{"title":"Factors affecting stress among high school students in Phitsanulok Province, Thailand","authors":"Wanna Wicheansun, A. Songthap","doi":"10.55131/jphd/2023/210200","DOIUrl":"https://doi.org/10.55131/jphd/2023/210200","url":null,"abstract":"This cross-sectional study aimed to determine the factors affecting stress in high school students. The sample participants were 365 high school students in Phitsanulok Province selected by stratified random sampling. Data were collected by a self-administered questionnaire consisting of 6 parts: 1) socio-demographic characteristics; 2) lifestyle factors; 3) disease prevention motivation; 4) social support; 5) stress prevention behaviors, and 6) stress. Frequency, percentage, mean, standard deviation, and binary logistic regression were used for data analysis. All significance levels were set at 0.05. The results showed that 72.9% of the sample participants were female and 75.10% had stress. Female students were more likely to experience stress than male students (ORadj = 1.902; 95%CI: 1.117 - 3.241). Excessive expenses possibly caused stress (ORadj = 3.618, 95%CI = 1.031-12.694). The students with intermediate resilience faced greater stress than those with extraordinary strength (ORadj = 3.198; 95%CI: 1.957 – 5.224). The sample participants who received mild and average social support tended to experience greater stress than those with higher levels of social support (ORadj = 4.762, 95%CI = 1.012-22.412, OR = 2.036, 95%CI = 1.155-3.589). This study suggests that related institutes strengthen living skills and improve social support for high school students to prevent severe stress.","PeriodicalId":36393,"journal":{"name":"Journal of Public Health and Development","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85297565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Razali, Nurul Azreen Hashim, S. J. Anne, N. Raduan, D. Tukhvatullina, D. Smirnova, K. Fountoulakis
{"title":"Changes in the pattern of eating habit and physical activity during the pandemic of COVID-19 in Malaysia: data from COMET-G international multi-country study","authors":"S. Razali, Nurul Azreen Hashim, S. J. Anne, N. Raduan, D. Tukhvatullina, D. Smirnova, K. Fountoulakis","doi":"10.55131/jphd/2023/210112","DOIUrl":"https://doi.org/10.55131/jphd/2023/210112","url":null,"abstract":"Lockdown during the COVID-19 pandemic had led to lifestyle changes among Malaysians. These changes were due to people being confined to work and study at home and stress due to the risk of COVID-19 transmission. Our study aimed to observe changes in the patterns of eating habits and physical activity during the pandemic of COVID-19 in Malaysia and look for the associations with sociodemographic factors, people living together, living conditions and mental health status. This study was an online cross-sectional survey among 963 participants who completed self-administrated questionnaires on socio-demography, Likert scales on eating habits and physical activity and the Center for Epidemiologic Studies Depression Scale for mental health status. The data were analyzed using descriptive statistics, one-way ANOVA, Pearson correlations and independent t tests. Marital status has a significant association with the frequency and intensity of physical workouts during this pandemic and lockdown, changes in eating amount, and changes in body weight (p<0.001). Employment had a significant association with all components of eating habits and physical activities except the level of physical activity affected by the pandemic (p<0.001). Those with normal mental health status found exercise to be helpful in preventing anxiety, practicing healthy eating, and having more changes in body weight, compared to those who were depressed (p<0.001). There was a significant difference in how the vulnerable group practiced healthy eating compared to the non-vulnerable group (p<0.001). The vulnerable group had significant changes in eating amount and body weight (p<0.001). In conclusion, the COVID-19 pandemic has brought changes in eating habits and body weight which were also influenced by sociodemographic factors and mental health status.","PeriodicalId":36393,"journal":{"name":"Journal of Public Health and Development","volume":"136 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80362359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Bahramian, Seyed Abolfaz, Mousavi -, M. Aslani, Bahareh Ahmadinejad, Hamideh Bayati, Alireza Jalali
