Nithra Kitreerawutiwong | Naresuan University (original) (raw)
Papers by Nithra Kitreerawutiwong
The Lancet. Planetary health, Apr 1, 2024
Ecology of Food and Nutrition
Scientific Reports
This study aimed to develop a Self-Active Aging Index (S-AAI) for the rural community of Thailand... more This study aimed to develop a Self-Active Aging Index (S-AAI) for the rural community of Thailand using the World Health Organization (WHO) framework, and score it according to age and gender. Overall, 1,098 elderly people were randomly selected. The self-reported questionnaires were categorized into three segments: health, participation, and security according to the WHO framework. An exploratory factor analysis was used to determine appropriate components. The S-AAI comprised 28 indicators and 9 factors: (1) mental/subjective health; (2) physical health; (3) health behavior and chronic disease; (4) vision and hearing; (5) oral health; (6) social participation; (7) stability in life; (8) financial stability; and (9) secure living. The overall S-AAI for all components was 0.65, with the index inversely proportional to age, but with no gender differences. The S-AAI is potentially Thailand's first multi-dimensional interactive aging assessment tool with a unique cultural context f...
Palliative and Supportive Care
Objectives Early identification of palliative care (PC) needs is crucial to provide appropriate h... more Objectives Early identification of palliative care (PC) needs is crucial to provide appropriate holistic care to patients. The objective of this integrative review is to synthesize the methods used to identify the prevalence of PC needs. Methods An integrative review search of the Cumulative Index to Nursing and Allied Health Literature (CINAHL) Plus with full text, ProQuest, Wiley InterScience, ScienceDirect, Scopus, PubMed, and Web of Science with publications from 2010 to 2020 was carried out in English. Empirical studies examining the methods used to determine the prevalence of PC needs were included. The methods of data extraction of the included articles were categorized by data source, study setting, and data collector. Quality appraisal was performed using QualSyst. Results Of the 5,410 articles screened, 29 were included in this review. Two articles identified the prevalence of PC needs in a community that was supported by a network of volunteers, while 27 studies considere...
BMC Primary Care
Background Evidence shows that interprofessional collaboration (IPC) practice contributes to the ... more Background Evidence shows that interprofessional collaboration (IPC) practice contributes to the quality of health care. However, there are limited instruments to assess IPC in providing primary care in the district health system (DHS) in Thailand. The aim of this study is to develop a valid and reliable instrument to assess the IPC competency of primary care team members in DHSs. Methods This study was designed as an exploratory mixed methods study. In the qualitative phase, 37 participants, including policymakers, practitioners, and academics with experience in primary care, were involved. Data were analysed using thematic analysis, and trustworthiness was verified by triangulation and peer debriefing. In the quantitative phase, content validity, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and reliability were conducted, and the final version of the questionnaire was evaluated with 497 participants. Results: The findings showed an I-CVI range of 0.86–1.0...
Annals of Rehabilitation Medicine
Objective To investigate the effect of 6 weeks of home-based boxing training on trunk performance... more Objective To investigate the effect of 6 weeks of home-based boxing training on trunk performance, balance, fear of falling, and level of therapy enjoyment in individuals with chronic stroke. Methods Eighteen participants with chronic stroke were randomly divided into boxing and control groups (9 patients per group). The boxing group received home-based boxing training for 25 minutes plus balance and trunk exercise training for 15 minutes, while the control group received only home-based balance and trunk exercise training for 40 minutes, three days a week for 6 weeks. The Trunk Impairment Scale (TIS), Mini-Balance Evaluation Systems Test (Mini-BESTest), Activities-specific Balance Confidence (ABC) scale, and Physical Activity Enjoyment Scale (PACES) were assessed at baseline, and at 2, 4, and 6 weeks post-training. The Wilcoxon signed rank test and Mann-Whitney U-test were used to determine differences between pre-and post-training within and between groups. Statistical significance was set at p<0.05. Results The TIS scores significantly increased from 13 to 17 points in the boxing group (p<0.05) compared to an increase from 15 to 17 points in the control group (p<0.05). The Mini-BESTest scores significantly increased from 14 to 22 points in the boxing group (p<0.05) compared to an increase from 17 to 20 points in the control group (p<0.05). There were no differences in the TIS, Mini-BESTest, ABC, and PACES scores between the two groups. Conclusion Home-based boxing training with balance and trunk exercise training had a similar training effect compared to home-based balance and trunk exercise training.
