Influence of Environmental Risk Exposure on the Determinants of COVID-19 Booster Vaccination in an Urban Thai Population.

This study aimed to identify the influence of environmental risk exposure levels on the predictive factors of COVID-19 booster dose vaccination in an urban Thai population in the post-pandemic era. Six study locations, including the three provinces with the highest environmental risk levels and the three provinces with the lowest environmental risk levels, were selected by calculating the environmental risk exposure indexes. Participants from the capital district of each province were chosen via the simple random sampling technique and interviewed using a structured questionnaire. A total of 1315 individuals were included in a sample in this study, and the best predictors of booster dose vaccination were determined using multiple regression analysis. The results showed that a high level of environmental risk exposure occurred in the provinces with a high number of total days exceeding the limits set for PM10 and high rates of mortality for lung cancer. The number of COVID-19 booster vaccinations given amount to 43.4% of the population during the post-COVID-19 pandemic period. Our multivariate analysis indicated that individuals in the working age group (≥25 years old); those with higher education (diploma degree and above); full-time employment (government and private sectors); those with high monthly incomes (≥USD144.1); and those in areas with the lowest risk level of environmental exposure significantly contributed to the number of booster dose vaccinations given during the post-pandemic period. To summarize, the rate of COVID-19 booster dose vaccination acceptance in Thailand was influenced by socio-economic factors with environmental concerns. These findings improve our understating of both the global pandemic and how environmental exposure affects behavioral change patterns and could improve the effectiveness of post-pandemic management.

Effect of Fitness-To-Drive and Metacognition on Road Traffic Injury Among Older Taxi Drivers: Hierarchical Modeling.

Age-related cognitive and somatic motor skills changes have been linked to impaired driving abilities. Taxi drivers play an important role in providing public transportation services and security. This study aimed to examine the level of fitness-to-drive (FTD) and identify the predictors of self-reported traffic injury among the older taxi drivers. Taxi drivers 60 years and older in Bangkok and the metropolitan area were enrolled. Hierarchical regression models were carried out to examine the effects of demographics, FTD, and metacognition towards self-reported road traffic injury. Totally, 46.1% of the respondents were classified as at-risk drivers. Drivers with alcohol consumption and low risk perception toward road safety were more likely to experience road traffic injury. Regular assessment of physical and psychometric capacity among older taxi drivers could provide another empirical basis to improve public safety transport.

Assessing the Determinants of Compliance with Contribution Payments to the National Health Insurance Scheme among Informal Workers in Indonesia.

This study aimed to investigate the determinants of compliance with contribution payments to the National Health Insurance (NHI) scheme among informal workers in Bogor Regency, West Java Province, Indonesia. Surveys of 418 informal workers in Bogor Regency from April to May 2023 were conducted. Multivariate logistic regression analyses were performed to assess the factors associated with informal workers' compliance with NHI contribution payments. The results revealed that being female, having lower secondary education or below, perceiving good health of family members, having negative attitudes toward and poor knowledge of the NHI, experiencing financial difficulties, preferring to visit health facilities other than public ones, and utilizing fewer outpatient services were significantly associated with the noncompliance of informal workers with NHI contribution payments. It was concluded that economic factors alone cannot contribute to informal workers' payment compliance and that motivational factors (knowledge, attitudes toward the insurance system, and self-related health status) also encourage them to comply with contribution payments. Improving people's knowledge, especially on the risk-sharing concept of the NHI, should be done through extensive health insurance education using methods that are appropriate for the population's characteristics.

Combined Impact of Omicron Vaccination and Environmental Risk Exposure: A Thailand Case Study.

This research aimed to determine the levels of COVID-19 booster dose vaccinations in Thai populations in areas with environmental risk exposure during the Omicron outbreak. Five of twenty provinces in Thailand were selected by assessing environmental risk exposure for study settings. A total of 1038 people were interviewed by a structured questionnaire. The predicting factors of COVID-19 booster dose vaccinations were analyzed by univariate and multivariate analysis. The results showed that 69.4% (95% CI 66.5-72.1) of the population was vaccinated with COVID-19 booster doses. Multiple logistics regression revealed that the female gender (AOR 1.49, 95% CI 1.11-2.00), all age groups from 38 to 60 years old, all education levels of at least secondary school, high income (AOR 1.16, 95% CI 1.15-2.24), populations having experience with COVID-19 infection (AOR 2.27, 95% CI 2.05-3.76), knowledge of vaccine (AOR 1.78, 95% CI 1.11-2.83), and trusting attitude (AOR 1.76, 95% CI 1.32-2.36) were factors among those more likely to take COVID-19 booster dose vaccinations in high-environmental-risk-exposure areas. Therefore, an effective booster dose campaign with education programs to increase attitudes toward booster vaccinations should be implemented for the resilience of COVID-19 prevention and control.

