Journal articles on the topic 'Thailand ageing population'

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1

Kraiwanit, Tanpat, and Wanthana Tulathananun. "An adoption of social banking among the ageing population." Corporate Governance and Organizational Behavior Review 5, no. 2 (2021): 99–108. http://dx.doi.org/10.22495/cgobrv5i2p10.

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This study aims to analyse people’s understanding of social banking and to explore the factors affecting the acceptance of social banking in Thailand. The sample is a group of 650 Thai adults aged 55 years and older who usually access the Internet and are able to conduct financial transactions through online banking. The data was collected via an online survey and analysed using multinomial logistic regression. The findings indicate that 54.6% of respondents accepted social banking, while 45.4% of them rejected social banking. Education level, savings, and understanding of social banking have an influence on the acceptance of social banking in Thailand. The paper suggests that social banks should extend opportunities to older adult customers who might be rejected for small project loans by commercial banks and offer them good deals. As a result, they can live independently and confidently and are not excluded from society since they are able to contribute economically and create value for society. Moreover, social banks should launch training programmes or provide useful information about social banking to such customers as it can increase the reputation and social awareness of social banks and enhance the acceptance of social banking in Thailand
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Punyakaew, Autchariya, Suchitporn Lersilp, and Supawadee Putthinoi. "Active Ageing Level and Time Use of Elderly Persons in a Thai Suburban Community." Occupational Therapy International 2019 (January 22, 2019): 1–8. http://dx.doi.org/10.1155/2019/7092695.

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Elderly populations are growing rapidly worldwide, thus enhancing an increasing need for their independent health care, productivity, and most importantly, balance of occupations. This research is aimed at investigating the active ageing levels and time use patterns of an elderly population attending the Community Elderly School in a suburban village of northern Thailand. These participants comprised 140 persons aged 60 years and older and were without cognitive deficits, based on the Mini-Mental State Examination. Active ageing levels and time use patterns were collected by following an interview-based questionnaire. The results showed that the level of active ageing was moderate (mean active ageing index (AAI) was 0.79). All of the participants used their time in varied activities, including the seven categories: basic activities of daily living, instrumental activities of daily living, rest and sleep, education, work, leisure, and social participation. Furthermore, they spent most of their time resting and sleeping.
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Aroonsrimorakot, Sayam, Meena Laiphrakpam, Orapun Metadilogkul, and Aribam Rama Sanker Sharma. "Interventions to reduce the negative impact of ageing, social isolation, and loneliness on the health and well-being of elderlies in Thailand and India." Journal of Public Health and Development 20, no. 2 (May 19, 2022): 183–95. http://dx.doi.org/10.55131/jphd/2022/200214.

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This article aims to relate the impact of ageing, social isolation, or loneliness on the health and well-being of elderlies in Thailand and India, and measures of intervention through social care and integration to reduce the negative impact while promoting participation to lead to active and healthy ageing among ageing elderlies. Qualitative data were obtained through in-depth interview questions from 24 participants, 80 years and above, 12 each from Imphal City of Manipur State, India, and Nakhon Pathom Province of Thailand. The city or province of the study was selected according to the convenience of the researchers. In-depth interviews with key informants, including 4 administrators from India and Thailand, were also conducted. The analysis of the collected data found intervention activities, individually as well as in groups, such as networking with the local people, the establishment of an elderly school which is needed to be taken up by family and society for bringing productive and active ageing. As loneliness or isolation, due to immobility and fewer social contacts, has impacted the health, and longevity of elderlies, the study discusses a wide range of intervention strategies consisting of social facilitation, community approach, socio-religious engagement, health, and social care. This study has concluded with the need for organized appropriate long-term intervention strategies to create meaningful social contacts and connections, for loneliness and social isolation in the life of the elderly is not a phenomenon that can be ignored any longer as it has many impacts on the quality of life of the ageing population.
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Ounjaichon, Sasiporn, Chris Todd, Emma Stanmore, and Elisabeth Boulton. "85 Exploring the Feasibility of the Adapted Lifestyle - Integrated Functional Exercise (ALIFE) Programme to Prevent Falls among Older Adults in Thailand." Age and Ageing 48, Supplement_4 (December 2019): iv18—iv27. http://dx.doi.org/10.1093/ageing/afz164.85.

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Abstract Background Falls are the leading cause of injuries in older adults in Thailand. Exercise appears to be a strategy to reduce falls. There is a need to develop a fall prevention exercise programme to encourage participation and adherence. The adapted Lifestyle-integrated Functional Exercise (aLiFE) programme may be suitable by integrating exercise into daily routines as opposed to attending an exercise class. This study aimed to explore the acceptability and feasibility of the aLiFE programme in older Thai adults and identify if modifications are necessary for this population. Method To obtain older Thai adults' perspectives and stakeholders’ views, 40 community-dwelling older adults aged ≥ 60 years, in urban and rural locations in Thailand, and 14 stakeholders (e.g. healthcare professionals) working with older Thai adults were included. Qualitative methods were used to conduct focus groups and in-depth interviews with older adults, and semi-structured interviews with stakeholders. Thematic analyses using Framework Approach were conducted. Results Findings revealed positive views and identified four themes including: (a) individual factors, (b) perceptions of aLiFE, (c) recommendations for implementing aLiFE in Thailand, and (d) motivation. Older participants expressed interest in performing aLiFE in their daily activities, although some activities may need to be modified to fit the Thai cultural context. Stakeholders were concerned about how to motivate older Thai adults to adhere to aLiFE. Healthcare professionals and family members could play a major role to support older adults in uptake of aLiFE. Benefits (e.g. independence and fall prevention) may motivate older adults to engage in aLiFE. Clear and simple instructions were requested. Conclusion The aLiFE programme should be feasible and acceptable among older Thai adults. The aLiFE programme has been appropriately modified to be ‘Thai LiFE (TLiFE)’. A feasibility randomised controlled trial of the TLiFE programme has been conducted in older Thai adults.
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Khongboon, Pattaraporn, Sathirakorn Pongpanich, and Robert S. Chapman. "Risk Factors for Six Types of Disability among the Older People in Thailand in 2002, 2007, and 2011." Journal of Aging Research 2016 (2016): 1–13. http://dx.doi.org/10.1155/2016/6475029.

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Background. There is an important need to characterize risk factors for disability in Thailand, in order to inform effective prevention and control strategies. This study investigated factors associated with risk of 6 types of disability in Thailand’s ageing population in 2002, 2007, and 2011.Methods. Data came from the Cross-Sectional National Surveys of Older Persons in Thailand conducted by the National Statistical Office (NSO) in 2002, 2007, and 2011. Stratified two-stage sampling was employed. Interviews of 24,835, 30,427, and 34,173 elderly people aged 60 and above were conducted in the respective study years. Prevalence of disabilities was measured, and factors associated with disability risk were assessed with probability-weighted multiple logistic regression.Results. Disability prevalence decreased slightly over the study period. The characteristics with greatest positive impact on disability prevalence were not working over the past week (average impact: 61.2%), age (53.7% per decade), and suffering from one or more chronic illnesses (46.3%).Conclusions. The strong observed positive impact of not working on disability prevalence suggests that raising the mandatory retirement age might result in some reduction of disability risk. Also, the observed positive impact of living with others (versus alone) on disability risk was somewhat unexpected.
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Xu, Wenqian, and Sikander Islam. "What Does ASEAN Economic Community Bring to Older Workers? Examining Inequality in Old Age in Thailand’s Fast-Ageing Society." JAS (Journal of ASEAN Studies) 7, no. 1 (August 2, 2019): 86. http://dx.doi.org/10.21512/jas.v7i1.5590.

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The ASEAN Economic Community is envisaged to promote economic integration initiatives to create a single market across Southeast Asian member countries. It is acknowledged that the intergovernmental initiatives need to be accommodative to national and regional contexts. Thailand, as a pivotal and active partnership, endeavours to facilitate economic transformation and regional integration within the ASEAN and cope with population ageing in Thai society. Since Thailand has been the third most rapidly ageing country in the world, demographic changes pose new challenges for how to achieve persistent economic growth, productive employment and decent work. This article is based on a qualitative approach to investigate the emergent inequality within and across age cohorts shaped by the AEC structural forces, as well as utilizes reliable secondary data to formulate argumentation, including academic publications, policy analysis, scientific reports. We are particularly concerned about the heterogeneity and poverty in old age from the perspective of cumulative advantages/disadvantages. In conclusion, this article suggests policy recommendations of mitigating inequality in old age and advocates a critical lens to examine how political economic structure shapes older individuals in the labour market.
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Putthinoi, Supawadee, Suchitporn Lersilp, and Nopasit Chakpitak. "Home Features and Assistive Technology for the Home-Bound Elderly in a Thai Suburban Community by Applying the International Classification of Functioning, Disability, and Health." Journal of Aging Research 2017 (2017): 1–9. http://dx.doi.org/10.1155/2017/2865960.