<p>Multiple comparisons: analysis of accessibility, continuity, comprehensiveness, coordina... more <p>Multiple comparisons: analysis of accessibility, continuity, comprehensiveness, coordination, community orientation and total scores.</p
<p>Care performance scores in three types of primary care facilities (n = 825).</p
BMC Health Services Research
Background The morbidity and mortality of chronic diseases are increasing worldwide. The literatu... more Background The morbidity and mortality of chronic diseases are increasing worldwide. The literature confirms that the prevention and control of chronic disease necessitates a robust primary health care system with a competent health care workforce. Studies on competencies in the prevention and control of chronic diseases and their determinants among health assistants (HAs) in Bhutan are scarce. This cross-sectional survey aimed to examine the level of competencies and investigate the factors influencing competencies in the prevention and control of chronic diseases among HAs. Methods The sample consisted of 330 HAs who were recruited through simple random sampling. A validated and reliable self-administered questionnaire was used to collect data through a web-based Google Form. Data were analysed using descriptive statistics and multiple regression analysis. Results The findings showed that the mean summed competency score was 191 (SD = 25.7). Approximately 96% of the participants p...
BMC Primary Care
Background: Health care providers and health volunteers play an important role in the collaborati... more Background: Health care providers and health volunteers play an important role in the collaborative provision of patient access and care regarding medical cannabis in district health systems (DHSs) according to their roles and responsibilities. However, there is limited evidence on the self-perceived knowledge, attitudes, and training needs regarding medical cannabis use by health care providers and health volunteers in DHSs. The aim of this study was to compare self-perceived knowledge, attitudes, and training needs regarding medical cannabis among health care providers and health volunteers in Phitsanulok Province, Thailand. Methods: A cross-sectional study was conducted in Phitsanulok Province. A total of 836 participants consisting of 166 health care providers and 670 health volunteers were recruited by stratified cluster random sampling. Descriptive and inferential statistics, including independent sample t tests and chi-square tests, were employed for data analyses. Results: T...
Iranian Journal of Public Health
Background: Non-communicable diseases (NCDs) are increasing in Myanmar. There have been limited s... more Background: Non-communicable diseases (NCDs) are increasing in Myanmar. There have been limited studies to assess the health service system for NCDs patients at the primary health care (PHC) level. We aimed to assess and compare the health service readiness, availability, and utilization of PHC facilities for NCDs in districts in Myanmar. Methods: This cross-sectional study collected data by questionnaires from 242 health care providers working at PHC facilities in three districts in Shan State, Myanmar from January 2020 to January 2021. Differences were calculated with the ANOVA test for NCD capacity readiness and NCD service availability and the Kruskal-Wallis test for NCD service utilization. Results: PHC facilities had a mean score of greater than 70% for NCD capacity readiness of health workforces, health information systems, and essential medicines and equipment domains, but there were large gaps for improvement in financing and governance of health. Almost all PHC facilities ...
BMC Nutrition, 2022
Background Food and nutrition literacy (FANLit) has been proposed to promote healthy diet behavio... more Background Food and nutrition literacy (FANLit) has been proposed to promote healthy diet behaviour and is believed to decrease the prevalence of overweight, obesity and chronic disease. However, the perspective of junior secondary school students, aged 12–15 years and stakeholders towards FANLit is not well-defined. Thus, this study aims to explore the definition and components of FANLit. Methods This qualitative study was carried out in Health region 2 including Phitsanulok, Sukhothai, Tak, Uttradit and Pethchboon. 49 participants from national and regional levels of Thailand were recruited. Data were collected by in-depth interview and focus group discussion using semi-structured questionnaire. Interview data were transcribed verbatim and analysed using thematic analysis. Results FANLit is defined as an individual’s level of knowledge and skills (fundamental, interactive and critical) that relates to food and nutrition for appropriate selection of food and nutrient. Four themes o...
