Browsing by Author "Laohasiriwong, W"
Now showing 1 - 12 of 12
Results Per Page
Sort Options
Publication Chemical Pesticide Use and Quality of Life of Rubber Farmers in the Northeast of Thailand(Kathmandu University, 2019) Nippanon, P; Sriruacha, C; Tantriratna, P; Phajan, T; Suwannaphant, K; Laohasiriwong, WABSTRACT Background Chemical pesticide has known to have impacts on human health and environment. However, there are limited studies on chemical pesticide use has influence on quality of life (QOL) of rubber farmers in Thailand. Objective To determine the pesticide use and its association with quality of life of rubber farmers in the northest region of Thailand. Method This cross sectional study recruited the total of 362 samples by using a multi- stage random sampling from eight provinces in the Northeast of Thailand. A self- administered questionnaire was developed and used to collect the data. The multiple logistic regressions were used to determine the association between chemical pesticide use and quality of life when controlling other covariates, presenting adjusted odd ratio, 95% CI and p-value. Result Of the total 362 respondets, 66.57% of rubber farmers used chemical pesticides, only 32.60% had good quality of life (95% CI:27.75 - 37.45%). The multivariable analysis indicated that those who did not use chemical was associated with having good quality of life (adj. OR = 2.19; 95% CI = 1.34 to 3.58, p-value =0.002). Similarly, other factors associated with good quality of life were; working 6-7days/week (adj. OR = 1.75; 95% CI = 1.05 to 2.91, p-value = 0.031), had good attitude on rubber farming (adj. OR= 1.83; 95% CI: 1.071 to 3.14, p-value = 0.027, had low to moderate levels of stress (adj. OR=1.73; 95% CI: 1.017 to 2.67, p-value= 0.042) and had low level of knowledge on occupational health in rubber farming (adj. OR=1.66; 95% CI: 1.01 to 2.72, p-value = 0.044). Conclusion Most of the farmers used chemical pesticides, only one-third had good quality of life. Chemical pesticide use as well as work load, psychological factors and awareness on occupational health problems had influence on quality of life. KEY WORDS Chemical pesticide use, Quality of life, Rubber farmersPublication Child-Rearing Practices and its Effect on Cognitive Development of Children at the First Year of Age: The Prospective Cohort Study of Thai Children(Kathmandu University, 2018) Kansin, S; Thinkhamrop, B; Mongkolchati, A; Laohasiriwong, WABSTRACT Background Child-rearing during the first year of age has long been known as a strong predictor of child cognitive development, particularly cognitive development. Most studies investigated styles and factors related to child-rearing, but the study of impact of child-rearing practices on child development is limited and unclear. Objective To investigate the child-rearing practices and its effect on cognitive development of children at the age of 12 months, in Thailand. Method This study is part of the prospective cohort study of Thailand. The data were collected via face-to-face interviews and child cognitive development assessment using Capute scale. The multivariable linear regression was used to determine the effect of child rearing practices on child cognitive development. Result Among the total of 4,116 infants. The most common child rearing practices mostly performed by care givers for the responsiveness domains were warmth (96.60%). Concerning demandingness, only proper confrontation was perform by (39.94%). Factor influencing the cognitive development were: Total score; the children who were not reared warmly, had lower Capute score with the mean difference of -7.69, 95% CI: -12.25 to-3.14. For Cognitive Adaptive Test score; the children who were not reared with warmly, had a lower Capute score with the mean difference of -8.11, 95% CI: -14.37 to -1.85. For Clinical Linguistic and Auditory Milestone Scales score; the children who were not reared warmly, had a lower cognitive score with the mean difference of -8.72, 95% CI: -14.74 to -2.69. Do not giving children in proper confrontation had a lower cognitive score than those who were, with the mean difference of -3.06, 95% CI: -5.26 to -0.86. Conclusion When controlled the influence of other variables, raring with warmth was the strongest predictor of child cognitive development. KEY WORDS Child rearing, Cognitive development, Linear regression model, Prospective cohort study of ThailandPublication Effect of Time from Response to