[Show abstract][Hide abstract] ABSTRACT: Next week, the UN General Assembly will call on member states to bid farewell to the Millennium Dewvelopment Goals andadopt 17 new Sustainable Development Goals.
The Lancet 06/2015; 386(9999). DOI:10.1016/S0140-6736(15)60497-4 · 45.22 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: This study examined the predictors of intention to use HIV counseling and testing (HCT) services among those who had never used HCT services in a sample of 2,536 Thai youth in Bangkok (ages 15-24). Web-based questionnaires included assessments of HIV knowledge, HIV testing attitude, AIDS stigma, and youth-friendly HCT (YFHCT) service expectation. More than 80% of the sexually experienced youth had never used HCT services but among this group 74.06% reported having intentions to do so. The significant predictors consisted of favorable expectations of YFHCT services (p < .001), positive attitude toward HIV testing (p < .005), perceived high risk for HIV infection (p < .01), having multiple sex partners while also using condoms consistently (p < .01), willingness to pay (p < .001), and being informed about HCT and knowing service locations (p < .001). Policy makers, as well as health promotion program developers and researchers can use these findings to increase intention and use of HCT services among at-risk youth.
AIDS education and prevention: official publication of the International Society for AIDS Education 04/2015; 27(2):139-152. DOI:10.1521/aeap.2015.27.2.139 · 1.51 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Background
Early diagnosis of breast cancer leads to early treatment therefore improving women's health. However, most Thai women are diagnosed at a late stage.
This cross-sectional correlational study was designed to explore factors influencing the diagnosis of early stage breast cancer in Thai women.
Thai women (n = 400) newly diagnosed breast cancer at all clinical stages from public hospitals in Bangkok Metropolitan completed a questionnaire about knowledge of breast cancer and screening. The questionnaire addressed pre-diagnosis data about: (1) health care provider's recommendations to undertake breast screening, (2) health coverage for mammography (MM) costs and (3) regularity of breast screening behaviors in terms of breast self-examination (BSE), clinical breast examination (CBE) and MM including stage breast cancer at diagnosis. Data analysis was determined by PASW Statistics version 18 as univariate and multivariate logistic regression.
Health coverage for MM costs and all three behaviors were significantly related to and could predict the early stages breast cancer at diagnosis (p < 0.05): health coverage for MM costs (OR = 0.32, 95% confidence interval [CI], 0.17–0.63), BSE (OR = 8.08, CI 95%, 3.93–16.63), CBE (OR = 12.54, CI 95%, 2.29–68.65) and MM (OR = 5.89, CI 95%, 1.13–30.73).
All three behaviors are essential and related to one another. CBE on a regular basis is the best predictor for early stages breast cancer at diagnosis in Thai context. Nurses should provide information and teach including re-check the women's skills to perform BSE regularly.
Collegian Journal of the Royal College of Nursing Australia 03/2014; 21(1):11–20. DOI:10.1016/j.colegn.2012.11.005 · 1.18 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Aim
This study examined factors influencing functional recovery, including neurological and psychological function and activity of daily living (ADL), in individuals hospitalized with acute ischemic stroke.
A prospective observational study was undertaken in a sample of 141 hospitalized adults with acute ischemic stroke in three hospitals in metropolitan Bangkok and one in regional Thailand. Sociodemographic and clinical data were collected using a standardized questionnaire. Co-morbidity burden was assessed using the Charlson Co-morbidity Index-Modified-Thai version (CCI-T) and acute stroke care services usage using the Measurement of Acute Stroke Care Services Received form. Recovery of neurological function was measured by the National Institutes of Health Stroke Scale-Thai (NIHSS-T), and ADL function was measured by the Modified Barthel Index Measurement-Thai Version (BI-T). Psychological function was assessed using the Center for Epidemiologic Studies Depression Scale-Thai version (CES-D-T). Multivariate logistic regression was used to analyze the predictive ability of pre-specified variables.
Receiving thrombolytic therapy was a significant predictor of functional recovery in terms of neurological (OR = 4.714; P = .004) and ADL functions on the day of discharge (OR = 5.408; P = .002). Accessing acute stroke care service was the only factor predicting improved psychological function on hospital discharge (OR = 1.312; P = .049).
The best predictor for physical functional recovery was receiving thrombolytic therapy. In addition, acute stroke care services demonstrated to have an association with psychological function.
Collegian Journal of the Royal College of Nursing Australia 12/2013; 20(4):207–213. DOI:10.1016/j.colegn.2012.09.002 · 1.18 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: To describe the contributing factors for pressure ulcer development in older Thai stroke patients in an urban community.