Background: Food and nutrition literacy (FANLit) has been proposed to promote healthy diet behavi... more Background: Food and nutrition literacy (FANLit) has been proposed to promote healthy diet behaviour and is believed to decrease the prevalence of overweight, obesity and chronic disease. However, the perspective of junior secondary school students, aged 12-15 years and stakeholders on FANLit is not well-defined. This study aims to explore the definition and the components of FANLit.Methods: This qualitative study were carried out in Health region 2 includes Phitsanulok, Sukhothai, Tak, Uttradit and Pethchboon province. 49 participants were recruited from national and regional levels of Thailand. Data were collected by in-depth interview and focus group discussion using semi-structured questionnaire. Interview data were transcribed verbatim and analysed using thematic analysis.Results: FANLit is defined as an individual’s level of knowledge and skills (fundamental, interactive and critical) that relates to food and nutrition to make appropriate food selection and nutrients. Four the...
SAGE Open, 2021
This study aimed to assess the individual, interpersonal, and environmental factors that relate t... more This study aimed to assess the individual, interpersonal, and environmental factors that relate to physical activity (PA) among older adults in rural communities in Wangthong district, Phitsanulok, Thailand. A cross-sectional study was conducted on 545 elders by multi-stage sampling. The data were collected via a validated questionnaire. Multiple logistic regression analysis was performed to identify potential determinants of PA. Factors including youngest-old (adjusted OR 1.55, 95% CI [1.05–2.28]), high level of income (adjusted OR 1.89, 95% CI [1.17–3.19]), being a member of the elders’ club (adjusted OR 1.68, 95% CI [1.15–2.46]), and high level of perceived self-efficacy (adjusted OR 1.79, 95% CI [1.23–2.61]) indicated higher likelihood of PA (p < .05). Interventions to improve PA among older people should include improving physical environmental attributes, creating more inexpensive and less time-consuming alternatives for PA, promoting peer support networks and activities to...
Malaysian Journal of Nutrition, 2022
Introduction: During the time of volcano eruptions, farmers have to harvest their crops before th... more Introduction: During the time of volcano eruptions, farmers have to harvest their crops before the stipulated harvest time, which leads to quality and quantity loss. Besides, farmers also have to continue their farming activities, including purchasing farming necessities. These unaddressed issues of the agricultural restoration could be one of the key factors to malnutrition. Therefore, this study assessed the associations between farmers’ expenditures and the nutritional status of children in areas affected by Indonesia’s Sinabung eruption. Methods: A cross-sectional study was carried out among 444 (158 farmers, 228 farmers cum farm labourers, and 58 farm labourers) households headed by farmers. The questionnaire used for data collection was the Indonesian Family Life Survey questions (IFLS). Results: Non-food expenditures had a huge impact on household livelihoods, which was significantly associated with children’s nutritional status. Among the three groups of farmers, children of...
Thailand has become an ageing society and will become an absolute aged society in 20 years from B... more Thailand has become an ageing society and will become an absolute aged society in 20 years from B.E. 2548 to B.E. 2568. Therefore, the responding to an aging population is essential. World Health Organization suggests the concept of active ageing as the process of optimizing that enhance healthy, participation, and security in order to improve quality of life among aged people. This article was to describe the concept of active ageing, implementation of the plan and project in relation to elderly in Thailand, and translation of active ageing into practice. The contribution will be build up the knowledge and positive attitude to translate active aging to practice, assure for the elderly worthwhile living and benefits to society, and empower them to impel economic and social contribution to society.
Public health reflects the effort to improve the health and well-being of the total population an... more Public health reflects the effort to improve the health and well-being of the total population and prolong life. It was relying on the role of the government, the private sector, and the public, and by focusing on the social determinants of health which cover social and economic factors that influencing health. Therefore, designing public health services need to emphasize on the root cause of problem which called social determinants of health. At present, The Thai government is implementing Thailand 4.0 policy to achieve the goal of security, prosperity, and sustainability. This policy is a public policy that is relevant to the global development recognized as Sustainable Development Goals (SDGs). The public health ac-tivities in this era need to design based on the disciplines which under the concept of less for more. This article aimed to present the definition of public health and social determinant of health, the global challenge and the challenge within country, Thailand 4.0 po...
