Thailand Journal of Health Promotion and Environmental Health

Factors Associated with Quality of life of Psoriatic Patients in the Southern Regional Hospital of Tropical Dermatology-Trang Province

อณัฐชา ลั่นออ — 2026-03-12

This study is a cross-sectional analytic study aiming to investigate factors related to the quality of life of psoriasis patients at the Southern Tropical Dermatology Hospital, Trang Province, and to examine personal factors, social support, and quality of life among psoriasis patients at the Southern Tropical Dermatology Hospital, Trang Province. The sample consisted of 150 individuals. The research instrument was a questionnaire with a reliability coefficient of 0.97. Data were analyzed using frequency distribution, percentage, mean, standard deviation, maximum value, minimum value, and the Chi-square test. The statistical significance level was set at 0.05.

The results showed that the majority of the sample had a high overall quality of life (M = 4.52, S.D. = 0.48) and a high overall level of social support (M = 4.52, S.D. = 0.40). Factors related to quality of life included age, marital status, occupation, duration of psoriasis, and severity of psoriasis. and social support (p <0.05).

Therefore, the results of this research can be used as information for planning and organizing a nursing service system to promote social support from family and surrounding individuals regarding the health care of patients, including the prevention of complications, to empower psoriasis patients to live in society and have a better quality of life in the future.

Consumer Behavior and Health Literacy in Beverage Selection Among Sweet Enough Network-Affiliated and Non-Affiliated Coffee Shop Customers

Mantana Chawannakul — 2026-03-12

This cross-sectional study examined beverage ordering behaviors and health literacy between Sweet Enough Network-affiliated and non-affiliated coffee shop consumers. Eight provinces were purposively selected (two shops per province), and data were collected via online questionnaires from 513 consumers aged ≥15 years using convenience sampling. The data collection was conducted during January 2025. Descriptive statistics and Chi-square tests were employed for analysis. Findings revealed that 78% of participants ordered reduced-sugar or no-sugar beverages, with no between-group differences (p-value = 0.435). Network-affiliated consumers tended toward 50% sugar reduction, whereas non-affiliated consumers preferred no-sugar options. Regarding health literacy, 68.4% recognized the six-teaspoon daily sugar limit, and network-affiliated consumers demonstrated significantly higher comprehension of sugar's health impacts (p-value = 0.435). However, network awareness remained low (41.7%). The findings underscore the necessity for enhanced communication strategies to facilitate sustainable behavior modification in sugar consumption reduction and non-communicable disease prevention.

Developing Legal Recommendations and Food Sanitation Standards for Food Delivery Services

Tawatchai Boonkird — 2026-03-12

Despite the rapid expansion of the food delivery service businesses, specific food sanitation standards and a comprehensive legal framework remained noticeably absent. Consequently, this study aimed to develop food sanitation standards and formulate appropriate legal recommendations for food delivery service businesses. Employing a qualitative research design, this study utilized documentary research and expert group discussions grounded in the Hazard Analysis and Critical Control Point (HACCP) framework. The study was conducted from June 2025 to January 2026. Data validity and reliability were verified through data, theoretical, and methodological triangulation. The results indicated that food sanitation standards for food delivery services comprised five key components: (1) hygiene of food preparation premises; (2) hygiene of food and processing methods; (3) hygiene of utensils and packaging; (4) hygiene of business operators and food handlers; and (5) hygiene of food distribution and delivery. These standards aimed to regulate practices among three primary stakeholder groups: online delivery platform operators, food business operators, and food handlers. Regarding legal aspects, the study identified an urgent need to amend key legislation, specifically the Food Act B.E. 2522 and the Public Health Act B.E. 2535 (and amendments), as well as related ministerial regulations. This was due to the lack of clear definitions and specific regulations concerning sanitation during the food transportation process in the provisions at the time. Ultimately, this study aspires to serve as a fundamental basis for establishing a systematic quality control and food sanitation supervision system to sustainably enhance consumer safety in the digital era.

The Effects of Health Literacy Promotion Model for Anemia Prevention with Iron Supplements Using Iron Supplements Adherence in Parents of Children Aged 9 And 12 Months, Health Promoting Hospital, Regional Health Promotion Center 6 Chonburi.

Bussaya Phueyo — 2026-03-12

This quasi-experimental research aimed to examine the effects of a health literacy promotion model for anemia prevention using liquid iron supplementation on parents’ health literacy and adherence in administering liquid iron to their children aged 9 and 12 months at the Health Promoting Hospital, Health Center 6, Chonburi. The study population consisted of 59 parents who received services between February and June 2025. The research instrument was a health literacy enhancement model on anemia prevention using iron supplementation syrup. Data were collected using a validated questionnaire reviewed by three experts, with a reliability coefficient of 0.95. Data were analyzed using descriptive statistics and inferential statistics with the paired-samples t-test.

