Browsing by Author "Punyarat Lapvongwatana"
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Publication Metadata only Academic stress among high school students in a rural area of Nepal: A descriptive cross-sectional study(2020-05-30) Minani Gurung; Natkamol Chansatitporn; Kanittha Chamroonsawasdi; Punyarat Lapvongwatana; Mahidol University© The Author(s) 2018. Introduction: The period of adolescence undergoes many physical and mental changes. Changing emotional and physical status along with increasing social, family, and academic pressure lead to various impairments in the mental health of adolescents. Academic failure leads to the suicide rate in adolescents, predominantly high during the declaration of exam results which is significantly high in a rural area in comparison with urban. The study examined the prevalence of academic stress among high school students in a rural area of Rolpa, Nepal.Methods: A descriptive cross-sectional study was conducted in 6 schools in Rolpa from July to October 2019. The sample size calculated was 521. A convenient sampling technique was used for this study. The target population was adolescents enrolled in high schools of Rolpa. Ethical approval was taken before data collection. The scale for assessing academic stress was used to find out the prevalence. A questionnaire was translated in local language and pre-testing was done in Nepal Police School, Sanga among 10% of the calculated sample size. Data entry was done in Statistical Package for the Social Sciences version 18. Descriptive statistical analysis was done for prevalence calculation. AResults: Out of a total of 521 students, the prevalence of academic stress was seen among 138 (26.5%) students at a 95% confidence interval (22.72-30.28).Conclusions: The prevalence of academic stress in our study was high and was consistent with other South Asian studies. Understanding academic stress and providing help and support to the students would help ease the burden for them.Item Metadata only An effectiveness of the sexual communication program between the mothers and adolescent daughters(Mahidol University. Mahidol University Library and Knowledge Center, 2005) Kanitra Pruttasarote; Punyarat Lapvongwatana; Arpaporn PowwattanaItem Metadata only Application of self-efficacy theory on antiretroviral drug adherence among HIV-infected/AIDS patients(Mahidol University. Mahidol University Library and Knowledge Center, 2005) Raweewan Phongphuthachat; Punyarat LapvongwatanaPublication Metadata only Challenges and obstacles of mother-daughter sexual communication among Thai rural communities: An exploratory study(2021-05-01) Wilaporn Teppasom; Kanittha Chamroonsawasdi; Sutham Nunthamongkolchai; Wirin Kittipichai; Punyarat Lapvongwatana; Mahidol UniversityThis qualitative study explores the challenges and obstacles of mother-daughter sexual communication among Thai rural communities. In-depth interviews were conducted with the selected group of 33 dyads of mothers-daughters. Focus group discussions (FGDs) were also conducted among five healthcare providers (HCPs) and school teachers. The interviews and FGDs were audiotaped and transcribed verbatim. The data were analyzed using content analysis. The results found that mothers had insufficient sexual knowledge and lack communication skills. Most mothers never talked about safe sex, birth control, and condom use in the family. They thought their daughters were too young to learn about safe sex. They were afraid that it might guide their daughters to have sexand thought that their daughters will learn about sex when they marry, and sex education is not a parental duty. Mothers' beliefs on sex issues are not to be discussed openly, even in the family. Persons who talk about sex were sensual people. Daughters addressed the fact that the mothers were seldom present and didn’t show love by words or manner. They still blame and hit daughters for a severe argument. Besides, parents’ quarrels created a bad family climate and made daughters unhappy to talk with their parents. Daughters still never talk about safe sex, birth control, and condom use with their mothers. Furthermore, the content