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The ageing population is having an impact worldwide and has created a serious challenge in Thailand’s healthcare systems, whereby healthcare practitioners play a major role in promoting independent interaction of their client’s abilities, as well as environmental factors. The purpose of this study was to survey features of the home and assistive technology (AT) for the home-bound elderly in the community of Chiang Mai, Thailand. Home evaluation included features inside and outside the home, and AT was based on the International Classification of Functioning, Disability, and Health (ICF) concept. Methods included observation and an interview that were used by the researcher for evaluation. The study found that every home had at least one hazardous home feature such as inappropriate width of the door, high door threshold, tall stair steps, no bedside rail, and inappropriate height of the toilet pan. AT was found in houses as general products and technology for personal use in daily living and for personal indoor and outdoor mobility as well as transportation. Therefore, home features and AT can afford the home-bound elderly independent living within the community. Perspective AT according to the ICF concept could provide a common language for ageing in place benefits.
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Thawornchaisit, Prasutr, Fredinandus De Looze, Christopher M. Reid, Sam-ang Seubsman, and Adrian Sleigh. "Health-Risk Transition and 8-Year Hypertension Incidence in a Nationwide Thai Cohort Study." Global Journal of Health Science 10, no. 2 (January 7, 2018): 99. http://dx.doi.org/10.5539/gjhs.v10n2p99.

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OBJECTIVE: Rapid economic growth is transforming Thailand into a middle-income country. Also emerging are chronic diseases particularly hypertension, diabetes mellitus and kidney disease. There are few studies of the incidence of hypertension. We analyse the effect on 8-year incidence of hypertension of transitional health-risk factors including demography, socioeconomic status (SES), body mass index (BMI), sedentariness, physical activity, underlying diseases, personal behaviours, food, fruit and vegetable consumption.DESIGN & METHODS: Health-risk factors and their effects on the incidence of hypertension were evaluated prospectively in the national Thai Cohort Study from 2005 to 2013. All data were derived from 40,548 Sukhothai Thammathirat Open University students returning mail-based questionnaire surveys in both 2005 and 2013. Adjusted relative risks of association between each risk factor and incidence of hypertension were calculated after controlling for confounding factors.RESULTS: In Thailand, the 8-year incidence of hypertension was 5.1% (men 7.1%, women 3.6%). Hypertension was associated with ageing, higher BMI, diabetes mellitus, chronic kidney disease, high lipids, SES, lower education level, lower household asset, physical inactivity, smoking, instant food intake and soft drink. Sex, having a partner, urbanization and sedentary habits had no influence on hypertension.CONCLUSION: In Thailand, hypertension is becoming a serious risk factor for chronic disease with a wide array of associations with modern life. As Thailand’s socio-economy develops the health-risk transition will further impact on population health. Thais should be encouraged by government policy to consume less instant food, maintain normal BMI, increased physical activity, stop smoking and consume less soft drink.
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Chaisomboon, Methawadee, Sajjakaj Jomnonkwao, and Vatanavongs Ratanavaraha. "Elderly Users’ Satisfaction with Public Transport in Thailand Using Different Importance Performance Analysis Approaches." Sustainability 12, no. 21 (October 31, 2020): 9066. http://dx.doi.org/10.3390/su12219066.

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Due to the rapid increase in population and the change in age structure toward the elderly, the phenomenon of societal ageing is being witnessed in many countries. The elderly travel less than the adult population due to decreasing mobility with an increasing age. In this study, we aimed to analyze the expectations and satisfaction of public transport users in Thailand using traditional importance performance analysis (IPA), gap analysis, and IPA integrated with competitor performance. We aimed to explain the differences in the analysis results produced by the three methods. The data were obtained from surveying 2250 elderly and 450 non-elderly adults. This study presents guidelines for improving the public transport service quality in Thailand to meet user needs. The results of this research showed that each approach provides its own distinctive aspects and theoretical differences, which lead to different interpretations. The results from the three approaches showed that equipment that increases safety for public transportation service users is an important factor for all elderly passengers that must be improved. Public transportation services in different regions should be developed to provide more reliable and regular services.
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Heok, Kua Ee. "Elderly people with mental illness in South-East Asia: rethinking a model of care." International Psychiatry 7, no. 2 (April 2010): 34–36. http://dx.doi.org/10.1192/s1749367600005701.

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The report World Population Ageing 1950–2050 (United Nations, 2002) estimated that in 2005 there were 37.3 million elderly people (i.e. aged 65 years or more) in South-East Asia (a region incorporating Brunei, Cambodia, Indonesia, Laos, Malaysia, Myanmar, the Philippines, Singapore, Thailand and Vietnam). There are only a few epidemiological studies on mental disorders among elderly people in this region and the published data are mainly from Singapore, Malaysia and Thailand. Using Singapore's prevalence rate of 3% for dementia and 5.7% for depression, the numbers of elderly people with dementia in this region would be 1.2 million and with depression 2.12 million (Kua, 1992; Kua & Ko, 1995). However, even in Singapore, we have identified only 10% of all potential cases of dementia and depression — meaning that the large majority of elderly people with mental disorders are not detected, although they may be known, for other reasons, to the health services.
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LELIÈVRE, ÉVA, and SOPHIE LE CŒUR. "Intergenerational relationships within families of HIV-infected adults under antiretroviral treatment in Northern Thailand." Ageing and Society 32, no. 4 (May 24, 2011): 561–85. http://dx.doi.org/10.1017/s0144686x11000389.

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ABSTRACTThailand has been severely affected by AIDS/HIV. The epidemic has undermined the health of the population of working age, placing stress on intergenerational relations and threatening the social fabric. Older people in families affected by the disease, although not the main victims, have experienced major changes in relationships with their adult children and grandchildren. However, the availability of antiretrovirals has transformed HIV infection from a lethal to a chronic disease. Intergenerational relationships are analysed with data from a quantitative survey of HIV-infected adults currently receiving antiretroviral treatment in Northern Thailand. The introduction of antiretroviral treatment has eased the pressure on families. Where HIV-infected adults are more dependent on their older parents, it is because they are single and childless or single parents. While ageing parents remain a source of support for their adult children, the introduction of antiretroviral treatment has radically changed the prospects for HIV-infected adults and their regained health allows them to work, take care of their family and fulfil their filial duties as expected in Thai society. If Thailand's original aim in introducing health policies in this area was to curtail the HIV epidemic, its positive impact on intergenerational relations is an additional benefit.
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Vicerra, Paolo Miguel Manalang. "Disparity between knowledge and practice regarding COVID-19 in Thailand: A cross-sectional study of older adults." PLOS ONE 16, no. 10 (October 26, 2021): e0259154. http://dx.doi.org/10.1371/journal.pone.0259154.

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The efficacy of the public health measures to mitigate COVID-19 is influenced by health literacy which includes the level of knowledge about the disease and the preventive behaviours adopted by individuals. Thailand, being a low- and middle-income country with an ageing society, has to consider both the challenges that its health system has in disseminating information and the disparities in health literacy among its older population. This study investigated the knowledge and behaviour of older adults in Thailand regarding COVID-19 using the Impact of COVID-19 on Older Persons in Thailand, a cross-sectional survey. The data was primarily collected online and included 1,230 adults aged at least 60 years from nine provinces of the five regions of the country. The associated factors with the health literacy outcomes were tested using bivariate logistic regression analyses. It was observed that 43% of the older adults in the sample had proper knowledge of the disease and 33% adopted preventive behaviours. Knowledge about the disease was not associated with preventive behaviour. The associated factors common between the increased levels of knowledge and adoption of behaviours were rural area residence and higher educational attainment levels. Obtaining information from the internet was observed to increase knowledge while having the television and radio as sources of information had negative relationship. Many older adults continued to be employed during the lockdown period and this was associated with decreased adoption of preventive behaviour. The context of vulnerable populations, particularly older adults, is different with regard to their access to information and concern about income. Health information has to be tailored for targeted populations. Their needs also have to be addressed as they have increased risks because of financial and health susceptibilities.
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Kelly, Matthew J., Chalapati Rao, Sam-ang Seubsman, and Adrian C. Sleigh. "Death in Transitional Asia: 11-Year All-Cause Mortality in the Thai Cohort Study." Global Journal of Health Science 11, no. 4 (March 7, 2019): 1. http://dx.doi.org/10.5539/gjhs.v11n4p1.

