Inappropriate self-medication and limited health literacy are pressing challenges that contribute to poor health outcomes among older adults. In rural, low-resource settings, these issues are worsened by digital exclusion, which restricts access to reliable health information and informed decision-making. To assess the prevalence and determinants of inappropriate medication and health product (M&HP) use among older adults in rural Thailand, reflecting wider disparities in Southeast Asia. A cross-sectional survey was conducted among 1,461 older adults aged ≥60 years, selected through stratified multi-stage sampling from Thailand's Health Regions 7-10, which encompass 20 northeastern provinces. Structured interviews explored health-seeking behavior, digital literacy, and M&HP use. Inappropriate use was defined as the use of two or more items without professional consultation, as per national guidelines. Descriptive and multivariable logistic regression analyses were performed. Of participants, 84.5% reported using M&HPs without professional consultation, and only 14.0% were proficient in accessing health information via smartphones. Inappropriate use was significantly associated with rural residence (aOR = 6.33; 95% CI: 2.19-18.31), low education, chronic illness, unemployment, digital illiteracy, and financial hardship (p < 0.05). Digital and social exclusion strongly influence unsafe self-medication practices among older adults. Improving digital health literacy and access to credible information is crucial for enhancing medication safety. Thailand's experience may offer valuable guidance for developing inclusive aging strategies in other low- and middle-income countries.

Background: Inadequate knowledge, negative attitudes towards people living with HIV/AIDS and risky practices are related to the spread of HIV infection. This study aimed to explore and test associations between knowledge, attitude and AIDS prevention behavior among students in Kham Mouane Technical-Vocation College, Lao People’s Democratic Republic. Methods: A cross-sectional, self-report questionnaire study was conducted in May 2018. Pearson's Chi-squared test and binary logistic regression was used to test the association between variables. Results: Of 939 participants, it was found that: 61.6% were women; the mean age was 20.7 years (range 18-28 years); 40.2% lived in the college dormitory; >80% drank alcoholic beverages; 31.9% drank until slightly intoxicated; 13.7% drank until drunk; and the average drinking rate was 1-2 times a month (50%). Knowledge levels about the route of HIV transmission and how it can be controlled were poor. Misunderstood issues included: HIV transmission can be controlled by having a single partner and using condoms while having sex was correctly understood by only 22.8%; 72% incorrectly reported that HIV can be transmitted through a mosquito bite; and 48.2% believed incorrectly that drinking alcohol can disinfect HIV. Attitudes towards HIV were at a moderate level: the participants believed that infected persons should not reveal themselves in public, at work or college, and that requesting a boyfriend use a condom showed mistrust. HIV prevention practices were reported at a better level: reducing opportunity for sex by not cohabiting or staying privately with a lover and wearing condoms regularly during sexual intercourse, although more than 70% still drank alcohol when visiting nightclubs, associated with an increased likelihood of unprotected sex. Conclusions: Public and community stakeholders need to design HIV prevention classes suited to college environments to improve students’ knowledge, attitudes and risky behavior practices related to HIV.

This cross-sectional study aimed to explore levels of health literacy and factors related to health literacy in choosing medicines and health products among Thai older adults who use smartphones. The study was carried out during March to November 2021 among Senior Schools in the North-eastern of Thailand. The analysing with descriptive statistics Chi-square test and the multiple logistic regression were used to test the association between variables. The results showed that most participants have a low level of health literacy in medication and health products usage. The risking factors that affected to a low-level health literacy were living in a rural area and ability to use a smartphone. Therefore, there should be knowledge enhancement for the older adults with smartphone. Especially, searching information skill and choosing the qualitative media before deciding to buy and use healthy drugs or health products.

This cross-sectional study aimed to investigate the perspective and caregiving practices of Thai adolescents towards the elderly in the Northeastern region of Thailand. The study was carried out during July 1st to September 30th, 2023 among 1,551 participants in grades 4-6 from eight randomly selected schools. The analyzing using descriptive statistics. The results found that the average age was 15.30±1.66 years old, 62.4% were female, and most lived with their parents and relatives. About 36.4% of parents have experienced either widowhood or separation, 69.4% of families had a monthly income less than 15,000 THB. While 33.7% had an elderly person in the family, 1.6% lived with bedridden patients, and 40.3% required assistance in daily activities such as cooking, mobility, while 58.7% had diabetes and high blood pressure. 59.3% did not have a primary caregiver in the family, only parents or relatives usually taking on this role. Adolescent grandchildren spent the majority of their time on education. Almost one of three rarely took care of the elderly, even though their parents and teachers taught about moral responsibility. Regarding the belief in the merit that would arise from taking care of the elderly, one of five was indifferent or did not believe, while half of them believed to some extent. From self-assessment of their ability to take care of the elderly, most were in the moderate and low levels, despite receiving information from family, teachers, or various media. The predominant perspective is that caregiving is perceived as the responsibility of parents or health professionals, and the belief that the elderly is captious and irksome. Therefore, it is advisable to present policy-oriented information across education, health, and societal dimensions to support children and young people to learn about elderly individuals and instilling their responsibility within families and societies, fostering a sustainable and well-being-oriented community.

Introduction: The prevalence and incidence of diabetes are increasing worldwide. In Thailand, emphasis is placed on measures to enhance awareness of preventing the disease among high-risk groups and the general population. This study aims to determine health literacy (HL), health behavior patterns, awareness, and knowledge of diabetes prevention, and the effectiveness of promoting HL programs among diabetes risk groups in the Thai community. Methods: This study was designed for the research and development method and was conducted in April–October 2023. A cross-sectional study was conducted with 105 DRGs, selected using stratified random sampling from 10 villages. Data were collected through interviews and self-report questionnaires. In addition, a participatory program involving 43 stakeholders was designed to enhance diabetes prevention knowledge, using brainstorming sessions for activity planning, implementation, and evaluation. Pre- and post-test scores were analyzed using paired t -tests. Results: The analysis shows that nearly half of the DRGs are at a moderate level of HL, while the overall score falls below 55% of the total points. In addition, the health behavior patterns of the DRGs (3E2S) pose a risk for diabetes development. However, the results obtained from program utilization indicate that the potentiality for improved HL levels and promoting positive health behaviors are statistically significant ( P < 0.001). Conclusion: Healthcare professionals, particularly within the primary healthcare system, should devise strategies to enhance HL and consistently implement programs targeting diabetes prevention in the community’s at-risk groups.

This cross-sectional study aimed to explore the Mental Health Status and the relationship between socioeconomic background and mean scores of mental health variables among Caregivers (CG) in Maha Sarakham province, Northeast of Thailand. A total of 402 CGs were recruited from 32 sub-districts in 13 districts to participate with interviewing form. Data analysing used descriptive statistics and Chi-square test for the relationship of the socioeconomic and the level of mental health status of caregivers. The results shown that; 99.77% were female, age average 49.89+8.14 (range 23-75), spent time look after the elderly for average 3 days per week, worked experience for 1-4 years (mean=3.27+1.66 years). Over 59 % have lower income than 150 USD. The gender of CG was a mainly statistically significant with the mental health status (MHS) (p=0.003). Although, the other variables were not significantly statistics test, however, it found that all variables indicated in the poor level of mental health status. Therefore, the stakeholders who involves with CG should have concern to reduce their burnout, regardless of compensation as well as set up the potential of family caregivers or young carers to help the elderly in the community.