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Publication Metadata only Comparison of Prevalence of Nutritional Status of Thai Children in the First 2 Years of Life Using National and International Growth Charts(2016) Seo Ah Hong; Aroonsri Mongkolchati; Jiraporn Chompikul; Ladda Mo-Suwan; Chanpen Choprapawon; Mahidol University. ASEAN Institute for Health Development,Objective: Identify the difference of the nutritional status of Thai children from birth to 24 months of age using the national and international growth charts. Material and Method: The analytic sample was of 4,224 children from the Prospective... Cohort Study of Thai Children (PCTC). Age-specific prevalence of malnutrition was estimated using the NCHS, WHO, and Thai growth charts. Results: Rapid growth faltering was found in both genders during the first two years, regardless of the referencePublication Open Access Prevalence of insufficient fruit and vegetable intake and associated factors in older adults in Thailand(2017) Kanyapak Silarak; Jiraporn Chompikul; Aroonsri Mongkolchati; กัญญาภัค ศิลารักษ์; จิราพร ชมพิกุล; อรุณศรี มงคลชาติ; Mahidol University. ASEAN Institute for Health Developmentcollection was conducted from September 2015 to March 2016. Multi-stage cluster sampling was used to draw a sample of 3,875 in 16 districts from 14 provinces across different regions of Thailand. The variables were collected included socio-demographicPublication Open Access Determining of Complementary Food Practice and Stunted Thai Children Aged 24 Months(2012) Joshi, Shrijana; Aroonsri Mongkolchati; Jiraporn Chompikul; Ladda Mo-suwan; Uraiporn Chittchang; Chanpen Choprapawon; Mahidol University. ASEAN Institute for Health Development,; Mahidol University. Institute of Nutrition; Prince of Songkla University. Faculty of Medicine. Department of Pediatrics,This descriptive study was conducted to determine the prevalence of child stunting at 24 months by using the Thai and New WHO growth standard and to examine the association between time of introduction of complementary food and child stunting at 24 months. The data of 4,245 children aged 24 months were selected from a cohort study of Thai children. After excluding 60 twin infants and 18 with abnormalities, 4,167 children remained for data analysis. Chi-square tests and multiple logistic regression were undertaken to identify variables that influenced child stunting at 24 months. For the 2001 Thai reference, the study showed 13.95% stunting prevalence whereas 2006 WHO reference showed 16.48%. After adjusting for confounding factors, the study showed that prolonged breast feeding was significantly associated with child stunting from both the WHO (OR=2.70, 95% CI=1.77-4.10) and Thai references (OR=2.31, 95% CI=1.48-3.60). By using WHO reference, this study found that children who were introduced pork before four months (OR=4.72, 95% CI=1.11-20.19) had the highest risk to be stunting at 24 months. And, by using Thai reference, it was found that children who were introduced whole eggs before four months (OR=2.76, 95% CI=0.56-3.54) had the highest risk to be stunting at 24 months. In conclusion, this study found that early introduction of complementary foods is a risk of child stunting. Implementing various health education programs to mothers and caretakers focusing on the improvement of feeding practices and by timely introduction of complementary food, optimum growth in children can be achieved.Publication Open Access Relationship between child rearing and child nutritional status during the first year of life in Thailand(2016) Mai Beniko; Aroonsri Mongkolchati; Jiraporn Chompikul; Rutja Phuphaibul; Mahidol University. ASEAN Institute for Health DevelopmentThis descriptive study was conducted to determine relationship between child rearing and child nutritional status during the first year of life. A total of 4,245 cohort children were collected between July 2000 and June 2002 based on the Prospective Cohort of Thai Children. 60 twin infants and 35 dead and abnormal children were excluded. Then, the remaining 4,150 children were conducted for data analysis. The statistics was used by Chi-square tests and Multiple Logistic Regressions were used for identifying influential predictor and child nutritional status (underweight, stunting and wasting) at the first year of age. The finding showed that 8.3% of the children were underweight (weight for age), 9.5% of the children were stunting (height for age) and 5.7% of the children were wasting (weight for height) according to WHO reference. After adjusting the potential confounding factors in the multiple logistic regression, this study found that birth weight was the most significant risk factor related to all three child nutritional status such as underweight (Adj. OR= 10.07, 95% CI= 2.87-35.28), stunting (Adj. OR= 4.49, 95% CI= 1.16-17.39) and wasting (Adj. OR= 3.94, 95% CI= 1.24-12.49). In addition, the significant factor associated with child underweight in the final model was controlling of sleeping time by using rational style (Adj. OR=4.71, 95% CI=1.16-19.10), and for wasting status was types of main caregivers (relative) (Adj. OR= 4.04, 95% CI=1.15-14.21). This study indicated that child rearing style age 6 months among this population effect to nutritional status for children first year of life. Therefore, health policy and education regarding to appropriate child rearing pattern toward among parents in Thailand should be promoted.Publication Open