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1.
Heliyon ; 9(1): e12558, 2023 Jan.
Article in English | MEDLINE | ID: covidwho-2165326

ABSTRACT

District public health officers (DPHO) are the major health care providers and vital resources for tackling the coronavirus disease 2019 (COVID-19) outbreak in Thailand. No studies have been published on their experiences of combating COVID-19 in Thailand. To guide and improve COVID-19 control efforts, we aimed to describe their experiences and analyze associated factors for tackling the outbreak. This mixed-methods design involved providing structured questionnaires to selected DPHOs across 52 districts of seven provinces in the upper southern region Thailand. We performed data analysis using descriptive and multivariate statistics. The quantitative approach used questionnaires that demonstrated the content validity and reliability. Data collection involved Google forms, analyzed by multivariate statistics. The qualitative approach comprised an online in-depth interview of 11 DPHOs and a thematic analysis. Results found of the 52 DPHOs, 41 were men (78.8%), and the mean age was 50.02 years (SD = 8.52 years). Their proactive experiences were significantly associated with sex (ORadj = 2.38, 95% CI = 1.11-3.30), age (ORadj = 1.73, 95% CI = 1.09-2.76), the length of experience in the current position (ORadj = 2.27, 95% CI = 1.43-3.63), and working time in the current position (ORadj = 2.27, 95% CI = 1.43-3.63). There was no significant association between marital status, knowledge, understanding, opinion, proactive practice, and participation experiences. These results were related to six themes of the qualitative approach as follows: High morbidity and mortality of COVID-19, COVID-19 concomitant with several problems, Reaching out to the community for better COVID-19 solutions, The importance of regular reports and feedback, Solution planning based on the situation, and Providing relief to all stakeholders from COVID-19 issue. Proactive experiences of district public health officers are important for sustainable COVID-19 solutions. Disseminating relevant equipment, guidelines, policy, and government regulations is necessary to promote preparedness and efficacy in the crisis management of COVID-19.

2.
Rocz Panstw Zakl Hig ; 73(3): 333-340, 2022.
Article in English | MEDLINE | ID: covidwho-2057023

ABSTRACT

Background: The COVID-19 pandemic is having a serious impact around the world. Many countries have experienced a two or three wave pattern in reported cases. The virus's spread in Thailand was a cluster event distributed over multiple locations, multi-spender, and multiple waves of outbreaks. Objective: This study aims to study gender associated with age, risk factors, and nationality during coronavirus pandemic in Thailand. Material and methods: A retrospective cohort study was conducted from January 2020 to May 2021 (17 months) to determine the number of confirmed cases and identify gender associated with, age, various risk factors and nationality were analyzed by chi square test and binary logistic regression analyses. Results: The results show that the number of cases increased by over 100,000 over the course of three waves of outbreaks. The logistic regression analysis revealed that genders were significantly related with age, various risk factors, and nationality across different waves (p < 0.01). Across the primary risk factors were community risk, community cluster and close contact with a previously confirmed patient on confirmed cases during COVID-19 pandemic. Conclusion: Significant differences between genders were significantly associated with age, various risk factors, and nationality may be due to weak social distancing policies and the lack of public health interventions. A COVID-19 vaccination plan is needed for people who are at risk of suffering severe symptoms as well as the general population in outbreak areas to increase immunity.


Subject(s)
COVID-19 , COVID-19/epidemiology , COVID-19/prevention & control , COVID-19 Vaccines , Data Analysis , Female , Humans , Male , Pandemics , Retrospective Studies , SARS-CoV-2 , Thailand/epidemiology
3.
Vaccines (Basel) ; 10(8)2022 Aug 18.
Article in English | MEDLINE | ID: covidwho-1997851

ABSTRACT

BACKGROUND: COVID-19 vaccination hesitancy is a global issue. Many people are concerned about experiencing side effects from the vaccine. This study evaluated satisfaction with the COVID-19 vaccine in the general population (GP) and healthcare workers (HCWs) in Bangkok, Thailand. METHODS: A cross-sectional online survey was distributed from September-December 2021. Independent sample t-tests were used to compare GP and HCW participants' total vaccine satisfaction scores as well as their satisfaction with varying vaccine types. Multiple linear regression was used to identify predictors of satisfaction scores among GP and HCWs. RESULTS: A total of 780 valid questionnaire responses were obtained. The majority of GP participants (n = 390) had received their first (93.3%) and second (88.5%) vaccination shots by viral vector vaccine; however, 90% had not received a third dose (booster). In contrast, the majority of HCW participants (n = 390) had received their first (92.8%) and second (82.8%) vaccination doses by the inactivated vaccine, and 83% had received a third vaccine dose. HCWs had significantly higher total satisfaction scores than GP participants (p = 0.034), and they were also significantly more satisfied with the mRNA vaccine as a third dose (p = 0.001). Multiple linear regression models found less association with vaccine satisfaction among GP participants who had not isolated following exposure to COVID-19 and those who have never been at risk of infection (ᵦ -0.159; 95% CI -12.867, -1.877; p = 0.009). Among HCWs, being married (ᵦ 0.157; 95% CI 0.794, 3.278; p = 0.001) or divorced (ᵦ 0.198; 95% CI 3.303, 9.596; p < 0.01) was more closely associated with vaccine satisfaction than being single. CONCLUSION: HCWs were more satisfied with the type and efficacy of inactivated, viral vector, and mRNA vaccines than GP participants, and the former were also more satisfied with the cost of vaccine boosters. Our results indicate that satisfaction with the COVID-19 vaccine is based on academic knowledge sharing and the government's promotion efforts. Future research will explore strategies to raise awareness about the importance of vaccination.

