Journal of the office of disease prevention and control 9 Nakhon Ratchasima

Predictive Factors of Non-Communicable Disease Prevention Behaviors Based on the “3E-2S” Principle among Village Health Volunteers in Nong Waeng Subdistrict, Lahan Sai District, Buriram Province

Wuttichan Huaisai — 2025-12-13

The study was a cross-sectional analytical study. The objectives were to investigate the level of health literacy and prevention behaviors for non-communicable diseases (NCDs), and to examine the influence of personal factors and health literacy on these prevention behaviors among Village Health Volunteers (VHVs) in Nong Waeng Subdistrict, Lahan Sai District, Buriram Province. A sample of 142 VHVs was selected using a simple random sampling method. The data were collected using a questionnaire and analyzed using descriptive statistics and multiple linear regression analysis. The results showed that most participants were female (89.44%), with an average age of 50.97 years (SD = 9.80). Most were Buddhist (99.30%) and married (78.87%). The highest level of education attained was primary school (50%), and the primary occupation was farming (69.72%). The average monthly income was 6,331.69 THB (SD = 4,739.67). Additionally, 77.46% of the participants had no NCDs, and the average body mass index (BMI) was 25.32 kg/m². (SD = 4.07). Health literacy was at a very good level (83.80%), while NCD prevention behavior was at a fair level (85.21%). The variables that could significantly predict NCD prevention behavior were male gender (β = -5.950, p = 0.017), age (β = 0.164, p = 0.039), occupation (β = – 9.504, p = 0.009), health literacy (β = 1.060, p = 0.029). All independent variables explained 8.6% of the variation in the NCD prevention behavior score. Therefore, appropriate health-promoting activities should be designed and organized for VHVs. These activities must emphasize their involvement in decision-making rather than merely receiving information. This approach will encourage them to adopt proper health behaviors and serve as role models for the community.

The Association between Perception and Dengue Fever Prevention Practices among Residents in High Morbidity Rate Districts, Buriram Province

Jirapreeya Bunsong — 2025-12-13

Dengue fever is an important public health problem in many countries, including Thailand. It is caused by the dengue virus and spread by the Aedes aegypti mosquito. In the past 10 years, outbreaks have been unpredictable, requiring continuous surveillance, prevention, and control. The study was descriptive research. The objectives were to examine the relationship between perception and dengue fever prevention practices among the public, and to study the levels of perception and dengue fever prevention practices in districts with high morbidity rates in Buriram Province. A sample of 385 people was selected using multi-stage sampling from high-incidence districts. Data were analyzed using descriptive statistics (frequency, percentage, mean, and standard deviation) and the Pearson correlation coefficient. The results showed that most participants were female (62.60%), aged 41–50 years (28.80%), married (69.10%), had a primary education level (73.20%), were farmers (75.30%), and had no history of dengue fever (97.10%). The overall level of health belief perceptions was found to be at a high level ( = 2.72, SD = 0.13). The overall dengue prevention behavior was practiced regularly ( = 2.46, SD = 0.30).The study of the relationship between perception and dengue fever prevention practices among the public showed that awareness of disease severity (r = -0.128, p = 0.012), perceived risk (r = 0.179, p < 0.001), and perceived benefits of prevention (r = 0.159, p = 0.002) had statistically significant correlations with prevention behavior (p < 0.05). However, perceived barriers to performing the behavior had no relation to prevention behavior. Therefore, local authorities and stakeholders should promote activities to raise awareness and emphasize the importance of eliminating mosquito breeding sites in households to achieve sustainable dengue prevention and control.

Effect of Behavior Modification Program on Health Behavior and Body Mass Index in Overweight Public Health Personnel, in Public Health Agencies of Nakhon Phanom Province

Phimraphat Theangthonglang — 2025-12-13

The study was a quasi-experimental research design using a two-group pretest–posttest design. The objective was to examine the effects of a behavior modification program on health behaviors and body mass index (BMI) among overweight public health personnel working in health agencies in Nakhon Phanom Province. The sample consisted of 58 overweight public health personnel working in public health agencies in Nakhon Phanom Province. The participants were divided into two groups: an experimental group (29 participants) and a comparison group (29 participants). The study was conducted between September and November 2024, with program activities implemented over a period of 8 weeks. The intervention applied the transtheoretical model of behavior change in combination with the health belief model, consisting of 5 stages and 17 activities. Data were collected through questionnaires and analyzed using descriptive statistics. The Wilcoxon signed-ranks test was employed for dependent groups, while the Mann-Whitney U test was performed for independent groups, with a statistically significant level set at 0.05. The results showed that, after the program, the experimental group’s average scores were higher in overweight perception, dietary behavior, and exercise behavior compared to their scores before the program. The experimental group’s average scores were also higher than the comparison group’s scores; however, there were no statistically significant differences between the groups. Moreover, after the program, the experimental group revealed a statistically significant lower average BMI than the comparison group (p < 0.001). Therefore, health behavior modification through activities that raise awareness about overweight, combined with health behavior modification, and organized according to the stages of behavior change using the health belief model, could serve as a guideline for addressing overweight problems among public health personnel in Nakhon Phanom Province.

