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Papers by Aroonsri Mongkolchati

Research paper thumbnail of Severe early childhood caries and social determinants in three-year-old children from Northern Thailand: a birth cohort study

BMC Oral Health, Sep 14, 2015

Background: The purpose of this study was to investigate the prevalence and social risk factors o... more Background: The purpose of this study was to investigate the prevalence and social risk factors of severe early childhood caries in three-year-old children in Northern Thailand, using a birth-cohort study Methods: The data utilized in this study were from the prospective cohort study of Thai children (PCTC) from the 28 to 38 weeks gestational age until the children reached the age of 36 months (N = 597) in Mueang Nan district, Northern Thailand. Questionnaires were administered at different time points and dental examination was conducted at the age of 3 years of the child. Results: 44.1 % of the 3 year old children had S-ECC. In multivariate logistic regression analysis, environmental factors (the use of rain or well water as drinking water, no schooling of mother of child, being male), and risk behaviour (sleeping with a bottle at 30 months) were associated with S-ECC. Further, in bivariate analysis, psychological distress in the mother, lack of spousal relationship support, suckle to sleep when going to bed, introduction of soft drinks at 12 months, having had more frequently sweet food, and less than daily tooth brushing before 30 months were associated with S-ECC. Conclusions: A very high rate of S-ECC was observed, and oral health may be influenced by social factors.

Research paper thumbnail of Knowledge, attitudes, and practices about tuberculosis and choice of communication channels in Thailand

Journal of Infection in Developing Countries, Aug 2, 2016

Introduction: The aim of this study was to assess tuberculosis (TB) knowledge, attitudes, and pra... more Introduction: The aim of this study was to assess tuberculosis (TB) knowledge, attitudes, and practices in both the general population and risk groups in Thailand. Methodology: In a cross-sectional survey, a general population (n = 3,074) and family members of a TB patient (n = 559) were randomly selected, using stratified multistage sampling, and interviewed. Results: The average TB knowledge score was 5.7 (maximum = 10) in the Thai and 5.1 in the migrant and ethnic minorities general populations, 6.3 in Thais with a family member with TB, and 5.4 in migrants and ethnic minorities with a family member with TB. In multivariate linear regression among the Thai general population, higher education, higher income, and knowing a person from the community with TB were all significantly associated with level of TB knowledge. Across the different study populations, 18.6% indicated that they had undergone a TB screening test. Multivariate logistic regression found that older age, lower education, being a migrant or belonging to an ethnic minority group, residing in an area supported by the Global Fund, better TB knowledge, having a family member with TB, and knowing other people in the community with TB was associated having been screened for TB. Conclusion: This study revealed deficiencies in the public health knowledge about TB, particularly among migrants and ethnic minorities in Thailand. Sociodemographic factors should be considered when designing communication strategies and TB prevention and control interventions.

Research paper thumbnail of Prevalence of insufficient fruit and vegetable intake and associated factors in older adults in Thailand

Journal of Public Health and Development | วารสารสาธารณสุขและการพัฒนา, Jul 24, 2017

This cross-sectional study aimed to describe the prevalence of insufficient fruit and vegetable i... more This cross-sectional study aimed to describe the prevalence of insufficient fruit and vegetable intake (FVI), and examined factors associated with insufficient FVI in adults aged 50 years and older in the communities of Thailand. The data collection 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-demographic factors, lifestyles, anthropometric factors, health status and FVI. An Electronic form was developed for data entering from all study sites. Face to face interview by trained research assistants was used to fill up the electronic form of questionnaire. Chi-square test and multiple logistic regression were performed to examine associations between the independent variables and insufficient FVI. From the total number of participants, 97.73% completed questionnaires. The majority (72.9%) were 50 to 69 years old. Overall prevalence of insufficient FVI were 77.4 %, 78.3 % among men and 76.9% among women. In multiple logistic regression, marital status, household monthly income, regions, and tobacco used (Adj OR = 1.36, 95% CI= 1.04-1.78) were significantly associated with insufficient FVI. After adjusting for other factors, older adults who used tobacco were 1.36 times more likely to have insufficient FVI than those who did not. The amount of fruit and vegetable intake by older adults in communities of Thailand were considerably lower than current recommendations (daily intake of at least five servings; 400 g). The results suggested that public education and campaigns on adequate consumption of fruit and vegetable should be promoted to target low household monthly income, north eastern region, and tobacco use. This findings could help health promotion policy implementation to increase FVI among this target group in Thailand.