of sex education in the family was based on maternal experiences. Most of the teaching and learning patterns of sex education in school were lectures, and the contents were physiology development and sexual desire. The challenges and obstacles of mother-daughter sexual communication were poor maternal sexual knowledge, maternal attitudes toward sexual communication, mother-daughter relationship, and family atmosphere. These findings will be used for developing the mother-daughter dyads’ relationship model to prevent pregnancy in early adolescence.Item Metadata only Child abuse and effects of abuse on physical, psychological, and social well-being among primary school children, 1st-4th grade in Bangkok Metropolis(Mahidol University. Mahidol University Library and Knowledge Center, 2001) Daorueang Kongkaew; Somporn Triamchaisri; Punyarat Lapvongwatana; Phitaya Charupoonphol; Kittipong KittayarakItem Metadata only Cognitive-behavioral approach and Buddhist practice in amphetamine prevention among adolescents(Mahidol University. Mahidol University Library and Knowledge Center, 2023) Sudruk Chitthathairatt; Punyarat LapvongwatanaItem Metadata only Condom use and HIV testing and counselling among men who have sex with men in Yangon South district, Myanmar(Mahidol University. Mahidol University Library and Knowledge Center, 2024) Kaung, Nyein Aye, 1980-; Natkamol Chansatitporn; Punyarat LapvongwatanaConsistent condom use and HIV testing and counselling are effective biomedical interventions of combination HIV prevention approach for HIV transmission. This study aimed to identify factors associated with condom use and HIV testing and counselling among MSM in Yangon South District, Myanmar, using the third phase of PRECEDE-PROCEED framework. A cross-sectional method with respondent driven sampling was used to collect data. The respondents were 217 MSM attended face-to-face interviews with structured questionnaires. Data was analysed using descriptive analysis, Chi square test and multivariate logistic regression to identify factors associated with condom use and HIV testing and counselling. The results revealed that only 40.1% of respondents used condom consistently in last six months and 72.4% of respondents had HIV testing and counselling in last 12 months. By multivariate logistic regression analysis, age ? 35 years (OR: 5.96 95% CI: 2.34-13.87), high social support (OR: 6.02 95% CI: 1.22- 29.73), moderate peer influence (OR: 0.24 95% CI: 0.08-0.71) and accessibility of HIV testing and counselling (OR: 11.04 95% CI: 2.14-57.02) were significantly associated with consistent condom use in last six months. And Apwint (open, receptive) (OR: 30.51 95% CI: 7.33-127.01), college or university education (OR: 8.98 95% CI: 1.31-61.41), high accessibility of condom (OR: 0.05 95% CI: 0.01- 0.41) and high accessibility of HIV testing and counselling (OR: 28.21 95% CI: 2.34- 4.19-189.92) were significantly associated with HIV testing and counselling in last 12 months. The finding suggested that implementation of behavioural change interventions for MSM to improve their attitude and skills, belief and confidence on consistent condom use. To scale up condom promotion programs and distribution of condom and lubricants in MSM friendly places is also required. Community based HIV testing services should be strengthened with mobile clinics and outreach activities with hotspot mapping.Item Metadata only Correlates of nursing standard infectious control for AIDS precautions through nursing intervention among professional nurses in Suratthani province(Mahidol University. Mahidol University Library and Knowledge Center, 2005) Sasipen Homsanit; Sulee Tongvichean; Punyarat Lapvongwatana; Priyakamon KhanNurses comprise one of the highest risk groups exposed to HIV/AIDS for which the prevalence rate is increasing. The nursing standard infectious control for AIDS precautions (NSICAP) is the key strategy to prevent the transmission of the disease. This research aimed at studying the practice of NSICAP among professional nurses in Surattani Province as well as examining the correlates among socio-demographic, predisposing, enabling and reinforcing