Abstract
This research was a cross-sectional analytic study of both quantitative and qualitative methods. The objectives of the study were 1) to describe the level of Pre-Diabetes Mellitus among Myanmar migrant workers in Suratthani Province 2) to describe the level of Pre-Hypertension among Myanmar migrant workers in Suratthani Province 3) to evaluate the factors associated with Pre-Diabetes Mellitus among Myanmar migrant workers in Suratthani Province 4) to evaluate the factors associated with Pre-Hypertension among Myanmar migrant workers in Suratthani Province and 5) how to solve the problem through policy development support of those having Pre-Diabetes and Pre-Hypertension situation. Five hundred and eight samples of Myanmar migrant workers in Suratthani Province. In the first phase study (Quantitative study) data was collected data by interviews questionnaires; questionnaire structures were constructed based on literature reviews and were used for data collection. Cronbach’s alpha coefficient of stress, attitude, and practice were 0.78, 0.87, and 0.82, and the Kuder-Richardson coefficient of knowledge was 0.77. Multi-stage random sampling was used for sampling selection and data analysis was perfumed using Multiple logistic regression. The second phase (Qualitative study) collected data by focus group discussions and multi-disciplinary meetings. The results revealed that those workers who had a normal blood glucose level of 81.30% (95% CI: 77.66-84.46), had a blood glucose value at risk of 12.60% (95% CI: 9.97-15.78), and had a blood glucose level in the group requires of the clinical confirmation of a diagnosis by a physician of 6.10% (95% CI: 4.32-8.55). Those workers had blood pressure values in the normal group of 31.70% (95% CI: 27.78-35.88) and had blood pressure values at the risk group of 43.70% (95% CI: 39.43-48.06), had blood pressure values had to submit a doctor's diagnosis of 22.24% (95% CI: 18.83-26.07) and had to see a doctor within the same day 2.36% (95% CI: 1.34-15.78). Factors associated with Pre-Diabetes Mellitus consisted of graduating below junior high school students (Adj.OR=2.12; 95% CI: 1.09-4.10; p-value=0.026) married (Adj.OR=1.96; 95% CI: 1.04-3.70; p-value=0.037), unsupported media or materials in Myanmar language (Adj.OR=1.78; 95% CI: 1.11-2.85; p-value=0.016), and the problem of housing environment was moderate/high (Adj.OR=1.71; 95% CI: 1.05-2.77; p-value= 0.028). Factors associated with Pre-Hypertension including age >30 years (Adj.OR=2.77; 95% CI: 1.77-4.33; p-value<0.001), BMI on the overweight /obese scale. (Adj.OR=2.30; 95% CI: 1.50-3.53; p-value<0.001), average family payment per month ≥5,000 baht (Adj.OR=2.28; 95% CI: 1.17-4.44; p-value=0.015), not received health information (Adj.OR=2.28; 95% CI: 1.44-3.61; p-value<0.001), male (Adj.OR=1.97; 95% CI: 1.27-3.07; p-value=0.002), had duration stay in Thailand ≥48 months (Adj.OR=1.69; 95% CI: 1.06-2.71; p-value=0.027), and had work our per day ≤8 hours (Adj.OR=1.60; 95% CI: 1.03-2.49; p-value=0.036), respectively.
In conclusion, the results of this study were found that almost a fifth of Myanmar migrant workers are at risk of Pre-Diabetes and two-thirds are at high blood pressure risk. Factors associated with Pre-diabetes Mellitus and Pre-Hypertension include personal and socioeconomic characteristics, Environment factors, and the health service system. These factors are thought to have a profound effect on Pre-diabetes Mellitus and Pre-Hypertension. The recommendations policies; 1) The development system of spatial management in the public health system should be developed for the special area to operate area-based public health for Myanmar migrant workers. 2) Integrating all health network partners in Suratthani Province and establishing a Provincial Health Promotion Committee for migrant workers is a very useful process for integrating resources for the development of the labor health care system.
