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Background: Immigration of women workers from neighboring countries into Thailand to work in factories, usually have poor knowledge, attitude, and misbehavior on reproductive health. This can cause problems of reproductive health in Thai society.
Objective: To compare the knowledge, attitude, and behavior of reproductive health between Thai and immigrant women workers.
Methods: This analytic study compared 107 Thai and 107 immigrant workers in factories in Samut Sakhon, Thailand. All participants were recruited by purposive sampling. Data was collected by self-administered questionnaires which included personal characteristics, knowledge, attitude, and behavior related to reproductive health. Statistical tests were performed to analyze association between variables.
Results: Thai workers were older than immigrant workers (31.3 ± 9.5 years vs 25.3 ± 5.1 years; P < .05) and more marriage (84.1% vs 72.0%; P < .05). Compare with immigrant workers, Thai women workers had finished secondary school or lower (51.4% vs 36.4%; P < .05), earned more than ฿15 000 per month (38.3% vs 3.7%; P < .05), owned their own house (15.0% vs 0%; P < .05), paid for their own healthcare (23.4% vs 11.2%; P < .05), and used private hospitals for healthcare services (40.2% vs 17.8%; P < .05). Thai workers had significantly better levels of knowledge and attitude (P < .001). However, immigrant workers were found to have better levels of reproductive health behavior (70.1% vs 68.2%), especially in terms of the number of sexual partners, and a good level of pregnancy-related reproductive behavior (97.4% vs 84.3%), particularly in the practice of exclusive breastfeeding for 6 months or more.
Conclusions: Thai workers had more knowledge, attitude, and behavior of reproductive health than immigrant workers, despite their better attitude and behavior in terms of the number of sexual partners and the practice of exclusive breastfeeding 6 months or more.
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2. United Nations Population Activities. Universal Access to Reproductive Health: Progress and Challenges. New York, NY: United Nations Population Fund; 2016:4-9. https://www.unfpa.org/sites/default/files/pub-pdf/UNFPA_Reproductive_Paper_20160120_online.pdf. Accessed February 5, 2020.
3. United Nations Regional Task Force. HIV/AIDS and Mobility in South-East Asia. Bangkok: United Nations Development Programme; 2008:3-74. https://www.undp.org/content/dam/undp/library/hivaids/English/HIV-2008-Mobility-SoutheastAsia.pdf. Accessed February 5, 2020.
4. Baker S, Holumyong C, Thianlai K. Research Gaps Concerning the Health of Migrants from Cambodia, Lao PDR and Myanmar in Thailand. Nakhon Pathom: Mahidol University and Nonthaburi: World Health Organization; 2010:6-22. https://www.ipsr.mahidol.ac.th/ipsr/Contents/Research/362-Who%20Report-Web.pdf. Accessed February 5, 2020.
5. Daniel WW. Biostatistics: A Foundation for Analysis in the Health Sciences. 7th ed. New York: John Wiley & Sons; 1999.
6. Thawu M. Unmet Reproductive Health Needs and Use of Different Family Planning Methods Among Myanmar Migrant Women, Samutsakhon Province, Thailand [master’s thesis]. Bochum, Germany: Ruhr-University; 2013;119.
7. Chaibarn P, Monsang I, Sangsrijan S. The relationships among knowledge attitude belief about contraceptive and contraceptive behavior of migrant workers in the Upper Northern Provinces. J Nursing Health Care. 2016;34(3):96-103.
8. Girvin S, Krause S, Matthews J. Thai-Burma Border Reproductive Health Assessment. New York, NY: Women’s Commission for Refugee Women and Children; 2006. https://www.refworld.org/pdfid/48aa83130.pdf. Accessed February 5, 2020.
9. Soe HHK, Than NN, Kaul A, Kumar S, Somrongthong R. Determinants of contraceptive usage among Myanmar migrant women in Phang-Nga Province Thailand. J Med Med Sci. 2012;3(11):721-728.
10. Greenberg JS, Bruess CE, Oswalt SB. Exploring the Dimensions of Human Sexuality. 6th ed. Burlington, MA: Jones & Bartlett Learning; 2017:6-8. https://samples.jbpub.com/9781284081541/9781284082630_FMxx_00i_xxv.pdf. Accessed February 5, 2020.
11. Techasrivichien T, Darawuttimaprakorn N, Punpuing S, et al. Changes in sexual behavior and attitudes across generations and gender among a population-based probability sample from an urbanizing province in Thailand. Arch Sex Behav. 2016;45(2):367-382. doi:10.1007/s10508-014-0429-5.
12. Aurpibul L, Tangmunkongvorakul A, Musumari PM, Srithanaviboonchai K, Tarnkehard S. Patterns of sexual behavior in lowland Thai youth and ethnic minorities attending high school in rural Chiang Mai, Thailand. PLoS One. 2016;11(12):e0165866. doi:10.1371/journal.pone.0165866.
13. Laisiriruangrai P, Wiriyasirivaj B, Phaloprakarn C, Manusirivithaya S. Prevalence of exclusive breastfeeding at 3, 4 and 6 months in Bangkok Metropolitan Administration Medical College and Vajira Hospital. J Med Assoc Thai. 2008;91(7):962-967.
14. Pitikultang S, Khin MM, Siri S, Taechaboonsermsak P. Six-month exclusive breastfeeding (EBF) among Myanmar migrant in Samut Sakhon Province, Thailand. Southeast Asian J Trop Med Public Health. 2017;48(3):662-673.
15. Dauda Goni M, Hasan H, Naing NN, et al. Assessment of knowledge, attitude and practice towards prevention of respiratory tract infections among Hajj and Umrah pilgrims from Malaysia in 2018. Int J Environ Res Public Health. 2019;16(22). pii:E4569. doi:10.3390/ijerph16224569.