Pressure ulcers are a common problem signifying a source of morbidity and mortality in older stroke patients. In the past, most studies have focused on the physiological factors affecting pressure ulcer development. However, studies related to effect of stroke severity and psychosocial factors in community-based setting have not found.
Cross-sectional survey design.
One hundred and sixty-eight older stroke patients from urban communities in three districts in metropolitan Thailand were recruited for this cross sectional study. Data were collected from the Skin Assessment Tool, the Braden scale, the Canadian Neurological Scale, the Social Support Questionnaire and the Thai Geriatric Depression Scale for each patient. The results were analysed using multiple logistic regression and the chi-square test.
Eighty older stroke patients who developed pressure ulcers (47·6%). The participants were aged between 60-93 years. Multiple logistic regression analysis was applied to calculate the odds ratio. The significant predicting factors for pressure ulcers were activity, moisture, nutrition, friction and shearing and depression. Sensory perception, mobility, severity of stroke and social support were not found to be significant predictors.
Physiological factors and depression were found to be significant predicting factors for pressure ulcer development in older stroke patients living in an urban community.
To help prevent pressure ulcers in older stroke patients, the findings suggest that healthcare providers assess activity, moisture, nutrition, friction and shearing, as well as psychological assessment for depression. The results indicate that models for pressure ulcer prevention merit further investigation.
[Show abstract][Hide abstract] ABSTRACT: The International Council on Women's Health Issues (ICOWHI) is an international nonprofit association dedicated to the goal of promoting health, health care, and well-being of women and girls throughout the world through participation, empowerment, advocacy, education, and research. We are a multidisciplinary network of women's health providers, planners, and advocates from all over the globe. We constitute an international professional and lay network of those committed to improving women and girl's health and quality of life. This document provides a description of our organization mission, vision, and commitment to improving the health and well-being of women and girls globally.
Health Care For Women International 10/2011; 32(10):870-86. DOI:10.1080/07399332.2011.603872 · 0.63 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Chronic illness is of concern to health care systems globally. Although a significant evidence base supports the concept of nurse-led interventions, less data is available to address unique features of health care systems in the developing world.
The purpose of this study aimed to undertake preliminary testing of an intervention of nurse-led community care program, the Network Collaborative Action Plan (N-CAP), to assess the impact on disease severity and patient satisfaction.
A quasi-experimental study, using historical controls, evaluated a collaborative nurse-led intervention to promote coordination and continuity of care for patients with chronic illness.
Participants, diagnosed with chronic obstructive lung disease (COPD), coronary heart disease (CHD) and chronic heart failure (CHF) were recruited. Prospective consecutive patient meeting the study criteria (n=47) were assigned into the control group and following development and implementation of the intervention eligible consenting patients were enrolled in the experimental group (n=44). Participants in the experimental group had significantly tower scores on severity of disease measurements during the third week (F = 4.61, p = 0.035) and the eighth week hospital (F = 4.30, p = .041) following hospital discharge than those in the control group. Participants in the experimental group expressed significantly higher scores on satisfaction with community care than those in the control group.
A nurse-led, collaboratively developed program has potential to improve satisfaction and decrease symptom development in people with chronic illnesses in Thailand.
Collegian Journal of the Royal College of Nursing Australia 07/2010; 17(2):93-9. DOI:10.1016/j.colegn.2010.05.003 · 1.18 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Most researchers studying sex work have focused on the risks of sexually transmitted diseases, predominantly HIV, for sex workers, their clients, and subsequent partners. Violence against these women often goes undocumented and unnoticed. Consequently, few researchers have addressed violence against sex workers, and these few have generated limited evidence about the nature of violence from the sex-worker perspective--especially the street sex worker perspective. In this study, we used qualitative methods to explore characteristics of violence against street sex workers and how violence influences personal and societal health risks. The participants were 28 female street sex workers. The data were collected through in-depth interviews with 23 women, one focus group with 5 women, and observations of these women in their working and social environment. The results revealed that violence against sex workers can be clustered into three categories, threat to their life and health, threat to control of work and financial security, and finally, threat to humanity. Because they are disadvantaged, and engage in illegal employment, theses women were trapped in a circle of threats. To reduce violence, sex work should be decriminalized along with strategies to decrease poverty and social inequality. A special agency needs to be established to protect the rights and safety of sex workers.
Health Care For Women International 04/2009; 30(3):249-69. DOI:10.1080/07399330902733281 · 0.63 Impact Factor