10 results
Search Results
Now showing 1 - 10 of 10
Publication Open Access Factors associated with tobacco use among male adolescents in Magway Township, Myanmar(2013) Htein Linn; Jiraporn Chompikul; Jutatip Sillabutra; Somsak Wongsawass; เทียน ลิน; จิราพร ชมพิกุล; จุฑาธิป ศีลบุตร; สมศักดิ์ วงศาวาสA community based cross-sectional study was carried out in Magway Township, Myanmar to examinefactors influencing tobacco use among male adolescents aged 18-24 years. In March, 2012, 275 male adolescents were recruited in this study and the data... of friends using tobacco, receiving tobacco advertise-ments from company and media and parental monitoring were significant predictors of tobacco use among male adolescents. Male adolescents who have friends using tobacco were 9 times more likely to usePublication Open Access Proper hand washing practices among elementary school students in Selat sub-district, Indonesia(2012) Tri Setyautami; Santhat Sermsri; Jiraporn Chompikul; Mahidol University. ASEAN Institute for Health Developmentas the most effective agents for behavior change is both evidence of this problem and an attempt to address it. This study considers the implications of this practical policy for local government, health professionals and other stakeholders concernedPublication 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 Determinants of condom use at last sex among adult HIV patients on antiretroviral treatment in Mandalay City, Myanmar(2018) Zaw Zaw Oo; Jiraporn Chompikul; Bang-on Thepthien; ซอซอ อู; จิราพร ชมพิกุล; บังอร เทพเทียน; Mahidol University. ASEAN Institute for Health DevelopmentThis hospital based cross-sectional study aimed at determining the prevalence of condom use at last sex within 12 months, and associated factors among HIV patients on antiretroviral treatment (ART) in Mandalay city, Myanmar. The two-stage cluster sampling was used to draw a sample. The data collection was conducted in April 2018. A total of 442 HIV positive patients aged 18 years and older on ART who followed up at the Integrated HIV Care (IHC) clinics in Mandalay City were face to face interviewed using a structured questionnaire. Chi-square test and multiple logistic regression were used to examine associations between independent variables and condom use at last sex. This study revealed 79.6% of HIV positive patients used condom at last sex. Overall, 56.3% were male. Mean age was 39.58 years with standard deviation of 7.99. Nearly 32.6% were having own business and 33.3% graduated higher more than high school level. Only 13.1% were currently living as a single. In Chi-square test, gender, employment status, marital status, self-efficacy to use condom, disclosure of HIV status, fertilitydesire in the last 12 months and HIV status of regular partner were significantly associated with last sex condom use. In multiple logistic regression, male HIV patients (Adj OR=1.88, 95% CI=1.09-3.23), being married/cohabiting (Adj OR=5.10, 95% CI=2.00-12.98), having high self-efficacy to use condom (Adj OR=3.32, 95% CI=1.81-6.10) and no fertility desire (Adj OR=4.23, 95% CI=2.19- 8.16) were more likely to use condom at last sex when controlling for gender, education levels and HIV knowledge levels about transmission and prevention. Couple counselling about conception and specific activities for increasing self-efficacy to use condom for HIV positive patients should be promoted to improve effectiveness of HIV prevention program.Publication Open Access Determinants of tobacco smoking among presumptive TB patients in Taungoo Township, Myanmar(2017) Kyaw Hsan Tun; Seo Ah Hong; Jiraporn Chompikul; จอ ซาน ตุน; โซ อะ หงษ์; จิราพร ชมพิกุล; Mahidol University. ASEAN Institute for Health DevelopmentA hospital-based cross-sectional study was conducted in Taungoo Township, Myanmar to examine prevalence and determinants of current tobacco smokers among presumptive TB patients aged 18 years and above. A total of 400 presumptive TB patients which was drawn by purposive sampling were face-to-face interviewed using a structured questionnaire in April, 2017. The questionnaire had three parts: socio-demographic factors, socio-environmental factors and psycho-social factors based on social cognitive theory. Harmful alcohol drinking and mental distress were measured by using Alcohol Use Disorders Identification Test (AUDIT-C) and Kessler Psychological Distress Scale (K-10), respectively. Current tobacco smokers, the outcome measure were identified based on questionnaires of Global Adult Tobacco Survey (GATS). Chi-square test and multiple logistic regression were used to examine determinants of tobacco smoking. Prevalence of current tobacco smokers was 54%. In multiple logistic regression, factors significantly associated with tobacco smoking were sex (Adj OR=4.65, 95%CI=2.14-10.12 for men compared to women), education levels (Adj OR=3.89, 95%CI=1.19-12.65 for middle or high school and Adj OR=4.39, 95%CI=1.22-15.77 for primary school or less compared to college or university), income (Adj OR=3.05, 95%CI=1.42-6.54 for middle income compared to low income), marital status (Adj OR=1.97, 95%CI=1.01-3.81 for living without a spouse compared to living with a spouse), harmful alcohol drinking (Adj OR=3.42, 95%CI=1.77-6.60), mental distress (Adj OR=2.97, 95%CI=1.12-7.89), and knowledge about smoking hazards (Adj OR=4.94, 95%CI=2.49-9.76 for middle level, and Adj OR=6.50, 95%CI=2.45-17.24 for low level compared to high level). This study showed one in two presumptive TB patients were current smokers. Current smokers were particularly male, from low socioeconomic status and had poor knowledge, lived alone, drank alcohol, and had mental distress. This could help policy makers to identify people at risk of negative health outcomes of diseases, and promote the tobacco cessation services with integrated alcohol intervention in health facilities as a component of TB program in Myanmar.