Preventive Behaviors and Influencing Factors among Thai Residents in Endemic Areas during the Highest Epidemic Peak of the COVID-19 Outbreak.

This research aims to investigate COVID-19 preventive behavior and influencing factors among Thai residents during the highest epidemic peak of COVID-19. Nine hundred and forty-six residents in five districts with high COVID-19 infection cases in Thailand were systematically included in this cross-sectional survey. The results showed that 87.2% and 65.2% of the residents had a high level of general knowledge and preventive measures, respectively. As to COVID-19 attitudes, poor levels of attitude among Thai residents were found in risk perception (53.6%) and mistrust issues (70.4%). Moreover, this study presents good preventive behavior (77.0%) among Thai residents. Multiple logistic regression showed that the influence factors of COVID-19 preventive behavior were the young age group (AOR 2.97, 95% CI 1.68-5.25), high income (AOR 1.38, 95% CI 1.03-1.86), and high level of general COVID-19 knowledge (AOR 2.21, 95% CI 1.64-2.96). The conclusion was that providing information on COVID-19 via social media was the key mechanism of policy action for increasing the level of COVID-19 preventive behavior during the highest epidemic peak in Thailand. In addition, the pandemic preparedness and response policy, with resident participation and involvement, could be recommended for the resilience of pandemic preparedness.

The Effects of Personality and Attitude on Risky Driving Behavior Among Public van Drivers: Hierarchical Modeling.

Background: Traffic injuries have become a significant public health problem in low- and middle-income countries. Several studies have examined the role of personality and attitude toward traffic safety in predicting driving behaviors in diverse types of drivers. Few studies have investigated risky behavior among public passenger van drivers. This study aims to identify the predictors of self-reported risky driving behavior among public van drivers. Method: A total of 410 public van drivers were interviewed at terminal stations in Bangkok. Hierarchical regression models were applied to determine the effects of demographics, personality traits, and attitude on self-reported risky driving behaviors. Results: The results indicated that drivers with a high education level, more working days, and high scores for normlessness and anger were more likely to report risky driving behaviors (p < 0.05). Conclusion: The personality traits and attitude toward speeding account for aberrant self-reported risky driving behavior in passenger van drivers. This could be another empirical basis for evidence-based road safety interventions in the context of public transport.

Biogas production by co-digestion of municipal wastewater and food waste: Performance in semi-continuous and continuous operation.

Municipal wastewater has recently attracted interest in relation to anaerobic wastewater treatments. Biogas production with co-digestion of mixed substrates has been proposed and has many potential benefits for municipal wastewater. The aim of this research was to assess the performance of biogas production during co-digestion of municipal wastewater and food waste under semi-continuous and continuous operation with various hydraulic retention times (HRTs). A laboratory-scale continuous stirred tank reactor (CSTR) at room temperature operation (27-32°C) was employed in this research. The highest methane yields of 167.41 ± 66.52, 194.35 ± 85.44, and 214.81 ± 85.44 ml/g-Vs were found in semi-continuous mode, respectively, at 30, 10, and 10 days of HRTs with a 10:90 ratio of municipal wastewater to food waste (based on TS). Result finding of optimum condition (10 days of HRTs) presented a methane yield of 485.58 ± 82.35 ml/g with continuous operation. Hence, food waste has practical implications for use as a co-substrate with the optimization condition of HRT and operation mode for biogas production from municipal wastewater. PRACTITIONER POINTS: Food waste has good potential for use as a co-substrate for biogas production from municipal wastewater. HRT reduction from 30 to 10 days in semi-continuous, biogas production from municipal wastewater and food waste increased by 59%. Co-digestion of municipal wastewater and food waste with continuous mode and 10 days of HRT was the effective biogas production.

The effectiveness of traditional Thai massage versus massage with herbal compress among elderly patients with low back pain: A randomised controlled trial.