Any design for an effective strategy for promoting health among elderly people needs to be suppor... more Any design for an effective strategy for promoting health among elderly people needs to be supported with the evidence of factors influencing their health behaviors. This research aimed at studying health behaviors of the elderly and determining the factors influencing health behaviors of elderly people living in community. A cross-sectional survey was conducted with a sample of 360 elderly who were selected by simple random sampling. The questionnaire including 3 parts as follows: 1) Demographic data, 2) Social support, and 3) Health behavior. Content validity was performed by 3 experts. The average item-content validity index (I-CVI) was 1.00 and the range of Cronbach’s alpha coefficient was 0.78-0.84. Data were analyzed using the SPSS program and presented in number, percentage, mean, standard deviation (S.D.), median, maximum, minimum, and multiple regression analysis. The results showed that most of the elderly in the sample (68.5%) had social support at moderate level. Most of...
Ecology of Food and Nutrition, 2021
Destructive impacts resulting from volcanic eruptions affect food production severely, leading to... more Destructive impacts resulting from volcanic eruptions affect food production severely, leading to the deterioration of food access and food consumption. Thus, we spotted the urgency of researching food access, household food consumption, and nutritional status of children in Sinabung's eruptions-prone areas, Indonesia. A cross-sectional study was carried out among 368 (158 farmers only and 228 farmers plus farm laborers) households headed by farmers. An interviewer-administered questionnaire was used for data collection. Three indices were used for assessing the nutritional status of children namely weight-for-age (WAZ), height-for-age (HAZ), and weight-for-height (WHZ). Data on household food consumption were collected by using the food consumption score (FCS). The household food consumption among the two groups of farmers was significantly different. Farmers plus farm laborers had a slightly better variety of food since they could collect free vegetables and fruits from the fields where they were working as a farm laborers. Household food consumption was significantly associated with the nutritional status of children. But in the group of farmers-only, the correlation between household food consumption and underweight was not significantly associated. To improve food access and food consumption, the policymakers should provide information about other job opportunities (as an agricultural laborer on another farm) to the farmers, and help them to reach out to those jobs, especially during unpredictable circumstances like Sinabung's eruptions.
The Lancet. Planetary health, Apr 1, 2024
Ecology of Food and Nutrition
Scientific Reports
This study aimed to develop a Self-Active Aging Index (S-AAI) for the rural community of Thailand... more This study aimed to develop a Self-Active Aging Index (S-AAI) for the rural community of Thailand using the World Health Organization (WHO) framework, and score it according to age and gender. Overall, 1,098 elderly people were randomly selected. The self-reported questionnaires were categorized into three segments: health, participation, and security according to the WHO framework. An exploratory factor analysis was used to determine appropriate components. The S-AAI comprised 28 indicators and 9 factors: (1) mental/subjective health; (2) physical health; (3) health behavior and chronic disease; (4) vision and hearing; (5) oral health; (6) social participation; (7) stability in life; (8) financial stability; and (9) secure living. The overall S-AAI for all components was 0.65, with the index inversely proportional to age, but with no gender differences. The S-AAI is potentially Thailand's first multi-dimensional interactive aging assessment tool with a unique cultural context f...
Palliative and Supportive Care
Objectives Early identification of palliative care (PC) needs is crucial to provide appropriate h... more Objectives Early identification of palliative care (PC) needs is crucial to provide appropriate holistic care to patients. The objective of this integrative review is to synthesize the methods used to identify the prevalence of PC needs. Methods An integrative review search of the Cumulative Index to Nursing and Allied Health Literature (CINAHL) Plus with full text, ProQuest, Wiley InterScience, ScienceDirect, Scopus, PubMed, and Web of Science with publications from 2010 to 2020 was carried out in English. Empirical studies examining the methods used to determine the prevalence of PC needs were included. The methods of data extraction of the included articles were categorized by data source, study setting, and data collector. Quality appraisal was performed using QualSyst. Results Of the 5,410 articles screened, 29 were included in this review. Two articles identified the prevalence of PC needs in a community that was supported by a network of volunteers, while 27 studies considere...