Leaving the Scene on Survival Rate of Multiple Injuries Road Traffic Accident Patients Receiving Cardiopulmonary Resuscitation by Advance Life Support Team in Thailand(Kathmandu University, 2019) Prompinij, T; Laohasiriwong, W; Sakunkoo, P; Chaichaya, N; Thikhamrop, WABSTRACT Background Mortality of out of hospital cardiac arrest (OHCA) due to multiple injuries during road traffic accident (RTA) raising day by day. However, there is no study on how pre- hospital time affect the survival rate of patients in Thailand. Objective To determine the effect of time from response to leaving the scene on survival rate of out of hospital cardiac arrest due to multiple injuries among road traffic accident patients receiving cardiopulmonary resuscitation (CPR) by the advance life support (ALS) team in Thailand. Method A cross-sectional study was conducted by using the data from the National Institute for Emergency Medicine of Thailand. A multivariable generalized estimation equation was used to determine the effect of time from response to leaving the scene on the survival rate of patients. Result Among 1,119 out of hospital cardiac arrest multiple injuries road traffic accident patients receiving cardiopulmonary resuscitation by the advance life support team, 1,043 patients were survived during transportation to the hospitals. In addition, our multivariable analysis observed that the time from response to leaving the scene of ≤ 15 minutes is associated with increasing the patient survival (Adj. OR=2.31 95%CI: 1.44 to 3.72, p value 0.001). Furthermore, other covariates such as received intravenous administration (Adj.OR=2.24; 95%CI: 1.09 to 4.61, p value 0.028) and the accidents took place in other regions when compared with the Central (Adj. OR=1.96, 95%CI: 1.13 to 3.03, p value 0.015) were also significantly associated with the survival. Conclusion The shorter the time from response to leaving the scene “scoop and run”, the higher survival rate of the out of hospital cardiac arrest with multiple injuries among road traffic accident patients when incorporated with the effect of intravenous administration and regional factors. KEY WORDS Aadvance life support, Cardiopulmonary resuscitation, Out of hospital cardiac arrest, Road traffic accident, Scoop and run, Survival ratePublication Factors Associated with Musculoskeletal Disorders among Registered Nurses: Evidence from the Thai Nurse Cohort Study(Kathmandu University, 2015) Thinkhamrop, W; Laohasiriwong, WABSTRACT Background Health, safety, and well being have been known to be influenced by occupational characteristics. Nurses constantly encounter musculoskeletal disorders (MSDs) from work demands worldwide. Nevertheless, there is insufficient of knowledge regarding causes of musculoskeletal disorders among nurses in Thailand. Objective To investigate factors associated with musculoskeletal disorder among registered nurses in Thailand. Method This study is part of the 2009 Thai Nurse Cohort Study which consisted of 18,756 nationally representative sample of registered nurses. Data collection was performed via postal self-administered questionnaires. Manifesting musculoskeletal disorders was self-reported by registered nurses, 1,070 nurses were excluded since they were unemployed during previous 12 months. Multiple logistic regression was used for data analysis. Result Of 17,686 registered nurses, the overall 12 months prevalence of musculoskeletal disorders was 47.8%. It was found that workplace violence was the strongest factor which statistically significant associated with musculoskeletal disorders (adjusted odds ratio, OR, 2.01; 95% confidence interval, 95% CI, 1.42 to 2.83; P < 0.001), anxiety/depression (OR = 1.96: 95% CI: 1.78 to 2.15; P < 0.001), perceiving job required a lot of physical effort (OR = 1.69; 95% CI: 1.52 to 1.87; P < 0.001), every 10 years increased of age (OR = 1.40; 95% CI: 1.22 to 1.62; P < 0.001), overweight (OR = 1.39; 95% CI: 1.01 to 1.52; P = 0.015). Conclusion Registered nurses were most vulnerable of musculoskeletal disorders especially those who experienced workplace violence, anxiety/depression, strenuous work, older age, and overweight. Consequently, recommending safety practices to nurses should be considered for musculoskeletal disorders (MSDs) prevention by ergonomics and workplace design. KEY WORDS Cohort study, musculoskeletal disorders (MSDs), registered nurse.Publication Health Literacy and Complementary and Alternative Medicine Use