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Mueang Nonthaburi, Thailand

Sukhothai Thammathirat Open University or STOU is one of the two open universities in Thailand. Wikipedia.

Banks E.,Australian National University | Lim L.,Australian National University | Seubsman S.-A.,Sukhothai Thammathirat Open University | Bain C.,University of Queensland | Sleigh A.,Australian National University
BMC Public Health | Year: 2011

Background: Patterns of physical activity (PA), domestic activity and sedentary behaviours are changing rapidly in Asia. Little is known about their relationship with obesity in this context. This study investigates in detail the relationship between obesity, physical activity, domestic activity and sedentary behaviours in a Thai population. Methods. 74,981 adult students aged 20-50 from all regions of Thailand attending the Sukhothai Thammathirat Open University in 2005-2006 completed a self-administered questionnaire, including providing appropriate self-reported data on height, weight and PA. We conducted cross-sectional analyses of the relationship between obesity, defined according to Asian criteria (Body Mass Index (BMI) 25), and measures of physical activity and sedentary behaviours (exercise-related PA; leisure-related computer use and television watching ("screen-time"); housework and gardening; and sitting-time) adjusted for age, sex, income and education and compared according to a range of personal characteristics. Results: Overall, 15.6% of participants were obese, with a substantially greater prevalence in men (22.4%) than women (9.9%). Inverse associations between being obese and total weekly sessions of exercise-related PA were observed in men, with a significantly weaker association seen in women (p(interaction) < 0.0001). Increasing obesity with increasing screen-time was seen in all population groups examined; there was an overall 18% (15-21%) increase in obesity with every two hours of additional daily screen-time. There were 33% (26-39%) and 33% (21-43%) reductions in the adjusted risk of being obese in men and women, respectively, reporting housework/gardening daily versus seldom or never. Exercise-related PA, screen-time and housework/gardening each had independent associations with obesity. Conclusions: Domestic activities and sedentary behaviours are important in relation to obesity in Thailand, independent of exercise-related physical activity. In this setting, programs to prevent and treat obesity through increasing general physical activity need to consider overall energy expenditure and address a wide range of low-intensity high-volume activities in order to be effective. © 2011 Banks et al; licensee BioMed Central Ltd.

Srivatanakul T.,Sukhothai Thammathirat Open University
27th International Conference on Computer Applications in Industry and Engineering, CAINE 2014 | Year: 2014

Information security policy serves as a vital part of an organization's strategy to ensure the effectiveness of information security. Developing an information security policy is however a challenging task. It is often that authors rely upon the existing information security standards for guidance, their own experience and skills or available checklist and statement templates for reference. A security policy which is developed in an ad-hoc and unsystematic manner can be viewed as the root of the weak link to the whole security enforcement process. A more systematic approach to the writing and reviewing of information security policy is seen as one approach to add rigor to the process, which can help to reduce flaws in the information security policy document, thus enhance the effectiveness of the policy. This paper applies a deviational analysis which is traditionally used in analyzing safety of systems to the analysis of information security policy statements. The case samples show that the technique offers more rigorous and thorough consideration of various aspects when analyzing security policy during the writing and reviewing process. Copyright ISCA, CAINE 2014.

Lim L.L.-Y.,Australian National University | Seubsman S.-A.,Sukhothai Thammathirat Open University | Sleigh A.,Australian National University | Bain C.,University of Queensland
Nutrition, Metabolism and Cardiovascular Diseases | Year: 2012

