scholarly journals Factors Related to Health Risk Communication Outcomes among Migrant Workers in Thailand during COVID-19: A Case Study of Three Provinces

2021 ◽  
Vol 18 (21) ◽  
pp. 11474
Author(s):  
Ratchadaporn Papwijitsil ◽  
Hathairat Kosiyaporn ◽  
Pigunkaew Sinam ◽  
Mathudara Phaiyarom ◽  
Sataporn Julchoo ◽  
...  
Keyword(s):  
Public Health ◽  
Health Risk ◽  
Risk Communication ◽  
Health Information ◽  
Migrant Workers ◽  
Cluster Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Measures ◽  
Preventive Practices

Coronavirus disease 2019 (COVID-19) is a newly emerging infectious disease, and risk communication is one of several public health emergency responses. During the pandemic, many migrant workers in Thailand experienced barriers that hamper access to health information. This study aims to explore factors related to the outcomes of health risk communication, including awareness of public health measures and preventive practices. We conducted a cross-sectional survey on migrants between January and April 2021 using cluster sampling in Phuket, Ranong, and Samut Sakhon. In the descriptive analysis, we presented the median, proportion, and ratio, while in the inferential analysis, we employed a logistic regression with robust standard errors. Although a total of 303 participants were initially included in this study, the final number was narrowed down to 288 samples due to insufficient information required for the analysis. Frequent reception of health information and primary school education showed a statistically significant association with preventive practices. Middle-aged migrant workers demonstrated a significantly lower level of preventive practices than younger migrant workers. A longer stay in Thailand was significantly related to a lower degree of awareness toward public health measures. Thus, it is necessary to promote the accessibility of health information among migrant workers in Thailand, especially those who have lived in Thailand for more than eight years, are older, and have no formal education.

scholarly journals Knowing is Not Enough: Migrant Workers’ Spouses Vulnerability to HIV

2017 ◽  
Vol 13 (1) ◽  
pp. 9-15 ◽  
Author(s):  
N Aryal ◽  
PR Regmi ◽  
E V Teijlingen ◽  
D Dhungel ◽  
G Ghale ◽  
...  
Keyword(s):  
Hiv Risk ◽  
Migrant Workers ◽  
Good Knowledge ◽  
Cluster Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Rural Villages ◽  
Younger Women ◽  
Increased Risk ◽  
And Migration

Introduction: Male migrants and their sexual partners at home are at increased risk of STIs (Sexually Transmitted Infections) including HIV (Human Immunodeficiency Virus). We aimed to assess the knowledge and attitudes of migrants’ wives regarding HIV and STIs, and to understand risk perception of HIV due to their husbands’ sexual behaviour. Methodology: A cross-sectional survey among 182 migrants’ wives was conducted in two rural villages of Chitwan district in Nepal. The participants were selected through multistage cluster sampling method and data were collected through a questionnaire administered through a face-to-face interview. Results: Nearly all (94%) of migrants’ wives had a good knowledge of HIV, however with some misconceptions. More than two-thirds of the participating migrants’ wives were aware about the risk of HIV infection in migrant husbands and subsequent risk of transmitting themselves through sexual intercourse. Nearly half of the participants reported inability to ask their husbands about HIV and STIs even if they had their doubts. Knowledge of HIV and HIV risk associated with migration were statistically significantly higher in younger women, those who were literate and the longer the period of their husbands’ migration. Conclusion: Despite having generally a good knowledge and awareness of HIV and migration induced HIV risk; migrants’ wives could not discuss sexual health issues with their husbands, thus increasing their vulnerability to HIV and STIs.SAARC J TUBER LUNG DIS HIV/AIDS, 2016; XIII(1), page: 9-15

scholarly journals The role of risk communication in public health interventions. An analysis of risk communication for a community quarantine in Germany to curb the SARS-CoV-2 pandemic

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256113
Author(s):  
Juliane Scholz ◽  
Wibke Wetzker ◽  
Annika Licht ◽  
Rainer Heintzmann ◽  
André Scherag ◽  
...  
Keyword(s):  
Public Health ◽  
Risk Communication ◽  
Public Health Intervention ◽  
Health Interventions ◽  
Successful Implementation ◽  
Public Health Interventions ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Information Level ◽  
Public Health Authorities