among Type 2 Diabetes Mellitus Patients in the Northeast of Thailand(Kathmandu University, 2019) Charoencheewakul, C; Laohasiriwong, W; Suwannaphant, K; Sopon, AABSTRACT Background Globally, type 2 Diabetes Mellitus is in increasing trend. With its chronic and incurable natures, type 2 diabetes patients have been increasingly seeking various regiments to relive their sufferings. However, magnitude and influencing factors are still unclear. Objective To identify prevalence of complementary and alternative medicine among type 2 diabetes patients and the association between health literacy and its use in the Northeast region of Thailand. Method This cross-sectional study aimed to determine the prevalence of Complementary and Alternative Medicine use and the roles of health literacy on its use among type 2 diabetes patients in the Northeast Region of Thailand. A total of 1,012 type 2 diabetes mellitus patients were systematic randomly selected to response to a structured questionnaire interview. The generalized linear mixed model was applied to identify factors associated with it. Result There were 30.89% (95% CI: 28.25 to 33.67) of type 2 diabetes patients used complementary and alternative medicine. Majority of these patients (52.23%, 95% CI: 49.30 to 55.15) had sufficient level of health literacy related to complementary and alternative medicine. Type 2 diabetes patients who had sufficient to excellent levels of health literacy had 2.64 times higher Odds of complementary and alternative medicine use (95% CI: 1.91 to 3.65) when compared with those who had inadequate to problematic levels of health literacy. Others covariates that were also associated with complementary and alternative medicine use were had adequate income (ORadj. = 2.52; 95% CI: 1.81 to 3.52), had HbA1C < 7 (OR Adj. = 2.50; 95%CI: 1.86 to 3.37) and had comorbidity (OR Adj. = 2.07; 95%CI: 1.57 to 2.73). Conclusion About thirty percent of type 2 diabetes patients used complementary and alternative medicine. Health literacy, economic status, comorbidity and diabetic control had strong influence on complementary and alternative medicine use. KEY WORDS Health literacy, Diabetes Mellitus, Northeast of ThailandPublication Movement Disability: Situations and Factors Influencing Access to Health Services in the Northeast of Thailand(Kathmandu University, 2014) Wongkongdech, A; Laohasiriwong, WABSTRACT Background Persons with movement disability (PWMDs) are the biggest group of persons with disabilities (PWDs) with needs helps especially on health. There has been no evident to show health services accessibility situation of PWMDs in the Northeast of Thailand, the biggest region. Objective This study aimed to explore the current situation of accessibility to health services among PWMDs, and factors influencing such access. Method This cross-sectional study used a multistage stratified random sampling to select 462 subjects from the national registered PWMDs poll to response to a structured questionnaire. This study complies with the principles of the Declaration of Helsinki and was approved by the Khon Kaen University Ethics Committee for Human Research prior to the data collection. Result We found that most of PWMDs (66%) had overall health service accessibility at medium level. Factors influencing the access to health services were living in rural area (adj. mean diff.= -24.01; 95 % CI: -45.88 to-2.31; p-value=0.032), high income (adj. mean diff.=0.002; 95 % CI: 0.001 to 0.005; p-value = 0.044), and having offspring or spouse as care givers (adj. mean diff.=40.44; 95% CI: 7.69 to 73.19; p-value=0.044; and adj. mean diff.=48.99; 95%CI: 15.01-82.98; p-value=0.016, respectively). PWMDs who lived in rural areas had better access to health services especially to the sub- district health promoting hospital than those in the urban area. Conclusion Accessibly to health services of PWMDs still limited. Income, care givers and residential areas had influences on their access. KEY WORDS Domain of accessibility, health service, movement disabilityPublication Offspring Education, Mental Health Status and Quality of Life among Parents of High School Students in the Northeast of Thailand(Kathmandu University, 2021) Khamharnpol, T; Banchonhattakit, P; Laohasiriwong, WABSTRACT Background Providing children best education could be burden on parents which might impaired their mental health and quality of life (QOL). Objective To assess children education, mental health status and