Background and aims: Waist circumference (WC), waist-to-hip ratio (WHR) and waist-to-stature ratio (WSR), being common proxy measures of abdominal obesity, are useful tools in epidemiologic studies, but little is known about their validity when the indices are derived from self-reported measurements. We determine and compare the validity of self-reported WC, WHR and WSR in order to identify the optimal index for use in epidemiologic surveys. Methods and Results: Technician- and self-reported measurements of height, waist and hip circumference were obtained from 613 Thai adults (mean age 35 years). Regarding technician-reported measurements as reference, diagnostic test properties were derived and performances of the indices compared using receiver-operator-characteristic curves and the area-under-the-curve (AUC) analyses. There was good agreement between technician- and self-reported measurements for WC and WSR (concordance correlation coefficients ranged from 0.84 to 0.90) but not for WHR (0.50 in men, 0.45 in women). The sensitivity and specificity of self-reported WC and self-reported WSR as measures of abdominal obesity were superior to those of self-reported WHR in both sexes. AUCs for WC and WSR were comparable (0.93 and 0.92, respectively, in men; 0.88 and 0.87 in women) and significantly higher than for WHR (0.80 in men; 0.76 in women; p<0.0001). Conclusion: WC and WSR derived from self-reported waist and height measurements are valid methods for determining abdominal obesity. Self-reported measurements should not be used to derive the WHR. In Asian populations, WSR may be the optimal index of abdominal obesity when measurements are derived from self-reports in epidemiologic surveys. © 2010 Elsevier B.V.

Jordan S.,University of Queensland | Lim L.,Australian National University | Seubsman S.-A.,Sukhothai Thammathirat Open University | Bain C.,University of Queensland | Sleigh A.,Australian National University
Journal of Epidemiology and Community Health | Year: 2012

Background: Height trends can be useful indicators of population health but, despite Thailand's rapid socioeconomic development since the 1950s, few studies have examined accompanying secular changes in adult height or the effects of the transition on the heights of rural versus urban populations. This study therefore sought to document average heights in different age groups of rural and urban Thais and to investigate factors associated with attained height. Methods: Data from 86 105 Thai Cohort Study participants was used to estimate mean heights for men and women in different birth year groups. Simple regression was used to calculate the change in height per decade of birth year among those based in rural or urban locations as children. Multiple linear regression was used to investigate effects of other childhood factors on height. Results: Overall, average heights were found to have increased by approximately 1 cm per decade in those born between 1940 and 1990. However, the rate of increase was 0.4-0.5 cm per decade greater among urban-based Thais compared with those from the countryside. Parental education levels, household assets, birth size, sibling number, birth rank and region of residence were also significantly associated with adult height. Conclusions: These data suggest a marked secular increase in Thai heights in the second half of the 20th century probably reflecting improved childhood health and nutrition over this time. Rural-born Thais, who benefited to a lesser extent from the changes, may face future health challenges with greater risks of, among other things, obesity and its health consequences.

Ngamvichaikit A.,Sukhothai Thammathirat Open University | Beise-Zee R.,Ritsumeikan Asia Pacific University
International Journal of Pharmaceutical and Healthcare Marketing | Year: 2014

Purpose: The aim of this paper is to contribute a conceptualization of the information and communication needs of medical tourists from Western countries in an Asian health care context. Design/methodology/approach: Multi-phase, semi-structured, in-depth interviews and observations were conducted with 27 multi-source informants who have communication experience in the international healthcare setting. Findings: Multi-level information provision should be used to address communicative incongruence in Asian healthcare provider - Western patient encounters as was self-reported by the participants and observed by authors. The use of an informative communication model is proposed in order to facilitate interaction and the effective transfer of information with Western patients to overcome negative, underlying emotions and enable autonomous decision making by the patients. Research limitations/implications: This exploratory study is focused on Western patients and Asian practitioners in Thailand. Future research in other countries and with patients from other geographical areas could expand to generalize findings. Practical implications: Fostering information sharing with Western patients by using an integrative communication model can improve patient satisfaction and health outcomes. The need for developing and implementing these improved practices for communicating with Western patients is reflected by the healthcare industry's current developmental trends helping to lead to a future of health service internationalization. Originality/value: This is the first empirical study to provide insights concerning the communication needs and coping strategies of Western patients with Asian doctors in developing countries. © Emerald Group Publishing Limited.

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