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This paper aims to develop an empirical understanding of the local identity changes of Chiang Mai heritage city from residents’ perspectives from when the city was pushed forward to inscription on the list of UNESCO World Heritage Sites during a period of transformation in tourism development. The indicative themes of identity change are proposed in a conceptualised model of the multiple stages of identity change in transformational tourism development.

This study applied the qualitative approach to gain insight on local residents in Chiang Mai. Twenty-two semi-structured interviews were conducted with local residents who underwent transformational experiences with the city, including life-changing tourism experiences with mixtures of senior citizens who were born in the city, migrants and local experts. Site observations and secondary data supplemented the interviews were used in triangulation with identity changes during the transformational tourism period.

This study’s findings revealed identity changes in locals’ way of life regarding tradition and culture and the increased urbanisation. The indicative themes that caused local identity changes included tourism demand, national policy and new critical emerging issues of capitalism and education are underlined. The way of life in local community transition, tradition and culture has been distorted by effective destination marketing, However, the positive perspectives of identity changes were explored in this study.

This study fills a research gap, given that few scholars (Gu and Ryan, 2007; Lean, 2009; Lemmi et al., 2018; Reisinger, 2015; Robledo and Batle, 2017; Willson et al., 2013; Xue et al., 2017) have conducted in-depth studies on identity change problems that are caused by rural to urban transformational tourism development.

This paper aims to assess the various impacts of tourism development in Chiang Mai on the local populace’s sense of well-being. The moderating effect of employment in and affiliation with the tourism industry on perception of tourism development is also examined.

A sequential explanatory mixed method design is adopted, beginning with the development of a conceptual model that links residents’ perceived impact of tourism development with their general and life domain-specific well-beings. The model is tested with a survey of 567 respondents who are long-term residents of Chiang Mai. The findings are subsequently used in the semi-structured in-depth interviews with selected tourism stakeholders to provide qualitative explanation and meaning to the data.

The results suggest a reciprocal relationship between perceived economic, cultural and environmental impact of tourism development and Chiang Mai residents’ general sense of well-being. It also revealed that community well-being and material well-being accounted the most and the least, respectively, on overall well-being for Chiang Mai residents. Another interesting observation was that Chiang Mai residents feel the same way about the various perceived impact of tourism development on overall sense of well-being, regardless of whether they are employed or affiliated with the tourism industry or otherwise.

With limited literature on the perceived impact of tourism development by residents in Asia, this research provides a Thai perspective of the said impact on general well-being. A sequential explanatory mixed method provides an added lens to induce insights and explain the results deduced from the earlier quantitative study.

Hundreds of thousands of Shan people from Myanmar have crossed the Thai border seeking employment or refuge from war, with numbers increasing following the 2021 coup in Myanmar. Still, little is known about their post-migration experiences. This study explored the ways relocating to Thailand influenced the lives and mental wellbeing of Shan men, the factors affecting their engagement with Thai society and their responses to opportunities and challenges.

Given the lack of published research on this topic, this study used a qualitative approach. Semi-structured interviews were conducted with 14 purposively selected Shan men in Chiang Mai, Thailand. Data were examined using qualitative thematic analysis.

Five themes emerged: the strength of both push and pull factors; the importance of ethnicity, community and acting transnationally; experiencing discrimination and feeling “low”; coping by forgetting problems, hiding from trouble and studying; and wanting to return when conditions allow. The findings reveal how moving to Thailand can improve but also undermine the mental wellbeing of Shan men. Results also highlight the influence of ethnic identity, community and post-migration opportunities and stressors on how these men adapt to life in Thailand and on their attitudes towards return migration. Respondents used a mix of emotion- and problem-focused coping strategies.

To the best of the authors’ knowledge, this study is one of the first to explore post-migration experiences and mental wellbeing among the Shan in Thailand.

The purpose of this paper is to estimate the cost-effectiveness of tuberculosis (TB) treatment and care in two Thai hospitals located on the borders with Myanmar and Laos.