their influence on QOL of parents of high school students in the Northeast of Thailand. Method This cross-sectional study was conducted among 1,098 parents of high school students. The study population were selected by using multistage random sampling from 20 high schools in 10 provinces of the Northeast of Thailand to response to a structured questionnaire interview. Multilevel logistic regression was performed to identify the influence of mental health status and offspring education on QOL of parents of high school students. Result Among the total of 1,098 respondents, 28.78% had poor quality of life. Factors that were associated with poor QOL of the parents were had moderate to severe depressive symptoms (adj.OR=5.72; 95% CI:4.01-8.16), had moderate to high levels of stress (adj.OR=2.32; 95% CI:1.64 - 3.29), not expected the child to study bachelor degree (adj.OR=2.59; 95% CI:1.74 -3.84), perceived children’s academic performance as not to minimal importance (adj.OR=2.20; 95% CI: 1.54 - 3.14), had 2 or more children currently studying (adj.OR= 1.62; 95% CI:1.00 - 2.64), and had low to high concerns on their children low examination scores (adj.OR=1.51; 95% CI: 1.06 - 2.15). Conclusion Depression, stress, children education as well as physical health and work-related problems had influence on QOL. KEY WORDS Children education, Depression, High school student, Mental health, Parents, Quality of lifePublication Prevalence and Determinants of Type 2 Diabetes among the Pulmonary Tuberculosis Cases in Nepal: A Cross Sectional Study(Kathmandu University, 2021) Mahato, RK; Laohasiriwong, W; Koju, RPABSTRACT Background Since prehistoric time to the earlier 20th century, diabetes was accounted as co- morbidity among tuberculosis patients, which is reducing the treatment efficiency. Objective To investigate the prevalence and determinants of type 2 diabetes mellitus among tuberculosis patients in central development region of Nepal. Method An analytical cross-sectional study was conducted by using structured questionnaire. Face to face interview as well as reviewing of the medical records of the tuberculosis cases has been performed during September 2018 - February 2019. The systematic random sampling was applied to select 306 tuberculosis cases. Then the respondents were examined for blood glucose level as well as Glycated haemoglobin (HbA1c) level to identify TB with Diabetes Mellitus. The proportion of respondents with fasting blood glucose level ≥ 126 mg/dl or a random blood glucose ≥ 200 mg/dl was considered as Tuberculosis with Diabetes Mellitus cases. Similarly, haemoglobin A1C ≥ 7% was accessed as amplified risk for tuberculosis. Multiple logistic regression was performed to analyse the factors associated with Tuberculosis with Diabetes Mellitus by using STATA. P value < 0.05 was taken as statistically significant. Result A total of 306 tuberculosis patients were included in the study. The mean ± standard deviation of age of participants was 36.82±15.94 years. The proportion of male slightly exceeded than that of female with a ratio of 1.73:1. The prevalence of TBDM was 17.32% (95% CI: 13.05-21.58) of all diagnosed tuberculosis cases. Our multivariable analysis identified the factors those were associated with TBDM were age ≥ 45 years (adj.OR=3.97, 95% CI 1.81-8.71, p value 0.001), patients residing in the urban areas (adj.OR=9.75, 95% CI 1.99-47.6, p value 0.005), had Body Mass Index (BMI) <18.5 Kg/m2 (adj.OR=3.20, 95% CI 1.58-6.51, p value 0.001), had diastolic blood pressure ≥ 80 mmHg (adj.OR=2.34, 95% CI 1.17-4.66, p value 0.015) and patients who were treated with Cat II and Cat III tuberculosis treatment regimens (adj.OR=2.65, 95% CI 1.22-5.73, p value 0.013). Conclusion The prevalence of type 2 diabetes mellitus among tuberculosis patients was higher than prevalence of diabetes in general population of Nepal and it was higher among male, urban residents, patients with low BMI and the older aged tuberculosis patients. KEY WORDS Diabetes mellitus, HbA1c, Multiple logistic regression, TuberculosisPublication Prevalence of Suspected Cholangiocarcinoma Based on Ultrasonography Screening and its Associated Factors in Northeastern Thailand(Kathmandu University, 2022) Rayubkul, J; Laohasiriwong, W; Thinkhamrop, B; Mahato, RK; Khantikeo, N; Pongpanich, SABSTRACT Background Ultrasonography of the liver allows detection of liver mass and bile duct dilatation which are findings of suspected Cholangiocarcinoma so that