OBJECTIVES: To determine the effectiveness of including an herbal compress in a traditional Thai massage regimen for the care of low back pain in the elderly. DESIGN AND METHODS: This study was a randomised controlled trial. The sample consisted of 140 patients suffering from non-specific chronic low back pain, who were randomly assigned to either the TTM (n = 70) or TMH (n = 70) group. The primary outcome was pain intensity (Visual Analogue Scale), and the secondary outcomes were disability, back performance and quality of life. The outcome measurements were assessed at baseline, 6 weeks and 15 weeks. RESULTS: There were no statistically significant differences in the primary and secondary outcomes between the two study groups (p-value > 0.05). Although improvement was observed for both groups in pain intensity, disability, quality of life, and back performance. CONCLUSIONS: There was no additional benefit of including an herbal compress in a regimen of Thai massage for the care of low back pain in the elderly.

The Association between Green Space and the Prevalence of Overweight/Obesity among Primary School Children.

BACKGROUND: Childhood overweight and obesity is a major health problem in many low- and middle-income countries such as Nepal. There is evidence indicating a significant association between health and access to green space. OBJECTIVE: To estimate the prevalence of childhood overweight and obesity, and to identify its association with green space among primary school children in Kathmandu metropolitan city, Nepal. METHODS: A cross-sectional study was conducted on 440 (195 male and 245 female) students studying in selected primary schools of Kathmandu metropolitan city. Mothers/caretakers of the participating children were also studied. RESULTS: Of the 440 children, 13.2% were overweight; 6.8% were obese. 4 of 16 studied variables that had significant associations with overweight/obesity in bivariate analyses, were found independent predictors of overweight/obesity after being adjusted for confounders. They included mode of transportation to school (aOR 2.08, 95% CI 1.12 to 3.88), consumption of sugary snack (aOR 2.57, 95% CI 1.12 to 5.91) and salty/savory snack (aOR 4.13, 95% CI 1.71 to 9.96), and the distance of a green space from child's residence (aOR 27.46, 95% CI 6.10 to 123.54). CONCLUSION: One-fifth of the children in urban schools were found to be overweight or obese. The distance to a green space was identified as the most significant factor influencing childhood overweight/obesity.

Physical and cognitive functions affecting road traffic injuries among senior drivers.

BACKGROUND: The size of elderly populations is growing in most areas of the world. The Thai Eleventh National Economic and Social Development Plan revealed an increase in the elderly, while numbers of younger, working-age adults decreased. Thailand has become an aging society since 2015, which is significant in that senior adults have a higher risk of involvement in motor vehicle accidents and are more susceptible to injuries and fatalities. This study investigated the role of physical and cognitive function with regard to road traffic injury in senior drivers. METHODS: A community survey was carried out among people aged 60 years and older in the villages representing four regions of Thailand. Face-to-face interviews and anthropometric measurements were used to gather data including individual characteristics, medical history, risk behaviors, cognitive function and traffic injury within the last 12 months. Associations between risk factors and injury were assessed by the chi-square tests, and comparison of the cognitive function score between the injury and non-injury groups was identified using the independent t-test. RESULTS: A total of 314 completed questionnaires were used for analysis. Ten percent of respondents had experienced a road traffic injury in the last 12 months. Analysis revealed that level of cognitive function, smoking behavior and been diagnosed with arthritis were associated with road traffic injury incidence in senior drivers (p-value < 0.05). CONCLUSION: Results revealed the potential need for strategies to increase road traffic safety in senior drivers. Special protection should be prioritized for the elderly with physical and cognitive impairment.

Nurses' intention to remain employed in hospitals: Understanding the shortage in the context of Myanmar.

PURPOSE: This study aims to ascertain the rate and identify the factors associated with nurses' intention to remain employed at hospitals in the Yangon Region. METHODS: A cross-sectional descriptive study was conducted among 300 nurses aged between 20 and 60 years working at both private and public hospitals in the Yangon Region during May to June 2015. Chi-square tests were used to identify factor associations, and multiple logistic regression was examined to determine predictive factors. RESULTS: The study revealed that 63.6% of nurses intended to remain employed. Marital status (adjusted odd ratio: 2.22; 95% confidence interval [CI]: 1.05-4.32), work characteristics (adjusted odd ratio: 2.42; 95% CI: 1.33-4.41), job stress and burnout (adjusted odd ratio: 1.77; 95% CI: 1.01-3.11), and recognition (adjusted odd ratio: 1.96; 95% CI: 1.07-3.59) were found to be significant predictors of nurses' intention to remain employed at the hospitals. CONCLUSIONS: Recognition and other nonmonetary incentive support systems should be provided to enhance the retention of nurses at the hospitals.

