Markmee, Phataraphon
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Overweight and Obesity among Female Teachers in State Schools in Sri Lanka Uyangoda, Damitha; Markmee, Phataraphon
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i2.23551

Abstract

Overweight and obesity, marked by excessive body fat, significantly contribute to chronic diseases, including non-communicable diseases, leading to over 4 million deaths globally. In Sri Lanka, obesity is highly prevalent among female teachers, necessitating an exploration of associated factors for effective risk reduction. This study examined the prevalence and determinants of overweight and obesity among female teachers in Sri Lankan state schools. A cross-sectional study was conducted among 328 teachers in the Matara educational zone, utilizing a multistage sampling technique. Data on socio-demographic, lifestyle, work, environmental, and medical factors were collected. Physical activity was assessed using the Global Physical Activity Questionnaire (GPAQ) and analyzed with MET values. A validated questionnaire (IOC: 0.67–1.00, Cronbach’s alpha: 0.70–0.84) ensured reliability, and binary logistic regression identified associated factors. The average age was 44.17 years, with 86.28% married. Based on Asian BMI standards, 73.2% were overweight or obese. Insufficient physical activity (71.04%) and poor dietary habits (58.54%) were the most common issues. Major risk factors included low physical activity (AOR = 7.14; 95% CI: 3.78–13.01) and poor dietary habits (AOR = 1.91; 95% CI: 1.03–3.54). Interventions should promote lifestyle behavior, including physical activity and healthier diets, while policies must raise awareness of obesity-related health risks.
AN EDUCATIONAL ASSESSMENT OF PREVENTIVE BEHAVIORS OF CARDIOVASCULAR DISEASE AMONG ADULT WORKERS WITH HYPERTENSION Markmee, Phataraphon; Wongwat, Rung
The Indonesian Journal of Public Health Vol. 19 No. 1 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i1.2024.69-80

Abstract

Introduction: In Thailand, approximately 13 million adult workers have hypertension, with approximately 4.7% of those living in acculturated societies at a higher risk of developing cardiovascular disease (CVD). Aims: This study aims to examine the factors that predicted CVD prevention behaviors in individuals with hypertension. Methods: A cross-sectional analytical study was conducted on 1,151 adult workers with hypertension from Sukhothai Province, Thailand, using a multistage sampling technique. The measurement tools included a standardized questionnaire approved by three experts and tested for reliability using the Cronbach's alpha. A multiple regression analysis was used to identify factors that predicted CVD prevention behaviors. Results: This study involved a total of 1,151 participants, 61.90% of whom were females, with an average age of 52 years. In addition, 71.80% of the participants had a family history of CVD. The majority of the participants (73.4%) exhibited moderate levels of CVD preventive behaviors. Factors that predicted CVD preventive behaviors included self-efficacy (β = 0.423), family and social support (β = 0.162), perceived information (β = 0.119), attitude (β = 0.117), knowledge (β = 0.089), living with nuisance (β = -0.049), and family history of hypertension (β = 0.049). These predictors accounted for 39.2% of the variance (R2 = 0.392, p = 0.05). Conclusion: The intervention mapping to promote CVD preventive behaviors in adult workers with hypertension should focus on increasing self-efficacy by providing information to improve individual knowledge and attitude, as well as addressing environmental factors that may affect people's well-being, such as nuisances.