Research paper thumbnail of Knowledge, attitudes, and practices about tuberculosis in Thailand

European journal of public health, Oct 1, 2015

Research paper thumbnail of The influence of breastfeeding duration and introduction of animal source foods, fruit juice and vegetables on the risk of weight gain in Thai children

Sri Lanka Journal of Child Health, Jun 5, 2017

Objective: To examine the influence of infant feeding practices on weight gain in children at 24 ... more Objective: To examine the influence of infant feeding practices on weight gain in children at 24 months of age. Method: Study data were from 4,245 children from the prospective cohort study of Thai children conducted in 2000-2002. Information on breast feeding duration and timing of specific types of complementary foods introduction was collected in infancy. Overweight (BMI-forage >2 SD from WHO standard median) and weight gain (weight at birth minus body weight at 24 months) were evaluated. Results: Breastfeeding for 12 months or more reduced the weight gain (ß=-0.0101, p<0.0001) and the risk of overweight (aOR=0.24, 95% CI=0.15-0.40) after adjustment for confounders. In light of specific types of foods, overweight risk decreased with increasing age at introduction of animal source foods (aOR=0.78, 95% CI=0.67-0.91), vegetables (aOR=0.85, 95% CI=0.76-0.96), and fruit juices (aOR=0.92, 95% CI=0.83-1.01), whereas weight gain had an inverse association with animal source foods (p=0.0004) and vegetables (p<0.0001).

Research paper thumbnail of Sociobehavioral Factors Associated with Caries Increment: A Longitudinal Study from 24 to 36 Months Old Children in Thailand

International Journal of Environmental Research and Public Health, Oct 17, 2014

The aim of this study is to investigate sociobehavioral risk factors from the prenatal period unt... more The aim of this study is to investigate sociobehavioral risk factors from the prenatal period until 36 months of age, and the caries increment from 24 to 36 months of the child in Thailand. The data utilized in this study come from the prospective cohort study of Thai children (PCTC) from prenatal to 36 months of the child in Mueang Nan district, Northern Thailand. The total sample size recruited was 783 infants. The sample size with dental caries data was 603 and 597, at 24 months and at 36 months, respectively. The sample size of having two assessment points with a dental examination (at 24 months and at 36 months) was 597. Results indicate that the caries increment was 52.9%, meaning from 365 caries free children at 24 months 193 had developed dental caries at OPEN ACCESS 36 months. The prevalence of dental caries was 34.2% at 24 months (n = 206) and 68.5% at 36 months of age (n = 409). In bivariate analysis, higher education of the mother, lower household income, bottle feeding of the infant, frequent sweet candy consumptions, and using rain or well water as drinking water were associated with dental caries increment, while in multivariate conditional logistic regression analysis lower household income, higher education of the mother, and using rain or well water as drinking water remained associated with dental caries increment. In conclusion, a very significant increase in caries development was observed, and oral health may be influenced by sociobehavioural risk factors.

Research paper thumbnail of www.mdpi.com/journal/ijerph Article Sociobehavioral Factors Associated with Caries Increment: A Longitudinal Study from 24 to 36 Months Old Children

Abstract: The aim of this study is to investigate sociobehavioral risk factors from the prenatal ... more Abstract: The aim of this study is to investigate sociobehavioral risk factors from the prenatal period until 36 months of age, and the caries increment from 24 to 36 months of the child in Thailand. The data utilized in this study come from the prospective cohort study of Thai children (PCTC) from prenatal to 36 months of the child in Mueang Nan district, Northern Thailand. The total sample size recruited was 783 infants. The sample size with dental caries data was 603 and 597, at 24 months and at 36 months, respectively. The sample size of having two assessment points with a dental examination (at 24 months and at 36 months) was 597. Results indicate that the caries increment was 52.9%, meaning from 365 caries free children at 24 months 193 had developed dental caries at

Research paper thumbnail of Relationship between obesity and asthma among older adults in Thailand

This cross-sectional study was conducted to determine the prevalence of asthma and to... more This 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. ...