factors and the practice of NSICAP. The samples were 129 professional nurses in Emergency Rooms (E.R.) of government hospitals in Surattani Province. Questionnaires were comprised of 5 parts: 1) socio-demographic, 2) predisposing,3) enabling, 4) reinforcing factors and 5) the practice of NSICAP. It was validated by 5 experts and piloted with 30 professional nurses. The reliabilities of parts 2, 3, and 5 were 0.71, 0.67, and 0.75, respectively. The study found that nearly half of the E.R. professional nurses practiced NSICAP at a poor level (48.1%) and about one-third (31.7%) at a good level. The nurses practiced NSICAP well in the items concerning blood and its handling and body fluid discharge during wound dressing. The items in which nurses practiced poorly (<80%) were protecting themselves from contamination with specimens. Perceived benefit (r= -0248, p = < 0.005) and the perception of policy (r= -0.371, p= < 0.001) were positively and significantly correlated to the practice of NSICAP. Age, marital status, educational level, experience in E.R., perceived susceptibility, perceived severity, perception of policy, working experience with AIDS patients, and working experience with other communicable disease patients and training of AIDS precautions were not associated with the practice of NSICAP. Therefore, it is suggested that the training program for AIDS precautions for professional nurses should emphasize awareness of the practice of NSICAP for prevention and transmission of HIV, and the outcomes of AIDS precautions training programs among nurses especially for those;"พยาบาลเป็นบุคลากรที่เสี่ยงต่อการติดเชื้อ เอช ไอ วี / เอดส์ ซึ่งมีอัตราเพิ่มขึ้นอย่างต่อเนื่อง การปฏิบัติพยาบาลตามมาตรฐานการระวังและควบคุมการติดเชื้อเอดส์จึงมีความสำคัญ การวิจัยนี้มีวัตถุประสงค์ เพื่อศึกษาการปฏิบัติพยาบาลตามมาตรฐานการระวังและควบคุมการติดเชื้อเอดส์ (NSICAP) ของพยาบาล วิชาชีพในโรงพยาบาลของรัฐ จัง"Publication Open Access Correlates of practicing nursing standard infectious control for aids precaution through nursing intervention among ER nurses in Surat Thani Province(2007) Sulee Thongvichean; Punyarat Lapvongwatana; Priyakamon Khan; Sasipen Homsanit; สุลี ทองวิเชียร; ปัญญรัตน์ ลาภวงศ์วัฒนา; ปรียากมล ข่าน; Sulee Thongvichean; Mahidol university. Faculty of Public Health. Department of Public Health Nursing.The present study aims examine the correlates of practicing of nursing standard infectious control for AIDS precautions (NSICAP) among all 129 professional nurses who worked in the emergency room of 20 governmental hospitals in Surat Thani Province. The research instrument was a self-administered questionnaire comprised of 5 parts: (1) sociodemographic factors, (2) predisposing factors, (3) enabling factors, (4) reinforcing factors and (5) practices of NSICAP with a reliability of part 1-3 of 0.71, 0.67 and 0.75, respectively. The results revealed that nearly half (48.1%) of the ER professional nurses practiced NSICAP at a low level and about one-third (31.7%) were practicing at a high level. Nurses practiced NSICAP well in the items concerning blood and its handling and body fluid discharge during wound dressing. The items in which nurses practiced poorly (< 80%) were protecting themselves from the contamination of specimens. The perceived benefit (r = -0.248, p < 0.005) and perception of policy (r = -0.371, p < 0.001) were significantly and negatively correlated with the practice of NSICAP. Age, marital status, educational level, working experience in emergency room, perceived susceptibility, perceived severity, perception of facilities, working experience with AIDS patients, and working experience with other communicable disease patients and training with AIDS precautions were not associated with the practice of NSICAP. The present study suggested that the training program for AIDS precautions for professional nurses should be promoted more completely and emphasized upon an awareness of the practice of NSICAP for prevention and transmission of HIV efforts at all times and conditions. The outcomes of AIDS precautions training programs among nurses, especially for those at a poor level of practice, should be monitored continuously. Providing