Background Separating ill or possibly infectious people from their healthy community is one of the core principles of non-pharmaceutical interventions. However, there is scarce evidence on how to successfully implement quarantine orders. We investigated a community quarantine for an entire village in Germany (Neustadt am Rennsteig, March 2020) with the aim of better understanding the successful implementation of quarantine measures. Methods This cross-sectional survey was conducted in Neustadt am Rennsteig six weeks after the end of a 14-day mandatory community quarantine. The sample size consisted of 562 adults (64% of the community), and the response rate was 295 adults, or 52% (33% of the community). Findings National television was reported as the most important channel of information. Contact with local authorities was very limited, and partners or spouses played a more important role in sharing information. Generally, the self-reported information level was judged to be good (211/289 [73.0%]). The majority of participants (212/289 [73.4%]) approved of the quarantine, and the reported compliance was 217/289 (75.1%). A self-reported higher level of concern as well as a higher level of information correlated positively with both a greater acceptance of quarantine and self-reported compliant behaviour. Interpretation The community quarantine presented a rare opportunity to investigate a public health intervention for an entire community. In order to improve the implementation of public health interventions, public health risk communication activities should be intensified to increase both the information level (potentially leading to better compliance with community quarantine) and the communication level (to facilitate rapport and trust between public health authorities and their communities).

scholarly journals Household Preparedness and Preferred Communication Channels in Public Health Emergencies: A Cross-Sectional Survey of Residents in an Asian Developed Urban City

2018 ◽  
Vol 15 (8) ◽  
pp. 1598 ◽  
Author(s):  
Greta Tam ◽  
Zhe Huang ◽  
Emily Chan
Keyword(s):  
Public Health ◽  
Infectious Disease ◽  
Hong Kong ◽  
Risk Communication ◽  
Disaster Preparedness ◽  
Disease Surveillance ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Urban City ◽  
Household Preparedness

Disaster awareness and household preparedness are crucial for reducing the negative effects of a disaster. This study aims to examine the citizens’ preparedness level in the event of a general disaster or outbreak of infectious disease and to identify suitable channels for community disease surveillance and risk communication. We used a stratified random design to conduct a digit-dialed telephone survey in Hong Kong during February 2014. Level of disaster preparedness was examined according to the possession of disaster kit items. Associations between socio-demographic factors and good household preparedness were assessed using multiple logistic regression models. Preferences for infectious disease surveillance were collected and analyzed. There were 1020 respondents. Over half of the respondents (59.2%) had good household preparedness. After adjustment, female respondents, having higher education and higher household income were significantly associated with good household preparedness. Television and telephone were the preferred channels to obtain and report infectious disease information, respectively. In conclusion, general and specific infectious-disease household preparedness levels in Hong Kong were generally good. Tailored preparedness programs targeted to specific communities are necessary for those lacking preparedness. Risk communication and public health surveillance should be conducted through television and telephone, respectively.

scholarly journals Study on Status and Willingness towards Hepatitis B Vaccination among Migrant Workers in Chongqing, China: A Cross-Sectional Study

2019 ◽  
Vol 16 (20) ◽  
pp. 4046
Author(s):  
Hui Xiang ◽  
Xiaojun Tang ◽  
Meng Xiao ◽  
Lin Gan ◽  
Kun Chu ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Risk Perception ◽  
Hepatitis B ◽  
Migrant Workers ◽  
Hbv Infection ◽  
Hepatitis B Vaccination ◽  
Cluster Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Hb Vaccine