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OBJECTIVE: Thailand is experiencing a substantial reduction in overall mortality, an ageing society and increasing prevalence of non-communicable diseases. There is an urgent need to understand locally important risk factors for this new disease burden and their distribution. We investigated risk factors for mortality in a large cohort of Thai adults and report on key trends. PARTICIPANTS: A nationwide cohort of 87,151 Thai adults followed up since 2005 with their data records linked to the Thai civil registration system to monitor mortality up to the end of 2016. METHODS: We used logistic regression models to measure associations between a large range of socio-demographic, health behaviour and health status variables and all-cause mortality. RESULTS: 1402 cohort members died between 2005 and 2016. In fully-adjusted models higher income, female sex, and higher education had the strongest protective effects against mortality. Normal body weight also protected (AOR 0.71 [0.52-0.96] with Obese as reference). Heavy smoking (AOR 1.48 [1.29-1.70]), and regular alcohol consumption (AOR 1.37 [1.12-1.68]) were associated with the highest mortality. Experiencing injury in the year proceeding the baseline survey also associated with increased mortality, while urbanising since childhood had a protective effect. CONCLUSION: This study adds to evidence regarding risks for all-cause mortality in Thailand. Results indicate the need for Thailand to maintain successful tobacco control programs and to address the effects of increased alcohol consumption. The protective effect of higher education is particularly important in Thailand given the growing proportion of the population who are finishing high school and moving to higher education.
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Supaporn, Kanyanat, Sang-arun Isaramalai, and Wandee Suttharangsee. "Exploring caregivers' perspectives on improving care for older people at the end of life in Thailand." International Journal of Palliative Nursing 25, no. 7 (July 2, 2019): 326–32. http://dx.doi.org/10.12968/ijpn.2019.25.7.326.

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Background: Older people in Thailand receive general medical and social care at the end of life, and many rarely access palliative services. In light of this, improving the quality of care for the ageing population relies on addressing the needs of family caregivers, who provide the majority of care in a home setting. Understanding caregivers' perspectives when caring for a friend or relative will help to improve the quality of care that they provide. Aim: To explore caregivers' perspectives on improving care for older people in Thailand in the palliative stage. Methods: A qualitative study using in-depth interviews and observation of 10 older people in the palliative stage and their caregivers was undertaken. Data were analysed using content analysis. Findings: Data analysis revealed three themes: caregivers cared to repay the older person's previous kindness, caregivers cared and changed their caregiving behaviour to minimise the older person's perception of being abandoned or being a burden, and to follow Thai ancestral traditions, so that the older person could die peacefully. Conclusion: This study provides specific instructions for those who provide care for older Thai people in the palliative stage. Finding ways to address caregivers' perspectives on improving care quality could enhance the experience of care recipients.
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KNODEL, JOHN, JIRAPORN KESPICHAYAWATTANA, CHANPEN SAENGTIENCHAI, and SUVINEE WIWATWANICH. "How left behind are rural parents of migrant children? Evidence from Thailand." Ageing and Society 30, no. 5 (January 20, 2010): 811–41. http://dx.doi.org/10.1017/s0144686x09990699.

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ABSTRACTThe consequences of adult children's migration from rural areas for older parents who remain behind are keenly debated. While the mass media and international advocacy organisations favour an ‘alarmist’ view of desertion, the academic literature makes more sanguine assessments using the ‘household strategy’ and ‘modified extended family’ perspectives. We examine the relationship between the migration of adult children and various dimensions of older parents' wellbeing in Thailand using evidence from a survey that focused on the issues. The results provide little support for the alarmist view, but instead suggest that parents and adult children adapt to the social and economic changes associated with development in ways not necessarily detrimental to intergenerational relations. The migration of children, especially to urban areas, often benefits parents' material support while the recent spread of cell phones has radically increased their ability to maintain social contact. Nevertheless, changing living arrangements through increased migration and the smaller family sizes of the youngest age groups of older people pose serious challenges for aspects of filial support, especially at advanced ages when chronic illness and frailty require long-term personal care. Dealing with this emerging situation in a context of social, economic and technological change is among the most critical issues facing those concerned with the implications of rapid population ageing in Thailand and elsewhere.
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Ugheoke, Solomon Ozemoyah, Ruksana Banu, Munir Shehu Mashi, and Muhammad Latif Khan. "Policy Adjustment as a Mediator between Older Workers Retention and Ageing Workforce. A Context for Action in Asia." Global Business Management Review (GBMR) 13, Number 1 (June 30, 2020): 57–78. http://dx.doi.org/10.32890/gbmr2021.13.1.4.

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Over the past decade, HR managers have been much concerned about the demographic changes and advised to take positive approaches to the management of organizations. These changes significantly cause population aging globally, resulting in economic and social challenges. This study aims to examine older workers’ retention, policy adjustment, and the aging workforce in Thailand. Purposive sampling was used to select a total of 520 respondents higher education institutions. We found that despite the call to retaining older workers, the majority of employers exhibit stereotypic attitudes, and finding it difficult to retain and attract older workers. Even though there have been initiatives toward discrimination legislation concerning older workers, however, policymakers should be proactive. Government should need to develop policies that would permit increased levels of older workers’ retention and create better competencies in achieving planned economic goals. Organizations need to adopt strategic approaches to age management and labor unions must show great commitment to the campaign against age discrimination.
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Chhong, Lay Ngeab, Kittiyod Poovorawan, Borimas Hanboonkunupakarn, Weerapong Phumratanaprapin, Ngamphol Soonthornworasiri, Chatporn Kittitrakul, Apichart Nontprasert, and Sasithon Pukrittayakamee. "Prevalence and clinical manifestations of dengue in older patients in Bangkok Hospital for Tropical Diseases, Thailand." Transactions of The Royal Society of Tropical Medicine and Hygiene 114, no. 9 (June 11, 2020): 674–81. http://dx.doi.org/10.1093/trstmh/traa043.

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Abstract Background The global incidence of dengue has increased with the ageing population. We examined the prevalence, clinical manifestations and risk factors associated with dengue severity among older patients. Methods A retrospective cohort study was conducted at a hospital in Thailand from 2013 to 2018. Data were collected from patient records. Older patients were those aged ≥60 y, whereas adult patients were aged at least 18 y but younger than 60 y. Results In total, 1822 patients were included in the study. The prevalence of older dengue was 7.96%. Older dengue patients were at a higher risk of developing dengue haemorrhagic fever (DHF) than adult dengue patients (40.69% vs 30.71%). Haematuria was significantly more frequent in older patients (24.82% vs 3.58%), whereas other clinical manifestations had similar frequencies between the groups. Multivariate logistic regression indicated that hypertension (adjusted OR [aOR]=3.549, 95% CI 1.498 to 8.407) and abdominal pain (aOR=10.904, 95% CI 1.037 to 114.710) were significantly associated with DHF among older patients. Conclusions Dengue is common in older adults, who also have a higher incidence of developing DHF. Older patients with dengue and comorbid hypertension and abdominal pain should be monitored for their increasing risk of DHF.
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Setyaningsih, Rita Pawestri. "TENAGA KERJA INDONESIA DALAM KONTEKS MASYARAKAT TAIWAN YANG MENUA." Jurnal Kajian Wilayah 7, no. 2 (December 29, 2016): 113. http://dx.doi.org/10.14203/jkw.v7i2.747.