{"title":"Dance-based interventions on balance and falls in the elderly in order to health promotion: a literature review","authors":"F. Bahramian, Seyed Abolfaz, Mousavi -, M. Aslani, Bahareh Ahmadinejad, Hamideh Bayati, Alireza Jalali","doi":"10.55131/jphd/2023/2101120","DOIUrl":"https://doi.org/10.55131/jphd/2023/2101120","url":null,"abstract":"A balance disorder is one of the most common disorders in older people that leads to falls and endangers the health of the elderly. Falls can result in both physical injuries and psychological problems. Many economic burdens are also imposed on individuals, their families, and the community. One way to increase balance, decrease falls, and thereby enhance the health of the elderly is through dance-based therapies. This study aims to review articles using different dance-based interventions such as yoga, Pilates, tai chi and aerobics on balance improvement and fall prevention in elderly individuals. This narrative review was performed using narrative synthesis. An extensive literature search was performed in databases of Science Direct, Google Scholar, PubMed, and ISI Web of Knowledge using OR, AND, and NOT operators and the selected keywords. Only studies written in English and published in journals between 2010 and May 2022 were used for this purpose. The articles chosen in this study were those that have studied the effect of dance-based interventions on balance and fall prevention in the elderly. Studies that involved other disabilities that upset the balance and caused falls and that examined the effect of other interventions on balance and falls in these people were also excluded from the study. Finally, 22 articles were selected from the final evaluation. Yoga, Tai Chi, Aerobics, and Pilates were among the dance-based interventions examined in these trials. The results of this study demonstrated that all dance-based interventions could enhance balance and hence decrease falls in the elderly. Older people may also benefit more from longer training sessions and more intense activity. We can conclude that these interventions can help older adults improve their balance and decrease their risk of falling. Consequently, they might be viewed as promoting this population's health.","PeriodicalId":36393,"journal":{"name":"Journal of Public Health and Development","volume":"82 4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79655606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. Ghazawy, A. Ewis, D. M. Khalil, S. Alkilany, Shaymaa Nafady, Hana Ewis, Momen Z. Mohammed, M. Abdelrehim
{"title":"COVID-19 vaccines-related adverse events and associated factors reported among adult Egyptians","authors":"E. Ghazawy, A. Ewis, D. M. Khalil, S. Alkilany, Shaymaa Nafady, Hana Ewis, Momen Z. Mohammed, M. Abdelrehim","doi":"10.55131/jphd/2023/210104","DOIUrl":"https://doi.org/10.55131/jphd/2023/210104","url":null,"abstract":"COVID-19 vaccine recipients are more likely to experience post-vaccination adverse events, which are considered the source of concerns about vaccine safety. This study aims to describe the utilization of COVID-19 vaccines and the associated adverse events and their possible predictors among adult Egyptians. An online cross-sectional study was designed to collect data through a Google Form questionnaire in November 2021. Adults who received at least one dose of the COVID-19 vaccine were asked to report their experience with vaccination and associated adverse events. A total of 853 participants were included in the study after receiving Sinopharm/Sinovac (63%), AstraZeneca (27%), Pfizer-BioNTech (4.8%), and other vaccines (5.2%). Around 50% of participants thought that COVID-19 vaccines were safe, 30.8% advised others with vaccination, and 68.3% reported post-vaccination adverse events. The most commonly encountered adverse symptoms were injection site pain (82.5%), fatigue (67.4%), flu-like symptoms (59.6%), and bone and muscle pains (59.6%). Most adverse events were less likely reported by Sinopharm/Sinovac recipients than recipients of other vaccines. The significant predictors for reporting adverse events were female gender, the first dose of vaccination, and vaccine type (AstraZeneca versus Sinopharm/Sinovac) with multivariable-adjusted OR (95% CI) = 1.85 (1.34-2.54); 2.01 (1.24–3.25), and 3.86 (2.54–5.86). Findings revealed that adverse events of COVID-19 vaccines are common. Sinopharm/Sinovac recipients were reported to have lesser adverse events than other recipients. However, serious reactions were rare which ensures the safety of all vaccine types among the adult Egyptian population.","PeriodicalId":36393,"journal":{"name":"Journal of Public Health and Development","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90292979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. M. A. Alridha, Karrar Al-Gburi, S. Abbood, Alaa Yasir, Dhuha Hussam
