Purpose: Chiang Rai being an earthquake-prone city, it is essential to raise awareness about earthquake safety and readiness, especially amongst the elderly population who spend most of their time at home. The purpose of this paper is to evaluate the earthquake preparedness of elders in relation to knowledge, attitude and practice.Design/methodology/approach: This was an analytic cross-sectional study. Research data were collected from 480 elders of 60 years old and above. The research instruments were questionnaires about knowledge, attitude and self-assessment of practices in earthquake situations. Data were analyzed by number, percentage and aχ²test.Findings: Of participants interviewed, 39.4 percent were aged between 60 and 66 years old. Overall, 94.0 percent of them had already experienced an earthquake, with 79.4 percent having experienced it in 2014. Participants had a good level of knowledge and attitude toward earthquake safety. Their practices toward earthquake readiness, however, were insufficient due to the lower practice scores (<12), especially found in the high seismic zone. The score level of knowledge, attitude and self-assessment of practice in earthquake situations showed that there is a difference in statistical significance (p<0.05).Originality/value: This study focuses attention on the need to increase levels of preparedness. Safety instructions and earthquake drills should be promoted and supported in order to prepare elders for an earthquake in the study area. Research findings identified in this study will help to address the specific needs of the elderly when implementing an earthquake disaster risk reduction plan.

Hill tribes are a group of people who live in remote areas in northern Thailand. They typically use untreated water for drinking, that can lead several health problems. The six main hill tribes—Akha, Hmong, Karen, Lahu, Lisu, and Yao—were selected for the study. A validated questionnaire was used for data collection. Water samples were collected from the selected villages and tested for the quality at Mae Fah Luang University, Thailand. Results: the major sources of drinking water were mountain water supplies (74.3%), and commercial bottled water (21.4%). Easy access, sufficiency for the whole year, and food-drug administration sign labeled were the criteria used for selecting sources of drinking water. Colorless and safety were also used as a selection criteria for their drinking water in some tribes. Lisu, Karen, and Hmong treated their drinking water by boiling, while Akha and Lahu stored the water in certain containers to allow particle settling before drinking water without treatment. 42.0% of the water samples had a turbidity values <5 NTU, and total coliform and fecal coliform bacteria were detected in 100.0% of the samples. To prevent water-borne diseases among the hill tribe people, appropriate water treatments such as boiling, filtration, and disinfection are recommended.

Online fraud threatens the well-being of older adults, with disparities in digital literacy and socioeconomic conditions amplifying their vulnerability. This study examined digital literacy and fraud victimization behavior among older adults in urban and rural settings, identifying key factors influencing victimization and its consequences. This cross-sectional analytical study, using multi-stage sampling, included 864 participants from Southern Thailand. The findings revealed that 46.3% of participants had adequate digital literacy, while 75.3% experienced fraud victimization, with higher rates of health impacts in rural areas. Higher age (Adjusted Odds Ratios; AOR: 1.83, p = 0.004), income (AOR: 2.28, p = 0.003), and rural residence (AOR: 3.03, p < 0.001) were significantly associated with an increased likelihood of fraudulent victimization. Conversely, being non-Buddhist (AOR: 0.47, p = 0.001) and having an adequate digital literacy (AOR: 0.50, p < 0.001) were protective factors. Fraud victimization significantly affected older adults’ health, with 29.5% reporting the following adverse outcomes: physical (AOR: 5.55), emotional (AOR: 7.80), social (AOR: 4.97), and overall heightened health risks (AOR: 7.71, p < 0.001). This research highlights the importance of improving digital literacy, fostering community awareness, and implementing tailored fraud-prevention strategies to protect older adults. This study provides a foundation for evidence-based policies aimed at mitigating digital risks and enhancing older adults’ well-being in the digital era.