Research paper thumbnail of Factors associated with time to start antenatal care within 12 weeks gestational age among mothers in Mahasarakham province, Thailand

Time to start antenatal care (ANC) within 12 weeks gestational age (GA) was important to reduce m... more Time 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% w...

Research paper thumbnail of COVID-19 vaccine hesitancy among undergraduate students in Thailand during the peak of the third wave of the coronavirus pandemic in 2021

Epidemiologic Methods

Objectives To determine the point prevalence of undergraduate students who are hesitant to accept... more Objectives To determine the point prevalence of undergraduate students who are hesitant to accept COVID-19 vaccination and to identify the predictors of COVID-19 vaccine hesitancy in university students. Methods A cross-sectional study was conducted during June–July 2021. A total of 542 undergraduate students from universities in three central provinces of Thailand participated in an online survey via Google Form. We used a transculturally translated, Thai version of the Oxford Coronavirus Explanations, Attitudes, and Narratives Survey (OCEANS II). Results There were 217 undergraduate students (40%) who were hesitant to receive the COVID-19 vaccine and the significant predictors for this hesitancy were: being students in Year 2 and higher (AOR: 2.73; 95% CI: 1.55–4.84); having negative beliefs toward the COVID-19 vaccine (AOR: 10.99; 95% CI: 6.82–17.73); and having a perceived positive general vaccine conspiracy belief (AOR: 1.90; 95% CI: 1.02–3.52). Conclusions It is important to m...

Research paper thumbnail of Small babies, big risks: global estimates of prevalence and mortality for vulnerable newborns to accelerate change and improve counting

Research paper thumbnail of A Household Level Analysis of Water Sanitation Associated with Gastrointestinal Disease in an Urban Slum Setting of South Okkalapa Township, Myanmar

Research paper thumbnail of Determinants and Consequences of Childhood Overweight: Health Status and the Child's School Achievement in Thailand

Background: Thailand is now facing an epidemic of childhood overweight and its associated burdens... more Background: Thailand is now facing an epidemic of childhood overweight and its associated burdens. The purpose of this study was to examine the association between childhood weight statuses, health status and school achievement across determinants among primary school children. Methods: The data from the 4 th Thai National Health Examination Survey (NHES IV) 2008-2009, that was collected from 4,821 children who lived in municipal and non-municipal areas, age between 6 and 12 years old, were analyzed to address the research objective. Ordinal and logistic regression models were employed to analyze the association between determinants and consequences of child weight status, health status and school achievement. Results: The ordinal regression analysis found that the factors of being a girl, having more siblings, exercising less than three times per week, spending more time viewing TV, having a higher-educated father, or having a father who worked as a business owner, in government or agriculture had the highest probability of being associated with overweight/obese among school-age children. In addition, underweight children, living in a non-municipal area, the third-order birth, ate less than 3 meals per day, exercised less than 3 days per week, and with difficult access to a fitness center had the highest probability of low educational achievement. The logistic regression analysis found that children who sleep less than 10 hours per day, exercised less than three times per week, obese or with difficult access to a fitness center had the highest probability of being asthmatic, while a girl, younger, exercised less than three times per week, spending more time on the computer for games and learning, obese/overweight, living adjacent to facility for computer game or living farther away from a food shop/outlet had the highest probability of being hypertensive. Conclusion: The burden of overweight/obesity tends to relate to adverse health consequences. This finding demonstrates the importance of this issue for policymakers who should consider the different child, parental and environmental characteristics in weight control/reduction programs for youth. Health promotion policy should include behavioral change and health education interventions.

Research paper thumbnail of Factors Affecting Sugar Addiction Behavior Among High School Student in Kanchanaburi Province , Thailand

A cross-sectional study design was to identify the factors affecting sugar addiction behavior amo... more A cross-sectional study design was to identify the factors affecting sugar addiction behavior among high school student in Kanchanaburi province, Thailand.. A total of 432 high school students were involved in the study. A two-stagecluster sampling technique and a structured questionnaire were used to collect the data from 20 January 2015 to 20 February 2015. A multiple logistic regression was used to determine the significant determinants of sugar addiction behavior among high school students. After adjusting found that BMI (AOR: 1.717, 1.889, 0.468, 95% CI: 0.906-3.255, 0.476-7.491, 0.180-1.220), acknowledge about project or campaign don’t eat sugar in school (AOR: 0.537, 95%CI: 0.294-0.982) and dietary pattern (AOR: 9.643, 3.083, 95%CI: 3.730-24.928, 1.538-6.178) were significantly associated with sugar addiction behavior among high school students. Hence, the effective and improved health workforce performance should be coupled with effective health education to lower sugar addi...