4.
Int J Environ Res Public Health ; 19(9)2022 04 22.
Article in English | MEDLINE | ID: covidwho-1818138

ABSTRACT

BACKGROUND: COVID-19 vaccine hesitancy is a global concern. Many individuals are concerned about the potential side-effects of the COVID-19 vaccine and vaccine boosters. The purpose of this study was to assess attitudes and satisfaction concerning COVID-19 vaccines and vaccine boosters in the population in Bangkok, Thailand. METHODS: A cross-sectional online survey measuring COVID-19 vaccine attitudes and satisfaction was distributed from September to December 2021. Multiple linear regression was used to explore associations between demographic variables and questionnaire results. Spearman's correlation analysis was used to examine associations between attitude and satisfaction scores. RESULTS: A total of 780 questionnaire responses were obtained. The largest groups of participants reported having obtained a first vaccination dose via viral vaccine (52.8%), a second vaccination booster via viral vaccine (49.5%), and a third vaccination booster via mRNA vaccine (28.8%). Multiple linear regression revealed a lower association between vaccine attitude scores and having earned less than a bachelor's degree (ß -0.109; 95% CI -2.541, -0.451) and infection risk without self-isolating (ß -0.154; 95% CI -4.152, -0.670) compared with attaining a bachelor's degree or higher and never having being at risk of infection, respectively. Higher vaccine satisfaction scores were more closely associated with being married than being single (ß 0.074; 95% CI -0.073, 3.022), whereas lower vaccine satisfaction scores were less closely associated with non-healthcare workers (ß -0.143; 95% CI -4.698, -0.831) and infection risk without self-isolating (ß -0.132; 95% CI -6.034, -0.502) compared with non-healthcare workers and never being at risk of infection. There was weak but significant positive correlation between attitude and satisfaction scores (r = 0.338, p-value < 0.001). Hence, a gradual decline in protection following vaccination and the positive effects of a booster dose after primary vaccination have made the decision to administer booster doses. CONCLUSION: The results suggest that policymakers need to develop more effective strategies to raise awareness about the importance of vaccination.


Subject(s)
COVID-19 , Vaccines , Attitude , COVID-19/prevention & control , COVID-19 Vaccines , Cross-Sectional Studies , Humans , Personal Satisfaction , Thailand , Vaccination , Vaccines, Synthetic , mRNA Vaccines
5.
Adv Prev Med ; 2021: 5807056, 2021.
Article in English | MEDLINE | ID: covidwho-1463056

ABSTRACT

BACKGROUND: Coronavirus disease (COVID-19) is an infectious disease caused by a newly discovered coronavirus. An outbreak is called an epidemic when there is a sudden increase in cases. Many countries have experienced a two-wave pattern in the reported cases of COVID-19. The spread of COVID-19 in Thailand was a cluster event distributed over multiple locations. This study aims to compare the characteristics of different waves during the COVID-19 pandemic in Thailand. METHODS: A retrospective cohort study was conducted from January 2020 to May 2021 (17 months) to determine the number of COVID-19 screenings and confirmed cases and deaths as well as sociodemographic characteristics such as gender, age, nationality, and source population at risk factors. The categorical data were compared using a chi-square test. RESULTS: Three waves of the COVID-19 pandemic occurred within 17 months in Thailand, and the number of cases increased by over 100,000 due to source population at risk factors such as close contact with a previously confirmed patient, community risk, cluster communities, and active and community surveillance. The chi-square test revealed significant differences between the three waves (p < 0.01). CONCLUSION: Significant differences between pandemic phases or waves may be due to weak social distancing policies and the lack of public health interventions. A COVID-19 vaccination plan is needed for people at risk of suffering severe symptoms and the general population in outbreak areas to increase immunity.

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