Introduction: The study aimed to estimate the prevalence of tuberculosis (TB) and to assess the quality of life and depression among the migrant workers in northern Thailand. Methodology: A cross-sectional study was conducted to elicit information among migrant workers in Chiang Rai and Pha Yao provinces, northern Thailand. Several standard forms including GeneXpert were used for data collection. A simple random sampling was used to select the companies and the study sample. Interview was conducted in a confidential room. Chi-square was used to detect the association between variables at the significant level α = 0.05. Results: Totally 467 migrant workers were recruited into the study, 97.9% were Myanmar national, 55.7% were males, and 51.4% were aged > 32 years. Only 2.1% were living in Thailand illegally, 23.8% had no health insurance, and 92.1% had monthly income at < 20,000 baht. Eight cases (1.71%) were at risk of TB disease from the screening, only one case was positive for TB disease from GeneXpert, and no multi-drug resistant detected. 47.5% had a low level of knowledge and 28.7% had a negative attitude on TB prevention and care. 10.7% were in a moderate to severe stage of depression. Six variables were found the significant associated with quality of life; ethnicity, sex, marital status, income, length of working in Thailand, and insurance. Conclusions: Besides active TB surveillance system, inter-country public health policy should be developed to cope with depression problem and improve quality of life among the migrant in Thailand
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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