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All Journal International Journal of Public Health Science (IJPHS) Prosiding Seminar Kesehatan Masyarakat
Laohasiriwong, Wongsa
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Influence of behavioral and genetic variables on the prevalence of type 2 diabetes mellitus in middle-aged monks of Thailand Hakaew, Utane; Sakphisutthikul, Chutikan; Laohasiriwong, Wongsa; Thammawongsa, Pittaya; Mahato, Roshan Kumar
International Journal of Public Health Science (IJPHS) Vol 13, No 4: December 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i4.24510

Abstract

Diabetes mellitus (DM) and its associated complications present a major health problem for the Thai people, including Buddhist monks. This study aimed to identify the influence of behavioural and genetic variables on the prevalence of type 2 diabetes mellitus in middle-aged monks of Thailand. The study analyzed data from the health data centre of the Department of Public Health, Thailand, focusing on middle-aged monks in 76 provinces across 12 regions. The study recruited 6,408 Thai monks who met inclusion and exclusion criteria between October 2015-November 2019. Multivariable analysis was performed using a generalized linear mixed model, with adjusted odds ratios and 95% confidence intervals reported at a significance level of 0.05. Our study found that among the middle-aged monks of Thailand, 7.12% (95% CI: 6.49-7.78) had diabetes mellitus out of a total of 6,408. The results of our multivariable analysis showed that the following factors were associated with diabetes mellitus in monks of Thailand: respondents’ body mass index (BMI) ≥30 kg/m2 (AOR=4.26, 95% CI: 3.08-5.90, p-value <0.001), respondents with a family history of DM (AOR=3.37, 95% CI: 2.52-4.81, p-value<0.001), and respondent’s age ranges of 55-59 (AOR=2.87, 95% CI: 2.26-3.84, p-value<0.001), respectively. Diabetes millatus is significantly associated with the respondents who were obese, aged, and had a family history of DM. Therefore, a regular DM screening program as well as a timely health monitoring system for monks will enhance the diabetes control program in reducing the DM burden in Thailand.
Transformation of Global Healthcare Systems Towards Sustainable Health Resilience Laohasiriwong, Wongsa
PROSIDING SEMINAR KESEHATAN MASYARAKAT Vol 2 No October (2024): Proceeding of The 1st International Seminar on Public Health and Sports (IS
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/prosidingfkm.v2iOctober.635

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Influence of knowledge, access to information, and health seeking behavior on antibiotic self-medication in Thailand Darasawang, Worrayot; Laohasiriwong, Wongsa; Sornlom, Kittiphong; Mahato, Roshan Kumar
International Journal of Public Health Science (IJPHS) Vol 14, No 2: June 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i2.25741

Abstract

Antibiotic self-medication (ASM) significantly contributes to antimicrobial resistance (AMR), a pressing global health concern. However, the impact of knowledge, health information access, and health-seeking behavior on ASM in Thailand is poorly understood. This study aimed to evaluate these influences using data from the 2021 health and welfare survey conducted by Thailand’s National Statistical Office. A generalized linear mixed model was applied to assess associations. Variables with a p-value <0.25 in bivariate analysis were further analyzed in a multivariable model, with adjusted odds ratios (AOR), 95% confidence intervals (CI), and p-values reported. Among 26,030 participants, 2.79% (95% CI: 2.59%-2.99%) engaged in ASM. Low knowledge of antibiotic use was strongly linked to ASM (AOR=4.30, 95% CI: 2.61-7.08), as was moderate knowledge (AOR=2.47, 95% CI: 1.49-4.09). Lack of antibiotic-related information significantly increased ASM (AOR=3.86, 95% CI: 3.03-4.92). Recent health-seeking behaviors, including over-the-counter medication (AOR=3.54, 95% CI: 2.02-6.21) and avoiding public and private hospitals, were also major contributors. Medication and transportation expenses were additional significant factors. Enhancing access to health information, knowledge, and healthcare services could reduce ASM in Thailand.
Co-Authors Darasawang, Worrayot Hakaew, Utane Mahato, Roshan Kumar Sakphisutthikul, Chutikan Sornlom, Kittiphong Thammawongsa, Pittaya