A retrospective data collection was conducted to analyze all costs relevant to TB treatment and care from Mae Sai and Chiang Sean Hospitals. The cost related to TB treatment and care and the number of successful TB treatment from January 1 to December 31, 2017 were used for the calculation. The cost-effectiveness ratio (C/E) and the incremental cost-effectiveness ratio (ICER) were the outcomes.

In 2017, the total cost of the TB treatment and care program at Mae Sai Hospital was 482,728.94 baht for 57 TB patients. The cast per treated case per year was 8,468.93 baht. The C/E was 10,971.11 baht per successful TB treatment (44 successful cases). The total cost of the TB treatment and care program at Chiang Sean Hospital was 330,578.73 baht for 39 TB patients. The cost per treated case per year was 8,476.38 baht. The C/E was 22,038.58 baht per successful TB treatment (15 successful cases). The ICER was 5,246.56 baht. The Mae Sai Hospital model was more cost-effective in terms of the treatment and care provided to Burmese patients with TB than the Chiang Sean Hospital model for Laotian patients with TB.

To improve the cost-effectiveness of TB treatment and care programs for foreign patients in hospitals located on the Thai border, focus should be placed on patient follow-up at the community or village level.

This study aims to examine the transformation process in traditional beliefs and practices in the use of sand in the Songkran Festival in Chiang Mai, Northern Thailand.

This study uses historical and ethnographic methods to understand the transformation of the sand rituals in the Songkran Festival in Chiang Mai. The historical approach is used to investigate the past ritual practices of the sand pagoda, while the ethnographic approach is used to gather evidence about the recent practices surrounding the construction and deployment of the sand pagoda; the historical and archival research for this study has also accessed material from newspapers and photographs. Because observation and interviews are major methods of ethnographic research, participant observation at the sand pagoda rituals in the Songkran Festival was conducted, as well as interviews with the relevant interest groups to collect data on the rituals and the recent changes in these practices.

The transformation process in the traditional beliefs and practices surrounding the construction of sand pagodas in the Songkran Festival in Chiang Mai, Northern Thailand, is a result of the influence of tourism, the development of a market economy and the accompanying commoditisation process and secularisation and the decline of Buddhism in the local communities in Chiang Mai.

This study has implications for other religious practices which have become increasingly staged and reinvented in the process of tourism development. It only examines one among many other elements in the increasingly touristic secularisation of formerly religious beliefs and practices.

The paper contributes to an expanding literature on the transformation of traditional rituals as a consequence of external factors, especially tourism promotion and the ways in which formerly sacred spaces and activities become commoditised.

This is the first study which focuses on the transformation of practices surrounding sand pagodas in the Songkran Festival in Chiang Mai, in relation to the promotion of tourism, processes of commoditisation and the declining importance of Buddhism.

For decades, northern Thailand has been a hub for migration in the Greater Mekong Sub-region, particularly for migrants from Myanmar. HIV prevalence among Myanmar/Burmese migrants is higher than in the general Thai population. This study aims to focus on Shan migrants living with HIV in Chiang Mai, the metropolitan centre of northern Thailand and to examine two related aspects: migrants’ sexual risk behaviour and their HIV knowledge and beliefs. The study aims to understand circumstances in which mobility increases HIV risk behaviour and prevalence.

Using a qualitative study, the authors conducted in-depth interviews in 2017 with 43 HIV-infected Shan migrants (21 males and 22 females), and 29 health-care providers who work in district hospitals in Chiang Mai.

The authors found that social and economic vulnerability associated with migration, and AIDS-related mortality, increased migrants’ likelihood of having multiple serial partners. Confusion about HIV symptoms, stigmatization of HIV positive women and low risk perceptions, particularly among men, increased their risk behaviours.

To the best of the authors’ knowledge, this paper is the first to study the way of life, sexual behaviour and HIV knowledge and beliefs of Shan Migrants from Myanmar Living with HIV in Thailand.