Background: Rural-to-urban migrant workers may serve as a bridge population for the cross-regional spread of hepatitis B vaccination (HBV) due to frequent shifts between their work areas and homelands, and they are less likely to be covered by the national hepatitis B (HB) immunization program. This study aimed to investigate the current inoculation status of HB vaccine among migrant workers and the willingness to be vaccinated among non-vaccinated ones. Methods: We conducted a cross-sectional survey using anonymous interviews with migrant workers selected by two-stage cluster sampling from July to December 2018. Binary logistic regression models were adopted to detect influencing factors associated with HB inoculation status and vaccination willingness. Results: 1574 respondents were recruited in the surveys, and 773 (49.11%) respondents reported that they had been inoculated with HB vaccine. Only 285 (35.58%) non-vaccinated respondents were willing to be inoculated. Logistic regression indicated that younger age, higher education level, less wearing of condoms, higher knowledge scores of HB, and higher risk perception of HBV infection were positively associated with inoculation of HB vaccine. Respondents who were more highly educated, and drinkers, with higher knowledge scores of HB and with higher risk perception of HBV infection were more willing to be vaccinated. Conclusions: the HB vaccination rate of migrant workers in Chongqing was relatively low and only a small section of non-vaccinated migrant workers had vaccination willingness. Health interventions and policies are needed to improve knowledge and cognition of HB among migrant workers, particularly for those who are older, less educated, poor in HB knowledge, less likely to wear condoms, and non-drinkers. Peer education, as well as the combination of traditional and new media, would be accessible and effective ways to disseminate HB related knowledge for migrant workers.

A cross-sectional survey on ZIKV in Honduras

2017 ◽  
Vol 22 (2) ◽  
pp. 83-92 ◽  
Author(s):  
Alfonso Rosales ◽  
Adriana Yepes-Mayorga ◽  
Alejandro Arias ◽  
Fabiano Franz ◽  
Joanne Thomas ◽  
...  
Keyword(s):  
Risk Communication ◽  
Central America ◽  
Communication Strategies ◽  
Communication Strategy ◽  
Cluster Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
Attitudes And Practices ◽  
At Risk Populations

Purpose Zika virus (ZIKV) statistics in Honduras are the highest among countries in Central America. National risk communication strategies have primarily focused on vector control and are integrated into existing approaches for Dengue and Chikungunya. Given the new evidence on ZIKV, there is a need to revamp risk communication strategies so that they are informed by dynamic listening methods such as knowledge, attitudes, and practices. The paper aims to discuss this issue. Design/methodology/approach A cross-sectional survey was administered to 604 respondents in 21 designated Honduran communities using a two-stage, 30-cluster sampling method. Findings Almost eight out of ten Hondurans knew that Zika can be transmitted by the bite of a mosquito; however, only 2 and 0.1 percent, respectively, were aware that Zika can be spread by sexual intercourse and from a pregnant woman to her fetus. In total, four out of ten Hondurans knew that there is a causal relationship between Zika and microcephaly in newborns, and three out of ten knew that there is an association between Zika and Guillian-Barré syndrome. Overall, 50 percent of respondents said that they did not have enough information about the disease. Social implications The findings of this study clearly identify information priority gaps that need to be urgently addressed by national stakeholders involved in public health activities to protect the most vulnerable population against Zika disease and its complications. Originality/value This study is the first of its kind in Central America to inform any national risk communication strategy since the inception of the ZIKV response, particularly among at risk populations.

scholarly journals Perceived effectiveness of public health measures and positive attitudes during a pandemic: a large cross-sectional study in Shanghai, China

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e047231
Author(s):  
Qiao Chu ◽  
Tian Gu ◽  
Anqi Li ◽  
Junjie Chen ◽  
Hui Wang ◽  
...  
Keyword(s):  
Public Health ◽  
Structural Equation ◽  
Psychological Resilience ◽  
Perceived Effectiveness ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Measures ◽  
Positive Attitudes ◽  
Threat Appraisals ◽  
Perceived Impact

ObjectivesBuilding individuals’ positive attitudes during a pandemic is essential for facilitating psychological resilience. However, little is known about how public health measures may improve people’s positive attitudes during a pandemic. We investigated the potential mechanism underlying the association between individuals’ perceived effectiveness of public health measures and positive attitudes towards the success of pandemic control during the COVID-19 pandemic, by examining the parallel mediating effects of three types of threat appraisals: concerns about contracting the virus, perceived impact of the pandemic on life and estimated duration of the pandemic.Design, setting and participantsIn February 2020 when the COVID-19 infection was spreading rapidly in China, a large cross-sectional survey was conducted among 132 054 adults from the 16 districts in Shanghai, China.Outcome measuresPerceived effectiveness of the public health measures, positive attitudes towards the success of pandemic control and threat appraisals.ResultsResults of structural equation modelling supported the hypothesised mediation model: perceived effectiveness of public health measures was associated with lower levels of concerns about contracting the virus (β=−0.20), perceived impact of the pandemic (β=−0.13) and perceived duration of the pandemic (β=−0.20), which were then associated with higher levels of positive attitudes towards the success of pandemic control (βs=−0.12 to −0.25).ConclusionsThe findings suggest that threat appraisals may be important pathways through which individuals’ evaluations of prevention strategies may influence their attitudes towards the success of pandemic control. The health authorities should consider reducing people’s inappropriate threat appraisals when designing public health policies to facilitate people’s positive attitudes during a pandemic.