early stage Cholangiocarcinoma can be detected. Objective To estimate the prevalence of suspected Cholangiocarcinoma as well as its associated factors. Method These reported results were obtained from the baseline screening for Cholangiocarcinoma as of July 2013 of an ongoing project the Cholangiocarcinoma Screening and Care Program conducted in Northeastern Thailand. Participants were northeasterners who were at least one of the followings: 40 years or older, ever been infected with liver fluke, ever been treated with praziquantel, or ever been consumed raw fresh water fish. Ultrasonography was done by well-trained medical radiologists. Result Of the total 1,196,685 participants, 58.9% were females with a mean age of 58.2 (standard deviation ± 9.9) years. Suspected Cholangiocarcinoma was found in 15,186 (2.6%; 95% CI: 2.56 to 2.65) individuals. The results observed that the participants with higher age group had high association as compared to younger age group (AOR=1.98; 95% CI: 1.77 to 2.21; p-value < 0.001), hepatitis B infected participants were highly significant as compared to the non- hepatitis B infected (AOR=1.22; 95% CI: 1.07 to 1.39; p-value = 0.002) and participants having Hepatitis C were also significantly associated with Cholangiocarcinoma infection (AOR=1.46; 95% CI: 1.04 to 2.05; p-value = 0.029) based on ultra-sonographic screening respectively. However, patients having diabetes were less likely to be associated with Cholangiocarcinoma (AOR=0.87; 95% CI: 0.81 to 0.93; p-value < 0.001). Conclusion About one out of a hundred cases required further investigations such as Magnetic resonance imaging or Computed Tomography. Early age of ultrasonography screening for Cholangiocarcinoma enhanced the opportunities for early detection of Cholangiocarcinoma and might reduce irrational requests for expensive or invasive methods of diagnosis. KEY WORDS Cholangiocarcinoma, Suspected case, Ultrasonography screeningPublication Respiratory Tract Problems among Wood Furniture Manufacturing Factory Workers in the Northeast of Thailand(Kathmandu University, 2015) Soongkhang, I; Laohasiriwong, WABSTRACT Background Wood furniture manufacturing factory workers are at high risk of exposure to wood dust in wood working processes. Wood dust exposure could cause respiratory symptoms, such as reduce lung function, chronic bronchitis, and asthma. The Northeast region of Thailand has many wood furniture manufacturing factories. However, limited studies were carried out to explore the effect of wood dust exposure on workers. Objective This study aimed to assess the respiratory symptoms and determine factors associated with these symptoms among wood furniture manufacturing factory workers. Method This cross-sectional analytical research used a multistage random sampling to select 511 workers from three provinces in the Northeast of Thailand. The data was collected using a structured questionnaire interview. The content validity of questionnaire was tested by 3 experts and had a Cronbach’s alpha coefficient of 0.82. Data were analyzed using descriptive statistics and multiple logistic regressions. Result The result indicated that 29.94% of these workers had respiratory symptoms, including coughing(18.79%), nasal secretion (15.66%), and stuffy nose (15.07%). Factors that were significantly associated with respiratory symptoms (p–value<0.05) were (a) not always wearing mask (adjusted OR=2.26;95% CI=1.37-3.72), (b) low to medium level of knowledge on dust prevention (adjusted OR=1.83;95% CI=1.23- 2.73) and (c) contacted softwood dust (adjusted OR=1.97;95% CI= 1.06-3.64). Conclusion About 30% of wood furniture manufacturing factory workers had respiratory symptoms with related to both personal preventive behaviors and their working environments. Therefore, the raising awareness for using personal protective equipment during work will help them to prevent from various respiratory track problems. KEY WORDS Northeast of Thailand, respirable dust, respiratory symptoms, wood dust, wood furniture manufacturing.Publication Self-Efficacy in Child Rearing and Quality of Life among Adolescent Mothers in the Northeast of Thailand(Kathmandu University, 2017) Sungworawongpana, K; Laohasiriwong, W; Thinkhamrop, BABSTRACT Background Incidence of adolescent pregnancy has been increasing continuously in Thailand. These adolescent mothers might face various problems such as social acceptance, poor knowledge of child rearing with affect their quality of