related manuals or practical guidelines for every department also needed to be addressed. งานวิจัยมีวัตถุประสงค์ เพื่อศึกษาการปฏิบัติการพยาบาลตามมาตรฐานการระวังและควบคุมการติดเชื้อเอดส์ (NSICAP) ของพยาบาลวิชาชีพของรัฐ จังหวัดสุราษฏร์ธานี และศึกษาถึงความสัมพันธ์ระหว่างปัจจัยทางประชากร ปัจจัยนำ ปัจจัยเอื้อ ปัจจัยเสริม และปฏิบัติการพยาบาลตามมาตรฐานการระวังและควบคุมการติดเชื้อเอดส์ กลุ่มตัวอย่างเป็นพยาบาลวิชาชีพที่ปฏิบัติงานห้องอุบัติเหตุในโรงพยาบาลของรัฐ จังหวัดสุราษฏร์ธานี จำนวน 129 คน เครื่องมือที่ใช้ในการวิจัยเป็นแบบสอบถาม แบ่งเป็น 5 ส่วน ได้แก่ 1) ปัจจัยทางประชากร 2) ปัจจัยนำ 3) ปัจจัยเอื้อ 4) ปัจจัยเสริม และ 5) การปฏิบัติการพยาบาลตามมาตรฐาน การระวังและควบคุมการติดเชื้อเอดส์ (NSICAP) ความเชื่อมั่นของแบบสอบถามในส่วนที่ 2, 3 และ 5 เท่ากับ 0.71, 0.67 และ 0.75 ตามลำดับ ผลการวิจัยพบว่า พยาบาลเกือบครึ่งหนึ่งปฏิบัติตามมาตรฐานการระวังและควบคุมการติดเชื้อเอดส์ อยู่ในระดับที่ไม่ดี (ร้อยละ 48.1) และประมาณ 1 ใน 3 อยู่ในระดับดี (ร้อยละ 31.7) รายการที่พยาบาลปฏิบัติได้ดี ได้แก่ การปฏิบัติที่เกี่ยวข้องกับเลือดและสารคัดหลั่งขณะทำแผล รายการที่ปฏิบัติได้ไม่ดี ได้แก่ การป้องกันตนเองจากการสัมผัสกับสิ่งปนปื้อน ปัจจัยที่มีความสัมพันธ์กับการปฏิบัติการพยาบาลตามมาตรฐานการระวังและควบคุมการติดเชื้อเอดส์ ได้แก่ การรับรู้ประโยชน์ (r = -0.248, p < 0.005) และการรับรู้นโยบายของรัฐบาล (r = -0.371, p < 0.001) อย่างมีนัยสำคัญทางสถิติ ปัจจัยด้านอายุ สถานภาพสมรส ระดับการศึกษา ประสบการณ์การปฏิบัติงานในห้องอุบัติเหตุ การรับรู้ความเสี่ยง การรับรู้ความรุนแรงของโรค การรับรู้สิ่งเอื้ออำนวย การได้รับการฝึกอบรม ประสบการณ์ปฏิบัติงานกับผู้ป่วยโรคเอดส์และผู้ป่วยโรคติดต่ออื่นๆ ไม่มีความสัมพันธ์กันกับการปฏิบัติตามมาตรฐานการระวังและควบคุมการติดเชื้อเอดส์ ข้อเสนอแนะจากการวิจัย ได้แก่ การฝึกอบรมที่เน้นการสร้างความตระหนัก ให้เห็นถึงความสำคัญของการปฏิบัติตามมาตรฐานการระวังและควบคุมการติดเชื้อเอดส์ในการป้องกันการแพร่กระจายเชื้อ และการควบคุมกำกับผลลัพธ์จากการฝึกอบรมโดยเฉพาะกลุ่มพยาบาลที่มีทักษะในการปฏิบัติที่ยังไม่ดี จัดหาคู่มือการปฏิบัติตามมาตรฐานการระวังและควบคุมการติดเชื้อเอดส์ไว้ในหน่วยงานห้องอุบัติเหตุทุกหน่วยงานPublication Metadata only A cross-sectional study of secondhand smoke exposure among non-smoking women and children in Thai households(2016-01-01) Punyarat Lapvongwatana; Nipapun Kungskulniti; Naowarut Charoenca; Erika Avila-Tang; Heather Wipfli; Stephen L. Hamann; Mahidol University; Center of Excellence on Environmental Health and Toxicology; Food and Drug Administration; University of Southern California; Tobacco Control Research and Knowledge Management Center© 2016, Mahidol University. All rights reserved. Exposure to secondhand smoke (SHS) among women and children indoors is a problem both in urban and rural environments. This study aimed to describe SHS exposure by women and children in Thai households. It is the first study of its kind in Thailand to characterize levels of nicotine in the air of homes with smokers and the extent of personal exposure to nicotine among women and children living in homes with smokers in urban and rural environments. A cross-sectional survey of nicotine exposure of 40 pairs of adult nonsmoking women and children in households with and without smokers was conducted using a questionnaire, passive air monitors, and hair samples of women and children in Bangkok and rural Mukdaharn. Questionnaire data were represented descriptively, while environmental (passive samplers) and metabolic samples (hair nicotine) used established laboratory analysis and statistical measures of association with smoke exposure. Data were analyzed and reported as percentages, means, medians, interquartile ranges, and from skew and log-10transformed data for Pearson correlation coefficient analysis. Attention was given to results for insight to how exposure results differed between household locations (urban versus rural) and persons exposed (non-smoking adults versus children). Most smokers (81.8%) smoked inside the house and near their children. Hair nicotine level in women and children showed exposure to SHS. Hair nicotine levels among children were significantly higher than the women (p=0.038). Exposure to SHS was present with high levels of hair nicotine among women and children in both rural and urban environments when smoking was