Prevalence and risk factors of musculoskeletal disorders among Myanmar migrant workers in Thai seafood industries.

A cross-sectional descriptive study was conducted with self-administered questionnaires among 368 Myanmar migrant workers to investigate the prevalence of and to determine the risk factors for musculoskeletal disorders (MSDs) in the Thai seafood industry. The results showed the prevalence of MSDs was 45.1% occurring in the last 7 days. Marital status, number of dependents, other health problems, working hours, repetitive hand movements, awkward posture of wrists, prolonged standing, and manual handling of heavy loads were found to be associated with MSDs. Multiple logistic regression indicated that the workers who were married, had more than two dependents, and had more exposure to awkward wrist postures were at significantly increased risk of MSDs. The study findings suggest the need for adequate knowledge of ergonomics and for awareness campaign programs focusing on prevention of MSDs, especially low back pain, to be initiated in industries for earlier detection of symptoms among seafood processing workers.

Determinants of postnatal service utilisation among mothers in rural settings of Malawi.

The aim of this study was to determine significant predictors for the utilisation of postnatal service among mothers. A total of 295 postnatal mothers were enrolled in a cross-sectional study design undertaken in six health facilities of Lilongwe District using two-stage cluster sampling with a response rate of 100%. The data were collected by interview from December 2012 to January 2013 using a structured questionnaire. The result showed that over half of the mothers (56.6%) utilised postnatal service within 6 weeks after delivery. A stepwise multiple logistic regression was used to determine significant determinants of utilisation of postnatal service among mothers. After adjusting for confounding factors, utilisation of an alternative local source of care in home after delivery [adjusted odds ratio (aOR): 7.77, 95% CI: 4.14-14.58], women's perception on performance of health workforce during delivery and postnatal service (aOR: 6.56, 95% CI: 3.09-13.94), health education before hospital discharge of postnatal mothers (aOR: 4.08, 95% CI: 2.11-7.92), place of delivery (aOR: 4.32, 95% CI: 1.32-14.12), family income (aOR: 1.89, 95% CI: 1.03-3.46) and the occurrence of no complications during delivery (aOR: 1.90, 95% CI: 1.03-3.50) were significantly associated with the utilisation of postnatal service. Hence, this study suggests that improved health workforce performance coupled with effective health education may increase the utilisation of postnatal service. Furthermore, the utilisation of postnatal service may also be increased through reducing home deliveries, delivery complications and the use of alternative local care at home after delivery. Integration of postnatal service in outreach clinics might also assist through reducing the cost of accessing postnatal service among mothers.

Removal of H2S in down-flow GAC biofiltration using sulfide oxidizing bacteria from concentrated latex wastewater.

A biofiltration system with sulfur oxidizing bacteria immobilized on granular activated carbon (GAC) as packing materials had a good potential when used to eliminate H(2)S. The sulfur oxidizing bacteria were stimulated from concentrated latex wastewater with sulfur supplement under aerobic condition. Afterward, it was immobilized on GAC to test the performance of cell-immobilized GAC biofilter. In this study, the effect of inlet H(2)S concentration, H(2)S gas flow rate, air gas flow rate and long-term operation on the H(2)S removal efficiency was investigated. In addition, the comparative performance of sulfide oxidizing bacterium immobilized on GAC (biofilter A) and GAC without cell immobilization (biofilter B) systems was studied. It was found that the efficiency of the H(2)S removal was more than 98% even at high concentrations (200-4000 ppm) and the maximum elimination capacity was about 125 g H(2)S/m(3)of GAC/h in the biofilter A. However, the H(2)S flow rate of 15-35 l/h into both biofilters had little influence on the efficiency of H(2)S removal. Moreover, an air flow rate of 5.86 l/h gave complete removal of H(2)S (100%) in biofilter A. During the long-term operation, the complete H(2)S removal was achieved after 3-days operation in biofilter A and remained stable up to 60-days.