Factors Associated with Hypertension Prevention Behaviors among Residents of Overcrowded Communities in Mueang Municipality, Surin Province

Pornpimol petklan — 2025-12-13

The study was a cross-sectional analytical study. The objective was to investigate factors associated with hypertension prevention behaviors among residents of dense and overcrowded communities in Mueang municipality, Surin province. The sample consisted of 216 participants who were people aged more than 15 years living in dense and overcrowded communities in Mueang Surin municipality. The participants were selected using systematic random sampling. Data were collected using questionnaires and analyzed using multiple logistic regression. The results showed that 58.33% of participants were female, with a mean age of 48 years (SD = 15.53). Less than 5,000 baht was the monthly income for 52.31% of participants. Furthermore, 79.81% had no underlying disease, and 75% of participants reported that their families had no record of hypertension. Finally, 89.91% of participants had measured their blood pressure level within the past year. After statistical analysis, the results revealed several factors significantly associated with hypertension prevention behaviors (p < 0.05). Specifically, participants with a monthly income of 5,000 baht or more were 2.08 times more likely to have appropriate hypertension prevention behaviors compared to those with lower incomes (AOR = 2.08, 95%CI: 1.08–3.38). Participants who had their blood pressure measured within the past year were 3.27 times more likely to engage in appropriate hypertension prevention behaviors compared to those who had never done so (AOR = 3.27, 95%CI: 1.26–8.49). Furthermore, participants with high motivation were 2.22 times more likely to exhibit appropriate hypertension prevention behaviors compared to those with lower motivation levels (AOR = 2.22, 95%CI: 1.15–4.31). Therefore, public health agencies should implement proactive health promotion activities in densely-populated and overcrowded communities, particularly targeting low-income residents to improve their access to health service information. These interventions should emphasize knowledge enhancement, strengthen motivation, and support basic health screening services for community residents. Moreover, programs should develop the skills of village health volunteers and residents so they can perform self-measurement and self-assessment.

Susceptibility of Anopheles dirus to 0.05% Deltamethrin in Buachet district, Surin province

Sunanta Punkunkeeree — 2025-12-13

Malaria remains a major public health problem in many countries, particularly in Southeast Asia, including Thailand. The primary vectors responsible for malaria transmission are Anopheles mosquitoes. The study was an experimental research study. The objective was to assess the susceptibility of Anopheles dirus mosquitoes to 0.05% deltamethrin in Buachet district, Surin province. A total of 34 Anopheles dirus mosquitoes were collected from natural sources. The mosquitoes were tested for susceptibility to 0.05% deltamethrin in the laboratory, following WHO guidelines. Data were analyzed using descriptive statistics (including frequency and percentage) to describe knockdown and mortality rates, while probit analysis was employed to calculate the knockdown time for 50% (KT₅₀) of mosquitoes. The results showed that after 20 minutes of exposure to 0.05% deltamethrin, 15.63% of mosquitoes were knocked down. Mosquitoes were 100% knocked down at 40, 50, and 60 minutes. The KT₅₀ was 23.06 minutes. After rearing the knocked-down mosquitoes for 24 hours, the mortality rate was 100%. The findings demonstrated that Anopheles dirus mosquitoes in this study area are susceptible to 0.05% deltamethrin. Therefore, 0.05% deltamethrin is effective in eliminating Anopheles dirus mosquitoes. This indicated that 0.05% deltamethrin could be used in strategic planning and effective control measures for the malaria vector. Moreover, the insecticide susceptibility of Anopheles mosquitoes should be monitored to prevent the development of resistance in vector populations.

