scholarly journals Health Status and Barriers to Healthcare Access among “Son-in-Law Westerners”: A Qualitative Case Study in the Northeast of Thailand

Author(s):  
Sataporn Julchoo ◽  
Nareerut Pudpong ◽  
Mathudara Phaiyarom ◽  
Pigunkaew Sinam ◽  
Anon Khunakorncharatphong ◽  
...  

The northeast of Thailand is well-known as a popular destination where many male Westerners marry Thai women and settle down there. However, little is known about their health and well-being. This study aims to explore the Western husbands’ health status and identify barriers hindering their healthcare access. A qualitative case study was conducted from November 2020 to May 2021. In-depth interviews and focus group discussions with 42 key informants who were involved with social and health issues among these expatriates were carried out. The social determinants framework was adapted for guiding the interviews. Data were triangulated with field notes, document reviews, and researchers’ observations. Inductive thematic analysis was applied. Results showed that most male expatriates who married Thai women in the northeast were in their retirement years and had non-communicable diseases, health risk behaviors, and mental health problems. Most of them did not purchase health insurance and held negative impressions toward Thai public hospitals’ quality of care, which was denoted as the main barrier to accessing healthcare services. Other significant barriers consisted of high treatment costs commonly charged by private hospitals and language issues. While the improvement of healthcare quality and the provision of friendly health services are important, public communication with foreign residents, especially male expatriates, is recommended to increase understanding and improve perceptions of the Thai healthcare systems. A regular population-based survey on the health and well-being of expatriates in Thailand, a cost study of a health insurance package, a survey study on willingness to pay for health insurance premiums, and a feasibility survey exploring the opportunity to establish either voluntary or compulsory health insurance among this group should be undertaken.

2021 ◽  
Vol 3 (2) ◽  
pp. 161-176
Author(s):  
Kellie Schneider ◽  
Diana Cuy Castellanos ◽  
Felix Fernando ◽  
Jeanne A. Holcomb

Food deserts, areas in which it is difficult to obtain affordable, nutritious food, are especially problematic in low-income neighbourhoods. One model for addressing food hardship and unemployment issues within low-income food deserts is a cooperative grocery store. Through the cooperative model, the grocery store can serve as a cornerstone to address socio-economic marginalisation of low-income neighbourhoods and improve the health and well-being of its residents. It is important for communities and policymakers to be able to assess the effectiveness of these types of endeavours beyond traditional economic factors such as profitability. This article uses a systems engineering approach to develop a framework for measuring the holistic impact of a cooperative grocery store on community health and well-being. This framework encompasses values that characterise the relationship between food retail, economic viability and social equality. We develop a dashboard to display the key metrics for measuring the economic, social and environmental indicators that reflect a grocery store’s social impact. We demonstrate the usefulness of the framework through a case study of a full-service cooperative grocery store that is planned within the city of Dayton, OH.


Author(s):  
Mukul Dayaramani

Air pollution is a very serious problem worldwide. Anthropogenic air pollution is mostly related to the combustion of various types of fuels. Air pollutant levels remain too high and air quality problems are still not solved. The presence of pollutants in the air has a harmful effect on the human health and the environment. Good air quality is a prerequisite for our good health and well-being. Nagpur city is located in Maharashtra state of central India. Business hub and increased industrialization in study area is affecting the environment adversely. n. Changing life style of corporate community and their effects on other population enhancing the contamination of environment


2018 ◽  
Vol 61 (1) ◽  
pp. 33-54 ◽  
Author(s):  
Jennifer Bond ◽  
Kennedy Mkutu

Abstract:Human–wildlife conflict (HWC) is often considered in terms of how the impact on humans can be mitigated, but in the context of the larger goal of meeting conservation goals. This article explores the hidden costs of HWC on human well-being in northern Kenya through a qualitative case study of Laikipia County. Drawing on narratives of wildlife as destructive, wildlife as inherently more important or valuable than humans, and wildlife preservation as a pathway for capturing resources, it explores the impacts of HWC on human well-being, situating the study within the HWC, political ecology, and human security literature.


Author(s):  
Madison Augustine ◽  
Lori Andersen Spruance ◽  
J. Mitchell Vaterlaus

Dietary intake is influenced by multiple systems, as highlighted in the Social- Ecological Model, including community influences like community programs. In this context, parks and recreation administrators may have a role in the types of snacks and beverages provided during youth sports. The current study focused on understanding park administrators’ experiences relative to the youth sports environment, including their responsibility and influence on the food environment. This was an exploratory qualitative case study conducted in Utah. Semi-structured interviews with parks and recreation administrators were completed via phone by a research assistant. A qualitative case study analysis was conducted by two researchers. In addition to the interviews, the websites of all the park and recreation sites were searched and phone calls were made to check physical locations for nutrition fliers/information. Three themes emerged through qualitative case study analysis. The first theme was the administrators’ role in the youth parks and recreation activities. The second theme was the administrators’ awareness of the food environment within youth sports. The final theme was the administrators’ role in influencing more nutritious snacks at these youth sporting activities. The results from this case study suggest that the parks and recreation administrators within Utah valued the importance of nutritional snacks and beverages within youth sporting activities and were supportive of the food environment improving. Several of the parks and recreation administrators in this study agreed that their further involvement (i.e., guidelines on snacks and beverages) in the youth sports food environment could improve the environment and better effect youth who are participating, thus enhancing opportunities to improve overall health and well-being. The results from this study show that administrators could bring awareness to youth sports nutrition and support guidelines for the types of snacks and beverages brought to youth sporting activities. Administrators could work with dietitians to develop information that would be appropriate to distribute to youth sports participants and parents. Providing information about what kinds of snacks to bring has the possibility to improve the conditions of the youth sports food environment. Additionally, consideration for policy changes in youth sports and recreation center facilities could be explored.