Research paper thumbnail of Relationship between child rearing and child nutritional status during the first year of life in Thailand

This descriptive study was conducted to determine relationship between child rearing and child nu... more This 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.

Research paper thumbnail of Factors Related to Protective Behavior on Indoor Pollution among Pregnant Women in Nakhon Pathom Province, Thailand

World Academy of Science, Engineering and Technology, International Journal of Environmental and Ecological Engineering, 2017

Her research interests include virtual reality and augmented reality, artificial intelligence, an... more Her research interests include virtual reality and augmented reality, artificial intelligence, and modeling and scheduling of computer-integrated systems. Dr. Tang is very active in adapting and developing pedagogical methods and materials to enhance engineering education. Her most recent educational research includes the collaboration with Tennessee State University and local high schools to infuse cyberinfrastructure learning experience into the pre-engineering and technology-based classrooms, the collaboration with community colleges to develop interactive games in empowering students with engineering literacy and problem-solving, the integration of system-on-chip concepts across two year Engineering Science and four year ECE curricula, and the implementation of an educational innovation that demonstrates science and engineering principles using an aquarium. Her work has resulted in over 100 journal and conference papers and book chapters.

Research paper thumbnail of Performances of village health volunteers in elderly care in Muang District, Nakhon Ratchasima Province, Thailand

A cross-sectional study was conducted to examine an association between performance levels of Vil... more A 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 =...

Research paper thumbnail of Determinants of quality of life among people living with HIV in the hilly region of Myanmar

Journal of HIV/AIDS & Social Services

Research paper thumbnail of Prevalence and Associated Factors of Exclusive Breastfeeding Practices Among Mothers of Infants Less Than Six Months in Galkayo, Somalia: A Community Based Cross-Sectional Study

Science Journal of Public Health

Background: Exclusive breastfeeding has crucial importance on the lives of infants and young chil... more Background: Exclusive breastfeeding has crucial importance on the lives of infants and young children. It provides all the energy and nutrients that infant needs for the first months of life. In sub-Saharan African countries including Somalia, the morbidity and mortality rates of infants and young children less than five years of age are high compared to developed countries. The main causes of these are mainly due to inadequate and sufficient EBF/BF practices with the combination of diseases like infant diarrhea, pneumonia, malaria and measles. Thus this study was aimed to assess the prevalence and associated factors of EBF in Somalia. Methods: A community based cross-sectional study was conducted. Data were collected from 384 mothers of infants less than 6 months of age residing in Northern side of Galkayo District using systematic sampling method. Cumulative Odds Ratio with 95% confidence interval was estimated using bivariate analysis with binary logistic regression model to identify independent determinants of exclusive breastfeeding practice. Results: Majority (99.7%) of the interviewed mothers had ever breastfed their baby. The prevalence of exclusive breastfeeding was 5.2% whereas 94.8% did not exclusively breastfeed their baby up to the intended six months. A mother with formal education was a predictor to exclusive breastfeeding practice. Having formal education, health facility delivery, receiving EBF counseling and maternal unemployment were found to be predictors of exclusive breastfeeding practice. Conclusion: The prevalence of exclusive breastfeeding was found to be very low compared to the WHO recommendations (5.2% in our study compared to 90% of WHO recommendations). However, our current study found that, majority (n= 221, 57.5%) of the women had knowledge on exclusive breastfeeding initiation. We recommend to strengthen the available basic services and to promote formal education on mothers in Somalia. We also recommend means to encourage mothers to deliver health facilities and to increase the awareness and counseling of EBF among pregnant mothers during their visit of ANC.

Research paper thumbnail of The influence of breastfeeding duration and introduction of animal source foods, fruit juice and vegetables on the risk of weight gain in Thai children

Sri Lanka Journal of Child Health

Objective: To examine the influence of infant feeding practices on weight gain in children at 24 ... more Objective: To examine the influence of infant feeding practices on weight gain in children at 24 months of age.