Factors Related to Household Waste Management Behavior in Dan Khun Thot District, Nakhon Ratchasima Province

Noppakao Buangam — 2025-12-13

The study was a cross-sectional analytical study. The objective was to investigate factors associated with household waste management behavior in Dan Khun Thot District, Nakhon Ratchasima Province. The sample consisted of 339 households located in the Ban Prang Subdistrict Administrative Organization in Dan Khun Thot District, Nakhon Ratchasima Province. The households were selected using systematic random sampling with proportionate allocation. Data were collected using questionnaires. Descriptive statistics (frequency, percentage, mean, and standard deviation) and analytic statistics using multiple logistic regression were used to analyze the data. The results found that 57.2% of the sample had a moderate level of waste management literacy and also showed a moderate level of community waste management participation ( = 2.13, SD = 0.59). Additionally, 51.3% were found to have inappropriate waste management behavior. Factors significantly associated with waste management behavior included age (AOR = 3.19, 95%CI: 1.65–6.18), family members, 1–3 persons (AOR = 1.82, 95%CI: 1.10–3.01), household producing recyclable waste (AOR = 3.09, 95%CI: 1.70–5.60), waste management literacy (AOR = 3.92, 95%CI: 1.79–8.53), self-management skill (AOR = 6.04, 95%CI: 2.83–12.88), and community waste management participation (AOR = 2.99, 95%CI: 1.57–5.69). Therefore, activities should be organized to promote waste management literacy and participation in the community to strengthen skills and develop the potential for appropriate waste management behaviors.

Community Health Care Model through Community Health Station: A Case Study of Thung Bon Community, Bung Wai Subdistrict, Warin Chamrap District, Ubon Ratchathani Province

Kunthida — 2025-12-13

The study was a survey research study. The purpose was to investigate a community health model using the community health station framework, guided by the 3G-1K-3S model and the concept of social capital (including structural and service dimensions). A mixed-methods approach was conducted in this study. The sample consisted of 48 participants selected through stratified random sampling. The participant pool included 13 key informants (village health volunteers, professional nurses, directors of Subdistrict Health Promoting Hospitals, village chiefs, assistant village chiefs, and members of the Subdistrict Administrative Organization) and 35 community residents. The research tools consisted of a questionnaire and an in-depth interview guide. The content validity (IOC = 0.67) and reliability (α = 0.87) of the tools were validated prior to use in this study. Quantitative data were analyzed using descriptive statistics, and qualitative data were analyzed using content analysis. The results showed two major dimensions. Dimension 1, the structural dimension (comprising G1: community governance committee and G2: community health fund), showed a high level of appropriateness (=3.68, SD=0.79). The findings indicate the readiness of community committees, functional management, and support from multiple sectors, despite the absence of formal appointments. Dimension 2, the service dimension (comprising G3: community activities, K1: data and information, S1: collaboration, S2: communication, and S3: sustainability), showed the highest level of appropriateness (=4.65, SD=0.61). The findings highlight the effectiveness of the community health station, enabling the public to access services easily and consistently. Qualitative data analysis identified three key themes: 1) volunteer spirit and social capital as key drivers, 2) services perceived as close-to-home and person-centered, and 3) communication and collaboration as foundations for sustainability. The systemic synthesis of these findings led to the development of the “THUNG-BON MODEL” as a blueprint for sustainable community health management.

Factors Related to Anemia in Pregnant Women Receiving Delivery Services at Lamthap Hospital in Lam Thap District, Krabi Province

Rujira Prakeetavatin — 2025-12-13

The study was a retrospective descriptive study. The objective was to investigate the factors associated with the occurrence of anemia among pregnant women who delivered at Lam Thap Hospital, Lam Thap District, Krabi Province. The sample consisted of 114 pregnant women who received delivery services at the hospital. The sample size was calculated using the formula by Krejcie and Morgan. Data were collected between October 2022 and September 2024 using a data collection form that included three main categories: 1) personal factors, 2) obstetric factors, and 3) the occurrence of anemia among pregnant women. Data were analyzed using descriptive statistics (frequency, percentage) and inferential statistics employing the chi-square test to examine associations at a statistical significance level of p < 0.05. The results showed that personal factors were significantly associated with the occurrence of anemia among pregnant women (p < 0.01). These factors included educational level (χ² = 22.73, p < 0.01) and body mass index (BMI) at the first antenatal care (ANC) visit (χ² = 32.34, p < 0.001). Moreover, obstetric factors were also statistically significantly associated with anemia (p < 0. 01). These factors included age at the first ANC visit (c² = 7.60, p < 0.02), thalassemia screening results (χ² = 28.02, p < 0.01), and completing ANC visits as scheduled (χ² = 9.70, p < 0.01). From these findings, it is recommended to promote complete adherence to the ANC schedule, encourage improved nutritional status, and emphasize the consistent intake of iron supplements among pregnant women to prevent anemia and associated complications.