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Publication Open Access Self discipline and obesity in Bangkok school children(2011) Chutima Sirikulchayanonta; Wasoontara Ratanopas; Paradee Temcharoen; Suwat Srisorrachatr; ชุติมา ศิริกุลชยานนท์; ภารดี เต็มเจริญ; สุวัฒน์ ศรีสรฉัตร์; Chutima Sirikulchayanonta; ชุติมา ศิริกุลชยานนท์; Mahidol University. Faculty of Public Health. Department of Nutrition.Background: Childhood obesity has become an important public health problem in Thailand. This study aimed to determine the relationship between self discipline and obesity in Bangkok school children. Methods: A case control study was conducted. 140... cases (obese children) and 140 controls (normal weight children) were randomly chosen from grades 4-6 students in 4 Bangkok public schools. Questionnaire responses regarding general characteristics and child self-discipline were obtained from childrenPublication Open Access Doctoral Nursing Education in Thailand(2013) Fongcum Tilokskulchai; Wichit Srisuphan; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์Publication Open Access The association between obesity and blood pressure in Thai public school children(2014) Penmat Sukhonthachit; Wichai Aekplakorn; Chatrapa Hudthagosol; Chutima Sirikulchayanonta; Mahidol University. Faculty of Public Health. Department of Nutritionof obesity and its association with blood pressure among primary school children in central Thailand. Methods: A cross-sectional study was conducted in two public schools in Bangkok in 2012. A total of 693 students (317 boys and 376 girls) aged 8–12 years... among school children was positively associated with higher BP. Prevention of childhood obesity should be strengthened to prevent the risk of early high BP including cardiovascular risk factors.Publication Open Access Multidimensional indicators of healthy women in reproductive age(2008) Boonthum, A; Angsana Boonthum; Theerawanviwat, D; อังสนา บุญธรรมThe purposes of this study are to describe indicators of healthy women at reproductive age in each dimension affecting their healthy condition and to examine the internal structure of various dimensions of a reproductive age construct. A survey was conducted to collect data from women aged 13 to 49 years in urban and rural areas in the four regions of Thailand. The statistical technique used to analyze data was Structural Equation Modeling. The results of the analysis indicated that the indicators could reflect the health status in the dimensions of the physical and the mental, including the social. The results for the categorization of the indicator groups for the group of women aged from 13 to 18 years and 19 to 49 years yielded the following group of six dimensions: physical health, mental health, social health, health-promoting behavior, health risk behavior and reproductive health. Structural equation modeling was employed to examine the theoretical models of the Healthy Women in Reproductive age construct. This study hypothesized that there are differences between adolescents and adult women in term of “Healthy during Reproductive age”. Thus, the analysis was divided into two models, one for adolescents and the other for adults. The model of adolescents aged 13-18 years was revised by measuring the model fit using goodness of fit index (GFI = 0.96), adjusted goodness of fit index (AGFI = 0.95) and root mean square error of approximation (RMSEA = 0.029). The final model showed that social health had a direct positive effect on mental health (? = 0.46, p < 0.01). The model of women aged 19-49 years measured model fit using GFI = 0.96, AGFI = 0.95 and RMSEA = 0.038. The final model showed that social health had a direct positive effect on mental health (? = 0.36, p < 0.01). These indicators would prove valid, reliable and useful if they were to be used by people in the community by modifying and supplementing some parts to suit the variable conditions and lifestyle of that particular community.Publication Open Access Influence of connectedness to parents and peers on drug use among male youth(2008-01) Sawitri Thayansin; Chai Podhisita; ชาย โพธิสิตา; Boonlert Leoprapai; Mahidol University. Institute for Population and Social ResearchDrug use, especially use of amphetamine, has been an increasing national problem in recent years despite much effort to control and suppress it. The main objective of this study was to understand the influence of parent and peer connectedness on drug use among male youth. This quantitative study employed Respondent Driven Sampling strategy to select male youth for interview. The sample consisted of 1,184 youth aged 15-24 years. Of all youth in the sample 70 percent were 15-19 years of age; about 54 percent were students and 63 percent had used some kind of illicit drugs. Analysis shows that nearly half of the sample with drug experience used amphetamines at their first try. About three-fourths of the users began drug using before age 20 with an average age at first use of 16.2. Logistic regression analysis revealed that youth who showed strong parent connectedness were less likely to use drugs, whereas those who showed strong peer connectedness were more likely to involve in drug use. The findings have significant policy implications. Successful programs for this purpose should enhance strong connectedness to parents while creating awareness of an undesirable aspect of peer influence among youth.Publication Open Access Capacity building of mothers on promoting infant development(2005) Sirikul Isaranurug; Wichien Thongnop; Sutham Nanthamongkolchai; Sumalee Singhaniyom; Mahidol University. ASEAN Institute for Health Development; Mahidol University. Faculty of Public Health. Department of Family Health; Mahidol University. Faculty of Public Health. Family Health, Department of BiostatisticsBackground: Two major factors which influence child growth and development and hereditary and environment stimulation. The most important environments is and appropriate and effective nurturing from parents especially mother. Objectives : The quasi-experimental study aimed at determining the effects of capacity building program on promoting infant development toward maternal knowledge and practice. Methods: The experimental and control groups consisted of 36 and 38 mothers respectively who had children aged one to nine months old and lived in urban health center serving areas in Ayutthaya Province. The program and data collection were conducted during November 2002 to February 2003. The experimental group regular services. A structured questionnaire was used to assess maternal knowledge, the Home Observation for Measurement of Environment (HOME) inventory was used to observe maternal proactive and the Capute test was used to assess infant development. Results: After Intervention the mean score of maternal knowledge and practice of the experimental group increased significantly compared with the control group and before experiment. After experiment the mean developmental quotient of infants in the experimental group increased significantly compared with the infants in the control group. Conclusion : The effective capacity building program should be consisted of home visits and homebased handbook incinerated with the training activity.Publication Open Access Dental students’ reflections on their fieldwork experiences.