Research paper thumbnail of Severe early childhood caries and social determinants in three-year-old children from Northern Thailand: a birth cohort study

BMC Oral Health, Sep 14, 2015

Background: The purpose of this study was to investigate the prevalence and social risk factors o... more Background: The purpose of this study was to investigate the prevalence and social risk factors of severe early childhood caries in three-year-old children in Northern Thailand, using a birth-cohort study Methods: The data utilized in this study were from the prospective cohort study of Thai children (PCTC) from the 28 to 38 weeks gestational age until the children reached the age of 36 months (N = 597) in Mueang Nan district, Northern Thailand. Questionnaires were administered at different time points and dental examination was conducted at the age of 3 years of the child. Results: 44.1 % of the 3 year old children had S-ECC. In multivariate logistic regression analysis, environmental factors (the use of rain or well water as drinking water, no schooling of mother of child, being male), and risk behaviour (sleeping with a bottle at 30 months) were associated with S-ECC. Further, in bivariate analysis, psychological distress in the mother, lack of spousal relationship support, suckle to sleep when going to bed, introduction of soft drinks at 12 months, having had more frequently sweet food, and less than daily tooth brushing before 30 months were associated with S-ECC. Conclusions: A very high rate of S-ECC was observed, and oral health may be influenced by social factors.

Research paper thumbnail of Knowledge, attitudes, and practices about tuberculosis and choice of communication channels in Thailand

Journal of Infection in Developing Countries, Aug 2, 2016

Introduction: The aim of this study was to assess tuberculosis (TB) knowledge, attitudes, and pra... more Introduction: The aim of this study was to assess tuberculosis (TB) knowledge, attitudes, and practices in both the general population and risk groups in Thailand. Methodology: In a cross-sectional survey, a general population (n = 3,074) and family members of a TB patient (n = 559) were randomly selected, using stratified multistage sampling, and interviewed. Results: The average TB knowledge score was 5.7 (maximum = 10) in the Thai and 5.1 in the migrant and ethnic minorities general populations, 6.3 in Thais with a family member with TB, and 5.4 in migrants and ethnic minorities with a family member with TB. In multivariate linear regression among the Thai general population, higher education, higher income, and knowing a person from the community with TB were all significantly associated with level of TB knowledge. Across the different study populations, 18.6% indicated that they had undergone a TB screening test. Multivariate logistic regression found that older age, lower education, being a migrant or belonging to an ethnic minority group, residing in an area supported by the Global Fund, better TB knowledge, having a family member with TB, and knowing other people in the community with TB was associated having been screened for TB. Conclusion: This study revealed deficiencies in the public health knowledge about TB, particularly among migrants and ethnic minorities in Thailand. Sociodemographic factors should be considered when designing communication strategies and TB prevention and control interventions.

Research paper thumbnail of Prevalence of insufficient fruit and vegetable intake and associated factors in older adults in Thailand

Journal of Public Health and Development | วารสารสาธารณสุขและการพัฒนา, Jul 24, 2017

This cross-sectional study aimed to describe the prevalence of insufficient fruit and vegetable i... more This cross-sectional study aimed to describe the prevalence of insufficient fruit and vegetable intake (FVI), and examined factors associated with insufficient FVI in adults aged 50 years and older in the communities of Thailand. The data collection 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-demographic factors, lifestyles, anthropometric factors, health status and FVI. An Electronic form was developed for data entering from all study sites. Face to face interview by trained research assistants was used to fill up the electronic form of questionnaire. Chi-square test and multiple logistic regression were performed to examine associations between the independent variables and insufficient FVI. From the total number of participants, 97.73% completed questionnaires. The majority (72.9%) were 50 to 69 years old. Overall prevalence of insufficient FVI were 77.4 %, 78.3 % among men and 76.9% among women. In multiple logistic regression, marital status, household monthly income, regions, and tobacco used (Adj OR = 1.36, 95% CI= 1.04-1.78) were significantly associated with insufficient FVI. After adjusting for other factors, older adults who used tobacco were 1.36 times more likely to have insufficient FVI than those who did not. The amount of fruit and vegetable intake by older adults in communities of Thailand were considerably lower than current recommendations (daily intake of at least five servings; 400 g). The results suggested that public education and campaigns on adequate consumption of fruit and vegetable should be promoted to target low household monthly income, north eastern region, and tobacco use. This findings could help health promotion policy implementation to increase FVI among this target group in Thailand.