present. SHS exposure warrants increased attention due to the potential harm to non-smoking women and children reflected in these findings.Publication Open Access A Cross-sectional study of secondhand smoke exposure among non-smoking women and children in Thai households(2016) Punyarat Lapvongwatana; Nipapun Kungskulniti; Naowarut Charoenca; Avila-Tang, Erika; Wipfli, Heather; Hamann, Stephen L.; Naowarut Charoenca; Mahidol University. Faculty of Public HealthExposure to secondhand smoke (SHS) among women and children indoors is a problem both in urban and rural environments. This study aimed to describe SHS exposure by women and children in Thai households. It is the first study of its kind in Thailand to characterize levels of nicotine in the air of homes with smokers and the extent of personal exposure to nicotine among women and children living in homes with smokers in urban and rural environments. A cross-sectional survey of nicotine exposure of 40 pairs of adult nonsmoking women and children in households with and without smokers was conducted using a questionnaire, passive air monitors, and hair samples of women and children in Bangkok and rural Mukdaharn. Questionnaire data were represented descriptively, while environmental (passive samplers) and metabolic samples (hair nicotine) used established laboratory analysis and statistical measures of association with smoke exposure. Data were analyzed and reported as percentages, means, medians, interquartile ranges, and from skew and log-10 transformed data for Pearson correlation coefficient analysis. Attention was given to results for insight to how exposure results differed between household locations (urban versus rural) and persons exposed (non-smoking adults versus children). Most smokers (81.8%) smoked inside the house and near their children. Hair nicotine level in women and children showed exposure to SHS. Hair nicotine levels among children were significantly higher than the women (p=0.038). Exposure to SHS was present with high levels of hair nicotine among women and children in both rural and urban environments when smoking was present. SHS exposure warrants increased attention due to the potential harm to non-smoking women and children reflected in these findings.Item Metadata only Development of a family management program for school-aged children with thalassemia(Mahidol University. Mahidol University Library and Knowledge Center, 2023) Siriyupa Sananreangsak; Punyarat Lapvongwatana; Kamonmarn Virutsetazin; Paranee Vatanasomboon; Gaylord, NanItem Metadata only Development of a low back pain prevention program for nurses(Mahidol University. Mahidol University Library and Knowledge Center, 2023) Chuliporn Sopajareeya; Surintorn Kalampakorn; Punyarat Lapvongwatana; Chukiat Viwatwongkasem; Hong, OisaengPublication Metadata only Development of a model for parent-adolescent daughter communication about sexuality(2010-07-01) Supit Siriarunrat; Punyarat Lapvongwatana; Arpaporn Powwattana; Prasit Leerapan; Mahidol UniversityThis study aimed to develop a model for parent-adolescent daughter communication about sexuality (PDCS). The subjects were 18 mother-doughter pairs. The females were 12-13 years old studying in the 7th grade of a secondary school in Bangkok. The model had 3 parts: 1) the process of PDCS development, 2) the essential components, characteristics and patterns of PDCS and 3) the impact of the program. The model was examined using both quantitative (paired ttest) and qualitative (content analysis) methods. The inputs, assessing the guardian and adolescent female factors, included sexuality knowledge, understanding of the daughter's sexual development, attitudes regarding talking about sexuality, perceptions regarding communication and the maternal-daughter relationship, and uncomfortable feelings and confidence in ability to talk about sexuality. The processes included: 1) raising awareness and enhancing positive attitudes about PDCS, 2) establishing sexual knowledge and development, 3) establishing a maternal- daughter relationship and 4) training in reciprocal PDCS skills. The output was modification of maternal and daughter communication