scholarly journals Knowledge, Attitude and Practice Associated with COVID-19 among University Students: a Cross-Sectional Survey in China

2020 ◽  
Author(s):  
Yaling Peng ◽  
Chenchen Pei ◽  
Yan Zheng ◽  
Juan Wang ◽  
Kui Zhang ◽  
...  
Keyword(s):  
Public Health ◽  
University Students ◽  
Positive Attitude ◽  
Shaanxi Province ◽  
Cluster Sampling ◽  
School Type ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Abstract BackgroundThe current COVID-19 pandemic is effectively constrained by intensified public health measures in China, among which ubiquitous education plays a vital part.ObjectiveThis survey aims to understand the status quo acquisition of the ongoing public health education campaign among university students. MethodsWe designed this cross-sectional survey to investigated the knowledge, attitude and practice (KAP) associated with COVID-19 among university students during their household isolation at the peak of this pandemic. 872 university undergraduates were recruited from 10 universities in Shaanxi Province, China, in a stratified cluster sampling method. A self-administered and close-ended questionnaire was answered by subjects online voluntarily and anonymously to collect their answers regarding their KAP associated with COVID-19.ResultsResults showed that appropriate knowledge was acquired by 82.34% subjects, but the level was significantly higher in students from public universities and medical programs than in their counterparts (P＜0.05). 73.81% subjects reported positive attitude, with level significantly higher in females (P＜0.01). Proactive practice was found in 87.94% subjects. Taken together, the score of KAP was 4.12±0.749, 8.54±1.201, and 8.91±1.431 respectively, suggesting a positive correlation between attitude and practice (r=0.319, P＜0.01). Total KAP score was 21.57±2.291, apparently correlated with gender (r=0.096, P=0.005) and major (r=-0.081, P=0.017).ConclusionsMost university students acquired necessary knowledge, positive attitude and proactive practice towards COVID-19, but their KAP score significantly varied by gender, major and school type.

scholarly journals Policy Literacy, Barriers, and Gender Impact on Accessibility to Healthcare Services under Compulsory Migrant Health Insurance among Myanmar Migrant Workers in Thailand

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Sa Hlyan Htet Naing ◽  
Sang-Arun Isaramalai ◽  
Phen Sukmag
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
Migrant Workers ◽  
Health Care Services ◽  
Personal Data ◽  
Healthcare Services ◽  
Migrant Health ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
And Gender

Accessibility to health service and experience of healthcare are important factors for public health policymaking. The current study aimed to describe the status of accessibility and barriers to getting care as well as policy literacy among Myanmar migrant workers and ultimately to identify the predictors of accessibility to healthcare services among this population through Thailand’s Compulsory Migrant Health Insurance (CMHI). A cross-sectional survey was used to collect data from 240 Myanmar migrant workers who were 18 years or older, resided in Songkhla Province, and had Compulsory Migrant Health Insurance. The instrument was a set of questionnaires consisting of a Personal Data Form, Policy Literacy Questionnaire, Barriers to Get Care Questionnaire, and Accessibility to Healthcare Services Questionnaire. Descriptive statistics, correlation analysis, and multiple regression analysis were used to analyze data. The majority of participants had a high level of policy literacy (36.3%), barriers to get care (34.2%), and accessibility to health care services (35.8%). Policy literacy (β = 0.35, p < 0.001 ), barriers to get care (β = −0.32, p < 0.001 ), and gender ( p < 0.001 ) were significant predictors of accessibility to healthcare services and could explain 43.2% of the total variance. To increase the accessibility to healthcare services among migrant workers with Compulsory Migrant Health Insurance, public health policymakers are recommended to cooperate more with healthcare staff and the workers’ employers to enhance the distribution of information about the health insurance to decrease barriers to get care.