Research paper thumbnail of Knowledge, attitudes, and practices about tuberculosis in Thailand

European journal of public health, Oct 1, 2015

Research paper thumbnail of The influence of breastfeeding duration and introduction of animal source foods, fruit juice and vegetables on the risk of weight gain in Thai children

Sri Lanka Journal of Child Health, Jun 5, 2017

Objective: To examine the influence of infant feeding practices on weight gain in children at 24 ... more Objective: To examine the influence of infant feeding practices on weight gain in children at 24 months of age. Method: Study data were from 4,245 children from the prospective cohort study of Thai children conducted in 2000-2002. Information on breast feeding duration and timing of specific types of complementary foods introduction was collected in infancy. Overweight (BMI-forage >2 SD from WHO standard median) and weight gain (weight at birth minus body weight at 24 months) were evaluated. Results: Breastfeeding for 12 months or more reduced the weight gain (ß=-0.0101, p<0.0001) and the risk of overweight (aOR=0.24, 95% CI=0.15-0.40) after adjustment for confounders. In light of specific types of foods, overweight risk decreased with increasing age at introduction of animal source foods (aOR=0.78, 95% CI=0.67-0.91), vegetables (aOR=0.85, 95% CI=0.76-0.96), and fruit juices (aOR=0.92, 95% CI=0.83-1.01), whereas weight gain had an inverse association with animal source foods (p=0.0004) and vegetables (p<0.0001).

Research paper thumbnail of Sociobehavioral Factors Associated with Caries Increment: A Longitudinal Study from 24 to 36 Months Old Children in Thailand

International Journal of Environmental Research and Public Health, Oct 17, 2014

The aim of this study is to investigate sociobehavioral risk factors from the prenatal period unt... more The aim of this study is to investigate sociobehavioral risk factors from the prenatal period until 36 months of age, and the caries increment from 24 to 36 months of the child in Thailand. The data utilized in this study come from the prospective cohort study of Thai children (PCTC) from prenatal to 36 months of the child in Mueang Nan district, Northern Thailand. The total sample size recruited was 783 infants. The sample size with dental caries data was 603 and 597, at 24 months and at 36 months, respectively. The sample size of having two assessment points with a dental examination (at 24 months and at 36 months) was 597. Results indicate that the caries increment was 52.9%, meaning from 365 caries free children at 24 months 193 had developed dental caries at OPEN ACCESS 36 months. The prevalence of dental caries was 34.2% at 24 months (n = 206) and 68.5% at 36 months of age (n = 409). In bivariate analysis, higher education of the mother, lower household income, bottle feeding of the infant, frequent sweet candy consumptions, and using rain or well water as drinking water were associated with dental caries increment, while in multivariate conditional logistic regression analysis lower household income, higher education of the mother, and using rain or well water as drinking water remained associated with dental caries increment. In conclusion, a very significant increase in caries development was observed, and oral health may be influenced by sociobehavioural risk factors.

Research paper thumbnail of www.mdpi.com/journal/ijerph Article Sociobehavioral Factors Associated with Caries Increment: A Longitudinal Study from 24 to 36 Months Old Children

Abstract: The aim of this study is to investigate sociobehavioral risk factors from the prenatal ... more Abstract: The aim of this study is to investigate sociobehavioral risk factors from the prenatal period until 36 months of age, and the caries increment from 24 to 36 months of the child in Thailand. The data utilized in this study come from the prospective cohort study of Thai children (PCTC) from prenatal to 36 months of the child in Mueang Nan district, Northern Thailand. The total sample size recruited was 783 infants. The sample size with dental caries data was 603 and 597, at 24 months and at 36 months, respectively. The sample size of having two assessment points with a dental examination (at 24 months and at 36 months) was 597. Results indicate that the caries increment was 52.9%, meaning from 365 caries free children at 24 months 193 had developed dental caries at

Research paper thumbnail of Relationship between obesity and asthma among older adults in Thailand

This cross-sectional study was conducted to determine the prevalence of asthma and to... more This 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. ...

