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All Journal International Journal of Public Health Science (IJPHS) Borneo Journal of Pharmacy
Mahato, Roshan Kumar
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Health Professions Medicine & Pharmacology

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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.
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.
Interventions on Costs and Survival Rates of Lung Cancer Patients Yuliastuti, Fitriana; Kartikawati, Nurfina Dian; Pradani, Missya Putri Kurnia; Bunga, Cut Dewi; Mahato, Roshan Kumar
Borneo Journal of Pharmacy Vol. 8 No. 4 (2025): Borneo Journal of Pharmacy
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/bjop.v8i4.10049

Abstract

Lung cancer is characterized by the uncontrolled growth of cells in lung tissue, particularly in the respiratory tract lining. The disease has a high and alarming mortality rate, requiring prompt and appropriate management. This study aims to examine the costs and one-year survival rates of lung cancer patients at Dharmais Cancer Hospital. Data analysis was conducted in four stages: retrospective observational study using secondary data from medical records, describing patient characteristics and factors affecting survival and treatment costs, analyzing survival curves by cancer stage and intervention, and testing differences in survival curves using the log-rank test. The results show that higher survival rates are often inversely proportional to shorter survival times, and vice versa. Stage 1 patients exhibited the most extended survival despite low survival rates for inpatients (48 months, 25%) and outpatients (53 months, 15%). Intervention types 4.00 (chemotherapy and radiotherapy) and 7.00 (chemotherapy, radiotherapy, and surgery) effectively extended survival, although associated survival rates remained low. The highest inpatient treatment costs were observed in stage 2 patients, while the highest annual outpatient costs were linked to surgical interventions, highlighting the difference between per-episode and cumulative annual expenditures.
Co-Authors Bunga, Cut Dewi Darasawang, Worrayot Fitriana Yuliastuti Hakaew, Utane Kartikawati, Nurfina Dian Laohasiriwong, Wongsa Pradani, Missya Putri Kurnia Sakphisutthikul, Chutikan Sornlom, Kittiphong Thammawongsa, Pittaya