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 Determinants of the unmet need for family planning among married fecund women in Natmauk Township, Magway Region of Myanmar(2018) Aung Hpone Myint; Sariyamon Tiraphat; Jiraporn Chompikul; อัง โฟน มินท์; ศริยามน ติรพัฒน์; จิราพร ชมพิกุล; Mahidol University. ASEAN Institute for Health DevelopmentFamily Planning plays an important role in improving maternal and child health by means of adequate spacing of child births and preventing unintended pregnancies. Reducing unmet need is crucial in fighting against the high levels of induced abortions, maternal and neonatal morbidity and mortality. A community based cross-sectional study was conducted from March 2018 to April 2018 in Natmauk township, Magway region of Myanmar. A total of 420 married women of reproductive age (18-49 years) were enrolled in this study and two-stage stratified sampling was used to draw a sample. The data were collected by face to face interview with a structured questionnaire. Total percentage of unmet need for family planning in the study area was 18.1% and the percentage of contraceptive use was 71.7%. After using multiple logistic regression, older women aged more than 35 years (Adj OR=2.49, 95% CI=1.48-4.19), poor attitude towards family planning (Adj OR=1.79, 95% CI=1.02-3.14), women who got low social support from husband and friends (Adj OR=1.93, 95% CI=1.13-3.31) were more likely to have unmet need for family planning than their counterparts. The main reasons for not using contraception were fear of side effects and desire to get more children. It is notable that the prevalence of unmet need for family planning was high especially among women within older age group, women with poor attitude towards family planning and women who got low social support from their husbands and friends. Local government and health authorities should implement comprehensive health programs which should be focused on the women as well as their husbands. Furthermore, providing counselling strategies for family planning while integrating participation of women and their husbands to improve the attitude towards family planning are need to be promoted.Publication Open Access Factors associated with anaemia among pregnant women in Kegalle district, Sri Lanka(2015) Sriyal Wijesinghe; Sariyamon Tiraphat; Seo Ah Hong; Jiraporn Chompikul; Nilmini Hemachandra; Mahidol University. ASEAN Institute for Health DevelopmentMaternal nutritional status is an important factor for a better outcome of the pregnancy. Anaemia and being underweight are preventable nutritional deficiencies which should be addressed long before the pregnancy. This cross sectional analytical study was carried out to determine the prevalence of anaemia during the first trimester of pregnancy and its associated factors among pregnant women in Kegalle district, Sri Lanka. Data were collected using clusters from six MOH divisions comprising 320 pregnant women who were more than 12 weeks of pregnancy. Face to face interviews and maternal health records were used to collect data. Analysis was done through Chi square test and multiple logistic regression to identify the factors related to anaemia in the first trimester. The results showed a 16.2% prevalence of anaemia during the first trimester of pregnancy. The risk of anaemia at first trimester of pregnancy was found to be prominent with BMI and the age of last child. Pregnant women with low BMI compared to normal BMI and those having a last child below 3 yrs compared to those having a last child over 5 yrs of age had 4 (95%CI:1.79 - 9.79) and 4.6 times (95%CI:1.27 - 16.74) higher risk of having anaemia respectively. Therefore, birth spacing with a child less than 3 yrs of age and strengthening of pre-pregnancy iron supplementation for expecting women with low BMI (underweight) will be useful modes to prevent future anaemia during the pregnancy.Publication Open Access Factors associated with time to start antenatal care within 12 weeks gestational age among mothers in Mahasarakham province, Thailand(2016) Prapant Soontornprakasit; Aroonsri Mongkolchati; Jiraporn Chompikul; Mahidol University. ASEAN Institute for Health DevelopmentTime to start antenatal care (ANC) within 12 weeks gestational age (GA) was important to reduce maternal mortality. This study aimed to determine factors associated with time to start antenatal care within 12 weeks GA among postpartum women in Mahasarakham province. A cross-sectional descriptive study was conducted among 537 postpartum women delivered in all hospitals of Mahasarakham Province, Thailand by using stratified sampling with proportion to size method. The self-administered questionnaires were used for this survey. Data were collected during June 1 to December 15, 2014 by using stratified sampling with proportional to size method. All cases of postpartum women who delivered in Mahasarakham province were included, except minority ethnic and illiteracy postpartum women. This study found that 99.6% postpartum women took at least 1 time to use services at ANC. 50.4% started ANC within 12 weeks GA and 18.6% were teenage (age<19 years) pregnancies. Only 6.6% had awareness of right time to start ANC within 12 weeks GA. After adjusted for confounding factors, the study found that teenage pregnancy was 2.39 times risk of delay ANC compare to adult pregnancy (Adj OR=2.39, 95% CI= 1.32-4.34) and women with universal health coverage insurance was 1.66 times (Adj OR=1.66, 95% CI =1.11-2.49) risk of delay ANC compare to the non-UC group. This study indicated that the first time to start ANC within 12 weeks GA should be greater publicized and wider campaigned among women of reproductive age especially the teenage group. Moreover, the reasons that the teenage and universal health coverage group delay ANC utilization should be investigated more using a qualitative research.