{"title":"Practices, knowledge, and attitude toward dispensing antibiotics without a prescription in Iraqi pharmacies","authors":"A. M. A. Alridha, Karrar Al-Gburi, S. Abbood, Alaa Yasir, Dhuha Hussam","doi":"10.55131/jphd/2023/210102","DOIUrl":"https://doi.org/10.55131/jphd/2023/210102","url":null,"abstract":"Dispensing antibiotics without a prescription (DAWRx) is a potential threat to global public health and can lead to antimicrobial abuse and resistance development. Further research is required to examine the characteristics of DAWRx practice in Iraq. This study aimed to investigate the practices of DAWRx in Iraqi community pharmacies. A semi-structured, validated, pilot-tested online questionnaire was used to conduct a descriptive cross-sectional study in March 2020 among the members of the Iraqi Pharmacist Syndicate. The questionnaire contained five sections: demographics, antibiotic dispensing knowledge, and the prevalence, sources, and characteristic features of DAWRx practices. The results are presented using descriptive statistics and significant associations were reported. A total of 403 respondents completed the questionnaire and, of them, 363 were analyzed. Despite having a satisfactory knowledge of dispensing (64.7%), the practice of DAWRx was prevalent (98.3%). DAWRx was reported based on the pharmacies’ recommendation (30.58%) and patients’ request for antibiotics. Adults and pediatric patients received antibiotics from pharmacies for various conditions. Injectable antibiotics were also dispensed without a prescription (mainly ceftriaxone, n = 51/72). Moreover, the prevalence and the daily number of antibiotics dispensed were significantly associated with sex, pharmacy attitude toward DAWRx, and DAWRx upon patients’ request. A significant association was noted between the knowledge of dispensing inquiries and the prevalence of and attitude toward DAWRx (p < 0.05). Impactful intervention strategies based on patterns identified in this study should be developed to improve antibiotic dispensing in community pharmacies and safeguard public health from the adverse effects of antimicrobial resistance.","PeriodicalId":36393,"journal":{"name":"Journal of Public Health and Development","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90430430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Charuai Suwanbamrung, Pathamaporn Pongtalung, Le Thanh Thao Trang, D. H. Phu, Truong Thanh Nam
{"title":"Levels and risk factors associated with depression, anxiety, and stress among COVID-19 infected adults after hospital discharge in a Southern Province of Thailand","authors":"Charuai Suwanbamrung, Pathamaporn Pongtalung, Le Thanh Thao Trang, D. H. Phu, Truong Thanh Nam","doi":"10.55131/jphd/2023/210106","DOIUrl":"https://doi.org/10.55131/jphd/2023/210106","url":null,"abstract":"The long-term effects on the mental health of people living with COVID-19 are emerging as a global threat to public health. This study aimed to determine the levels and risk factors associated with depression, anxiety and stress (DAS) among COVID-19 infected adults discharged from a hospital in a high-risk area in Thailand. A cross-sectional study was performed with 512 participants aged 18 years and above who had been infected with COVID-19 and discharged between 3 and 12 months in Hat Yai District, Songkhla Province, Thailand during March, 2022. A structured questionnaire was used to collect the data based on the short version of the Depression, Anxiety, and Stress Scale – 21 Items (DASS-21) with a content validity index of 0.89 and Cronbach’s alpha coefficient of 0.86. Demographic information, medical history, and the present health status of each participant were also collected. Almost all the respondents had severe depression (62.7%), extremely severe anxiety (82.6%), and moderate and severe stress (45.3% and 41.0%, respectively). There was a positive correlation between depression and stress among COVID-19 survivors (R = 0.155, p < 0.001). Factors associated with depression were a medical history of pulmonary disease (β = 1.443, p = 0.042) and higher education status (β = 1.067, p < 0.001), whereas lower body mass index (BMI) (β = 0.455, p < 0.001) and lower monthly income (β = 1.067, p < 0.001) were associated with stress. Participants who were tested for COVID-19 for travel, study, job, and examination application (all β > 0.575, all p = 0.001), and lower BMI (all β > 0.601, all p < 0.011) were also associated with anxiety. The findings of our study could provide baseline information for follow-up intervention initiatives to prevent long-term effects of COVID-19.","PeriodicalId":36393,"journal":{"name":"Journal of Public Health and Development","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85561196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of integrated