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Khon Kaen, Thailand

Budkaew J.,Khon Kaen Center Hospital | Chumworathayi B.,Khon Kaen University
Asian Pacific Journal of Cancer Prevention | Year: 2013

Background: Our objective was to determine the knowledge and attitudes of Thai generalists (general physicians) toward palliative terminal cancer care (PC) in a primary care setting. Materials and Methods: We performed a cross-sectional descriptive survey using a self-administered questionnaire. The total number of completed and returned questionnaires was 63, giving a 56% response rate. Data analysis was based on these (Cronbach's alpha=0.82) and percentages and mean values were assessed using the Fisher's exact test to determine the correlation of variables. Results: Overall, attitude and knowledge levels were slightly satisfactory. Results indicated that general physicians had moderate scores in both attitudes (84.1%) and knowledge (55.7%) regarding palliative terminal cancer care. However, they had insufficient knowledge regarding truth telling, pain control and management with morphine, emergency management in terminal cancer care and treatment of fluid intake in terminal stages. Attitude and knowledge scores were statistically correlated (p=0.036). Knowledge scores were further positively associated with being taught palliative care in their medical curriculum (p=0.042). Conclusions: Formal education in palliative care and development of palliative care services are very much needed in Thailand to provide holistic care to terminally ill patients. Source


Budkaew J.,Khon Kaen Center Hospital | Chumworathayi B.,Khon Kaen University
Southeast Asian Journal of Tropical Medicine and Public Health | Year: 2015

The aim of this study was to assess the factors associated with the deci­sion to have HIV antibody testing among Thai men who have sex with men (MSM) during the previous 12 months. MSM were recruited by systematic sampling from the M-REACH membership registry. Variables collected were demographics, sexual behavior, health behavior, knowledge about HIV/AIDS prevention and attitudes about HIV antibody testing. Data were collected via a self-administered questionnaire and in-depth interviews. About one third of participants reported having HIV antibody testing during the previous 12 months. Of those, 65% were aged >24 years. Participants aged >24 years were significantly more likely to have HIV testing than those aged <24 yars (AOR=3.04, 95%CI: 1.12-8.28; p<0.005). Most participants exhibited a good knowledge and attitude (levels regarding HIV antibody testing and AIDS). Those with a good attitude level about HIV were more likely to have been tested than those with a poor attitude level (AOR=3.19; 95% CI: 1.24-8.22; p<0.005). A programs that improves attitude and knowledge levels about HIV testing need to be developed for MSM in Thailand to improve HIV antibody testing rates. © Southeast Asian Journal of Tropical Medicine and Public Health. All Rights Reserved. Source


Budkaew J.,Khon Kaen Center Hospital | Chumworathayi B.,Khon Kaen University
Asian Pacific Journal of Cancer Prevention | Year: 2014

Background: This study aimed to identify factors associated with women's decisions to attend cervical cancer screening and to explore those linked with intention to attend in the coming year and to continue regular screening. Materials and Methods: A community based case-control study was conducted among woman 30-60 years of age in catchment area of Chatapadung Contracting Medical Unit (CCMU), networking of Khon Kaen Center Hospital, Thailand. Self-administered questionnaires were used to collect data, and in-depth interviews were then performed to explore in greater detail. Results: There were 195 participants. Only one third (32.3%) had been screened for cervical cancer within the past 5 years. Some 67.7% reported that they had not been screened because they had no abnormal symptoms, single marital status, and no children. Only 10.6% of those never had screening intent to be screened within the next 12 months. High family income (adjusted OR=2.16, 95%CI=1.13-4.14), good attitude towards a Pap test (OR=1.87, 95%CI=1.09-4.23), and having received a recommendation from health care providers were important factors associated with decisions to attend cervical cancer screening (OR=1.73, 95%CI=1.01-4.63). From in-depth interviews, there were five reasons of their decisions to attend cervical cancer screening including yearly check-up, postpartum check-up, having abnormal symptom, encouragement by health care providers, and request from workplace. Conclusions: High family income, good attitude towards a Pap test, and receiving proper recommendation by health care providers, were important factors associated with decision to have cervical cancer screening among women 30-60 years old. Trying to enhance these factors and reduce barriers regarding screening, may increase the coverage rate for cervical cancer screening in Thailand. Source

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