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Taiwan’s ageing population has boosted the high rate of demand for caretakers. Many caretakers came from Southeast Asian countries such as the Philippines, Vietnam, Thailand, and Indonesia. Since 2005 Indonesian Workers have dominated the market share of the welfare sector. However in 2015 the Indonesian government launched a zero-maid policy, in order to terminate the sending of unskilled workers. The other goal is to provide better protection for migrant workers abroad. Taiwan becomes one of the targets of this policy. In fact, this policy will certainly create great impact on the supply of labor in the welfare sector in the future. Moreover, Taiwan has launched a national ten-year long-term care. So, how the Taiwanese government respond to this policy? Will the Indonesian workers’ shalt position be replaced by other Southeast Asian workers? This article aims firstly, to understand the position of migrant workers among other foreign workers working in the welfare sector in Taiwan. Secondly, to understand the Taiwan government’s efforts in response to the Indonesian government’s plan. This study uses literature study and interviews. This issue will be analyzed using economic and social approaches. The data used are from the range of 1992 to 2015.Keywords: ageing society, Taiwan, Indonesian workers, employment policyAbstrakPenuaan penduduk Taiwan mendorong tingginya laju permintaan akan tenaga perawat. Selama ini tenaga perawat didatangkan dari negara-negara Asia Tenggara, seperti Filipina, Vietnam, Thailand, dan Indonesia. Sejak 2005 Tenaga Kerja Indonesia (TKI) mendominasi pangsa pasar sektor kesejahteraan sosial. Namun di tahun 2015, Pemerintah Indonesia mencanangkan zero-maid policy, yaitu penghentian pengiriman TKI tidak terampil. Tujuannya tidak lain adalah untuk memberikan perlindungan yang lebih besar bagi TKI di luar negeri. Taiwan menjadi salah satu target dari kebijakan ini. Kebijakan ini tentu akan berdampak pada ketersediaan tenaga kerja pada sektor kesejahteraan sosial di Taiwan di masa depan. Apalagi Taiwan sudah mencanangkan national ten-year long-term care. Lantas, bagaimana respon pemerintah Taiwan terhadap kebijakan ini? akanlah TKI digantikan posisinya oleh TKA lainnya? Artikel ini bertujuan untuk pertama, memahami posisi TKI di antara tenaga kerja asing lainnya yang bekerja di sektor informal di Taiwan. Kedua, memahami upaya pemerintah Taiwan dalam menanggapi rencana pemerintah Indonesia tersebut. Studi ini menggunakan studi literatur dan wawancara. Persoalan ini akan dianalisis dengan menggunakan pendekatan ekonomi dan sosial. Data yang digunakan adalah data sekunder dari tahun 1992 hingga 2015.Kata kunci: ageing society, Taiwan, TKI, kebijakan ketenagakerjaan
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Aung, Thin Nyein Nyein, Myo Nyein Aung, Saiyud Moolphate, Yuka Koyanagi, Mariko Ichikawa, Siripen Supakankunti, and Motoyuki Yuasa. "Estimating Service Demand for Intermediary Care at a Community Integrated Intermediary Care Center among Family Caregivers of Older Adults Residing in Chiang Mai, Northern Thailand." International Journal of Environmental Research and Public Health 18, no. 11 (June 4, 2021): 6087. http://dx.doi.org/10.3390/ijerph18116087.

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Background: Thailand’s population is currently the third most rapidly aging in the world, with an estimated 20 million ageing population by 2050. Sustainability of the family based long-term care model is challenged by the chronic burden on family caregivers and by smaller family sizes. We aimed to introduce a new service model, Community Integrated Intermediary Care (CIIC), TCTR20190412004, including free of charge intermediary care services at CIIC centers in the local community, to help older adults whose caregivers are temporarily unable to sustain care at home. Since Thai society upholds values of gratefulness, it is better to estimate willingness to use such an intermediary care service first, before introducing the service. Methods: A total of 867 pairs of senior citizens and their family caregivers were interviewed with structured-questionnaires in 2019. Descriptive analysis and binary logistic regression were applied to determine the predictors of family caregivers’ willingness to use the CIIC service, guided by Anderson’s model of health services use. Results: About 26.8% of elderly participants and 24.0% of family caregivers were willing to use an intermediary care service. The family caregiver determinants of predisposing factors (kinship: spouse caregivers, other relatives, maid or friends; job types: own business and private company staff), enabling factors (original community residents and monthly income ≤9000 baht), and need factors (caregiver burden total scores ≥24, taking leave for caregiving, and having diabetes), were found to be significantly associated with willingness to use the CIIC service. Conclusions: The baseline survey data noted that caregivers’ sociodemographic factors and burden determined their willingness to use the intermediary care service, although the dependency of care recipients was low in this study. This, nonetheless, indicated that there is need for a backup respite care to strengthen current family based long-term aging care in Thailand.
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Teerakapibal, Surat, and Yioula Melanthiou. "The new helping the old." British Food Journal 122, no. 1 (September 6, 2019): 272–90. http://dx.doi.org/10.1108/bfj-08-2018-0559.

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Purpose Evidence has shown that the population is growing “increasingly gray” and growing too are the concerns for the elderly population with regards to their food choices. Being well informed and seeking variety in food choices increase the likelihood that people will be better nourished and hence improve the quality of life for this group, and at the same time be beneficial for society overall. The purpose of this paper is to determine the influence of social network usage on food choice. Design/methodology/approach This paper uses a series of logistic and ordinal logistic regression models using Health and Wellness Survey data and Internet Usage Survey data from the National Statistical Office of Thailand. The data sets contain information on health status, food consumption, proportion of population using the internet, and detailed demographics. Findings Empirical results show the association between variety in food consumption and lower probability of being chronically ill. More importantly, social network usage is found to significantly encourage variety seeking behavior (VSB) in food consumption. Research limitations/implications Though the benefit of using Thai data sets lies in the fact that there is a large variation in network usage across the country, this study should extend beyond Thailand to establish greater external validity. Practical implications Marketing new food products must not neglect the promotion through social networks due to its potential to encourage VSB in food consumption. Moreover, while sometimes this particular age group may be somewhat marginalized and not targeted to enough, this research study has shown that it is indeed an important segment. Social implications In order to relieve the growing financial burdens in health care for citizens, policy makers should encourage this ageing population to eat a balanced diet. Social media is shown to be an effective medium for promoting variety in food consumption. Notably relevance, engagement and emotion are principal elements for social network platforms targeting aging consumers. Originality/value This paper utilizes two large representative data sets with detailed information which does not only allow for controlled analyses but also provides implications for the growing aging consumer segment.
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Pothisiri, Wiraporn, and Paolo Miguel Manalang Vicerra. "Psychological distress during COVID-19 pandemic in low-income and middle-income countries: a cross-sectional study of older persons in Thailand." BMJ Open 11, no. 4 (April 2021): e047650. http://dx.doi.org/10.1136/bmjopen-2020-047650.

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ObjectiveThe COVID-19 situation in Thailand was controlled with various social measures. Much of the information covered in the media and in studies focused on the public health and economic aspects of the pandemic. This study aimed to explore the psychological well-being of older people, which is important especially in an ageing society categorised as low income or middle income due to the limits of economic and healthcare resources.SettingThe impact of COVID-19 on older persons in Thailand, an online survey, taken across nine provinces within the five regions of the country.ParticipantsInformation was collected from 1230 adults aged at least 60 years old.If an older person was illiterate, unable to access the internet or had a disability preventing them from responding to the survey, an intermediary residing in the community conducted the survey interview.Primary and secondary outcome measuresThe analysis focused on the worries of older adults and the factors associated with psychological distress experienced during the pandemic using logistic regression analysis.ResultsThe majority of people aged at least 60 years old experienced psychological distress during COVID-19. Employment loss (OR 1.08, 95% CI 0.78 to 1.38), inadequate income (OR 1.77, 95% CI 1.28 to 2.44) and debt incursion (OR 2.74, 95% CI 1.57 to 4.80) were detrimental to psychological well-being. The negative changes in the perception of their health status (OR 1.92, 95% CI 1.23 to 2.99) and decreased life satisfaction (OR 1.49, 95% CI 0.45 to 1.87) also weighed on older Thais. The protective factors for psychological well-being were residing in rural areas (OR 0.46, 95% CI 0.35 to 0.61) and being married (OR 0.75, 95% CI 0.55 to 1.01).ConclusionObserving the concerns of the older population is important for introducing policies that can alleviate their precarious financial and health statuses.
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Tsoh, Joshua, Carmelle Peisah, Jin Narumoto, Nahathai Wongpakaran, Tinakon Wongpakaran, Nick O’Neill, Tao Jiang, et al. "Comparisons of guardianship laws and surrogate decision-making practices in China, Japan, Thailand and Australia: a review by the Asia Consortium, International Psychogeriatric Association (IPA) capacity taskforce." International Psychogeriatrics 27, no. 6 (January 9, 2015): 1029–37. http://dx.doi.org/10.1017/s104161021400266x.