interventions on the brain’s ability of elderly people with mild cognitive impairment","authors":"Patcharaporn Wongarsa, Yuttachai Chaiyasit, Jutharat Saowaphan, Narumol Muthawan","doi":"10.55131/jphd/2023/210115","DOIUrl":"https://doi.org/10.55131/jphd/2023/210115","url":null,"abstract":"The goal of the quasi-experimental study was to examine the effects of integrated interventions on the brain’s ability of elderly people with mild cognitive impairment (MCI). Six weeks of integrated interventions consisted of promoting physical activities, brain training, and group activities, which were developed for the experimental group. The Montreal Cognitive Assessment Thai Version (MoCA-Thai Version) was used for evaluating the brain’s ability of the elderly people. The data were analyzed by using frequency, percentage, mean, standard deviation, Chi-square, dependent t-test, and independent t-test. The study's findings showed that the experimental group's average MoCA-Thai Version test score increased after finishing the program (p < 0.01). Additionally, the experimental group's average MoCA-Thai Version test score was significantly (p < 0.01) higher than the control group. Therefore, elderly people with MCI should be encouraged to engage in physical activities, brain training, and group activities through the integrated program for promoting the brain’s ability.","PeriodicalId":36393,"journal":{"name":"Journal of Public Health and Development","volume":"2407 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86572800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wirinya Mueangchang, Taweewun Srisookkum, P. Srivichai, N. Munkong, Jirawan Chonpratin
{"title":"Performance motivation and Dhammanamai health literacy according to Thai traditional medicine among village health volunteers in Uthaithani province","authors":"Wirinya Mueangchang, Taweewun Srisookkum, P. Srivichai, N. Munkong, Jirawan Chonpratin","doi":"10.55131/jphd/2023/210114","DOIUrl":"https://doi.org/10.55131/jphd/2023/210114","url":null,"abstract":"This cross-sectional study aimed to explain levels of Dhammanamai health literacy, investigate relevant factors, and identify the predicting factors of Dhammanamai health literacy according to Thai traditional medicine among village health volunteers (VHVs). The reliability and validity from 390 VHVs were selected by proportional multi-stage sampling. Data were collected through a questionnaire from March - May 2022 in Uthaithani Province, Thailand. Data were analyzed through descriptive analysis, Mann Whitney U test, Kruskal–Wallis test and logistic regression. The results of the study showed that most of the VHVs had adequate levels of Dhammanamai health literacy ( X ̅= 61.22, SD. = 13.87), while gender (p = 0.023), occupation (p = 0.026), monthly income (p = 0.004), ability to use a smartphone/computer (p = 0.029), recognition of volunteer roles and duties (p < 0.001), performance motivation (p < 0.001), and social support (p < 0.001) were significantly related to Dhammanamai health literacy. The predicting factors that influenced Dhammanamai health literacy among VHVs were as follows: 1) performance motivation (OR= 1.175, CI=1.055–1.309); 2) age (OR= 1.041, CI=1.012–1.071); 3) occupation (OR= 1.878, CI=1.179–2.990). A very strong variable was performance motivation. In combination, all these factors could predict the Dhammanamai health literacy of the VHVs at 20.7%. We recommend interventions on performance motivation, age, and occupation with the organization of a program to promote Dhammanamai health literacy for VHVs to be ready to perform their duties in the community, including the provision of knowledge to the public.","PeriodicalId":36393,"journal":{"name":"Journal of Public Health and Development","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84478589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Supachai Yanarueng, W. Laohasiriwong, Surachai Phimha, Nuttapol Yotha, Saranya Phanyotha, Chanaporn Pinsuwan, Nopparat Senahad, N. Nilnate, Amphawan Nonthamat, Nakarin Prasit
