Demographic variables in fetal and child mortality: Hmong in Thailand

Kunstadter, Peter; Kunstadter, Sally Lennington; Podhisita, Chai; Leepreecha, Prasit

doi:10.1016/0277-9536(93)90231-r

Cited by 12 publications

(2 citation statements)

References 25 publications

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“…This phenomenon may be explained as follows. Kunstadter et al (1993) reported that the usage of modern medical care for birth/delivery among Hmong hill-tribe women in northern Thailand was much lower than that of their ethnic Thai counterparts. However, this phenomenon did not affect the child survival among Hmong population due to their customs (e.g., usage of chicken herb soup therapy; (Cwengaukel, 2017; Kunstadter et al, 1993) and indigenous knowledge (e.g., usage of medicinal plants; Srithi et al, 2012), which act to protect the health of mother and child.…”

Section: Discussionmentioning

confidence: 99%

Association between Health Insurance and Incidence of Death in Stateless Children in Tak Province, Thailand

Barua

Narattharaksa

2020

Journal of Health Management

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This study assesses the association between health insurance and incidence of death in stateless children compared with uninsured children in Tak Province in Thailand. The study used electronic medical records of children aged between 0 and 15 who registered with selected health facilities between 01 January 2013 and 31 December 2017. The required data was obtained from ‘43-files database’ through the Provincial Public Health Office. The death case was used as a binary outcome variable while the exposure was three types of insurance: uninsured, stateless and the Universal Coverage Scheme (UCS). The age, sex and domicile of the children were used as covariates in the multivariate logistic regression. Of 164,435 registered children, 824 death cases were found during the study period. The study results suggest that insurance is associated with the reduced risk of deaths in stateless children. The odds of death is 86 per cent lower in the stateless insurees than in the uninsured children (adjusted odds ratio [AOR] = 0.242, 95% confidence interval [CI] = [0.136,0.403]; p < 0.001). The death is 69 per cent lower in the UCS beneficiaries than in the uninsured children (AOR = 0.385,95 per cent CI = [0.308,0.489]; p < 0.001). Age, sex and domicile of the children were independently associated with a varying risk of death.

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Section: Discussionmentioning

confidence: 99%

Association between Health Insurance and Incidence of Death in Stateless Children in Tak Province, Thailand

Barua

Narattharaksa

2020

Journal of Health Management

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“…The study also found that the Karen and Kmong tribes had a greater chance of death than the Yao. This may be due to their socio-economic status, which limits access to health care and causes them to be vulnerable to disease infections [ 25 – 27 ]. Karen and Kmong also widely use traditional medicine [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

A 20-year retrospective cohort study of TB infection among the Hill-tribe HIV/AIDS populations, Thailand

Apidechkul

2015

BMC Infect Dis

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BackgroundA retrospective cohort study was conducted to determine the situation, trend, and factors associated with TB infection, and factors related to the life status among the HIV/AIDS Hill-tribe in Northern Thailand. Hill-tribe people have been migrating to and formed settlements along the Thai border areas for many decades. There are now having 1.6 million people of 6 different groups–Akha, Lahu, Lisu, Hmong, Yao and Keren–each with a specific culture, language and lifestyle. The Hill-tribe becomes a new vulnerable of HIV and TB infections in Thailand.MethodsA systematic data-reviewing approach was used to identify the information from the rosters of ARV clinics, OPD cards, and laboratory reports from 16 hospitals in Chiang Rai Province, Thailand. The data were collected from the first reported HIV/AIDS case of the Hill-tribe to the end of 2010. A chi-square test and logistic regression models were used to identify associations at the significance level of alpha = 0.05.ResultsA total of 3,130 cases were included in the study. The majority of patients were Akha (46.0 %) followed by Lahu (19.7 %), 54.6 % were males, 44.6 % were 26–35 years old. The major risk factor of HIV infection was sexual intercourse (93.1 %); 23.9 % were still alive at the date of data collection, 30.7 % were diagnosed with pulmonary TB. The Akha Hill-tribe HIV/AIDS individuals had a greater chance of TB infection than did Yao individuals with ORadj = 1.50 (95 % CI = 1.01-1.92). Females had a greater chance of TB infection than males with ORadj = 1.33 (95 % CI = 1.11-1.59); being classified as HIV and AIDS groups had a greater chance of TB infection than those asymptomatic group with ORadj = 11.59 (95 % CI = 7.19-18.71), and ORadj = 1.71 (95 % CI = 1.03-2.87); and not having received the ARV group had a greater chance of TB infection than those who having received the ARV group with ORadj = 2.59 (95 % CI = 2.09-3.22). The patients who had been diagnosed with HIV infection during 1990–1995 and 1996–2000 had less chance of TB infection than those who were diagnosed from 2006–2010, with ORadj = 0.04 (95 % CI = 0.01-0.14) and 0.11 (95 % CI = 0.07-0.17), respectively. Regarding life status; females had a better chance of being still alive at the date of data collection than being males with ORadj = 1.41 (95 % CI = 1.19-1.66). Those who had a defined route of transmission in the category of “mother-to-child” and “IDU” had a better chance of being still alive compared to those who contracted HIV from “sexual intercourse,” with ORadj = 2.05 (95 % CI = 1.56-2.18), and ORadj = 8.45 (95 % CI = 1.55-46.13), respectively.ConclusionsThailand needs to create a TB and HIV/AIDS surveillance system for Hill-tribe populations to determine the situation and trend and to develop an appropriate model for providing care at the earlier stage of HIV/AIDS infection to prevent later TB infection.

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