Research paper thumbnail of Factors associated with time to start antenatal care within 12 weeks gestational age among mothers in Mahasarakham province, Thailand

Time to start antenatal care (ANC) within 12 weeks gestational age (GA) was important to reduce m... more Time 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% w...

Research paper thumbnail of COVID-19 vaccine hesitancy among undergraduate students in Thailand during the peak of the third wave of the coronavirus pandemic in 2021

Epidemiologic Methods

Objectives To determine the point prevalence of undergraduate students who are hesitant to accept... more Objectives To determine the point prevalence of undergraduate students who are hesitant to accept COVID-19 vaccination and to identify the predictors of COVID-19 vaccine hesitancy in university students. Methods A cross-sectional study was conducted during June–July 2021. A total of 542 undergraduate students from universities in three central provinces of Thailand participated in an online survey via Google Form. We used a transculturally translated, Thai version of the Oxford Coronavirus Explanations, Attitudes, and Narratives Survey (OCEANS II). Results There were 217 undergraduate students (40%) who were hesitant to receive the COVID-19 vaccine and the significant predictors for this hesitancy were: being students in Year 2 and higher (AOR: 2.73; 95% CI: 1.55–4.84); having negative beliefs toward the COVID-19 vaccine (AOR: 10.99; 95% CI: 6.82–17.73); and having a perceived positive general vaccine conspiracy belief (AOR: 1.90; 95% CI: 1.02–3.52). Conclusions It is important to m...

Research paper thumbnail of Small babies, big risks: global estimates of prevalence and mortality for vulnerable newborns to accelerate change and improve counting

Research paper thumbnail of A Household Level Analysis of Water Sanitation Associated with Gastrointestinal Disease in an Urban Slum Setting of South Okkalapa Township, Myanmar

Research paper thumbnail of Determinants and Consequences of Childhood Overweight: Health Status and the Child's School Achievement in Thailand

Background: Thailand is now facing an epidemic of childhood overweight and its associated burdens... more Background: Thailand is now facing an epidemic of childhood overweight and its associated burdens. The purpose of this study was to examine the association between childhood weight statuses, health status and school achievement across determinants among primary school children. Methods: The data from the 4 th Thai National Health Examination Survey (NHES IV) 2008-2009, that was collected from 4,821 children who lived in municipal and non-municipal areas, age between 6 and 12 years old, were analyzed to address the research objective. Ordinal and logistic regression models were employed to analyze the association between determinants and consequences of child weight status, health status and school achievement. Results: The ordinal regression analysis found that the factors of being a girl, having more siblings, exercising less than three times per week, spending more time viewing TV, having a higher-educated father, or having a father who worked as a business owner, in government or agriculture had the highest probability of being associated with overweight/obese among school-age children. In addition, underweight children, living in a non-municipal area, the third-order birth, ate less than 3 meals per day, exercised less than 3 days per week, and with difficult access to a fitness center had the highest probability of low educational achievement. The logistic regression analysis found that children who sleep less than 10 hours per day, exercised less than three times per week, obese or with difficult access to a fitness center had the highest probability of being asthmatic, while a girl, younger, exercised less than three times per week, spending more time on the computer for games and learning, obese/overweight, living adjacent to facility for computer game or living farther away from a food shop/outlet had the highest probability of being hypertensive. Conclusion: The burden of overweight/obesity tends to relate to adverse health consequences. This finding demonstrates the importance of this issue for policymakers who should consider the different child, parental and environmental characteristics in weight control/reduction programs for youth. Health promotion policy should include behavioral change and health education interventions.

Research paper thumbnail of Factors Affecting Sugar Addiction Behavior Among High School Student in Kanchanaburi Province , Thailand

A cross-sectional study design was to identify the factors affecting sugar addiction behavior amo... more A cross-sectional study design was to identify the factors affecting sugar addiction behavior among high school student in Kanchanaburi province, Thailand.. A total of 432 high school students were involved in the study. A two-stagecluster sampling technique and a structured questionnaire were used to collect the data from 20 January 2015 to 20 February 2015. A multiple logistic regression was used to determine the significant determinants of sugar addiction behavior among high school students. After adjusting found that BMI (AOR: 1.717, 1.889, 0.468, 95% CI: 0.906-3.255, 0.476-7.491, 0.180-1.220), acknowledge about project or campaign don’t eat sugar in school (AOR: 0.537, 95%CI: 0.294-0.982) and dietary pattern (AOR: 9.643, 3.083, 95%CI: 3.730-24.928, 1.538-6.178) were significantly associated with sugar addiction behavior among high school students. Hence, the effective and improved health workforce performance should be coupled with effective health education to lower sugar addi...

