck S.; Boonrin P.; Choeychom S.; Arpanantikul M.; Mahidol University
OBJECTIVE: This study aimed to determine the health history, health condition, health behaviours and health-seeking behaviours of middle-aged women living in a modern rural Thai community. DESIGN: A cross-sectional survey study was employed. METHODS: Data were collected from 342 women aged 35-60 years using comprehensive questionnaires containing various dimensions related to health. Descriptive statistics were used to analyse data. RESULTS: It showed that most women had a parental history of diabetes (62.83%), followed by high blood pressure (55.50%). For health conditions, it revealed that 56.73% had weight gain, 26.32% had high blood pressure and 21.05% had high cholesterol. Regarding health behaviours, 48.54% did not exercise, 62.87% liked sweet food and 44.44% liked oily food. For health-seeking behaviour during illness, 40.06% went to Subdistrict Health Promoting Hospitals. When having mental problems, 43.86% consulted trusted family members, and 39.77% solved problems by themselves. CONCLUSIONS: This study provides important information about the situation of health problems found in middle-aged women, which are non-communicable diseases such as obesity, high blood pressure and diabetes, which require continuous care. Moreover, some poor health behaviours need to be changed to prevent and reduce complications that may occur in the future. IMPLICATIONS: Understanding middle-aged women's health problems and behaviours can help community health nurses pay attention to and plan nursing care and activities, including developing interventions for health promotion and disease prevention to reduce women's non-communicable disease problems in the future. IMPACT: This study revealed that non-communicable diseases are prevalent in middle-aged women. Strategies to promote health should be continued in conjunction with raising awareness among women to care for their health regularly. REPORTING METHOD: This study followed the reporting guidelines of Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) for cross-sectional studies. PATIENT AND PUBLIC CONTRIBUTION: The contribution of participants was shown in the data collection.
(Eco)Pedagogical Love and Community-Based Andragogy for Rural Communities: The Transformative Learning Journey of Sapphaya, Thailand
(2025-01-01) Tan E.; Muangasame K.; Tan E.; Mahidol University
Freirean critical pedagogical philosophies and educational perspectives are centred on humanisation, and the transformative value of love, empathy and care for environmental and human wellbeing. Love-based (eco)pedagogies within transformative adult learning advocate pluralistic dialogues, authentic praxis-based learning, and humanising pedagogies to enrich the human condition. Whilst there are numerous studies on critical pedagogies, there is yet to be a study in which the interacting dimensions of ecopedagogy, pedagogical love and community-based andragogy are utilised as a transformative force for rural communities. Explicitly, this chapter utilises a case study approach to explore the transformative learning journey of a rural community in Sapphaya, Chainat Province, Thailand. It discusses how community stakeholders, policymakers and educational facilitators united collaboratively in participatory action research and sustainable developmentplanning to create a community-based cooperative, engage in community-based skillsdevelopment, and curate ecopedagogical engagement programmes to transform its community and preserve its rural cultural heritage.
Redefine climate change education in the Thai business schools
(2025-01-01) Pimpa N.; Pimpa N.; Mahidol University
Climate change poses significant business challenges and opportunities, necessitating a shift in business education to equip future leaders with sustainability competencies. This paper explores the integration of climate change education within business schools in Thailand, examining how sustainability concepts are incorporated into Master of Business Administration (MBA) and Master of Management (MM) programs. The study identifies gaps, challenges, and best practices in embedding climate-related topics into business education through a literature review and content analysis of curricula across six Thai business schools. Findings reveal that Thailand is dealing with increasing climate-related problems and is working to mitigate those problems through various mechanisms, including business education. While sustainability is increasingly recognized as a critical business competency, it remains peripheral mainly within core curricula, often confined to electives or specialized modules. This study advocates for a holistic approach, integrating climate change education into foundational business courses, fostering interdisciplinary learning, and promoting experiential education. Strengthening business education’s role in sustainability can enhance Thailand’s capacity to navigate climate risks and support long-term economic resilience.
Addressing Trauma: Reshaping the Future
(2025-01-01) Benjasirisan C.; Kruahong S.; Mangano E.; Patch M.; Rodney T.; Wilson P.; Cuevas P.E.; Deslandes V.; Isham L.; Kumar R.; Millender E.; Morley G.; Tankampuan T.; Benjasirisan C.; Mahidol University
This chapter focuses on the evolving landscape of trauma-informed care (TIC) in nursing, emphasizing its significance in supporting patients with trauma histories. By exploring the dose-related responses to trauma exposure, including intergenerational, collective, and transgenerational trauma, this chapter highlights how trauma manifests and impacts health outcomes. Nurses are encouraged to integrate trauma-informed principles into their practice and education, ensuring that care is compassionate, culturally sensitive, and responsive to each patient’s unique history. This chapter also discusses the importance of continuous education, dynamic assessment timelines, and polytrauma management. Ultimately, by advancing trauma-informed approaches, nurses can foster resilience, enhance patient outcomes, and contribute to equitable healthcare delivery.
Performance assessment and deployment of a low-cost device for urban air quality monitoring in a developing country
(2025-12-01) Bhowmick A.; Olsen-Kettle L.; Li Y.; Boontanon S.K.; Boontanon N.; Bhowmick A.; Mahidol University
Air pollution poses a significant threat to public health in rapidly developing countries like Bangladesh, necessitating robust and cost-effective monitoring solutions. This study validates the performance of the CUPI-G device, a low-cost air quality monitoring device, in Dhaka, Bangladesh. The CUPI-G, equipped with electrochemical sensors for PM2.5, CO, NO, NO2, and O3, was deployed across multiple sites representing diverse urban environments, including residential, near-road, and educational areas. Data from the CUPI-G was validated with a collocated reference instrument using statistical (single and multiple linear regression) and machine learning (random forest, RF) approaches. The RF model, particularly when incorporating relative humidity, demonstrated superior performance in predicting pollutant concentrations, with high correlation coefficients (e.g., O3: R2=0.798) and low error metrics (RMSE=3.594 ppb, MAPE=4.812 %). However, model accuracy decreased when applied outside the training humidity range, highlighting the need for broader validation datasets. Despite this, the CUPI-G device was validated without using the relative humidity as a factor and was found to still perform adequately. A two-month spatial analysis across three different areas revealed that the hourly average of PM2.5 and O3 concentrations peaked in the near roadways as 89 μg/m3 and 66.50 ppb, respectively. NO2 levels were highest in the residential area at 63.49 ppb. The results demonstrate that the CUPI-G device provides a reliable and cost-effective solution for expanding air quality monitoring networks, offering detailed spatial and temporal data essential for public health advisories and policy interventions, particularly in resource-limited settings.