Acculturation and Its Effects on Health Risk Behaviors among Myanmar Migrant Workers: A Cross-Sectional Survey in Chiang Mai, Northern Thailand
Acculturation and Its Effects on Health Risk Behaviors among Myanmar Migrant Workers: A Cross-Sectional Survey in Chiang Mai, Northern Thailand
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DOI：
10.3390/ijerph17145108
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发表时间：
2020-07-01
影响因子：
--
通讯作者：
Myo Nyein Aung
中科院分区：
文献类型：
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作者：
Thin Nyein Nyein Aung;Shirayama, Yoshihisa;Myo Nyein Aung
泰国收容了许多从邻国移民过来的工人，他们正面临着非传染性疾病（NCD）的沉重负担。对移徙工人的健康检查通常强调传染病，但忽视非传染性疾病。我们调查了在泰国北方清迈的缅甸移民工人中流行的非传染性疾病健康行为及其影响因素，特别是文化适应模式。共有414名农民工同意参加这项研究。缺乏运动（75.8%），目前饮酒（40.8%），目前吸烟（26.9%）和中心性肥胖（24.3%）是主要的生活方式问题。女性和未受过教育的人与缺乏锻炼有关。目前的酒精消费量与男性和缅甸族裔、文化适应综合战略和较高收入密切相关。男性参与者和边缘化平均得分较低的参与者更有可能吸烟。中心性肥胖与年龄超过40岁、女性、同化策略和未受教育有关。这些发现强调了性别包容的健康促进，筛查非传染性疾病的危险行为，并及时对农民工进行健康教育的必要性。它可以协助当局制定战略，将健康促进和全民健康覆盖扩大到移徙人口。
Thailand hosts many workers who have migrated from neighboring countries and is facing a large burden of non-communicable diseases (NCDs). Health screening for migrant workers routinely emphasizes infectious diseases but overlooks NCDs. We surveyed prevalent health behaviors for NCDs and their influencing factors, particularly cultural adaptation patterns among Myanmar migrant workers in Chiang Mai, Northern Thailand. A total of 414 migrant workers consented to participate in the study. Lack of exercise (75.8%), current alcohol consumption (40.8%), current smoking (26.9%), and central obesity (24.3%) were major lifestyle problems. Being female and uneducated was associated with a lack of exercise. Current alcohol consumption was significantly associated with being male and being of Myanmar ethnicity, with an integrative strategy for acculturation, and with a higher income. Male participants and participants with a lower mean score of marginalization were more likely to smoke. Central obesity was associated with being older than 40 years, being female, engaging in an assimilation strategy, and being uneducated. These findings highlight the need for gender inclusive health promotion, the screening of NCD risk behaviors, and timely health education for migrant workers. It may assist authorities to devise strategies to extend health promotion and universal health coverage to the migrant population.