Research paper thumbnail of Relationship between child rearing and child nutritional status during the first year of life in Thailand

This descriptive study was conducted to determine relationship between child rearing and child nu... more This 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.

Research paper thumbnail of Factors Related to Protective Behavior on Indoor Pollution among Pregnant Women in Nakhon Pathom Province, Thailand

World Academy of Science, Engineering and Technology, International Journal of Environmental and Ecological Engineering, 2017

Her research interests include virtual reality and augmented reality, artificial intelligence, an... more Her research interests include virtual reality and augmented reality, artificial intelligence, and modeling and scheduling of computer-integrated systems. Dr. Tang is very active in adapting and developing pedagogical methods and materials to enhance engineering education. Her most recent educational research includes the collaboration with Tennessee State University and local high schools to infuse cyberinfrastructure learning experience into the pre-engineering and technology-based classrooms, the collaboration with community colleges to develop interactive games in empowering students with engineering literacy and problem-solving, the integration of system-on-chip concepts across two year Engineering Science and four year ECE curricula, and the implementation of an educational innovation that demonstrates science and engineering principles using an aquarium. Her work has resulted in over 100 journal and conference papers and book chapters.

Research paper thumbnail of Performances of village health volunteers in elderly care in Muang District, Nakhon Ratchasima Province, Thailand

A cross-sectional study was conducted to examine an association between performance levels of Vil... more A 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 =...

Research paper thumbnail of Determinants of quality of life among people living with HIV in the hilly region of Myanmar

Journal of HIV/AIDS & Social Services

Research paper thumbnail of Prevalence and Associated Factors of Exclusive Breastfeeding Practices Among Mothers of Infants Less Than Six Months in Galkayo, Somalia: A Community Based Cross-Sectional Study

Science Journal of Public Health

Background: Exclusive breastfeeding has crucial importance on the lives of infants and young chil... more Background: Exclusive breastfeeding has crucial importance on the lives of infants and young children. It provides all the energy and nutrients that infant needs for the first months of life. In sub-Saharan African countries including Somalia, the morbidity and mortality rates of infants and young children less than five years of age are high compared to developed countries. The main causes of these are mainly due to inadequate and sufficient EBF/BF practices with the combination of diseases like infant diarrhea, pneumonia, malaria and measles. Thus this study was aimed to assess the prevalence and associated factors of EBF in Somalia. Methods: A community based cross-sectional study was conducted. Data were collected from 384 mothers of infants less than 6 months of age residing in Northern side of Galkayo District using systematic sampling method. Cumulative Odds Ratio with 95% confidence interval was estimated using bivariate analysis with binary logistic regression model to identify independent determinants of exclusive breastfeeding practice. Results: Majority (99.7%) of the interviewed mothers had ever breastfed their baby. The prevalence of exclusive breastfeeding was 5.2% whereas 94.8% did not exclusively breastfeed their baby up to the intended six months. A mother with formal education was a predictor to exclusive breastfeeding practice. Having formal education, health facility delivery, receiving EBF counseling and maternal unemployment were found to be predictors of exclusive breastfeeding practice. Conclusion: The prevalence of exclusive breastfeeding was found to be very low compared to the WHO recommendations (5.2% in our study compared to 90% of WHO recommendations). However, our current study found that, majority (n= 221, 57.5%) of the women had knowledge on exclusive breastfeeding initiation. We recommend to strengthen the available basic services and to promote formal education on mothers in Somalia. We also recommend means to encourage mothers to deliver health facilities and to increase the awareness and counseling of EBF among pregnant mothers during their visit of ANC.

Research paper thumbnail of The influence of breastfeeding duration and introduction of animal source foods, fruit juice and vegetables on the risk of weight gain in Thai children

Sri Lanka Journal of Child Health

Objective: To examine the influence of infant feeding practices on weight gain in children at 24 ... more Objective: To examine the influence of infant feeding practices on weight gain in children at 24 months of age.