(2015-09) Tippanart Vichayanrat; ทิพนาถ วิชญาณรัตน์; Nicha Luksamijarulkul; ณิชา ลักษมีจรัลกุล; Piyada Gaewkhiew; ปิยดา แก้วเขียว; Tippanart Vichayanrat; ทิพนาถ วิชญาณรัตน์; Mahidol University. Faculty of Dentistry. Department of Community DentistryObjective: The purpose of this study was to explore the learning outcomes of the fifth and sixth-year dental students from their community-based education experiences as documented in the self-reflection essays. Materials and Methods: Fifth-year and sixth-year dental students were assigned to submit a written reflection after their 2-week and 4-week fieldwork experience. The fieldworks were organized every year in Nakhon Ratchasima province for 5th-year students, and five provinces in Northern Thailand for 6th-year students as a part of the dental curriculum at Faculty of Dentistry, Mahidol University. Content analysis was used to analyze the student’s learning from their reflections. Investigators read assays independently to identify the learning outcome from 5th and 6th year student’s reflection. The categories were coded by discussing among the investigators, and then each category was emerged to themes. Results: A total of 116 fifth-year students and 105 sixth-year students from the 2013 academic year were included in this study. Five major themes were identified similarly for both fifth-and sixth-year students. They were communication and interpersonal skills, personal and professional development, translate theory into practice, social awareness and commitment to services. Conclusions: According to students’ reflections, the fieldwork experience affected their attitudes and perspectives. It also enhanced a sense of profession and enabled them to appreciate the important role of the dentist in a community.Publication Open Access การอบรมเลี้ยงดูเด็ก(2550) ศิริกุล อิศรานะรักษ์; ปราณี สุทธิสุคนธ์; มหาวิทยาลัยมหิดล. สถาบันพัฒนาการสาธารณสุขอาเซียนPublication Open Access Hand grip strength and associated factors in non-institutionalised men and women 50 years and older in South Africa(2014) Ramlagan, Shandir; Peltzer, Karl; Nancy Phaswana-Mafuya; Mahidol University. ASEAN Institute for Health DevelopmentBackground: Little is known about the prevalence, predictors and gender differences in hand grip strength of older adults in Africa. This study aims to investigate social and health differences in hand grip strength among older adults in a national probability sample of older South Africans who participated in the Study of Global Ageing and Adults Health (SAGE wave 1) in 2008. Methods: We conducted a national population-based cross-sectional study with a sample of 3840 men and women aged 50 years or older in South Africa. The questionnaire included socio-demographic characteristics, health variables, and anthropometric measurements. Linear multivariate regression analysis was performed to assess the association of social factors, health variables and grip strength. Results: The mean overall hand grip strength was 37.9 kgs for men (mean age 61.1 years, SD = 9.1) and 31.5 kgs for women (mean age 62.0 years, SD = 9.7). In multivariate analysis among men, greater height, not being underweight and lower functional disability was associated with greater grip strength, and among women, greater height, better cognitive functioning, and lower functional disability were associated with greater grip strength. Conclusions: Greater height and lower functional disability were found for both older South African men and women to be significantly associated with grip strength.Publication Open Access Job stress, work characteristics and social support among nurses working at port moresby general hospital , Papua New Guinea(2009) Nad P; Ramasoota P; พันธ์ทิพย์ รามสูต; Chompikul J; จิราพร ชมพิกุล; Chompikul J; Mahidol University. ASEAN Institute for Health DevelopmentA cross-sectional descriptive study was conducted among Papua New Guinean nurses working at Port Moresby General Hospital in National Capital District, Papua New Guinea with the aim to describe the pattern of job stress (acute & chronic level) and its severity at mild, moderate and severe levels respectively as well as work characteristics and social support. A total of 161 self administered questionnaires were obtained from the nurses during the month of January 2009. Descriptive statistics was employed to describe the independent variables and the outcome under study. Most of the nurses were married and had three to five children, earned between 69 to 274 US dollars and lived in places easily accessible by hospital transport services. Half of them experienced acute and chronic stress at moderate levels. Social support (rendered by three support persons namely the nursing supervisor, family and colleagues) revealed moderate support for the nurses provided by the family, spouse and friends. The family, relatives and friends made work life easier for the nurse and were the easiest support persons to talk to. The nursing supervisors were the ones they could rely upon when the job got tough meanwhile the family were always available to listen to the nurse’s personal problems. When considering work characteristics, the majority (67.3%) were registered nursing officers. Mean number of years of working experience in the hospital was 17 years which ranged between 1 to 40 years. Most of them were permanent staff on government payroll and worked with the 8-hour shift of working schedule. Working hours per week for the nurses ranged from 40 to 59 hours. Job satisfaction and conflict at work revealed degree of moderate levels. Policy makers and hospital managers, therefore, must consider the priority of stress reduction programs and facilitate its introduction into nursing colleges in order to prepare nurses to be ready and capable to work and cope with a complex and demanding work environment where job stress is imminent.
