Browsing by Author "Niphon Darawuttimaprakorn"

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    Changes in Sexual Behavior and Attitudes Across Generations and Gender Among a Population-Based Probability Sample From an Urbanizing Province in Thailand
    (2016-02-01) Teeranee Techasrivichien; Niphon Darawuttimaprakorn; Sureeporn Punpuing; Patou Masika Musumari; Bhekumusa Wellington Lukhele; Christina El-saaidi; S. Pilar Suguimoto; Mitchell D. Feldman; Masako Ono-Kihara; Masahiro Kihara; Kyoto University; Mahidol University; University of California, San Francisco
    © 2014, The Author(s). Thailand has undergone rapid modernization with implications for changes in sexual norms. We investigated sexual behavior and attitudes across generations and gender among a probability sample of the general population of Nonthaburi province located near Bangkok in 2012. A tablet-based survey was performed among 2,138 men and women aged 15–59 years identified through a three-stage, stratified, probability proportional to size, clustered sampling. Descriptive statistical analysis was carried out accounting for the effects of multistage sampling. Relationship of age and gender to sexual behavior and attitudes was analyzed by bivariate analysis followed by multivariate logistic regression analysis to adjust for possible confounding. Patterns of sexual behavior and attitudes varied substantially across generations and gender. We found strong evidence for a decline in the age of sexual initiation, a shift in the type of the first sexual partner, and a greater rate of acceptance of adolescent premarital sex among younger generations. The study highlighted profound changes among young women as evidenced by a higher number of lifetime sexual partners as compared to older women. In contrast to the significant gender gap in older generations, sexual profiles of Thai young women have evolved to resemble those of young men with attitudes gradually converging to similar sexual standards. Our data suggest that higher education, being never-married, and an urban lifestyle may have been associated with these changes. Our study found that Thai sexual norms are changing dramatically. It is vital to continue monitoring such changes, considering the potential impact on the HIV/STIs epidemic and unintended pregnancies.
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    Dream Life Dream Job :Lifestyles That Determine Job Search Criteria Of Generation Y College Students In Thailand
    (2021-01-01) Bhubate Samutachak; Niphon Darawuttimaprakorn; Suchita Manajit; Mahidol University
    Using a mixed method approach, this study investigated the effect of lifestyles on job search criteria of the generation Y in Thailand. Lifestyle was viewed via the Attitudes, Interest, Opinions (AIO) concept. Eight focus group sessions were conducted with 68 participants; a survey was conducted with 2,293 persons’ country-wide. An exploratory factor analysis was performed and extracted 17 lifestyles, which were then regressed against 6 job search criteria. We found that persons with different lifestyles considered job search criteria differently. Extrinsic criteria, i.e., salary and job security were influenced by lifestyles that reflected pecuniary importance such as hard-working, self-image and fashion, active online, and masculinity. Intrinsic criteria, i.e., college major-job match, opportunity advancement, and challenge of the job, were influenced by lifestyles that reflected personal and inner interests. Job security was more important to males while college major-job match was more important to females.
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    Migration of children and impact on depression in older parents in rural Thailand, Southeast Asia
    (2013-01-01) Melanie Abas; Kanchana Tangchonlatip; Sureeporn Punpuing; Tawanchai Jirapramukpitak; Niphon Darawuttimaprakorn; Martin Prince; Clare Flach; King's College London; University of Manchester; Mahidol University; Faculty of Medicine, Thammasat University
    Context: Migration is feared to be associated with abandonment and depression in older parents "left behind" in rural areas of low- and middle-income countries. Objective: To test for prospective associations between (1) out-migration of all children and subsequent depression in parents and (2) having a child move back and an improvement in parents' depression. Design: A cohort study with a 1-year follow-up. Setting: A population-based study nested in a demographic surveillance site of 100 villages in rural Thailand. Most out-migration is to the capital city. Participants: A stratified random sample of 1111 parents 60 years and older (1 per household) drawn from all 100 villages, of whom 960 (86%) provided depression data at follow-up. Main Outcome Measures: Scoring 6 or more on the Thai version of the EURO-D depression scale at follow-up. Results: Depression prevalence was 22%. At baseline, 155 (16%) had all their children migrated from the district and 806 (84%) had at least 1 child living in the district. Having all children out-migrated at baseline, compared with having none or some children out-migrated, predicted a smaller odds of depression, after controlling for baseline sociodemographic and health measures (odds ratio [OR], 0.43; 95% CI, 0.20-0.92). Having a child move back in the study year was associated with greater odds of depression at follow-up when adjusted for baseline measures (OR, 1.75; 95% CI, 1.04-2.94), although this was no longer significant after adjusting for changes in disability and marital status since baseline (OR, 1.72; 95% CI, 0.99-2.98). Conclusions: Contrary to our hypothesis, parents whose children are not migrants may be at greater risk of depression than those with migrant children. More understanding is needed about the risks for depression in older rural populations and about the effectiveness of interventions. © 2013 American Medical Association. All rights reserved.