The findings revealed that prior to the intervention, most parents demonstrated inadequate health literacy regarding anemia prevention (84.75%). After the intervention, all parents achieved adequate health literacy (100.00%), with mean scores increasing from 2.05±0.61 to 4.00±0.01. Similarly, parental adherence to iron supplementation was high in only 52.54% before the intervention but increased to 100.00% after the intervention. The mean adherence score improved from 7.44±2.02 to 11.00±0.00. Comparative analysis indicated that mean scores of both health literacy and adherence were significantly higher after the intervention than before (t = 24.45, p < 0.001; t = 13.54, p < 0.001, respectively). These results demonstrate that the developed health literacy enhancement model was effective in improving both health literacy in anemia prevention and parental adherence to iron supplementation syrup.

Health Literacy in Child Development Promotion of Caretaker and Development of Child Aged 1-3 Years, Attending Well-Child Clinic in Subdistrict Health Promoting Hospital, Chonburi Province

Wasurut Ployluan — 2026-03-12

This cross-sectional analytical study aimed to study the health literacy of caretaker in promoting child development and to identify factors influencing developmental status of child aged 1–3 years who attended well-child clinics in subdistrict health promoting hospital in Chonburi Province. A total of 325 caretaker–child pairs were selected using two-stage cluster random sampling. Data were collected from 18^th June to 20^th August 2025, and analyzed by Chi-square test and Multiple logistic regression analysis. Results showed that 40.6% of caretakers had adequate health literacy for promoting child development, while 59.4% had inadequate health literacy. Among the children 63.7% had appropriate development and 36.3% had suspected developmental delay. Significant factors associated of child development included utilization of the DSPM manual (OR = 6.53, 95% CI: = 2.93-14.56) caretakers’ health literacy in promoting child development (OR = 5.03, 95% CI: = 2.05-12.32) family relationships (OR = 2.71, 95% CI: = 1.02-7.20) not allowing children to use mobile phones (OR = 2.69, 95% CI: = 1.13-6.39) and storytelling (OR = 2.41, 95% CI: 1.05-5.52). These findings highlight the importance of strengthening the use of the DSPM manual and enhancing caretakers’ health literacy to support optimal child development.

Comparative study of behaviors, attitudes and pregnancy outcomes between teenage and adult pregnancy in Trang hospital

Phatcharapan Baltip — 2026-03-12

Teenage pregnancy is the one of a crucial and multifactorial problem in Thailand. This research compares the behaviors, attitudes and pregnancy outcomes of teenagers and adults to develop the preventive protocol for teenage pregnancy and increase their quality of life.The design is an analytical cross-sectional study. The target population was teenage and adult who had labor in Trang hospital during July, 2021 to April, 2022. Data was collected by using direct questionnaires and from medical records then reported with descriptive statistic and using multiple logistic regression to analyze the relation of the results. For the results, from 323 pregnant women, there are 109 teenage pregnancy (33.75%). Behaviors which increase risk of teenage pregnancy are inconsistent contraception, going out at night, use a dating/meeting new friend application, have a friend experiencing teenage pregnancy and unmarried couple. Attitudes which increase risk of teenage pregnancy are agreement with teenage pregnancy and sexual intercourse, conformity to peer influence and perceived behavioral control. Pregnancy outcomes which more commonly found in teenage are anemia and syphilis infection. Multiple logistic regression analysis show statistically significantly result; unmarried couple behavior (Adjusted OR 17.92, 95%CI:3.99,80.38, p-value<0.001) commonly found in teenage and conformity to peer influence attitude (Adjusted OR 0.33, 95%CI:0.18,0.61, p-value<0.001) less found in teenage, Intermediate level of contraceptive knowledge is decrease risk of teenage pregnancy (Adjusted OR 0.09, 95%CI:0.01,0.36, p-value0.046). Teenage pregnancy has psychological effect in intermediate to high level more than adults (Adjusted OR 4.1, 95%CI:2.2,7.63, p-value <0.001) and less risk for cesarean section than adults (Adjusted OR 0.53, 95%CI:0.32,0.89, p-value 0.015). In conclusion, Behaviors, attitudes and pregnancy outcomes differed between teenage and adults pregnancies. Therefore, health care providers have to teach teenagers specifically to prevent teenage pregnancy

The Non-Renewal of a License to Operate a Livestock Business and Excessive Restriction of Rights under the Principle of Proportionality

Supoj Ali-usman — 2026-03-12

This article analyzes the public law legitimacy of administrative orders issued by local officials refusing to renew licenses for livestock operations on the grounds of offensive odor nuisance. It highlights the oversight of less restrictive administrative measures, such as the issuance of improvement orders or temporary license suspension. The primary hypothesis posits that such actions likely contravene the Principle of Proportionality, particularly regarding the Principle of Necessity. This is because the administrative authority opted for the most severe measure-non-renewal of the license—which restricts the freedom of occupation guaranteed by Section 40 of the Constitution of the Kingdom of Thailand. Such an order constitutes an excessive restriction of rights under Section 26, given that the issue remains remediable through less severe technical measures as prescribed in Section 45 of the Public Health Act B.E. 2535 (1992). Furthermore, the article demonstrates that such orders may violate the Rule of Law regarding the exercise of discretion through Sequential Enforcement. The article concludes that a sustainable resolution requires integrating legal dispute mechanisms—specifically the sequential application of enforcement measures—with policy-based conflict management strategies. These include environmental mediation and the submission of clear technical remediation plans to foster consensus for sustainable coexistence.