The findings show that the Thai version of the Mini-Cog is a reliable, performance-based tool in the screening for cognitive function in primary care settings in Thailand. It is recommended that it could be used as a new cognitive screening test for the aging population in the Thai community.
Hypertension is a significant public health issue considered as the world's biggest killer among the working-age group. Health workers are one of the working groups who are facing several factors in their lives that could induce hypertension among them. Nevertheless, there is a lack of information about hypertension among Nepalese health workers. Therefore, this cross-sectional study aimed to determine the prevalence and factors associated with hypertension among health workers of central hospitals in Nepal. A total of 422 health workers aged ≥30 years from seven central hospitals of Nepal were selected using a proportionate stratified systematic random sampling method. Information regarding characteristics (socio-demographic, clinical, behavioral, occupational, and perceived stress) of participants were obtained by face to face interviews using a questionnaire after getting informed written consent. Participant's blood pressure and body mass index were measured based on the World Health Organization STEP Surveillance Manual. Binary logistic regression model was used to identify the associated factors of hypertension. The prevalence of hypertension was 35.31% (95% CI: 30.70%-40.10%). After controlling potential confounding factors through multivariate analysis, seven factors (increasing age, low educational level, being married, low fruit & vegetable consumption, low physical activity, alcohol use, and increased perceived stress) were found as significant independent predictors of hypertension. In conclusion, hypertension is highly prevalent among Nepalese health workers. Effective behavioral change interventions and routine health screening programs focusing on hypertension should be implemented to control hypertension among this neglected group, Nepalese health workers. Keywords: Health Workers, Hypertension, Perceived stress, Physical activity, Prevalence, Nepal
Background: In Myanmar, formerly known as Burma, conflicts between ethnic minorities, the government, and the military have been ongoing for decades. Enduring unrest has caused thousands to flee to the region around Mae Sot, a city on Thailand’s western border. Women around the world assume a combination of reproductive and productive responsibilities, and during situations of armed conflict and displacement, conditions for women often worsen. This study investigated the parenting experiences of female migrants from Myanmar living in protracted refugee situations in Mae Sot. Methods: This research was part of a mixed-methods international comparative study on the experiences of parenting in adversity. In this analysis, 62 first-person qualitative narratives shared by migrant mothers in the Thailand–Myanmar border region were inductively analyzed using the Qualitative Analysis Guide of Leuven method. Results: The results highlight how migrant mothers undertake significant reproductive responsibilities, such as breastfeeding and child-rearing, as well as productive responsibilities, including paid labour in the agricultural, formal, and informal sectors. In order to care and provide for their families, female migrants in the Thailand–Myanmar border region utilized four childcare strategies: caring for children while working, caring for children instead of working, dispersing responsibilities amongst extended family members and children, and delegating reproductive responsibilities to formal and non-familial caretakers. Conclusions: Most mothers shared stories in which they or their immediate family members cared for their children, rather than depending on neighbours or formal childminders. Female migrants may face challenges locating desirable work that is compatible with childcare, rendering certain childcare arrangement strategies more prevalent than others. Further research could elucidate these challenges and how opportunities for gainful employment that are conducive to childcare can be generated for women living in protracted refugee situations.
Purpose-The purpose of this paper is to investigate the prevalence and factors related to cognitive impairment among hill-tribe older people in Chiang Rai province, Thailand. Design/methodology/approach-A cross-sectional study was carried out amongst 459 hill-tribe older people aged 60 years and above. A Mini Mental State Examination (MMSE) Thai 2002 version was used for cognitive screening. A questionnaire and medical records were used for demographic and clinical data collection while descriptive statistics were used to analyze characteristic data. Potential factors related to cognitive impairment were analyzed by using univariate logistic regression analysis. Findings-The prevalence of cognitive impairment amongst the participants was 49.89 percent (95% CI 45.32%, 53.47 percent). Factors related to cognitive decline included no occupation (OR ¼ 1.49, 95% CI 1.10-2.03, po 0.04) and a history of amphetamine use (OR ¼ 1.57, 95% CI 1.09-2.33, p o0.04). Originality/value-Cognitive decline should be a cause for concern amongst Thai hill-tribe older people, especially amongst those in the group with a history of amphetamine use. However, Thai health care professionals need to be aware of the potential cultural bias in the MMSE Thai 2002 version as a cognition test targeted at the hill-tribe population as the questionnaire may not provide a true reflection of their cultural experience and background.
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