BMC Primary Care
Background Evidence shows that interprofessional collaboration (IPC) practice contributes to the ... more Background Evidence shows that interprofessional collaboration (IPC) practice contributes to the quality of health care. However, there are limited instruments to assess IPC in providing primary care in the district health system (DHS) in Thailand. The aim of this study is to develop a valid and reliable instrument to assess the IPC competency of primary care team members in DHSs. Methods This study was designed as an exploratory mixed methods study. In the qualitative phase, 37 participants, including policymakers, practitioners, and academics with experience in primary care, were involved. Data were analysed using thematic analysis, and trustworthiness was verified by triangulation and peer debriefing. In the quantitative phase, content validity, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and reliability were conducted, and the final version of the questionnaire was evaluated with 497 participants. Results: The findings showed an I-CVI range of 0.86–1.0...
Annals of Rehabilitation Medicine
Objective To investigate the effect of 6 weeks of home-based boxing training on trunk performance... more Objective To investigate the effect of 6 weeks of home-based boxing training on trunk performance, balance, fear of falling, and level of therapy enjoyment in individuals with chronic stroke. Methods Eighteen participants with chronic stroke were randomly divided into boxing and control groups (9 patients per group). The boxing group received home-based boxing training for 25 minutes plus balance and trunk exercise training for 15 minutes, while the control group received only home-based balance and trunk exercise training for 40 minutes, three days a week for 6 weeks. The Trunk Impairment Scale (TIS), Mini-Balance Evaluation Systems Test (Mini-BESTest), Activities-specific Balance Confidence (ABC) scale, and Physical Activity Enjoyment Scale (PACES) were assessed at baseline, and at 2, 4, and 6 weeks post-training. The Wilcoxon signed rank test and Mann-Whitney U-test were used to determine differences between pre-and post-training within and between groups. Statistical significance was set at p<0.05. Results The TIS scores significantly increased from 13 to 17 points in the boxing group (p<0.05) compared to an increase from 15 to 17 points in the control group (p<0.05). The Mini-BESTest scores significantly increased from 14 to 22 points in the boxing group (p<0.05) compared to an increase from 17 to 20 points in the control group (p<0.05). There were no differences in the TIS, Mini-BESTest, ABC, and PACES scores between the two groups. Conclusion Home-based boxing training with balance and trunk exercise training had a similar training effect compared to home-based balance and trunk exercise training.
<p>Multiple comparisons: analysis of accessibility, continuity, comprehensiveness, coordina... more <p>Multiple comparisons: analysis of accessibility, continuity, comprehensiveness, coordination, community orientation and total scores.</p
<p>Care performance scores in three types of primary care facilities (n = 825).</p
BMC Health Services Research
Background The morbidity and mortality of chronic diseases are increasing worldwide. The literatu... more Background The morbidity and mortality of chronic diseases are increasing worldwide. The literature confirms that the prevention and control of chronic disease necessitates a robust primary health care system with a competent health care workforce. Studies on competencies in the prevention and control of chronic diseases and their determinants among health assistants (HAs) in Bhutan are scarce. This cross-sectional survey aimed to examine the level of competencies and investigate the factors influencing competencies in the prevention and control of chronic diseases among HAs. Methods The sample consisted of 330 HAs who were recruited through simple random sampling. A validated and reliable self-administered questionnaire was used to collect data through a web-based Google Form. Data were analysed using descriptive statistics and multiple regression analysis. Results The findings showed that the mean summed competency score was 191 (SD = 25.7). Approximately 96% of the participants p...
BMC Primary Care
Background: Health care providers and health volunteers play an important role in the collaborati... more Background: Health care providers and health volunteers play an important role in the collaborative provision of patient access and care regarding medical cannabis in district health systems (DHSs) according to their roles and responsibilities. However, there is limited evidence on the self-perceived knowledge, attitudes, and training needs regarding medical cannabis use by health care providers and health volunteers in DHSs. The aim of this study was to compare self-perceived knowledge, attitudes, and training needs regarding medical cannabis among health care providers and health volunteers in Phitsanulok Province, Thailand. Methods: A cross-sectional study was conducted in Phitsanulok Province. A total of 836 participants consisting of 166 health care providers and 670 health volunteers were recruited by stratified cluster random sampling. Descriptive and inferential statistics, including independent sample t tests and chi-square tests, were employed for data analyses. Results: T...