skills that occurred during the shared discussion and reflection process. The outcomes reflected 4 aspects: feelings toward PDCS, characteristics of PDCS, sexual knowledge, and maternal-daughter relationship. The model was successful in guardian implementation and networking were established on their own with the cooperation of both subjects in accordance with their likenesses, abilities, and competencies. There was little assistance needed from the researcher or teacher to support self reliance with the PDCS.Item Metadata only Development of the family management for overweight prevention model in urban Thai preschoolers(Mahidol University. Mahidol University Library and Knowledge Center, 2023) Somsamai Rattanagreethakul; Punyarat LapvongwatanaItem Metadata only Development of the father involvement model during pregnancy and neonatal period(Mahidol University. Mahidol University Library and Knowledge Center, 2023) Tatirat Suwansujarid; Punyarat Lapvongwatana; Paranee Vatanasomboon; Gaylord, NanA fathers' involvement has an impact on the child cognitively, emotionally, and socially as well as on the family relationships. This study is based on the Neuman Systems Model and was designed to examine the factors influencing a fathers' involvement in order to develop a father involvement intervention model to be implemented during the pregnancy and neonatal period to increase fathers' involvement in the family. Fathers were selected from antenatal care and postnatal care units in an Eastern community hospital in Thailand. The research and development design consisted of four phases: 1) Situation Analysis: the quantitative data were collected from self-administered questionnaires with 90 fathers-to-be and 116 fathers and qualitative data were collected from in-depth interviews with 12 stakeholders. Pearson's product-moment correlation, Spearman' s rank correlation coefficient, point-biserial correlation coefficient and backward multiple regression were used for quantitative analysis and content analysis was used for qualitative analysis; 2) Planning of Model Development: the process consisted of the identification of problems, construction of the nursing intervention instruments, and refinement of the nursing intervention instruments; 3) Model Implementation: 28 fathers and their partners and stakeholders participated in solving problems and responding to the needs of fathers and their partners; and 4) Model Evaluation: the nursing intervention was provided to 26 fathers and their partners and outcomes analyzed using repeated measures ANOVA. The findings in the first phase showed two predictors (prenatal and postnatal care knowledge and attitude toward fatherhood) together, accounted for 31.5% of the variance for the fathers-to-be and three predictors (prenatal and postnatal care knowledge, attitude toward fatherhood, and father-child attachment) together, accounted for 33.2% of the variance for the fathers. Next, the father involvement model that emerged consisted of inputs, process, and outputs. First, the inputs of the model consisted of human resources, materials, time, and management. Second, in the process of this model, the nursing intervention was revised via the process of action for implementation, re-assessment, and re-planning to fit within the context of fathers and their families. Final, the outputs were evaluated for the effectiveness of the father involvement model. The results showed the mean score of prenatal and postnatal care knowledge significantly increased at one week after delivery while the mean scores of attitudes toward fatherhood and marital relationship significantly increased at one month after delivery, and the mean scores of father competence, father involvement, and father-child attachment significantly increased at one week and one month after delivery. The study suggests this model was successful in promoting fathers' involvement in the family. The key successes were derived from the collaboration between fathers, mothers, and health care providers which makes the model possible and sustainable.Publication Metadata only Disparities in utilization of maternal health services in the rural