2021 ◽  
pp. 81-97
Author(s):  
Richard W. Benfield

Abstract In this chapter the motivations of garden visiting are explored at a deeper level, into the realm of psychology and psychological drivers to gardens. This research area is called "semiotics". It is suggested that examination of the five senses would be a major indicator of semiotics as much of what a tourist experiences or displays would be recorded through the five human senses. Moreover, the five senses lead to a realization of happiness which is what tourism seeks and indeed what the human species ultimately wishes. A case study is presented of semiotics research conducted in the Queens Botanical Garden, Flushing, New York, USA. The literature that links gardens (and gardening) to human health and well-being is also reviewed.


2019 ◽  
Vol 8 (4) ◽  
pp. 325-344
Author(s):  
Trista Hollweck

PurposeThe purpose of this paper is to report on a qualitative case study that examined the potential benefits, challenges and implications of the mentor–coach (MC) role as a supportive structure for experienced teachers’ well-being and sense of flourishing in schools.Design/methodology/approachThe qualitative case study used data collected from surveys, interviews, focus groups and documentation. Data were coded and abductively analyzed using the “framework approach” with and against Seligman’s well-being PERMA framework. In order to include an alternative stakeholder perspective, data from a focus group with the district’s teacher union executive are also included.FindingsUsing the constituting elements of Seligman’s well-being (PERMA) framework, experienced teachers reported positive emotion, engagement, positive relationships, meaning and accomplishment from their MC experience. However, the MC role is not a panacea for educator well-being. Rather, the quality and effectiveness of the mentoring and coaching relationship is a determining factor and, if left unattended, negative experiences could contribute to their stress and increased workload.Research limitations/implicationsThe data used in this study were based on a limited number of survey respondents (25/42) and the self-selection of the interview (n=7) and focus group participants (n=6). The research findings may lack generalizability and be positively skewed.Originality/valueThis study contributes to the current lack of empirical research on the MC experience and considers some of the wider contextual factors that impact effective mentoring and coaching programs for educators.


BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e028336 ◽  
Author(s):  
Yves Jackson ◽  
Delphine S Courvoisier ◽  
Aline Duvoisin ◽  
Giovanni Ferro-Luzzi ◽  
Patrick Bodenmann ◽  
...  

IntroductionMigrants without residency permit, known as undocumented, tend to live in precarious conditions and be exposed to an accumulation of adverse determinants of health. Only scarce evidence exists on the social, economic and living conditions-related factors influencing their health status and well-being. No study has assessed the impact of legal status regularisation. The Parchemins study is the first prospective, mixed-methods study aiming at measuring the impact on health and well-being of a regularisation policy on undocumented migrants in Europe.Methods and analysisThe Parchemins study will compare self-rated health and satisfaction with life in a group of adult undocumented migrants who qualify for applying for a residency permit (intervention group) with a group of undocumented migrants who lack one or more eligibility criteria for regularisation (control group) in Geneva Canton, Switzerland. Asylum seekers are not included in this study. The total sample will include 400 participants. Data collection will consist of standardised questionnaires complemented by semidirected interviews in a subsample (n=38) of migrants qualifying for regularisation. The baseline data will be collected just before or during the regularisation, and participants will subsequently be followed up yearly for 3 years. The quantitative part will explore variables about health (ie, health status, occupational health, health-seeking behaviours, access to care, healthcare utilisation), well-being (measured by satisfaction with different dimensions of life), living conditions (ie, employment, accommodation, social support) and economic situation (income, expenditures). Several confounders including sociodemographic characteristics and migration history will be collected. The qualitative part will explore longitudinally the experience of change in legal status at individual and family levels.Ethics and disseminationThis study was approved by the Ethics Committee of Geneva, Switzerland. All participants provided informed consent. Results will be shared with undocumented migrants and disseminated in scientific journals and conferences. Fully anonymised data will be available to researchers.


2019 ◽  
Vol 11 (3) ◽  
pp. 327-339 ◽  
Author(s):  
Graeme T. Laurie

Abstract Discussion of uses of biomedical data often proceeds on the assumption that the data are generated and shared solely or largely within the health sector. However, this assumption must be challenged because increasingly large amounts of health and well-being data are being gathered and deployed in cross-sectoral contexts such as social media and through the internet of (medical) things and wearable devices. Cross-sectoral sharing of data thus refers to the generation, use and linkage of biomedical data beyond the health sector. This paper considers the challenges that arise from this phenomenon. If we are to benefit fully, it is important to consider which ethical values are at stake and to reflect on ways to resolve emerging ethical issues across ecosystems where values, laws and cultures might be quite distinct. In considering such issues, this paper applies the deliberative balancing approach of the Ethics Framework for Big Data in Health and Research (Xafis et al. 2019) to the domain of cross-sectoral big data. Please refer to that article for more information on how this framework is to be used, including a full explanation of the key values involved and the balancing approach used in the case study at the end.


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