Iranian Journal of Public Health
Background: Non-communicable diseases (NCDs) are increasing in Myanmar. There have been limited s... more Background: Non-communicable diseases (NCDs) are increasing in Myanmar. There have been limited studies to assess the health service system for NCDs patients at the primary health care (PHC) level. We aimed to assess and compare the health service readiness, availability, and utilization of PHC facilities for NCDs in districts in Myanmar. Methods: This cross-sectional study collected data by questionnaires from 242 health care providers working at PHC facilities in three districts in Shan State, Myanmar from January 2020 to January 2021. Differences were calculated with the ANOVA test for NCD capacity readiness and NCD service availability and the Kruskal-Wallis test for NCD service utilization. Results: PHC facilities had a mean score of greater than 70% for NCD capacity readiness of health workforces, health information systems, and essential medicines and equipment domains, but there were large gaps for improvement in financing and governance of health. Almost all PHC facilities ...
BMC Nutrition, 2022
Background Food and nutrition literacy (FANLit) has been proposed to promote healthy diet behavio... more Background Food and nutrition literacy (FANLit) has been proposed to promote healthy diet behaviour and is believed to decrease the prevalence of overweight, obesity and chronic disease. However, the perspective of junior secondary school students, aged 12–15 years and stakeholders towards FANLit is not well-defined. Thus, this study aims to explore the definition and components of FANLit. Methods This qualitative study was carried out in Health region 2 including Phitsanulok, Sukhothai, Tak, Uttradit and Pethchboon. 49 participants from national and regional levels of Thailand were recruited. Data were collected by in-depth interview and focus group discussion using semi-structured questionnaire. Interview data were transcribed verbatim and analysed using thematic analysis. Results FANLit is defined as an individual’s level of knowledge and skills (fundamental, interactive and critical) that relates to food and nutrition for appropriate selection of food and nutrient. Four themes o...
Background: Food and nutrition literacy (FANLit) has been proposed to promote healthy diet behavi... more Background: Food and nutrition literacy (FANLit) has been proposed to promote healthy diet behaviour and is believed to decrease the prevalence of overweight, obesity and chronic disease. However, the perspective of junior secondary school students, aged 12-15 years and stakeholders on FANLit is not well-defined. This study aims to explore the definition and the components of FANLit.Methods: This qualitative study were carried out in Health region 2 includes Phitsanulok, Sukhothai, Tak, Uttradit and Pethchboon province. 49 participants were recruited from national and regional levels of Thailand. Data were collected by in-depth interview and focus group discussion using semi-structured questionnaire. Interview data were transcribed verbatim and analysed using thematic analysis.Results: FANLit is defined as an individual’s level of knowledge and skills (fundamental, interactive and critical) that relates to food and nutrition to make appropriate food selection and nutrients. Four the...
SAGE Open, 2021
This study aimed to assess the individual, interpersonal, and environmental factors that relate t... more This study aimed to assess the individual, interpersonal, and environmental factors that relate to physical activity (PA) among older adults in rural communities in Wangthong district, Phitsanulok, Thailand. A cross-sectional study was conducted on 545 elders by multi-stage sampling. The data were collected via a validated questionnaire. Multiple logistic regression analysis was performed to identify potential determinants of PA. Factors including youngest-old (adjusted OR 1.55, 95% CI [1.05–2.28]), high level of income (adjusted OR 1.89, 95% CI [1.17–3.19]), being a member of the elders’ club (adjusted OR 1.68, 95% CI [1.15–2.46]), and high level of perceived self-efficacy (adjusted OR 1.79, 95% CI [1.23–2.61]) indicated higher likelihood of PA (p < .05). Interventions to improve PA among older people should include improving physical environmental attributes, creating more inexpensive and less time-consuming alternatives for PA, promoting peer support networks and activities to...