areas of indonesia: An analysis among provinces with low, middle, and high poverty rates(2020-09-01) I. Ketut Swarjana; Natkamol Chansatitporn; Nawarat Suwannapong; Punyarat Lapvongwatana; Kwanjai Amnatsatsue; Mahidol University© 2020, Mahidol University - ASEAN Institute for Health Development. All rights reserved. High maternal mortality in Indonesia is a serious issue, as it is indicative of health disparities. Moreover, maternal mortality is closely related to the use of maternal health services (MHS). This study aimed to assess disparities in MHS utilization and to identify factors associated with MHS utilization in rural areas of Indonesian provinces with low, middle, and high poverty rates. A cross-sectional study was conducted among 768 mothers with children younger than one year old. The respondents were selected using a multistage sampling technique. The methods used in this study included interviews of respondents using a questionnaire, a proportional comparison of the disparities, and multiple logistic regression to examine the factors associated with MHS utilization. The study found disparities in MHS utilization among the three selected provinces, except for the utilization of family planning services. The factors of health insurance (Adj.OR: 9.22), knowledge (Adj.OR: 6.39), availability (Adj.OR: 6.27), and affordability (Adj.OR: 8.81) were associated with the utilization of antenatal care services, while education (Adj.OR: 4.86), health insurance (Adj.OR: 4.83), availability (Adj.OR: 3.70), and affordability (Adj.OR: 13.22) were significantly associated with the utilization of delivery services. Similarly, health insurance (Adj.OR: 5.02), knowledge (Adj.OR: 2.41), availability (Adj.OR: 3.39), affordability (Adj.OR: 5.91), and acceptability (Adj.OR: 2.21) were factors associated with postpartum follow-up services. Finally, health insurance (Adj.OR: 3.62), availability (Adj.OR: 2.26), and affordability (Adj.OR: 2.06) were associated with the use of family planning services. Strengthening policies to reduce these disparities is urgently needed to improve access to MHS in rural areas of provinces with high poverty rates in Indonesia.Item Metadata only Effect of maternal preparing kangaroo infant care on successful breast feeding and maternal-infant bonding in Phranakornsiayuthaya Hospital(Mahidol University. Mahidol University Library and Knowledge Center, 2003) Siriwan Thantam; Somchit Padumanonda; Punyarat LapvongwatanaPublication Metadata only Effectiveness of a model of risky sexual behavior prevention among adolescent boys in Thailand(2011-08-08) Worawan Tipwareerom; Arpaporn Powwattana; Punyarat Lapvongwatana; Richard A. Crosby; Mahidol University; University of KentuckyThe objectives of this study were to identify predictable factors affecting risky sexual behavior and to evaluate the effectiveness of a risky sexual behavior prevention program among boys one and two months after the program. The Information-Motivation-Behavioral skills (1MB) model program was carried out among 74 adolescent boys aged 10-13 years and 74 of their parents in Phitsanulok Province, Thailand. Repeated analysis was employed to analyze the program's effectiveness. After the program, mean scores for comfort in talking about sex, self-efficacy, and skills in condom use increased significantly (p < 0.05), and mean scores regarding knowledge about sexually transmitted infections and skills in decision making decreased significantly (p < 0.05) compared to baseline. Boys participating in this program improved their condom use skills and comfort talking about sex at two months follow-up (t=3.82, p < 0.001; t=3.10, p=0.003, respectively). These results provided evidence for applicability of a prevailing theory-based intervention within the local cultural context.Item Metadata only Effectiveness of the health belief model with group process and live model demonstration on prevention of iron deficiency anemia among pregnant women in Banpong Hospital, Ratchaburi province(Mahidol University. Mahidol University Library and Knowledge Center, 2002) Somthawin Bongkotmas; Supreya Tansakul; Punyarat Lapvongwatana; Anchalee Vongtangswad