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The purpose of this study aimed to assess factors associated with the intention to take pre-exposure prophylaxis (PrEP) among Thai young men who have sex with men (YMSM…
The purpose of this study aimed to assess factors associated with the intention to take pre-exposure prophylaxis (PrEP) among Thai young men who have sex with men (YMSM) and transgender women (TGW) in Bangkok.
The study surveyed 350 sexually active Thai YMSM and TGW aged between 18 and 24 years registered with a nongovernmental organization (NGO) working with the MSM community. Data were collected using snowball sampling from four venues. Participants completed a self-administered questionnaire. Logistic regression was used to evaluate factors associated with the intention to take PrEP daily.
The results showed that of all those surveyed, n = 310 (88%) participated. The median age was 21 years. In all, 18% of participants had heard about PrEP, and 36% correctly identified that PrEP is used for prevention. After receiving information, 31% intended to take daily PrEP and the Voluntary Counseling and Testing (VCT) rate was 35.5%. Factors significantly associated with intention to take daily PrEP were history of HIV testing (adjusted odds ratio (AOR), 2.3, 95% CI, 1.3–4.1), and high perceived behavioral control of PrEP adherence scores (AOR 3.0, 95% CI, 1.8–5.2).
This study showed that intention to take and knowledge of daily PrEP among YMSM and TGW was low. Promoting health education to YMSM and TGW about PrEP and MSM-friendly VCT services are needed to effectively implement PrEP in HIV prevention programs.
The purpose of this paper is to examine the etiological model of cyberbullying behaviors among Thai adolescents, testing the hypothesis that the constructs of theory of…
The purpose of this paper is to examine the etiological model of cyberbullying behaviors among Thai adolescents, testing the hypothesis that the constructs of theory of planned behavior (TPB), including self-esteem, will influence and have impact on cyberbullying intention and behaviors.
Structural equation modeling (SEM) was used to analyze the data. Self-administered questionnaires were used among multi-stage stratified random samples from secondary schools in the Bangkok. The sample size consisting of 354 subjects included those who were victims (44.7 percent), perpetrators (33.1 percent) and witness (67.8 percent).
The SEM showed subjective norm (SN) to be the most direct influential factor of cyberbullying intention and behaviors, followed by attitude toward cyberbullying (Intention β=0.31, 0.24; p=0.01, Behavior β=0.09, 0.07; p=0.012 and 0.05, respectively). However, the SEM revealed that all variables from TPB including self-esteem in the equation can explain the variation scores of intention and cyberbullying behaviors at 54 and 67 percent levels (adjusted R2=0.54 and 0.67), respectively. The SEM showed that model modification indices indicate a good fit to the data (χ2=0.00, df=0, p>0.05, CMIN/df=0, GFI=1, AGFI=1, CFI=1 and RMSEA=0).
The experiences or witness of family violence and support at school level, which is supposed to mitigate the bullying problems, were neglected from this study.
The preventive measures for cyberbullying behaviors among adolescents should involve activities fostering self-esteem, developing proper attitude and SN to prevent cyberbullying. The initiatives and developed school supportive system for adolescents to understand how to control themselves when engaging in social network are imperative. However, for future research, family violence witness and attempt to lure the cyberbullying victims into offline meeting should be explored more.
TPB and the use of social media should be taken into account for planning and designing appropriate intervention to reduce and eliminate cyberbullying among all stakeholders in both public and private sectors in the area of health and educational institutes in order to endeavor and to advocate the anti-cyberbullying policy in Thailand.
TPB and self-esteem explained a substantial portion of and more modest but significant amount of variance in cyberbullying intention and behaviors. However, SN and attitude toward cyberbullying which was found to be most influential factors could be the useful information for designing intervention toward cyberbullying prevention for Thai adolescents and advocate implementing the anti-cyberbullying policy in Thailand.
The purposes of this paper were to assess the quality of life (QoL) in patients with type II diabetes mellitus (DM) in a suburban tertiary hospital and determine the…
The purposes of this paper were to assess the quality of life (QoL) in patients with type II diabetes mellitus (DM) in a suburban tertiary hospital and determine the factors that affect the QoL including individual characteristics, health factors, self-care behaviors and social support.
This study was a cross-sectional study among DM type II cases being treated in a suburban tertiary hospital in Thailand. Data were collected by personal interview from 188 patients in 2018. Diabetes-39 was administered to assess QoL.
54.3 percent of patients had good QoL. Total score of QoL was moderate which found an average score of 216.0 ± 41.0, 46.8% had moderate level in self-care behaviors and 56.4 percent had moderate level in social support. The factors associated with QoL in patients were cerebrovascular disease (Fisher = 7.2, p = 0.01), self-care behaviors (rs = 0.191, p = 0.008) and social support (rs = 0.229, p = 0.002).
Health care system ought to develop a policy driven to improve the QoL in DM type II patients by encouraging self-care behaviors and social support for DM type II patients.