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ABSTRACTBackground:The International Psychogeriatric Association (IPA) capacity taskforce was established to promote the autonomy, proper access to care, and dignity of persons with decision-making disabilities (DMDs) across nations. The Asia Consortium of the taskforce was established to pursue these goals in the Asia-Pacific region. This paper is part of the Asia Consortium's initiative to promote understanding and advocacy in regard to surrogate decision-making across the region.Method:The current guardianship laws are compared, and jurisdictional variations in the processes for proxy decision-making to support persons with DMDs and other health and social needs in China, Japan, Thailand, and Australia are explored.Results:The different Asia-Pacific countries have various proxy decision-making mechanisms in place for persons with DMDs, which are both formalized according to common law, civil law, and other legislation, and shaped by cultural practices. Various processes for guardianship and mechanisms for medical decision-making and asset management exist across the region. Processes that are still evolving across the region include those that facilitate advanced planning as a result of the paucity of legal structures for enduring powers of attorney (EPA) and guardianship in some regions, and the struggle to achieve consensual positions in regard to end-of-life decision-making. Formal processes for supporting decision-making are yet to be developed.Conclusions:The diverse legal approaches to guardianship and administration must be understood to meet the challenges of the rapidly ageing population in the Asia-Pacific region. Commonalities in the solutions and difficulties faced in encountering these challenges have global significance.
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Nuchprayoon, I. "Home Palliative Care for Advanced Cancer: PC Can Be Introduced at Diagnosis or at Relapse in Thai Society, Independent of Oncology Service." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 112s. http://dx.doi.org/10.1200/jgo.18.76800.

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Background: Thailand is a resource-limited country with universal health care. Cancer services are available for everyone for free, but the system has been overloaded due to limited number of qualified specialist physicians, nurses, radiology technicians, and growing demand from ageing population. Patients with advanced cancer are often not referred to a palliative care (PC) service until multiple treatment failure. Aim: To provide a better access to PC, we initiated an independent palliative care counseling and home service, focusing on families of patients with advanced cancer. Methods: The families of patients with advanced cancer were referred to our home palliative care service through cancer patient support groups, self-referral or from other physicians. Eligibility for PC was guided through a Thai national guideline of cancer treatment as well as by NCCN guideline. Early stage cancer were excluded from the service and referred to oncology service of patient's choice. For each family, we arranged a family meeting/counseling session at patient's home or a designated place and introduce palliative care as well as cancer therapy options. If the patient choose palliative care, then we provide home PC. Patients are followed at home by home visits, and continually communicated online and by phone. Family members visits palliative clinic for morphine and other medications. Results: In the first 3 years of operation, 53 adult patients with advanced or recurrent cancer and their families were counseled. Fifty chose home palliative care service, exclusively (30) or along with a hospital oncology service (20), while 3 patients preferred life-prolonging cancer therapy. The average age (±SD) of patients were 60 (±16) years. The most common cancers were stage IV or metastatic breast (7), lung (6), colorectal (6), and leukemia/lymphoma (6). The median survival time of this PC cohort was 3.1 months, with 16 (32%) living > 6 months, and 10 (20%) > 1 year. Of 36 patients who had died, 22 (61%) died at home, 13 (36%) at a local hospital, and 1 (3%) at a cancer center. Conclusion: For advanced cancer patients, palliative care can be introduced early and efficiently by PC team and most people would prefer PC. PC counseling may serve as an entry point to cancer care system. For patients who choose early palliative care, it can reduce burden on the existing busy oncology service, while providing satisfaction on patients and family.
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Barba, Corazon V. C., and Lucila B. Rabuco. "Overview of Ageing, Urbanization, and Nutrition in Developing Countries and the Development of the Reconnaissance Project." Food and Nutrition Bulletin 18, no. 3 (January 1997): 1–5. http://dx.doi.org/10.1177/156482659701800313.

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Two of the major demographic trends in the developing and transitional countries are urbanization (the growth of cities and metropolitan populations) and ageing (the increase in the number of persons over 70 years of age, due to extended life expectancy). These two trends are felt to present unresolved challenges regarding health, well-being, and quality of life. These uncertainties gave rise to the multicentre Reconnaissance project carried out in five Asian countries (China, Indonesia, Malaysia, the Philippines, and Thailand) and three Latin American countries (Brazil, Guatemala, and Mexico), in collaboration with institutions in the Netherlands, Germany, and Italy, with financial support from the European Community. The findings, experience, and lessons from the preliminary qualitative (community), and quantitative (individual) surveys were shared among the investigators at a conference held at Wageningen, Netherlands.
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Tiraphat, Sariyamon, Doungjai Buntup, Murallitharan Munisamy, Thang Huu Nguyen, Motoyuki Yuasa, Myo Nyein Aung, and Aung Hpone Myint. "Age-Friendly Environments in ASEAN Plus Three: Case Studies from Japan, Malaysia, Myanmar, Vietnam, and Thailand." International Journal of Environmental Research and Public Health 17, no. 12 (June 23, 2020): 4523. http://dx.doi.org/10.3390/ijerph17124523.

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Promoting age-friendly environment is one of the appropriate approaches to support quality of life toward ageing populations. However, the information regarding age-friendly environments in the Association of Southeast Asian Nations (ASEAN) Plus Three countries is still limited. This study aimed to survey the perceived age-friendly environments among ASEAN Plus Three older populations. The study employed cross-sectional quantitative research using multistage cluster sampling to select a sample of older adults in the capital cities of Japan, Malaysia, Myanmar, Vietnam and Thailand. The final sample was composed of 2171 older adults aged 55 years and over, including 140 Japanese, 510 Thai, 537 Malaysian, 487 Myanmarese, and 497 Vietnamese older adults. Data collection was conducted using a quantitative questionnaire with 20 items of perceived age-friendly environments with the rating scale based on the World Health Organization (WHO) standard. The score from the 20 items were analyzed and examined high-risk groups of “bad perception level” age-friendly environments using ordinal logistic regression. The research indicated the five highest inadequacies of age-friendly environments including: (1) participating in an emergency-response training session or drill which addressed the needs of older residents; (2) enrolling in any form of education or training, either formal or non-formal in any subject; (3) having opportunities for paid employment; (4) involvement in decision making about important political, economic and social issues in the community; and (5) having personal care or assistance needs met in the older adult’s home setting by government/private care services. Information regarding the inadequacy of age-friendliness by region was evidenced to guide policy makers in providing the right interventions towards older adults’ needs.
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Fatimah Ahmedy, Khin Nyein Yin, and Sadia Choudury Shimmi. "Spinal Cord Injury Rehabilitation: Basics and Beyond." Borneo Journal of Medical Sciences (BJMS) 16 (March 22, 2022): 1–2. http://dx.doi.org/10.51200/bjms.v16i.3708.

