Obstructive sleep apnea (OSA) has been linked to hypertension among middle-aged and older adults in Western countries. Few studies have focused on young adults, especially those in Southeast Asian countries undergoing epidemiologic transitions and experiencing elevated noncommunicable disease burden. We investigated associations of high risk for OSA with hypertension among Asian young adults. A total of 2,911 college students in Thailand participated in this study. The high risk for OSA was assessed using the Berlin Questionnaire. Blood pressure (BP) and anthropometric measurements were taken by trained research staff. Elevated BP and hypertension were defined as BP ≥120/80mm Hg and ≥140/90mm Hg, respectively. Multivariable logistic regression models were fit to estimate odds ratios (ORs) and 95% confidence intervals (CIs) of elevated BP and hypertension. Stratified analyses were conducted to examine whether observed associations varied by weight status. High risk for OSA was significantly associated with elevated BP (OR = 2.38; 95% CI = 1.68–3.39) and hypertension (OR = 2.55; 95% CI = 1.57–4.15) after adjustment for demographic and lifestyle factors. When body mass index was further controlled for, observed associations were greatly attenuated. The associations were only evident among overweight and obese students. The high risk for OSA among overweight and obese young adults is associated with elevated BP and hypertension. Enhanced efforts directed toward screening and diagnosing OSA and weight control among young adults could be one strategy for improving cardiovascular health.

Lesbian, Gay, Bisexual, Transgender, Queer/Questioning, and other (LGBTQ+) adolescents face a higher risk of depression than their heterosexual and cisgender peers, necessitating targeted mental health interventions. This study examined the prevalence of depression and its associated factors among LGBTQ+ adolescents in Southern Thailand, using the Minority Stress Model as a framework to explain how chronic stressors contribute to mental health disparities in this population. Specifically, it explored the association of distal stressors such as bullying, discrimination, and family relationships, as well as proximal stressors including self-esteem and gender identity confidence, with depression. A cross-sectional study was conducted among 958 adolescents aged 13–18 who openly identified as LGBTQ+. Participants were recruited from four secondary schools through stratified random sampling from the Secondary Educational Service Area Office 11. Data were collected using the Patient Health Questionnaire for Adolescents, Rosenberg’s Self-Esteem Scale, the Experience of Discrimination Scale, and the Revised Olweus Bully/Victim Questionnaire. Analyses included descriptive statistics, Spearman’s rank correlation test, and Ordinal logistic regression. Results showed that 84.8% of participants experienced depressive symptoms ranging from mild to severe. Low self-esteem emerged as a significant risk factor, while supportive family relationships served as a protective factor. These findings underscore the high prevalence of depression in this population and the need to strengthen self-esteem, promote family acceptance, and implement inclusive school and community policies. Culturally sensitive, trauma-informed nursing interventions can reduce mental health disparities and promote resilience among LGBTQ+ adolescents in Thailand and similar contexts by fostering self-esteem, strengthening family support, and promoting inclusivity.

(1) Background: An abnormal 50 g glucose challenge test (50 g GCT) during pregnancy, even without a diagnosis of gestational diabetes mellitus (GDM), may result in undesirable obstetric and neonatal outcomes. This study sought to evaluate the outcomes in pregnant women with abnormal 50 g GCT in secondary care hospitals in Thailand. (2) Methods: A total of 1129 cases of pregnant women with abnormal 50 g GCT results who delivered between January 2018 and December 2020 at Thasala, Sichon, and Thungsong hospitals were retrospectively reviewed and divided into three groups: abnormal 50 g GCT and normal 100 g oral OGTT (Group 1; n = 397 cases), abnormal 50 g GCT and one abnormal 100 g OGTT value (Group 2; n = 452 cases), and GDM (Group 3; n = 307 cases). (3) Results: Cesarean section rates in group 3 (61.9%) were statistically higher than those in groups 1 (43.6%) and 2 (49.4%) (p < 0.001). In addition, the highest rate of birth asphyxia was found in group 2 (5.9%), which was significantly higher than that in Groups 1 (1.8%) and 3 (3.3%) (p = 0.007). (4) Conclusions: Pregnant women with abnormal 50 g GCTs without a diagnosis of GDM had undesirable maternal and neonatal outcomes, as well as those who had GDM, suggesting that healthcare providers should closely monitor them throughout pregnancy and the postpartum period.

Major depressive disorder is one of the most prevalent mental health disorders globally. Older adults represent a particularly vulnerable group, with various factors significantly increasing their risk of developing depression. Thus, they need effective intervention to mitigate this problem. This study employed a quasi-experimental, pretest-posttest control group design to evaluate the effectiveness of the Solution-Focused Therapy Program in enhancing self-esteem and reducing depression among older adults with depression in Southern Thailand. This Program emphasizes solutions rather than problems and focuses on helping individuals identify and utilize their strengths and resources to overcome challenges. Fifty participants were purposively selected and matched based on their depression levels. They were then systematically assigned to either the experimental group (n = 25), receiving the Program, or the control group (n= 25), receiving only usual care. Self-esteem and depression were measured before and after the intervention using the Self-Esteem Scale and the Thai Geriatric Depression Scale, respectively. Data were analyzed using multivariate analysis of covariance. Results indicated that participants in the experimental group exhibited significantly higher median scores on self-esteem and lower depression than those in the control group at one week post-intervention. These findings indicated the Program’s effectiveness in enhancing self-esteem and reducing depression among older adults with depression. Trained nurses can implement this Program to meet the unique needs of this population in clinical practice. However, future multi-site, longitudinal studies are recommended to assess changes in self-esteem and depression over time and evaluate the Program’s long-term impact before widespread implementation in practice.