This chapter tests the market risk and economic policy uncertainty (EPU) of five Asian stock market returns and finds positive and significant intertemporal relations between excess stock returns and conditional volatility/downside risk. The results support positive risk-return relations across five Asian markets after controlling for the lagged dividend yield and the change in EPU ( Δ EPU). The evidence strongly indicates that excess stock returns are negatively correlated with the Δ EPUs. This finding holds true not only for the domestic market but also for external sources. The negative effect of Δ EPU is more profound from the US and global markets as compared with those from the Europe, Japanese, and domestic markets and suggests that a pathway to forming an optimal strategy for portfolio risk management depends on developing an effective hedging strategy against the impact of Δ EPUs from US/global markets.

This study finds evidence that a stock return is inversely correlated with downside risk, confirming a pattern of risk-aversion behavior. Evidence from testing a stock return's response to a change in economic policy uncertainty indicates a significantly negative effect in the Chinese stock market; this conclusion holds true for testing the impacts of changes in fiscal and monetary policy uncertainties. However, the data produce a mixed effect for the change in fiscal policy uncertainty. The evidence produced from examining the geopolitical effect on the stock market strongly supports the presence of an adverse effect on stock market performance.

The qualitative approach was applied the discover the optimum answers to the research objectives, which are (1) to understand the cultural and hedonistic characteristics of the (Lanna) Songkran festival; and (2) to examine the dilemma between cultural rituals and hedonistic activity for tourism.

This study used a case study of the Songkran festival in Chiang Mai to examine the dilemma between cultural rituals and hedonism for tourism, which brings lost or misperceived cultural values and identities. The semi-structured interview (SSI) with senior locals and participant observation during the festival was conducted in Chiang Mai, Thailand, to obtain the in-depth phenomena of the existing celebration pattern at the festival.

The study findings show three crucial phenomena that explain characteristics of unsynchronized cultural rituals and hedonistic activities for tourism: (1) the parallel phenomenon between cultural values and celebration practice, (2) the movement of local culture and(3) the hedonistic characteristics of the festival.

The study extends the knowledge on the interplay phenomena between cultural festivals and tourism; also, the involved stakeholders, such as local communities, public sectors and private sectors, can use the study findings in creating policies for using cultural festivals to promote a destination and urban economic development that will minimise cultural values distort while increase tourism economic values.

This study was conducted qualitatively, including SSIs and participant observation at the Songkran festival in Chiang Mai. The study findings were analysed, based on the empirical data, into significant themes representing the characteristics of dilemma phenomena within the festival.

The purpose of this paper is to determine the factors associated with patient delay among tuberculosis patients in border hospitals, Chiang Rai province, Thailand.

A cross-sectional study was conducted in the four biggest border hospitals in Chiang Rai province, Thailand during May to July 2018 among 103 identified TB cases. Data were collected by a face-to-face interview with structured questionnaire on patients’ general characteristics, HIV status and patient delay status. Descriptive statistics were used to analyze the patients’ general characteristics, HIV and patient delay status. The association among variables and patient delay was analyzed by χ²-test. The variables with p-value<0.20 obtained in bivariate analysis were further analyzed by binary logistic regression and considered significant with p-value<0.05.

All patients enrolled, most were reported with patient delay (65.0 percent). Bivariate analysis demonstrated that level of education, nationality and HIV status were associated factors for patient delay. Among these factors, binary logistic regression revealed that HIV negative TB patients were increased 6.806-fold odds of being patient delay (OR = 6.806; 95% CI: 1.174–39.462), while non-Thai TB patients were also increased 2.824-fold odds of being patient delay (OR = 2.824; 95% CI: 1.041–7.660).

Patient delay among TB patients in Chiang Rai province was high. This study further supports the requirement on promoting of TB knowledge and awareness emphasized on non-Thai population and general public along the border areas of Chiang Rai province.