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This special issue is dedicated to the Borneo International Spinal Cord Injury (SCI) Rehabilitation Conference (BISCIR) which was held on 30th July – 1st August 2021 through a virtual platform. It was co-organized by the Department of Rehabilitation Medicine, Queen Elizabeth Hospital, and Rehabilitation Medicine Unit, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah in partnership with Docquity and Kelab Perubatan Rehabilitasi Sabah. Attended by almost 500 delegates from Southeast Asian countries including the hosting country of Malaysia, the conference served its purpose as a global sharing platform by having invited local and international experts from Thailand, the Philippines, India, South Korea, and Australia. With the theme “SCI Rehabilitation: Basics and Beyond”, there was a great opportunity for participating delegates to submit their abstracts for oral and poster competition on spinal cord-related disorders and their rehabilitation. The covered areas include but are not exhaustive to the spinal cord pathophysiology, disease presentations, complications, and management, as well as rehabilitation interventions. Each submitted abstract was double-blinded peer-reviewed by two external reviewers. A total of 15 abstracts were accepted after rigorous review based on objective judging criteria, with seven and eight abstracts as oral and poster submissions respectively. Most of them were case reports with four cross-sectional studies and one review article. “Managing Tetraplegia with Blindness: Rehabilitation Approach” presented the improvement in mobility and daily living skills through orientation and mobility training with sensory education and repeated verbal instructions for compensating the loss of visual and sensory feedback. The “International Lower Urinary Tract Function Data Set: A Study in SCI Population in HRC” reviews the epidemiology of spinal cord injury patients with the neurogenic bladder in the largest rehabilitation hospital in Malaysia. “Navigating Neurological Recovery with NeuroAiD in Severe Spinal Cord Injury: A Noteworthy Novelty?” reported a case of complete tetraplegia who regained some neurological recovery following NeuroAiD supplementation. “A Case of Incomplete Spinal Cord Injury Associated with Brown Sequard Syndrome After Cervical Blunt Trauma with Atlanto-Axial Rotatory Subluxation in a Paediatric Patient” exhibited a case of a paediatric patient with high cervical spinal cord injury secondary to blunt trauma that has resulted in atlantoaxial rotatory subluxation. The “Long Cervicothoracolumbal Rigid Bracing Stabilization on Incomplete Spinal Cord Injury of Post-Operated Multi-Focal Upper Cervical-Thoracic Spinal Tuberculosis: A Unique Case Report” showed that the use of long CTLSO rigid external stabilization justifies the reason to boost protection while recovering from spinal tuberculosis despite receiving stable internal stabilization. “Orthotic Intervention for Ageing Individuals with Spinal Cord Injury: A Brief Review” explored the use of orthotic intervention among the elderly with SCI in 25 published articles. The “Demographic Characteristic of Spinal Cord Injury Patients Referred for Rehabilitation in Miri Hospital” aimed to explore the demographic characteristics among the referrals for rehabilitation among spinal cord injury populations in that tertiary hospital. The “Autonomic Dysreflexia with Concurrent Orthostatic Hypotension: A Clinical Approach Dilemma” highlighted the complicated conditions of managing concurrent Autonomic dysreflexia and orthostatic hypotension in a patient with high cervical spinal cord injury. “A Pinch of Salt Won’t Kill: The Role of Salt Tablets in Reversing Intractable Orthostatic Hypotension in an Incomplete Tetraplegic Patient” presented a case of intractable orthostatic hypotension in incomplete tetraplegia, which resolved after the initiation of salt tablets. The “Marching Forward with Mirabegron: A Novel Treatment Option for Neurogenic Detrusor Overactivity in Traumatic Spinal Cord Injury” showcased a case of young traumatic paraplegia who has been successfully treated with Mirabegron as an alternative to anticholinergics in treating overactive bladder for its better tolerability and comparable efficacy. “A Retrospective Pilot Study on the Prevalence of Acceptability for Teleconsultation among Spinal Cord Injury Patients” observed the acceptability of teleconsultation among SCI patients in a major tertiary rehabilitation hospital with a description of their clinical and demographic features. “Performing Solat in Spinal Cord Injury Patients: Challenges and Solutions” emphasized the importance to educate healthcare workers for identifying the limitations and leniency in Islam related to performing prayer (solah) and understand the conditions of the validity of the performed prayer as means to equip patients with the right knowledge and method. The ”Sharing of Experience of Teleconsultation with Spinal Cord Injury Patients” proven that the use of teleconsultation is a beneficial service among SCI patients during the COVID-19 pandemic. “Fleet Enema-Induced Autonomic Dysreflexia in Spinal Cord Injured Patient” reported the use of fleet enema in spinal cord injured patients that can cause autonomic response leading to severe complication of a generalized tonic-clonic seizure. The “An Uncommon Case Post-traumatic Syringobulbia: A Case Report” showed that the formation of syringobulbia, although rare, is one of the causes of the delayed-onset neurological deterioration in spinal cord injured patients. The accepted abstracts are presented in the following sections of this issue. Readers are welcome to contact us for any comments or queries.
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Szabo, Sylvia, Chidchanok Apipoonanon, Malay Pramanik, Kevin Leeson, and Devendra Raj Singh. "Perceptions of an ageing agricultural workforce and farmers’ productivity strategies: Evidence from Prachinburi Province, Thailand." Outlook on Agriculture, June 21, 2021, 003072702110250. http://dx.doi.org/10.1177/00307270211025053.

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Thailand’s agriculture is facing an ageing workforce, which could negatively influence agricultural production. Yet, there is still limited evidence regarding the perception of the ageing agricultural labour force in the country and a lack of insights into farmers’ strategies to improve agricultural output. To fill this gap, we analysed primary data from questionnaire-based surveys of 365 households in Prachinburi Province, Thailand. The results show that household poverty, farm experience, retirement, health concerns, and farm accidents are positively associated with the farmers’ perception on the ageing workforce, whereas education level, having an ageing farmer in the family, farm size, mentoring and access to new technology have a negative influence on the perception of the ageing workforce. Given the anticipated implications of the population ageing in Thailand, the government should consider establishing policy options to encourage younger entrants into the agricultural sector and prioritising policies related to intergenerational support.
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Aung, Myo Nyein, Saiyud Moolphate, Thin Nyein Nyein Aung, Yuka Koyanagi, Akrapon Kurusattra, Sutatip Chantaraksa, Siripen Supakankunti, and Motoyuki Yuasa. "Effectiveness of a community-integrated intermediary care (CIIC) service model to enhance family-based long-term care for Thai older adults in Chiang Mai, Thailand: a cluster-randomized controlled trial TCTR20190412004." Health Research Policy and Systems 20, S1 (November 29, 2022). http://dx.doi.org/10.1186/s12961-022-00911-5.

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Abstract Background Populations around the world are ageing faster, with the majority living in low- and middle-income countries where health and social care are yet to be universal and inclusive for the ageing population. This community-integrated intermediary care (CIIC) model is a novel prevention-based, long-term care model enhancing the family-based care system traditionally practised in Thailand and neighbouring Asian countries, and many low-and middle-income countries globally. This study assessed the effectiveness of the CIIC model in Chiang Mai, Thailand. Methods The two-arm parallel intervention study was designed as a cluster-randomized controlled trial. The study population at randomization and analysis was 2788 participants: 1509 in six intervention clusters and 1279 in six control clusters. The research protocol was approved by the WHO Research Ethics Review Committee (WHO/ERC ID; ERC.0003064). The CIIC service intervention model is a combination of formal care and informal care in a subdistrict setting consisting of three components: (1) care prevention delivered as community group exercise and home exercise; (2) care capacity-building of the family caregiver; and (3) community respite service. The primary outcome was family caregivers’ burden at 6-month follow-up, and secondary outcome was activities of daily living. Analysis applied the intention-to-treat approach using cluster-level analysis via STATA 16 SE. Results Baseline characteristics did not differ between the two arms. Loss of follow up was 3.7%. Mean age of the participants was 69.53 years. Women constituted 60%. The COVID-19 pandemic caused delayed implementation. The proportion of families with reduced caregiver burden at 6-month follow-up was higher among the intervention clusters (mean 39.4%) than control clusters (mean 28.62%). The intervention clusters experienced less functional decline and fewer people with depression. Conclusions When communities are integrated for preventing care, and families are empowered for giving care, it is possible to secure universal access to health and social care for the older persons, with basic resources mobilized from communities. This study had shown the CIIC model as an effective and potential step to the realization of universal health and long-term care coverage being inclusive of ageing populations in Thailand and globally. Trial registration: This trial was registered at the Thailand Clinical Trial Registry—Trial registration number TCTR20190412004, https://www.thaiclinicaltrials.org/#
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Juthavantana, Jantana, Nanchatsan Sakunpong, Ujsara Prasertsin, Monthira Charupheng, and Sheibon Hassakama Lau. "An integrative counselling program to promote active ageing for older people in Thai nursing homes: an intervention mixed methods design." BMC Psychology 9, no. 1 (January 26, 2021). http://dx.doi.org/10.1186/s40359-021-00519-4.