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    Validation and factor structure of the Thai version of the EURO-D scale for depression among older psychiatric patients
    (2009-11-01) Tawanchai Jirapramukpitak; Niphon Darawuttimaprakorn; Sureeporn Punpuing; Melanie Abas; Faculty of Medicine, Thammasat University; Mahidol University; King's College London
    Objectives: To assess the concurrent and the construct validity of the Euro-D in older Thai persons. Method: Eight local psychiatrists used the major depressive episode section of the Mini International Neuropsychiatric Interview to interview 150 consecutive psychiatric clinic attendees. A trained interviewer administered the Euro-D. We used receiver operating characteristic (ROC) analysis to assess the overall discriminability of the Euro-D scale and principal components factor analysis to assess its construct validity. Results: The area under the ROC curve for the Euro-D with respect to major depressive episode was 0.78 [95% confidence interval (CI) 0.70-0.90] indicating moderately good discriminability. At a cut-point of 5/6 the sensitivity for major depressive episodes is 84.3%, specificity 58.6%, and kappa 0.37 (95% CI 0.22-0.52) indicating fair concordance. However, at the 3/4 cut-point recommended from European studies there is high sensitivity (94%) but poor specificity (34%). The principal components analysis suggested four factors. The first two factors conformed to affective suffering (depression, suicidality and tearfulness) and motivation (interest, concentration and enjoyment). Sleep and appetite constituted a separate factor, whereas pessimism loaded on its own factor. Conclusion: Among Thai psychiatric clinic attendees Euro-D is moderately valid for major depression. A much higher cut-point may be required than that which is usually advocated. The Thai version also shares two common factors as reported from most of previous studies. © 2009 Taylor & Francis.
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    Validation and factor structure of the Thai version of the EURO-D scale for depression among older psychiatric patients
    (2009) Tawanchai Jirapramukpitak; Niphon Darawuttimaprakorn; Sureeporn Punpuing; Abas, Melanie; Mahidol University. Institute for Population and Social Research
    Objectives: To assess the concurrent and the construct validity of the Euro-D in older Thai persons. Method: Eight local psychiatrists used the major depressive episode section of the Mini International Neuropsychiatric Interview to interview 150 consecutive psychiatric clinic attendees. A trained interviewer administered the Euro-D. We used receiver operating characteristic (ROC) analysis to assess the overall discriminability of the Euro-D scale and principal components factor analysis to assess its construct validity. Results: The area under the ROC curve for the Euro-D with respect to major depressive episode was 0.78 [95% confidence interval (CI) 0.70-0.90] indicating moderately good discriminability. At a cut-point of 5/6 the sensitivity for major depressive episodes is 84.3%, specificity 58.6%, and kappa 0.37 (95% CI 0.22-0.52) indicating fair concordance. However, at the 3/4 cut-point recommended from European studies there is high sensitivity (94%) but poor specificity (34%). The principal components analysis suggested four factors. The first two factors conformed to affective suffering (depression, suicidality and tearfulness) and motivation (interest, concentration and enjoyment). Sleep and appetite constituted a separate factor, whereas pessimism loaded on its own factor. Conclusion: Among Thai psychiatric clinic attendees Euro-D is moderately valid for major depression. A much higher cut-point may be required than that which is usually advocated. The Thai version also shares two common factors as reported from most of previous studies.