life. However, there are insufficient studies quality of life and the associated factors of the adolescent mothers in the biggest region, the Northeast of Thailand. Objective To identify the level of quality of life and the association between self-efficacy, ability in child rearing and quality of life of adolescent mothers in the Northeast of Thailand. Method Cross-sectional study with systematic randomization 232 adolescents who gave a first singleton live birth in a hospital, with data collection done through a structured questionnaire administration. The multiple logistic regressions were used to determine the association. Result The majority of postpartum adolescent mothers were age 18 years old (52.59%). All participants were primiparous mothers. Almost all of adolescent mothers had senior relative within family assisting in child rearing (90.95%). Nearly half of them (46.98%) had high scores of quality of life on living and child rearing. Most of the mothers perceived self-efficacy during pregnancy or pre-childbearing in moderate level (87.93%). However, only 36.64% had high level of self-efficacy on living and child rearing. Majority had moderate to high scoring of stress on living and child rearing (65.52%). Only 32.06% received high scoring of social support on living and child rearing. The multiple logistic regressions were used to measure association of significant factors by backward elimination. Factors associated with quality of life in postpartum adolescent mothers were no stress (adjusted odds ratio: AOR = 4.37, 95% CI; 2.29 to 8.30, p-value < 0.001), high level of self-efficacy (AOR = 4.01, 95% CI; 2.04 to 7.88, p-value < 0.001), and high level of social support (AOR = 3.31, 95% CI; 1.74 to 6.31, p-value < 0.001). Conclusion Social support, self-efficacy and stress have strong influences on quality of life of the postpartum adolescent mothers. Therefore relevant sectors should develop system to improve social support and child rearing competency of adolescent since pregnancy and postpartum. KEY WORDS Adolescent, child rearing, postpartum, quality of life, self-efficacyPublication The Influence of Health Literacy, Social Capital and Health Status on Quality of Life of Laotian Migrant Workers in the Northeast of Thailand(Kathmandu University, 2020) Piyawatchwela, S; Laohasiriwong, WABSTRACT Background Thailand has been a key destination country for labor migrants from Lao PDR due to its higher economic development level. Objective To determine the level of quality of life as well as influence of health literacy, social capital and health status on quality of life of Laotian migrant workers in the Northeast of Thailand. Method This cross sectional study was conducted among 1,477 Laotian migrant workers. The multistage random sampling method was applied to select the study respondents from eight provinces of the Northeast of Thailand. A structured questionnaire interview was applied to collect required information. A generalized linear mixed model was performed to identify the influence of health literacy, social capital and health status on quality of life of Laotian migrant workers in the Northeast of Thailand. Result Among the total of 1,477 Laotian migrant workers, 37.78% (95% CI: 35.30-40.31) of the respondents had good quality of life while 61.1% (95% CI: 58.59-63.63) had fair level of quality of life. Factors that were significantly associated with having good quality of life of Laotian migrant workers were; had high level of social capital (adj. OR=3.55;95% CI: 2.62-4.83), high level of health literacy on access to health information, communication skills, self-management, media literacy and decision making skills literacy (adj. OR= 2.33;95% CI: 1.69-3.23), high level of cognitive health literacy (adj.OR=1.77; 95% CI:1.28-2.45), low to moderate levels of stress (adj. OR=2.12;95% CI:1.49-3.02), not depressed (adj. OR=4.05;95% CI:1.96-8.41) and physically healthy (adj.OR=1.71;95% CI:1.12-2.62). Other significant covariates were socioeconomic status including family size, accommodation, financial status, and migration conditions. Conclusion More than one-third of Laotian migrant had good quality of life. Quality of life was better among those with high social capital, high level of health literacy, good mental and physical health status, better socioeconomic status, and proper migration conditions. KEY WORDS Health literacy, Health status, Laotian migrant workers, Social capital, Quality of life