Thetkathuek Anamai, Jaidee Wanlop, Jaidee Patchana
a Department of Industrial Hygiene and Safety , Faculty of Public Health, Burapha University , Chonburi , Thailand.
b Department of Public Health Foundation , Burapha University , Chonburi , Thailand.
J Agromedicine. 2017;22(3):189-199. doi: 10.1080/1059924X.2017.1317682.
This study was undertaken to elucidate factors that influenced access to health care for migrant farm workers from Cambodia employed on fruit plantations in eastern Thailand.
Data were collected from 861 participants via interview questions and focus group discussions.
The results revealed that 58.2% of immigrant workers were male, averaged 30.4 years of age, and 56.3% had no formal education. In the past year, 28% reported back pain and 25% had joint pain. Most of the workers (89.8%) received health care services at a nearby government health promotion hospital (THPH). From the analysis of factors contributing to the access to health services among immigrant farm workers, the data indicate that the Cambodian workers had few concerns with their ability to access health care services, reporting high and medium levels of satisfaction (with odds ratios [ORs] of 6.19 and 3.94, respectively) versus being unsatisfied. The differences between those who reported significant minor illnesses and serious illness were important, as workers with significant complaints were 3.17 and 4.85 times more likely, respectively, to have sought medical treatment than those not reporting illness.
The main recommendation resulting from this study is that factors leading to higher degrees of satisfaction with health care services by migrant farm workers for preventative care could be improved.
本研究旨在阐明影响在泰国东部水果种植园工作的柬埔寨流动农场工人获得医疗保健服务的因素。
通过访谈问题和焦点小组讨论从861名参与者中收集数据。
结果显示,58.2%的移民工人为男性,平均年龄30.4岁,56.3%未接受过正规教育。在过去一年中,28%的人报告有背痛,25%的人有关节痛。大多数工人(89.8%)在附近的政府健康促进医院(THPH)接受医疗保健服务。从对移民农场工人获得医疗服务的影响因素分析来看,数据表明柬埔寨工人对其获得医疗保健服务的能力几乎没有担忧,报告的满意度为高和中等水平(优势比[OR]分别为6.19和3.94),而不是不满意。报告有明显小病和重病的工人之间的差异很重要,因为有明显症状的工人寻求医疗治疗的可能性分别是未报告患病工人的3.17倍和4.85倍。
本研究得出的主要建议是,可以改进导致流动农场工人对预防性医疗保健服务满意度更高的因素。