Khongthanachayopit Suprawee, Laohasiriwong Wongsa
Faculty of Public Health, Khon Kaen University, Khon Kaen, 40002, Thailand.
Research and Training Center for Enhancing Quality of Life of Working-Age People, Faculty of Public Health, Khon Kaen University, Khon Kaen, 40002, Thailand.
F1000Res. 2017 Jun 22;6:972. doi: 10.12688/f1000research.11651.1. eCollection 2017.
. There is an increasing trend of trans-border migration from neighboring countries to Thailand. According to human rights laws, everyone must have access to health services, even if they are from other nationalities. However, a small minority of health personnel in Thailand discriminate against immigrant workers, as they are from a lower financial bracket. . This cross-sectional study aims to determine the prevalence of accessibility to health services and factors associated with access to health services among migrant workers who work along the Northeast border of Thailand. A total of 621 legal migrant workers were randomly selected to respond to a structured questionnaire about the satisfaction of health services, using the 5As of health services: availability; accessibility; accommodation; affordability; acceptability. Associations between independent variables and access to health services were analysed using multiple logistic regression analysis. . The results indicated that the majority of these registered migrant workers were female (63.9%) with an average age of 29± 8.61 years old, and were married (54.3%). Most of the workers worked at restaurants (80%), whereas only 20% were in agricultural sectors. Only 14% (95% CI: 11-17%) of migrant workers had access to health services. The factors that were significantly associated with accessibility to health service experienced ill health during the past one year (OR = 2.48; 95%CI; 1.54-3.97; p-value<0.001) have been married (OR = 2.32; 95% CI: 1.40 - 3.90; p-value <0.001). . Most of the migrant workers could not access health services. The ones who did access health services were married or ill.
从邻国向泰国的跨境移民呈增长趋势。根据人权法，每个人都必须能够获得医疗服务，即使他们来自其他国籍。然而，泰国一小部分卫生人员歧视移民工人，因为他们的经济状况较差。这项横断面研究旨在确定在泰国东北部边境沿线工作的移民工人中获得医疗服务的普遍性以及与获得医疗服务相关的因素。总共随机选择了621名合法移民工人，使用医疗服务的5A标准（可及性、可达性、适应性、可承受性、可接受性）来回答一份关于医疗服务满意度的结构化问卷。使用多元逻辑回归分析来分析自变量与获得医疗服务之间的关联。结果表明，这些注册移民工人中的大多数是女性（63.9%），平均年龄为29±8.61岁，并且已婚（54.3%）。大多数工人在餐馆工作（80%），而只有20%在农业部门工作。只有14%（95%置信区间：11 - 17%）的移民工人能够获得医疗服务。与获得医疗服务的可达性显著相关的因素包括在过去一年中健康状况不佳（比值比 = 2.48；95%置信区间：1.54 - 3.97；p值<0.001）以及已婚（比值比 = 2.32；95%置信区间：1.40 - 3.90；p值<0.001）。大多数移民工人无法获得医疗服务。那些能够获得医疗服务的人是已婚或生病的。
