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Knowledge of communicable and noncommunicable diseases among Karen ethnic high school students in rural Thasongyang, the far northwest of Thailand
Open accessAbstract
BACKGROUND: The double burden of communicable and noncommunicable diseases (NCD) is an increasing trend in low- and-middle income developing countries. Rural and minority populations are underserved and likely to be affected severely by these burdens. Knowledge among young people could provide immunity to such diseases within a community in the long term. In this study we aimed to assess the knowledge of several highly prevalent NCDs (diabetes, hypertension, and chronic obstructive pulmonary disease [COPD]) and several highly incident communicable diseases (malaria and diarrheal diseases) among Karen high school students in a rural district in far northwest of Thailand. The aim of the study is to explore information for devising life-course health education that will be strategically based in schools. METHOD: A cross-sectional survey approved by the ethics committee of Boromarajonani College of Nursing Nakhon Lampang (BCNLP), Lampang, Thailand was conducted in Thasongyang, Tak province, from September 2011 to January 2012. Questionnaires for assessing knowledge regarding diabetes, hypertension, COPD, malaria, and diarrheal diseases were delivered to all 457 Karen high school students attending Thasongyang high school. A total of 371 students returned the questionnaires. Experts' validation and split-half reliability assessment was applied to the instrument. RESULTS: Students' main sources of health information were their teachers (62%), health care workers (60%), television (59%), and parents (54%). Familial risk factors of diabetes and hypertension were not known to more than two thirds of the students. Except obesity and physical inactivity, lifestyle-related risk factors were also not known to the students. Though living in a malaria-endemic area, many of the Karen students had poor knowledge about preventive behaviors. Half of the students could not give a correct answer about the malaria and hygienic practice, which might normally be traditionally relayed messages. CONCLUSION: Health education and knowledge about common NCD and communicable diseases are yet to be prompted among the Karen students. A broader and more comprehensive school-based health education strategy for prevention of double burden diseases would benefit the rural minority population at the Thai-Myanmar border.
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“Neglect of the education system in Myanmar and lack of recognition of the NGO-run refugee camp schools’ certification combined with limited higher education opportunities [25, 26] has affected achievement levels of school leavers in the area for decades [26, 27].”
From Accelerated Training of Skilled Birth Attendants in a Marginalized Population on the Thai-Myanmar Border: A Multiple Methods Program Evaluation (2016) · cites this paper as [25]
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Aung, M. N., Logra, Janthila, Wilawan, Suchart, Phatchanan, Apiradee, Aung, & Jaiin (2012) · International Journal of General Medicine · doi:10.2147/ijgm.s29406 · Cited by 57
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Cited by
White, A. L., Min, T. H., Gross, M. M., Kajeechiwa, L., Thwin, M. M., Hanboonkunupakarn, B., Than, H. H., Zin, T. W., Rijken, M. J., Hoogenboom, G., et al. (2016) · PLoS ONE · doi:10.1371/journal.pone.0164363 · Cited by 29
Saito, M., Keereevijit, A., San, T. D., Thein, Y. Y., Gilder, M. E., & McGready, R. (2018) · Tropical Doctor · doi:10.1177/0049475518786853 · Cited by 8
Metadata
- Authors
- Aung, M. N., Logra, Junlapeeya, Naunboonruang, & Apiradee
- Affiliations
- Juntendo University (JP)
- Boromarajonani College of Nursing, Nakhon Lampang (TH)
- Corresponding author
- Aung, Myo Nyein
- ORCID
- Aung, Myo Nyein
- Venue
- International Journal of General Medicine
- Publisher
- Informa UK Limited
- Published
- 2013-07
- Volume
- 6
- Pages
- 519
- ISSN
- 1178-7074 (ISSN-L)
- PMC
- PMC3702227
- OpenAlex
- W2032996730
- Cited by
- 23
- References
- 2
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 3 · 2022: 2 · 2021: 1 · 2020: 2 · 2019: 6 · 2018: 1 · 2016: 4 · 2015: 2
- FWCI
- 4.59
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of General Medicine (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- Funders
- Mahidol University
- Faculty of Tropical Medicine, Mahidol University
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › School Health and Nursing Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Indigenous Health and Education
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Public Health and Nutrition
- Keywords
- disease knowledge, infectious diseases, non-communicable diseases, high school students, malaria, diarrheal disease, diabetes mellitus, hypertension, chronic obstructive pulmonary disease, health education, school-based health education, risk factor awareness, Tak Province
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