Browsing by Author "Suwannaphant, K"
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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 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 Thailand