Zaw Min. Factors Influencing health seeking behavior among myanmar migrant workers in mueang district, Chiang Rai province, Thailand. Master's Degree(Border Health Management). Mae Fah Luang University. Learning Resources and Educational Media Centre. : Mae Fah Luang University, 2024.
Factors Influencing health seeking behavior among myanmar migrant workers in mueang district, Chiang Rai province, Thailand
Abstract:
Since 2021, there has been a significant increase in Myanmar nationals entering Thailand as migrant workers, highlighting the need for urgent research on their health seeking behavior, which is closely tied to disease occurrence. This study aimed to identify the health seeking behaviors and determine the factors influencing these behaviors among Myanmar migrant workers in Mueang District, Chiang Rai Province, Thailand, using the Andersen Healthcare Utilization Model as the theoretical framework. A cross-sectional study was conducted with 355 Myanmar migrant workers, aged 18 to 60, in Mueang District. Data were collected through face-to-face interviews using a validated questionnaire. Chi-square or Fishers Exact tests and logistic regression analysis were used to identify factors influencing health seeking behavior, with significance set at p-value ≤ 0.05. Of the 355 participants, regarding predisposing factors, 55.8% were male, with a mean age of 35 years (SD ± 9.46). In term of enabling factors, a significant proportion (70.7%) had health insurance, and 96.3% had documented legal status. Concerning need factors, musculoskeletal diseases were the most commonly diagnosed condition (23.4%). Regarding healthcare utilization, 49.6% of participants accessed healthcare services for illnesses in the past six months. Multivariable logistic regression analysis identified five variables significantly associated with healthcare utilization: age, assisting person with seeking healthcare, monthly expenditure, health insurance, and working hours per day. Individuals aged ≥36 years had 1.65 times higher odds of healthcare utilization compared to those aged 18-35 years (95% CI = 1.06-2.58). The odds of healthcare utilization were 11.11 times higher for those whose wives were assisting for seeking healthcare compared to those who hired a translator (95% CI = 1.26-97.39). Participants with a monthly expenditure of >3,000 THB had 1.86 times higher odds of healthcare utilization compared to those with ≤3,000 THB (95% CI = 1.19-2.91). Participants covered by health insurance had 1.71 times higher odds of healthcare utilization compared to those without insurance (95% CI = 1.05-2.80). Participants working more than 8 hours per day had 1.78 times higher odds of healthcare utilization than those working fewer than 8 hours per day (95% CI = 1.06-2.98). At the community level, a Migrant Health Volunteer system should be initiated. Provincial health authorities should consider allowing migrant workers access to various health insurance options, including private schemes like the M-Fund in Tak Province, which allows use at any hospital.
Mae Fah Luang University. Learning Resources and Educational Media Centre