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Abstract Background Active ageing has been a rapidly developing field of study in light of the growing population of older people. Acknowledgement of the lack of a counselling program to promote active ageing for the older people in nursing homes led to the development of this study which aims to investigate active ageing of the Thai elderly in a nursing home in addition to promoting active ageing for them through integrative counselling. Methods The study was conducted in a nursing home in Samut Prakan province, Thailand. The integrative counselling program referred to appropriate literature along with implementation of the Satir Model and Motivational Interviewing techniques. An intervention mixed methods design was applied in the study, which consisted of two phases. Phase 1 involved an investigation of the concept of active ageing, based on the context of older people in nursing homes by way of in-depth interviews, involving 5 participants. Phase 2 comprised of an investigation of the effects of an integrative counselling program to promote active ageing for older people in the same nursing home. There was a total of 16 participants in phase 2 which were divided equally into experimental and control groups respectively. Results Phase 1 of the study showcased qualitative results of the progress of active ageing development in older people that resulted in 4 sub-themes (Health development, spiritual development, active engagement and psychosocial support). Two parameters were used to analyze the results in phase 2. The quantitative results showed that the active ageing score of participants in the experimental arm increased significantly after enrollment (p < 0.05). Furthermore, the experimental group had a higher overall active ageing score in comparison to the control group. Qualitative results of phase 2 elicited factors promoting active ageing in the elderly which included activities, group facilitator and group atmosphere. Both quantitative and qualitative results of phase 2 proved to be significant, showing that the program managed to develop active ageing in participants. Conclusion Psychologists and multidisciplinary teams looking after older people in nursing homes are able to use this integrative counselling program for development of active ageing in the elderly population.
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Phochantachinda, Sataporn, Boonrat Chantong, Onrapak Reamtong, and Duangthip Chatchaisak. "Change in the plasma proteome associated with canine cognitive dysfunction syndrome (CCDS) in Thailand." BMC Veterinary Research 17, no. 1 (January 29, 2021). http://dx.doi.org/10.1186/s12917-021-02744-w.

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Abstract Background Canine cognitive dysfunction syndrome (CCDS) is a progressive neurodegenerative disorder found in senior dogs. Due to the lack of biological markers, CCDS is commonly underdiagnosed. The aim of this study was to identify potential plasma biomarkers using proteomics techniques and to increase our understanding of the pathogenic mechanism of the disease. Plasma amyloid beta 42 (Aβ42) has been seen to be a controversial biomarker for CCDS. Proteomics analysis was performed for protein identification and quantification. Results Within CCDS, ageing, and adult dogs, 87 proteins were identified specific to Canis spp. in the plasma samples. Of 87 proteins, 48 and 41 proteins were changed in the ageing and adult groups, respectively. Several distinctly expressed plasma proteins identified in CCDS were involved in complement and coagulation cascades and the apolipoprotein metabolism pathway. Plasma Aβ42 levels considerably overlapped within the CCDS and ageing groups. In the adult group, the Aβ42 level was low compared with that in the other groups. Nevertheless, plasma Aβ42 did not show a correlation with the Canine Cognitive Dysfunction Rating scale (CCDR) score in the CCDS group (p = 0.131, R2 = 0.261). Conclusions Our present findings suggest that plasma Aβ42 does not show potential for use as a diagnostic biomarker in CCDS. The nano-LC-MS/MS data revealed that the predictive underlying mechanism of CCDS was the co-occurrence of inflammation-mediated acute phase response proteins and complement and coagulation cascades that partly functioned by apolipoproteins and lipid metabolism. Some of the differentially expressed proteins may serve as potential predictor biomarkers along with Aβ42 in plasma for improved CCDS diagnosis. Further study in larger population-based cohort study is required in validation to define the correlation between protein expression and the pathogenesis of CCDS.
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Apipoonyanon, Chidchanok, Sylvia Szabo, Takuji W. Tsusaka, Kevin Leeson, Endro Gunawan, and John KM Kuwornu. "Socio-economic and environmental barriers to increased agricultural production: New evidence from central Thailand." Outlook on Agriculture, November 2, 2020, 003072702096736. http://dx.doi.org/10.1177/0030727020967361.

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Thailand’s agricultural production has played a major role in enhancing the sustainability of domestic food supplies and successful international exports. However, agricultural production and farm productivity remain relatively low, especially in rapidly ageing high out-migration areas and among small-scale farmers. In this study, we use new household survey data from Prachinburi Province to examine the probability of facing six specific barriers to agricultural production. Data were analysed using descriptive statistics and a series of logistic regressions to identify the determinants. The results show that age of household head, off-farm income, farm size, and farm type were all associated with the likelihood of different productivity barriers. Gender of household heads was found to be associated with the probability of farm labour shortage, with female-headed households being at a disadvantage. We recommend that policies should be formulated to address these significant factors in order to overcome or circumvent the different barriers and enhance the livelihoods of the local population.
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Laukova, Dagmara, Aude Bernard, Toan Nguyen, and Thomas Sigler. "The role of visa class in the location choices of immigrants in Australia at the regional and neighbourhood scales." Journal of Population Research, February 2, 2022. http://dx.doi.org/10.1007/s12546-022-09280-w.

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AbstractAustralia’s pro-immigration policies have played a vital role in national population growth, serving to address what would otherwise be chronic labour shortages and population ageing. While migrants to Australian have shown a clear preference for cities and tend to locate with co-ethnics, variations by visa class—employment, family reunification, and asylum—have yet to be fully explored. This paper aims to identify variations in settlement patterns of immigrants in Australia by visa types and the factors underpinning these choices, paying particular attention to ethnic networks and employment opportunities. We apply a series of negative binomial regressions to aggregate census data linked to visa status. At the suburb level, our results show the importance of the presence of compatriots in shaping the location choices of family migrants, with the exception of skilled and humanitarian immigrants from China, Malaysia and Thailand. At the regional level, skilled migrants, including skilled regional migrants, respond to employment opportunities to a greater extent than family and humanitarian migrants.
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Sirisuwan, Petcherut, Surachai Phimha, and Pannee Banchonhattakit. "Influence of active ageing and health literacy on quality of life among elderly persons in northeast Thailand." Health Education Journal, July 12, 2022, 001789692211093. http://dx.doi.org/10.1177/00178969221109329.

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Objectives: Ageing populations are a global phenomenon resulting from increasing life expectancy and decreasing fertility rates. Thus, investigation into the factors affecting the quality of life (QOL) of the elderly has become important. This study aimed to assess the association between active ageing and health literacy, and QOL in a sample of elderly people in Northeast Thailand. Methods: Cross-sectional data were collected from 1,226 persons aged 60 years and above from Northeast Thailand. A general linear mixed model (GLMM) was used to determine the association between active ageing, health literacy and sociodemographic factors and the outcome variable, good QOL, as determined using the WHOQOL-BREF. Results: Overall, 42.09% of participants had a good QOL. After adjusting for the effects of the other covariates, a multivariable analysis indicated that a high level of active ageing (adj. odds ratio [OR] = 4.51; 95% confidence interval [CI]: 3.27–6.23), adequate health literacy (adj. OR = 2.53; 95% CI: 1.79–3.59), age < 70 years (adj. OR = 4.09; 95% CI: 3.03–5.50), having completed secondary school or higher education (adj. OR = 2.43; 95% CI: 1.57–3.76), and having a monthly household income ⩾ 15,000 baht (adj. OR = 3.01; 95% CI: 1.73–5.22) were significantly associated with good QOL in the sample. Conclusion: The QOL of the elderly must be prioritised. Active ageing and health literacy should be promoted as part of socioeconomic and health policies. Negative attitudes and ‘ageism’ towards the elderly should be reduced among populations of all ages. Health communication for members of a demographic with limited health literacy should be enhanced, and employment of the elderly encouraged.
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Leerapan, Borwornsom, Pard Teekasap, Nipaporn Urwannachotima, Wararat Jaichuen, Kwanpracha Chiangchaisakulthai, Khunjira Udomaksorn, Aronrag Meeyai, Thinakorn Noree, and Krisada Sawaengdee. "System dynamics modelling of health workforce planning to address future challenges of Thailand’s Universal Health Coverage." Human Resources for Health 19, no. 1 (March 10, 2021). http://dx.doi.org/10.1186/s12960-021-00572-5.

