Browsing by Author "Mukda Wichien"
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Item The Prevalence and Associated Factors of I-sarn Syndrome in Rural Community, Khon Kaen(Faculty of Medicine, Khon Kaen University, 2010-04-06) Amorn Premgamone; Wattana Ditsathaporncharoen; Mukda Wichien; Srinoi Maskasem; Bungornsri Jindawong; Pote SriboonlueBackground: I-sarn syndrome (ISS) consists of multiple chronic complaints including: myofascial pain, back pain or lower abdominal pain, dyspepsia, poly-arthralgia, headaches, fatigue, history of dysuria, and/or any of these made worse by consuming bamboo shoot.Objectives: To determine the prevalence of ISS and their associated factors in rural community, Khon Kaen Province.Methods: A cross-sectional analytic study in 16 rural villages from 4 districts. Subjects, between 15 and 60 years of age, were randomly selected by multistage sampling.Results: 1,128 individuals were participated, 38% were male, 45% were older than 45 years and most of them were farmers (71.1%). Age-sex adjusted prevalence of ISS was 29.4%. Prevalence of myofascial pain, back pain/lower abdominal pain, dyspepsia, poly-arthralgia, headaches, fatigue, and dysuria was 33.7, 37.7, 29.9, 11.4, 39.8, 30.9 and 18.5%, respectively. The prevalence of people whose symptoms aggravated by bamboo shoot was 33.5%. ISS patient was significantly older, more debt, higher creatinine level, more frequent visited at health center and community hospital (pItem Prevalence of Subjective Health Complaints in Rural Community, Khon Kaen(Faculty of Medicine, Khon Kaen University, 2010-04-06) Mukda Wichien; Amorn Premgamone; Sompong SrisanpangBackground: Subjective health complaints include variety of subjective illnesses with few or no objective finding. They are the major reasons for granting sickness compensation, and frequent reasons for encounter with the general practitioners. Determining the prevalence of such problems can help in obtaining the magnitude of the problemObjective: To determine the prevalence of people with subjective health complaints.Design: Descriptive studySetting: The rural communities in Khon Kaen ProvincePopulation and samples: The totals of 1,600 people with aged 15-65 years were selected by multi stage sampling method.Method: The Thai version of subjective health complaint inventory was employed. Main outcome measure: Prevalence of people with subjective health complaints.Results: The response rate was 70.5%. Prevalence of people with subjective health complaints was 87.4% (95%CI: 87.1 to 87.7). The complains included 69.0 % musculoskeletal, 48.9% gastrointestinal, 48.0% pseudoneurological complaints, 36.0% flu-like and 27.4% allergic like symptom. Their health seeking behaviours included 66.2% do nothing/self-observation, 48.9% made self-prescription, 46.1% reformed self-care, 30.5% went to the public health centers, 13.3% went to the community hospitals, 9.8% went to private clinic, 2.5% went to Khon Kaen Regional hospital and 0.8% went to Srinagarind hospital. Conclusion: In Khon Kaen province, prevalence of people with subjective health complaints in rural community was 87.4%. They tended to choose self care more than other treatment resorts. Most of them chosed primary health care before went to hospital.The prevalence was similar to that of the studies in the Western countries.key words : subjective health complaints, health seeking behaviour