{"title":"Health determinant factors associated with smoking behaviour of older adults in Thailand","authors":"Supachai Yanarueng, W. Laohasiriwong, Surachai Phimha, Nuttapol Yotha, Saranya Phanyotha, Chanaporn Pinsuwan, Nopparat Senahad, N. Nilnate, Amphawan Nonthamat, Nakarin Prasit","doi":"10.55131/jphd/2023/210103","DOIUrl":"https://doi.org/10.55131/jphd/2023/210103","url":null,"abstract":"The health burden caused by smoking behaviour among older adults is an uncontrollable problem worldwide. In particular, the trend of smoking among the aging population is rapidly growing. It affects individuals, families, economies, and societies. Changes in health determinants influence the smoking behaviour of older adults who require health promotion so that they can take care of themselves. This cross-sectional study was performed using secondary data from the National Statistical Office of Thailand: Report of a survey of older adults in Thailand in 2017. The present study aimed to examine the health determinant factors associated with smoking behaviour of older adults in Thailand. Data were collected from 32,030 older adults using a structured questionnaire. Multi-level analysis was performed to identify the health determinants of smoking behaviour of older adults in Thailand by controlling the effect of other covariates. The results were presented as adjusted odds ratio (AOR) and 95 % confidence intervals (CI). Among the 32,030 older adults, 15.11% of the respondents were smokers. Factors associated with smoking behaviour of older adults in Thailand were male sex (AOR: 6.36, 95% CI: 5.80–6.94, P-value < 0.001), younger age (AOR: 4.35, 95% CI: 3.59–5.25, P-value < 0.001), currently working status (AOR: 1.40, 95% CI: 1.23–1.59, P-value < 0.001), very good physical health (AOR: 2.64, 95% CI:2.05-3.40, -value < 0.001), alcohol consumption (AOR: 7.06, 95% CI: 6.44–7.43, P-value < 0.001), and participation in group/club activities in the community (AOR: 1.17, 95% CI: 1.08–1.28, P-value < 0.001). There were significant differences in the risk of smoking among the older adults according to their health conditions and socialisation levels. This outcome reinforces the need to be alert for and respond to sex-related differences in the risk pattern and protective factors for smoking in older adults. Thus, it is critical to establish and implement an active and effective tobacco control program to protect the health of older adults, particularly considering Thailand's measures towards chronic disease prevention and increased life expectancy.","PeriodicalId":36393,"journal":{"name":"Journal of Public Health and Development","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72941740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. W. Suriastini, Bondan Sikoki, R. Umaroh, Dani Alfah, Endra Dwi Mulyanto, Naryanta -, Amalia Rifana Widiastuti, Kusmaintan Widya Lestari
{"title":"Evaluation of health-seeking behaviour among older people during the COVID-19 pandemic in Bali and Yogyakarta, Indonesia","authors":"N. W. Suriastini, Bondan Sikoki, R. Umaroh, Dani Alfah, Endra Dwi Mulyanto, Naryanta -, Amalia Rifana Widiastuti, Kusmaintan Widya Lestari","doi":"10.55131/jphd/2023/210109","DOIUrl":"https://doi.org/10.55131/jphd/2023/210109","url":null,"abstract":"The COVID-19 pandemic poses the highest risk to older people with comorbidities, as the rapid spread of the virus reduces the community's access to formal healthcare facilities. This leads to the search for medical alternatives from several informal health sources. Therefore, this study aims to evaluate healthcare-seeking behaviour (HSB) among older people during the COVID-19 pandemic. It also aims to determine the factors influencing this behaviour. Data were obtained from Older People Community-Based Study in Bali and Yogyakarta province, Indonesia, between December 2020 and March 2021, using a phone survey technique. These were analyzed using bivariate (Chi-square test) and multivariate (logistic regression) analyses, to examine the association between the binary outcome of HSB types and explanatory factors. The result showed that 58.3% of the 1241 participants were female, as most were elementary graduates (31.5%) with the average age being 69 years old. During the pandemic period, 49.8% sought medical care at formal health facilities, with a 36% reduction observed in the visitations to formal wellness centres, compared to the pre-pandemic interval. In the multivariate logistic regression, some positive and significant factors were found to influence HSB in visiting formal health facilities. These factors included higher education level/university (AOR=2.04, p<0.05), unemployed status (AOR=1.36, p<0.05), unhealthy lifestyle (AOR=2.53, p<0.001), chronic hypertension disease (AOR=1.78, p<0.001), diabetes (AOR=3.73, p<0.001), and lung disorder (AOR=2.76, p<0.01). In addition, the proportion of inappropriate HSB was relatively high, leading to the necessity to apply the following alternative healthcare techniques, (1) Telephone consultation with professional clinicians, and (2) Provision of village-level care agents, to help monitor older persons' medical conditions during a health crisis.","PeriodicalId":36393,"journal":{"name":"Journal of Public Health and Development","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78161468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}