Malaysian Journal of Nutrition, 2022
Introduction: During the time of volcano eruptions, farmers have to harvest their crops before th... more Introduction: During the time of volcano eruptions, farmers have to harvest their crops before the stipulated harvest time, which leads to quality and quantity loss. Besides, farmers also have to continue their farming activities, including purchasing farming necessities. These unaddressed issues of the agricultural restoration could be one of the key factors to malnutrition. Therefore, this study assessed the associations between farmers’ expenditures and the nutritional status of children in areas affected by Indonesia’s Sinabung eruption. Methods: A cross-sectional study was carried out among 444 (158 farmers, 228 farmers cum farm labourers, and 58 farm labourers) households headed by farmers. The questionnaire used for data collection was the Indonesian Family Life Survey questions (IFLS). Results: Non-food expenditures had a huge impact on household livelihoods, which was significantly associated with children’s nutritional status. Among the three groups of farmers, children of...
Thailand has become an ageing society and will become an absolute aged society in 20 years from B... more Thailand has become an ageing society and will become an absolute aged society in 20 years from B.E. 2548 to B.E. 2568. Therefore, the responding to an aging population is essential. World Health Organization suggests the concept of active ageing as the process of optimizing that enhance healthy, participation, and security in order to improve quality of life among aged people. This article was to describe the concept of active ageing, implementation of the plan and project in relation to elderly in Thailand, and translation of active ageing into practice. The contribution will be build up the knowledge and positive attitude to translate active aging to practice, assure for the elderly worthwhile living and benefits to society, and empower them to impel economic and social contribution to society.
Public health reflects the effort to improve the health and well-being of the total population an... more Public health reflects the effort to improve the health and well-being of the total population and prolong life. It was relying on the role of the government, the private sector, and the public, and by focusing on the social determinants of health which cover social and economic factors that influencing health. Therefore, designing public health services need to emphasize on the root cause of problem which called social determinants of health. At present, The Thai government is implementing Thailand 4.0 policy to achieve the goal of security, prosperity, and sustainability. This policy is a public policy that is relevant to the global development recognized as Sustainable Development Goals (SDGs). The public health ac-tivities in this era need to design based on the disciplines which under the concept of less for more. This article aimed to present the definition of public health and social determinant of health, the global challenge and the challenge within country, Thailand 4.0 po...
Any design for an effective strategy for promoting health among elderly people needs to be suppor... more Any design for an effective strategy for promoting health among elderly people needs to be supported with the evidence of factors influencing their health behaviors. This research aimed at studying health behaviors of the elderly and determining the factors influencing health behaviors of elderly people living in community. A cross-sectional survey was conducted with a sample of 360 elderly who were selected by simple random sampling. The questionnaire including 3 parts as follows: 1) Demographic data, 2) Social support, and 3) Health behavior. Content validity was performed by 3 experts. The average item-content validity index (I-CVI) was 1.00 and the range of Cronbach’s alpha coefficient was 0.78-0.84. Data were analyzed using the SPSS program and presented in number, percentage, mean, standard deviation (S.D.), median, maximum, minimum, and multiple regression analysis. The results showed that most of the elderly in the sample (68.5%) had social support at moderate level. Most of...
Ecology of Food and Nutrition, 2021
Destructive impacts resulting from volcanic eruptions affect food production severely, leading to... more Destructive impacts resulting from volcanic eruptions affect food production severely, leading to the deterioration of food access and food consumption. Thus, we spotted the urgency of researching food access, household food consumption, and nutritional status of children in Sinabung's eruptions-prone areas, Indonesia. A cross-sectional study was carried out among 368 (158 farmers only and 228 farmers plus farm laborers) households headed by farmers. An interviewer-administered questionnaire was used for data collection. Three indices were used for assessing the nutritional status of children namely weight-for-age (WAZ), height-for-age (HAZ), and weight-for-height (WHZ). Data on household food consumption were collected by using the food consumption score (FCS). The household food consumption among the two groups of farmers was significantly different. Farmers plus farm laborers had a slightly better variety of food since they could collect free vegetables and fruits from the fields where they were working as a farm laborers. Household food consumption was significantly associated with the nutritional status of children. But in the group of farmers-only, the correlation between household food consumption and underweight was not significantly associated. To improve food access and food consumption, the policymakers should provide information about other job opportunities (as an agricultural laborer on another farm) to the farmers, and help them to reach out to those jobs, especially during unpredictable circumstances like Sinabung's eruptions.