Massey Documents by Type

Permanent URI for this communityhttps://mro.massey.ac.nz/handle/10179/294

Browse

Filters

1992 - 199912010 - 20131

Settings

Subject: search.filters.subject.Rural Thailand

Search Results

Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    The impact of visual impairment on quality of life among older persons in rural northwest Thailand : a thesis presented in fulfilment of the requirements for the degree of Doctor of Philosophy in Health Sciences at Massey University, Palmerston North, New Zealand
    (Massey University, 2013) Phatcha Hirunwatthanakul
    Worldwide, those who are visually impaired are found to be older, in poorer health and less well-off economically than those who are not. The majority live in developing countries with the highest proportion found in Southeast Asia. Visual impairment has been found to have an overwhelmingly negative impact on quality of life (QOL) among those so affected. Thus, the rate of visual impairment among older Thais living in rural areas of Northeast Thailand, the poorest and most rural region in the country, is expected to be high and QOL to be low. This study examined the rate of visual impairment and its impact on QOL among a representative sample of older persons living in rural areas of Northeast Thailand along with other variables thought to impact QOL. As expected, a high rate of visual impairment was found in this area. Those who were visually impaired were found to be significantly older, worse off economically and to have lower overall perception of health than those who were not. As also expected, they were found to be worse-off on all of the measures of QOL assessed. However, when age, overall perception of health and economic status were controlled for, no differences on QOL were found between those who were visually impaired and those who were not. Visual impairment, therefore, was not found to have the overwhelmingly negative impact on QOL expected. This finding was unique to this study but not altogether surprising as the lifestyle of these participants was very different than that of those previously studied. Older Thais in rural areas primarily live in extended families with their care provided for by their children as a matter of respect. The assessment of other variables thought to impact QOL revealed that overall perception of health, physical health, psychological well-being, environment and intimacy were found to make a unique contribution to variance in QOL among the sample as a whole. Recommendations to improve the environment, including economic conditions, and physical health for all were made as a means to improve QOL for those who were visually impaired as well.
  • Thumbnail Image
    Item
    Food choices and feeding patterns for women and infants in rural northern Thailand : an ethnographic study : a thesis presented in fulfilment of the requirements for the degree of Doctor of Philosophy in Nursing at Massey University
    (Massey University, 1992) Ratanawadee Boonyaprapa
    The question for this study arose from the situation that malnutrition remains one of the major health problems among Thai children, particularly the under-fives. The purpose of it was to develop better understanding as to what sustains beliefs and practices associated with infant nutrition. An ethnographic approach was chosen as the research method. One rural village in northern Thailand was selected as the site of fieldwork for a period of 10 months. Data were collected through participant observation, interview, and ethnographic records. Key informants were 18 pregnant women and mothers of the under-twos. General informants were elderly kinswomen, fathers of the under-twos, volunteer health workers and community health workers. From the data it can be argued that what each woman does with regard to her own nutrition during pregnancy and following childbirth and the feeding pattern that she adopts for her infant are the outcomes of interplay between a complex network of cultural, social, personal and situational factors. These act and interact as pushes and pulls in a woman's decision making, frequently conflicting. Four main sources of pushes and pulls are: traditional beliefs; personal factors including attitudes, feelings, needs and experiences; sociocultural situations and changes; and government health services. If nursing interventions aimed at promoting a well nourished woman and a well nourished child are to be effective, nurses must be aware of these multiple influences. The conceptual account generated from the findings of this study has potential value for nursing practice, education and research. It identifies the aspects amenable to change by nurses and other health workers in their work to counter malnutrition situation, and so to improve the health of mothers and children.