The Prevention of Acute Diarrhea in the Elderly in Chachoengsao Province, Thailand

Authors

  • Supranee Joyrod Department of Public Health, Faculty of Science and Technology, Rajabhat Rajanagarindra University, Chachoengsao Province, 24000, Thailand
  • Worraphol Waengnork Department of Public Health, Faculty of Science and Technology, Rajabhat Rajanagarindra University, Chachoengsao Province, 24000, Thailand
  • Rapeepat Srimala Department of Public Health, Faculty of Physical Education, Srinakharinwirot University, Bangkok, 10110, Thailand

DOI:

https://doi.org/10.69650/ahstr.2024.3228

Keywords:

elderly, prevention of acute diarrhea, self-efficacy, knowledge, perception of severity, attitudes

Abstract

Acute diarrhea is a preventable and controllable disease, but it is the number one cause of illness among all surveillance infectious diseases in Thailand, especially among the elderly. Acute diarrhea is the number one disease requiring epidemiological surveillance in Chachoengsao Province. The occurrence of acute diarrhea in the elderly causes complications and has a higher chance of death than in other patients. This research aimed to study the factors related to preventing acute diarrhea in the elderly in Chachoengsao Province. This study was a cross-sectional study. The study examined elderly people's knowledge, attitudes, perceptions, and behaviors related to acute diarrhea. The sample comprised 390 elderly individuals from Mueang District, Chachoengsao Province, selected through stratified random sampling. Data were collected using a questionnaire to assess knowledge, attitudes, perceptions of risk and severity, self-efficacy, and preventive behaviors regarding acute diarrhea. Data were analyzed using descriptive statistics and Pearson’s Product Moment Correlation Coefficient. The results revealed a moderate relationship between self-efficacy, knowledge, perceived severity, attitudes, and the prevention of acute diarrhea in older adults (r=0.662, 0.645, 0.588, 0.543, p<0.01). The perception of risk was a very low negative related to the prevention of acute diarrhea in the elderly (r=0.269, p<0.01). The study found a positive association between the factors of interest and the prevention of acute diarrhea in the elderly, although some variables exhibited a negative relationship. Therefore, it is necessary to encourage the elderly and their family to be aware of the risk of acute diarrhea. Local government organizations, the Subdistrict Health Promoting Hospital, community organizations, and community leaders should participate in setting disease surveillance measures such as washing hands often, eating clean, cooked food, drinking clean water, and disposing of garbage properly, to prevent the spread of the disease.

References

Bandura, A. (1998). Personal and collective efficacy in human adaptation and change. In J. G. Adair, D. Bélanger, & K. L. Dion (Eds.), Advances in psychological science, Vol. 1. Social, personal, and cultural aspects (pp. 51–71). Psychology Press/Erlbaum (UK) Taylor & Francis.

Becker, M. H. (1974). The Health Belief Model and Sick Role Behavior. Society for Public Health Education, 2(4), 409. http://dx.doi.org/10.1177/109019817400200407 DOI: https://doi.org/10.1177/109019817400200407

Bethelhem, S., Mekdes, M., Tomas, F., Dawit, H., Yacob, A. B., Tomas, Y., & Getenet, K. (2023). Knowledge and attitude on home-based management of diarrheal disease among mother/caregivers of under-five children at a tertiary hospital in Ethiopia. The Pan African Medical Journal, 44(38), 1-12. https://doi.org/10.11604/pamj.2023.44.38.34431 DOI: https://doi.org/10.11604/pamj.2023.44.38.34431

Chachoengsao Provincial Public Health Office. (2023). Health KPIs 2022 (1 January-26 December 2022). Annual report 2022. Ministry of Public Health.

Donla, A. (2019). Knowledge and Behavior for control and prevention in Diarrhea Sakhrai Hospital, Nongkhai Province. The Office of Disease Prevention and Control 10th Journal, 17(2), 59-66.

Dunn, S. P., & Roger, R.W. (1986). Protection motivation theory and preventive health: Beyond the health belief model. Journal of Health Education Research, 1(3), 153–161. https://doi.org/10.1093/her/1.3.153 DOI: https://doi.org/10.1093/her/1.3.153

Jaidee, K., Promlun, P., Onlao, W., Sukserm, T., & Suwannarong, B. (2020, February 28). The behaviors on prevention of diarrhea in newborn to 5 years of parents at Namon District, Kalasin Province [Paper presentation].2nd National Conference in Science, Technology and Innovation 2020. Loei Rajabhat University.

Jaimao, P. (2022). Factors affecting parental behaviors on promoting early childhood development, Li District, Lamphun Province [Master’s thesis, Naresuan University]. ThaiLIS.

Kaepradab, Y., Menkoon, K., & Doung-ngern, P. (2023). Situation of acute diarrhea and food poisoning in 2023 [updated 19 June 2023]. Weekly Epidemiological Surveillance Report, 54(25), 385-387.

Kalim, N. (2021). Relationship between health perceptions and health behaviors among health care personnel with metabolic syndrome, Banpong Hospital. Journal of Research for Health Improvement and Quality of Life, 1(1), 37-48.

Kiripoonphon, K., & Yaengchan, P. (2023, June 17-19). Development of the potential for prevention of diarrhea in the Karen hill tribe community, the Pga K'nyau tribe, in the area of Ban Kama Pha Do Health Promoting Hospital, Mae La Subdistrict, Tha Song Yang District, Tak Province. Conference Health Center No. 2 Phitsanulok. (p.136). Phitsanulok.

Liang, D., Wang, L., Liu, S., Li, S., Zhou, X., Xiao, Y., ... & Lai, Y. (2024). Global Incidence of Diarrheal Diseases—An Update Using an Interpretable Predictive Model Based on XGBoost and SHAP: A Systematic Analysis. Nutrients, 16(18), 3217. https://doi.org/10.3390/nu16183217 DOI: https://doi.org/10.3390/nu16183217

Nuankerd, K. (2020). Factors affecting the prevention behavior of Hand Foot Mouth disease among guardians in child development centers, Wangthong District, Phisanulok Province (Publication No. 60060196). [Master’s thesis, Naresuan University]. ThaiLIS.

Pichairat, A., Chuaykaew, B., & Lertwanawattana, J. (2020). Factor Influencing Caregivers’ Acute Diarrhea Prevention Behaviors in Pediatric Patients at Trang Hospital. Journal of Health and Nursing Education, 26(2), 82-97.

Raksaken, N., Chumpawadee, U., & Phumephak, P. (2019). Effects of information providing based on the health belief model to knowledge and health behaviors among patients with upper gastrointestinal hemorrhage. Journal of Nursing and Health Care, 37(4), 225-234.

Swangsap, K., & Chuchuen, U. (2019). Perceived self-efficacy on physical and mental health care behavior in community village health volunteers.Srinakharinwirot Research and Development Journal of Humanities and Social Sciences, 11(22), 1-12.

Tason, S., & Thithaphan, R. (2024). The Knowledge and Behavior Prevention Diarrhea Among People in Saignam Subdistrict, Saingam District, Kamphaeng Phet Province. Science and Technology Northern Journal, 5(3), 133-144.

Unahalekhaka, A., Meeyam, T., Unger, F., & Pichpol, D. (2014, August 11-15). Knowledge, risk perception, and behavior on foodborne disease among people in high and low diarrheal incident areas of Northern Thailand [Poster presentation]. The Ecohealth 2014 conference, Montreal, Canada. https://hdl.handle.net/10568/43755

Wayne, W. D. (1995). Biostatistics: A Foundation of Analysis in the Health Science (6th ed.) John Wiley & Sons.

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2024-12-19

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