Access Predictors of dental service utilization among visually impaired people in Chiang Mai, Thailand(2015) Pinpinut Wanichsaithong; Jiraporn Chompikul; Aroonsri Mongkolchati; Piyanart Chatiketu; Mahidol University. ASEAN Institute for Health DevelopmentThe purposes of this cross-sectional study were to examine factors associated with utilization of dental health services among visually impaired people and also identify barriers affecting such utilization. A structured questionnaire and an oral examination were used to collect data in January, 2013. In total, 266 visually impaired people participated in the study. Data were analyzed using chi-square tests and multiple logistic regression. The utilization of dental health services in the past year among visually impaired people was 26.3%. Based on the Chi-square tests, education, occupation, perception of oral status, perception of oral health problems and perceptions of the oral health service system were found to be statistically significant associated with dental service utilization. In logistic regression, significant predictors of dental service utilization among visually impaired people included perception of oral status (adj OR = 4.45, 95% CI = 1.41-14.05), perception of oral health problems (adj OR = 4.66, 95% CI = 1.96-11.07) and perception of the dental service system (adj OR = 2.44, 95% CI = 1.32-4.49). The three most commonly reported barriers to dental visits were “no one takes me to the dentist”, “not enough time” and “waiting until the pain gets worse”. The findings suggested that the significant key factor to increase utilization among visually impaired people is providing an appropriate oral health education to improve the knowledge of oral health care, and finally lead to change the perception of oral problems in these people. Furthermore, special dental service system should be established to minimize barriers to care and serve needs of these people.Publication Open Access Relationship between obesity and asthma among older adults in Thailand(2017) Patthanunt Yosaravuthvarakul; Jiraporn Chompikul; Aroonsri Mongkolchati; Khongdej Leethochawalit; Mahidol University. ASEAN Institute for Health DevelopmentThis cross-sectional study was conducted to determine the prevalence of asthma and to describe the association between asthma and obesity among older adults in the communities of Thailand. The multi-stage cluster sampling was used to draw a sample of 3977 adults aged 50 years and older from six regions. The data collection was conducted between January and March, 2016. A face to face interview with the structured questionnaire was used to collect data. Chi-square test and multiple logistic regression were used to examine associations between independent variables and asthma. The results showed that the prevalence of asthma among older adults in the communities of Thailand was 2.1%. The association between obesity and asthma among this population was not significantly detected in this study. However, asthma was found to be significantly associated with types of residence (Adj. OR=2.01, 95% CI=1.06-3.83), ischemic heart disease (Adj. OR=4.31, 95% CI=1.63-11.42) and low back pain (Adj. OR=4.38, 95% CI=2.50-7.68) among older adults after adjusting for other factors. The health personnel should initiate a system for searching asthmatic patients in the community, especially in the ischemic heart disease or low back pain patients. The relationship between obesity and asthma among older adults in Thailand is not clear and still needs further studies.Publication Open Access Performances of village health volunteers in elderly care in Muang District, Nakhon Ratchasima Province, Thailand(2014) Osamu Watanabe; Jiraporn Chompikul; Aroonsri Mongkolchati; Nuanpan Pimpisan; Mahidol University. ASEAN Institute for Health DevelopmentA cross-sectional study was conducted to examine an association between performance levels of Village Health Volunteers (VHVs) in elderly care and related factors. The performances referred to the levels of activities for the assigned roles and tasks related to elderly care which composed of three scales: Instrument Active Daily Living scale (IADL), Active Daily Living scale (ADL) and other home cares. A total of 415 self-administered questionnaires were distributed to VHVs in February, 2014. Chi-square tests and multiple logistic regression were employed to identify significant predictors of VHVs performances. Approximately 26 % of VHVs were classified into high performances in elderly care. When adjusting for working hours per day and having experience of taking care of the elderly, significant predictors were: number of trainings that VHVs participated in Adj OR=2.54, 95% CI=1.45-4.45), levels of knowledge (Adj OR=2.51, 95% CI= 0.94-6.75 for good level and Adj OR = 1.41, 95% CI = 0.56-3.57 for moderate level) and high satisfaction with working in elderly care (Adj OR: 2.10, 95% CI= 1.14-3.88). VHVs who had good knowledge about elderly care were nearly three times more likely to show high performances than those who had poor knowledge. The findings suggested that two significant key factors to gain high levels of VHVs’ performance in elderly care are providing a variety of refresher courses related to elderly care to increase knowledge and skills, and also improving the work place support system and incentives to promote satisfaction of VHVsPublication Open Access Assessment of patient satisfaction at a traditional medicine hospital in