Well-Being and Healthcare Inequality on Bulon-Don Island in Southern Thailand-Results of a Pre-Intervention Field Survey.

IF 2 4区 医学 Q2 PEDIATRICS Children-Basel Pub Date : 2024-10-06 DOI:10.3390/children11101217
Chutarat Sathirapanya, Suweena Khwanmad, Pornchai Sathirapanya
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Abstract

Background and objectives: Children living in an area distant from or associated with barriers to travelling to health service centres usually experience health and well-being disparities. This is a survey of child health and well-being on Bulon-Don Island, located 22 kms. from the southern mainland of Thailand, to gather essential background data before activating responses from local service provider agencies.

Methods: Demographic data, physical and crude psychological health, harm to health, and living conditions of Bulon-Don children aged 1-14 years were studied and compared with the results of the corresponding national child health survey. Descriptive statistics were used for the statistical analysis of significance (p < 0.05).

Results: A total of 21 male and 41 female children (N = 62) participated in the survey after obtaining consents from parents or care providers. The islanders are Indigenous people who use their own languages and have traditional beliefs. Comparing with the children of the national survey, most children aged <5 years were found to have significantly lower height and weight according to their age (p = 0.044 and p = 0.043, respectively), whereas those aged >5 years had a similar nutritional status. In addition, there is a lack of facilities for healthy living. However, the mean total psychological and ethical standards scores were significantly higher in the 1-5 and 6-9-year-old children.

Conclusions: Disparity of socio-political status, cultural beliefs and practices, socioeconomic basis, and geographic distance from the mainland were the social determinants and barriers of low health service accessibility for the islander children. Comprehensive child health and well-being evaluation in an enclave of isolation like this is mandatory before an integrated intervention carried out by the local healthcare and living facilities providers is implemented.

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泰国南部布隆东岛的福利和医疗保健不平等--干预前实地调查的结果。
背景和目标:生活在远离医疗服务中心或交通不便地区的儿童通常在健康和福利方面存在差异。这是对距离泰国南部大陆 22 公里的 Bulon-Don 岛上的儿童健康和福祉进行的一项调查,目的是在启动当地服务机构的响应之前收集基本的背景数据:研究了布隆岛 1-14 岁儿童的人口数据、身体健康和粗略的心理健康、健康危害和生活条件,并与相应的全国儿童健康调查结果进行了比较。统计分析采用描述性统计,显著性(P < 0.05)为0:共有 21 名男童和 41 名女童(N = 62)在征得家长或护理人员同意后参与了调查。岛民是土著居民,使用自己的语言,拥有传统信仰。与全国调查中的儿童相比,大多数儿童(年龄分别为 p = 0.044 和 p = 0.043)的营养状况相似,而年龄大于 5 岁的儿童的营养状况也相似。此外,健康生活设施缺乏。然而,1-5 岁和 6-9 岁儿童的心理和道德标准平均总分明显更高:结论:社会政治地位的差异、文化信仰和习俗、社会经济基础以及与大陆的地理距离是造成岛民儿童医疗服务可及性低的社会决定因素和障碍。在这样一个与世隔绝的飞地,必须先对儿童的健康和福祉进行全面评估,然后再由当地医疗和生活设施提供者实施综合干预。
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来源期刊
Children-Basel
Children-Basel PEDIATRICS-
CiteScore
2.70
自引率
16.70%
发文量
1735
审稿时长
6 weeks
期刊介绍: Children is an international, open access journal dedicated to a streamlined, yet scientifically rigorous, dissemination of peer-reviewed science related to childhood health and disease in developed and developing countries. The publication focuses on sharing clinical, epidemiological and translational science relevant to children’s health. Moreover, the primary goals of the publication are to highlight under‑represented pediatric disciplines, to emphasize interdisciplinary research and to disseminate advances in knowledge in global child health. In addition to original research, the journal publishes expert editorials and commentaries, clinical case reports, and insightful communications reflecting the latest developments in pediatric medicine. By publishing meritorious articles as soon as the editorial review process is completed, rather than at predefined intervals, Children also permits rapid open access sharing of new information, allowing us to reach the broadest audience in the most expedient fashion.
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