scholarly journals Field epidemiology training programs contribute to COVID-19 preparedness and response globally

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Audrey E. Hu ◽  
Robert Fontaine ◽  
Reina Turcios-Ruiz ◽  
Aisha A. Abedi ◽  
Seymour Williams ◽  
...  
Keyword(s):  
Public Health ◽  
Risk Communication ◽  
Training Programs ◽  
International Health ◽  
World Health ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Survey Tool ◽  
Field Epidemiology ◽  
Health Threats

Abstract Background Field epidemiology training programs (FETPs) have trained field epidemiologists who strengthen global capacities for surveillance and response to public health threats. We describe how FETP residents and graduates have contributed to COVID-19 preparedness and response globally. Methods We conducted a cross-sectional survey of FETPs between March 13 and April 15, 2020 to understand how FETP residents or graduates were contributing to COVID-19 response activities. The survey tool was structured around the eight Pillars of the World Health Organization’s (WHO) Strategic Preparedness and Response Plan for COVID-19. We used descriptive statistics to summarize quantitative results and content analysis for qualitative data. Results Among 88 invited programs, 65 (74%) responded and indicated that FETP residents and graduates have engaged in the COVID-19 response across all six WHO regions. Response efforts focused on country-level coordination (98%), surveillance, rapid response teams, case investigations (97%), activities at points of entry (92%), and risk communication and community engagement (82%). Descriptions of FETP contributions to COVID-19 preparedness and response are categorized into seven main themes: conducting epidemiological activities, managing logistics and coordination, leading risk communication efforts, providing guidance, supporting surveillance activities, training and developing the workforce, and holding leadership positions. Conclusions Our findings demonstrate the value of FETPs in responding to public health threats like COVID-19. This program provides critical assistance to countries' COVID-19 response efforts but also enhances epidemiologic workforce capacity, public health emergency infrastructure and helps ensure global health security as prescribed in the WHO’s International Health Regulations.

scholarly journals Undertreated Hypertension and its Implications for Public Health in Nepal: Nationwide Population-Based Survey

2015 ◽  
Vol 13 (1) ◽  
pp. 3-7 ◽  
Author(s):  
R Koju ◽  
K Manandhar ◽  
A Risal ◽  
TJ Steiner ◽  
A Holen ◽  
...  
Keyword(s):  
Public Health ◽  
Antihypertensive Therapy ◽  
Public Health Problem ◽  
Population Based ◽  
Cross Sectional Study ◽  
Cluster Sampling ◽  
Global Public Health ◽  
Treatment Needs ◽  
Cross Sectional Survey ◽  
Cross Sectional

Background Hypertension (HTN), a major risk factor for cardiovascular diseases (CVDs), is a substantial global public health problem. Occasional studies indicate a high prevalence of HTN in the Nepalese population, but no nationwide population-based data exist so far. We opportunistically used a survey of major disorders of the brain in Nepal to measure blood pressure (BP) in participants selected randomly from the adult general population.Objective To establish the prevalence of elevated BP (eBP), and factors associated with it, regardless of any antihypertensive therapy being taken. We took this to be indicative of unmet health-care need.Method This was a cross-sectional study, conducted by unannounced household visits, employing multistage random cluster sampling. To achieve representativeness, 15 districts out of 75 in the country were investigated: one district from each of the three physiographic divisions in each of the five development regions of Nepal. One adult aged 18-65 years was selected from each household and interviewed by structured questionnaire. BP was recorded in a standardised manner by digital device (Microlife 3BM1-3®).Result From 2,109 eligible households, 2,100 adults (99.6%) participated. The prevalence of eBP (>140/90 mmHg on ?2 readings) was found to be 15.1%. Multivariate logistic regression showed significant and independent associations with demographic variables (higher age, male gender), with life-style factors (daily alcohol consumption, BMI ?25), and with living at high altitude (?2000 m).Conclusion In the context of the survey we could not collect data on antihypertensive therapy being taken but, clearly, whatever this might have been, it was failing to meet treatment needs. Almost one in six adults met criteria for hypertension, carrying risk implications for CVDs and their substantial public-health consequences. Two remediable associated factors were identified, although in a cross-sectional survey we could not prove causation.Kathmandu University Medical Journal Vol.13(1) 2015; 3-7

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