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Abstract Background System dynamics (SD) modelling can inform policy decisions under Thailand's Universal Health Coverage. We report on this thinking approach to Thailand's strategic health workforce planning for the next 20 years (2018–2037). Methods A series of group model building (GMB) sessions involving 110 participants from multi-sectors of Thailand's health systems was conducted in 2017 and 2018. We facilitated policymakers, administrators, practitioners and other stakeholders to co-create a causal loop diagram (CLD) representing a shared understanding of why the health workforce's demands and supplies in Thailand were mismatched. A stock and flow diagram (SFD) was also co-created for testing the consequences of policy options by simulation modelling. Results The simulation modelling found hospital utilisation created a vicious cycle of constantly increasing demands for hospital care and a constant shortage of healthcare providers. Moreover, hospital care was not designed for effectively dealing with the future demands of ageing populations and prevalent chronic illness. Hence, shifting emphasis to professions that can provide primary care, intermediate care, long-term care, palliative care, and end-of-life care can be more effective. Conclusions Our SD modelling confirmed that shifting the care models to address the changing health demands can be a high-leverage policy of health workforce planning, although very difficult to implement in the short term.
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Fatimah Ahmedy, Khin Nyein Yin, and Sadia Choudury Shimmi. "Spinal Cord Injury Rehabilitation: Basics and Beyond." Borneo Journal of Medical Sciences (BJMS), March 22, 2022, 1–2. http://dx.doi.org/10.51200/bjms.vi.3708.

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This special issue is dedicated to the Borneo International Spinal Cord Injury (SCI) Rehabilitation Conference (BISCIR) which was held on 30th July – 1st August 2021 through a virtual platform. It was co-organized by the Department of Rehabilitation Medicine, Queen Elizabeth Hospital, and Rehabilitation Medicine Unit, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah in partnership with Docquity and Kelab Perubatan Rehabilitasi Sabah. Attended by almost 500 delegates from Southeast Asian countries including the hosting country of Malaysia, the conference served its purpose as a global sharing platform by having invited local and international experts from Thailand, the Philippines, India, South Korea, and Australia. With the theme “SCI Rehabilitation: Basics and Beyond”, there was a great opportunity for participating delegates to submit their abstracts for oral and poster competition on spinal cord-related disorders and their rehabilitation. The covered areas include but are not exhaustive to the spinal cord pathophysiology, disease presentations, complications, and management, as well as rehabilitation interventions. Each submitted abstract was double-blinded peer-reviewed by two external reviewers. A total of 15 abstracts were accepted after rigorous review based on objective judging criteria, with seven and eight abstracts as oral and poster submissions respectively. Most of them were case reports with four cross-sectional studies and one review article. “Managing Tetraplegia with Blindness: Rehabilitation Approach” presented the improvement in mobility and daily living skills through orientation and mobility training with sensory education and repeated verbal instructions for compensating the loss of visual and sensory feedback. The “International Lower Urinary Tract Function Data Set: A Study in SCI Population in HRC” reviews the epidemiology of spinal cord injury patients with the neurogenic bladder in the largest rehabilitation hospital in Malaysia. “Navigating Neurological Recovery with NeuroAiD in Severe Spinal Cord Injury: A Noteworthy Novelty?” reported a case of complete tetraplegia who regained some neurological recovery following NeuroAiD supplementation. “A Case of Incomplete Spinal Cord Injury Associated with Brown Sequard Syndrome After Cervical Blunt Trauma with Atlanto-Axial Rotatory Subluxation in a Paediatric Patient” exhibited a case of a paediatric patient with high cervical spinal cord injury secondary to blunt trauma that has resulted in atlantoaxial rotatory subluxation. The “Long Cervicothoracolumbal Rigid Bracing Stabilization on Incomplete Spinal Cord Injury of Post-Operated Multi-Focal Upper Cervical-Thoracic Spinal Tuberculosis: A Unique Case Report” showed that the use of long CTLSO rigid external stabilization justifies the reason to boost protection while recovering from spinal tuberculosis despite receiving stable internal stabilization. “Orthotic Intervention for Ageing Individuals with Spinal Cord Injury: A Brief Review” explored the use of orthotic intervention among the elderly with SCI in 25 published articles. The “Demographic Characteristic of Spinal Cord Injury Patients Referred for Rehabilitation in Miri Hospital” aimed to explore the demographic characteristics among the referrals for rehabilitation among spinal cord injury populations in that tertiary hospital. The “Autonomic Dysreflexia with Concurrent Orthostatic Hypotension: A Clinical Approach Dilemma” highlighted the complicated conditions of managing concurrent Autonomic dysreflexia and orthostatic hypotension in a patient with high cervical spinal cord injury. “A Pinch of Salt Won’t Kill: The Role of Salt Tablets in Reversing Intractable Orthostatic Hypotension in an Incomplete Tetraplegic Patient” presented a case of intractable orthostatic hypotension in incomplete tetraplegia, which resolved after the initiation of salt tablets. The “Marching Forward with Mirabegron: A Novel Treatment Option for Neurogenic Detrusor Overactivity in Traumatic Spinal Cord Injury” showcased a case of young traumatic paraplegia who has been successfully treated with Mirabegron as an alternative to anticholinergics in treating overactive bladder for its better tolerability and comparable efficacy. “A Retrospective Pilot Study on the Prevalence of Acceptability for Teleconsultation among Spinal Cord Injury Patients” observed the acceptability of teleconsultation among SCI patients in a major tertiary rehabilitation hospital with a description of their clinical and demographic features. “Performing Solat in Spinal Cord Injury Patients: Challenges and Solutions” emphasized the importance to educate healthcare workers for identifying the limitations and leniency in Islam related to performing prayer (solah) and understand the conditions of the validity of the performed prayer as means to equip patients with the right knowledge and method. The ”Sharing of Experience of Teleconsultation with Spinal Cord Injury Patients” proven that the use of teleconsultation is a beneficial service among SCI patients during the COVID-19 pandemic. “Fleet Enema-Induced Autonomic Dysreflexia in Spinal Cord Injured Patient” reported the use of fleet enema in spinal cord injured patients that can cause autonomic response leading to severe complication of a generalized tonic-clonic seizure. The “An Uncommon Case Post-traumatic Syringobulbia: A Case Report” showed that the formation of syringobulbia, although rare, is one of the causes of the delayed-onset neurological deterioration in spinal cord injured patients. The accepted abstracts are presented in the following sections of this issue. Readers are welcome to contact us for any comments or queries.
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Armstrong, Elizabeth, Xuejun Yin, Husna Razee, Cuong Viet Pham, Paphon Sa-ngasoongsong, Irewin Tabu, Jagnoor Jagnoor, et al. "Exploring Barriers to, and Enablers of, Evidence-Informed Hip Fracture Care in Five Low- Middle-Income Countries: China, India, Thailand, the Philippines and Vietnam." Health Policy and Planning, June 9, 2022. http://dx.doi.org/10.1093/heapol/czac043.

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Abstract:
Abstract Globally, populations are ageing and the estimated number of hip fractures will increase from 1.7 million in 1990 to more than 6 million in 2050. The greatest increase in hip fractures is predicted in Low- and Middle‑Income Countries (LMICs), largely in the Asia-Pacific region where direct costs are expected to exceed $US15 billion by 2050. The aims of this qualitative study are to identify barriers to, and enablers of, evidence informed hip fracture care in LMICs, and to determine if the Blue Book standards, developed by the British Orthopaedic Association and British Geriatrics Society to facilitate evidence informed care of patients with fragility fractures, are applicable to these settings. This study utilised semi-structured interviews with clinical and administrative hospital staff to explore current hip fracture care in LMICs. Transcribed interviews were imported into NVivo 12 and analysed thematically. Interviews were conducted with 35 participants from eleven hospitals in five countries. We identified five themes—costs of care and the capacity of patients to pay, timely hospital presentation, competing demands on limited resources, delegation and defined responsibility, and utilisation of available data—and within each theme, barriers and enablers were distinguished. We found a mismatch between patient needs and provision of recommended hip fracture care, which in LMICs must commence at the time of injury. This study describes clinician and administrator perspectives of the barriers to, and enablers of, high quality hip fracture care in LMICs; results indicate that initiatives to overcome barriers (in particular, delays to definitive treatment) are required. While the Blue Book offers a starting point for clinicians and administrators looking to provide high quality hip fracture care to older people in LMICs, locally developed interventions are likely to provide the most successful solutions to improving hip fracture care.
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