This study aimed to assess health literacy (HL), preventive behaviors (PBs), and the factors associated with PBs toward COVID-19 among village health volunteers (VHVs) and residents in urban and rural areas in the upper south of Thailand. A cross-sectional study was conducted using valid questionnaires administered using an online platform. Data were analyzed using descriptive statistics, t-tests, and binary logistic regression analysis. A total of 846 people participated in this study, and 62.8% of participants had an adequate level of HL. Furthermore, 55.0% of participants had an adequate level of PBs. Among VHVs, PB levels were adequate, whereas among residents, they were inadequate. Moreover, among VHVs, underlying diseases (adjusted odds ratio (OR): 1.77, 95% CI: 1.13–2.76), access to HL (adjusted OR: 4.28, 95% CI: 1.42–12.88), appraisal of HL (adjusted OR: 3.09, 95% CI: 1.90–5.02), and application of HL (adjusted OR: 2.51, 95% CI: 1.52–4.12) were associated with COVID-19 PB. Additionally, among residents, only marital status (adjusted OR: 1.59, 95% CI: 1.04–2.44), appraisal of HL (adjusted OR: 1.78, 95% CI: 1.18–2.84), and application of HL (adjusted OR: 3.85, 95% CI: 2.39–6.20) were associated with PBs towards COVID-19. Furthermore, individuals with inadequate HL demonstrated noteworthy significance in all dimensions of PBs. To prioritize and optimize preventive programs aimed at enhancing PBs, the government must take proactive initiatives in implementing robust health communication strategies across diverse media platforms, both in the present and future.

Background: The major population vulnerable to hand, foot and mouth disease (HFMD) is children aged less than 5 years, particularly those who are cared for at day care centers (DCCs). This study aimed to assess the associations of environmental and sanitation factors with high HFMD occurrence rates in DCCs of northern Thailand. Methods: A case-control study was used to gather information from caregivers and local government administrative officers. DCCs in areas with high and low HFMD occurrence rates were the settings for this study. A validated questionnaire was used to collect environmental and sanitation information from the DCCs. In-depth interviews were used to collect information from selected participants who were working at DCCs and from local government administrative officers on the HFMD capacity and prevention and control strategies in DCCs. Logistic regression analysis was used to determine the associations between many environmental factors and HFMD at the α = 0.05 significance level while the content analysis was used to extract information from the interviews. Results: Two variables were found to be associated with a high rate of HFMD occurrence: the number of sinks available in restrooms and the DCC size. Children attending DCCs that did not meet the standard in terms of the number of sinks in restrooms had a greater chance of contracting HFMD than children who were attending DCCs that met the standard (AOR = 4.21; 95% CI = 1.13–15.04). Children who were attending a large-sized DCC had a greater chance of contracting HFMD than those attending a small-sized DCC (AOR = 3.28; 95% CI = 1.21–5.18). The yearly budget allocation and the strategies for HFMD control and prevention, including collaborations among stakeholders for HFMD control and prevention in DCCs, were associated with the effectiveness of HFMD control and prevention. Conclusions: The number of sinks in restrooms and DCC size are major concerns for HFMD outbreaks. Sufficient budget allocation and good collaboration contribute to effective strategies for preventing and controlling HFMD in DCCs.

Parabens are widely used as antimicrobial preservatives in foods, personal care, cosmetics, and pharmaceutical products. The metabolization of parabens in the human body is excreted via urine in free plus conjugated forms. Currently, the prevalent use of parabens has increased alarms about health risks linked with endocrine disrupting effects. A cross-sectional study was used to gather information from participants in Chiang Rai province. The purposes of the study are to investigate paraben concentrations in urine, to analyze the correlation of urinary parabens, and to assess health risks among children in pre-schools and primary schools. Overall, 140 first morning void urine samples were collected and measured by LC-MS/MS to determine methyl paraben (MeP), ethyl paraben (EtP), and propyl paraben (PrP). The detection rate and geometric mean without adjusting and adjusting urine specific gravity of MeP, EtP, and PrP in overall samples were (100.00 %; 27.94 µg/L; 30.14 µg/L), (46.43 %; 0.77 µg/L; 0.83 µg/L), and (97.86 %; 2.80 µg/L; 3.02 µg/L), respectively. Almost three urinary paraben concentrations in pre-schools were higher than in primary schools. The highest significant positive correlation of parabens (p < 0.01) was MeP and PrP both in pre-schools and primary schools. The geometric mean of estimated daily intake (EDI _urine) for MeP, EtP, and PrP were 6.27, 0.22, and 1.09 µg/kg-bw/day, respectively. The estimated daily intake and health risks indicated PrP led to potential human health risks at 5.70 % of overall samples. Additionally, Thai children are widely exposed to parabens and relatively higher PrP and MeP exposure than the concentration reported in several countries. This is the first study assessing urinary parabens in Thailand. The finding demonstrates that children's exposure to parabens in the study areas would impact their health, so there should be confirmation for further management.