Nepal(2012) Aroonsri Mongkolchati; Cheerawit Rattanapan; Somsak Wongsawass; Mahidol University. ASEAN Institute for Health DevelopmentThis cross-sectional descriptive study was conducted regarding patient satisfaction with outpatient department (OPD) services at Naradevi Ayurveda hospital in Kathmandu, Nepal. A structured questionnaire was administered to 296 patients attending the OPD during February, 2012. The respondents were aged 18 years and above. Chi-square tests and multiple logistic regression were performed to analyze the associations between inde- pendent and dependent variables. The results show that most of the respondents (74.7%) had low level of satisfaction, and 25.3% of them had a high level of satisfaction. Other selected variables such as distance from home to hospital, long waiting time, adequate length of service hours of the OPD and actual expectations were significantly associated with patient satisfaction (p<0.05). After adjusting the potential factors, it was found that patients who had a low monthly income were more likely to have high satisfaction with the OPD services (OR=2.65, 95%CI=1.38-5.11). Patients who had to wait only a short time (OR=2.19, 95%CI=1.16-4.16) or who reported adequate service time (OR=2.53, 95%CI=1.35-4.75) were more likely to have a high level of satisfaction with OPD services. In conclusion, low income, waiting time and service hours of OPD were the main predictors of satisfaction with OPD services. Hence, providing the health insurance scheme, increasing access to services at all levels of health institution, providing quick services, and increasing the length of OPD service hours can help to increase the level of patient satisfaction with the traditional health care system. Further qualitative and follow-up studies to further improve the quality of care are also recommended.Publication Open Access Prevalence and associated factors of exclusive breastfeeding among mothers in Pan-Ta-Naw township, Myanmar(2015) Wai Lynn Kyi; Aroonsri Mongkolchati; Jiraporn Chompikul; Somsak Wongsawass; Mahidol University. ASEAN Institute for Health DevelopmentThis cross sectional study aimed to explore the prevalence and predictors of exclusive breastfeeding practices in Pan-Ta-Naw Township, Ayyerwaddy Region, Myanmar. Two-stage stratified sampling was used to randomly select a sample of 403 mothers who have a child aged 6-12 months. They were interviewed both in rural and urban hospitals. The research instrument was consisted of 43 questions.Chi-square tests and multiple logistic regressions were performed to examine factors associated with exclusive breastfeeding. The prevalence of the first six-month exclusive breastfeeding was 15%. This study found that most mothers introduced water and rice to their infant as well as breast feeding, and very few mothers used formula milk, juice or cow’s milk. The following factors were significant associations with exclusive breast feeding: place of residence (Adj.OR=5.88, 95%CI=2.02- 17.12), marital status (Adj.OR=6.34, 95%CI=1.76-22.90), mother’s education(Adj.OR=6.72, 95%CI=1.52-29.61), mother’s occupation (Adj.OR=5.94, 95%CI=2.23-15.81), places of delivery (Adj.OR=7.29, 95%CI=2.48-21.38), ANC visit at least 4 times (Adj.OR=27.02, 95%CI=7.57-96.49), and knowledge about breastfeeding (Adj.OR=10.84, 95%CI=3.11-37.77). The strongest predictor was making ANC visits at least 4 times. This study found that mothers in both rural and urban area were likely to have little understanding about exclusive breast feeding; hence, health education regarding to this issue should be promoted. As the frequency of ANC visits has been showed to be the strongest significant factors, enhancing the mother’s knowledge about breastfeeding should be considered to include in the ante-natal period of services in health centres.Publication Open Access Factors related to stunting status of the children aged under two years in Magway Township, Myanmar(2014) Su Wai Phyo; Boonyong Keiwkarnka; Aroonsri Mongkolchati; Mahidol University. ASEAN Institute for Health DevelopmentThis cross-sectional analytic study was carried out to determine factors related to stunting status of children aged under two years in Magway Township, Myanmar. Data were collected by using multi-stage cluster sampling and a total of 399 children aged under two years and their mothers were included in this study. After interviewing the mothers by using a face to face method, anthropometric measurements of the children and mothers were performed. Descriptive statistics were used to describe the characteristics of independent variables, dependent variable, and stunting status of the children. Chi-square test and multiple logistic regression were applied to identify the factors related to the stunting status of children. The finding shows that nearly one-fourth of the under two years children (23.8%) were stunted. The result from multiple logistic regression showed that mother’s height (<145 cm), family income (<25 percentile/ <60$), child age (>10 months), gestational age of the child (<37 weeks) and early introducing of complementary food to the children (<6 months) were the predicting factors of the stunting status of the children in this population. Therefore, Maternal and Child Health Care Services, implementing various health education and intervention programs to the mothers and families focusing on quality antenatal care and an appropriate time for introducing complementary food should be addressed.