Wirin Kittipichai

@mahidol.ac.th

Family Health / Faculty of Public Health
Mahidol university

RESEARCH, TEACHING, or OTHER INTERESTS

Public Health, Environmental and Occupational Health, Health (social science), Applied Psychology, Social Sciences

17

Scopus Publications

Scopus Publications

  • Oral Hygiene Behaviors and Oral Health Literacy Among Informal Thai Workers in Rural Areas
    Nattakarn Phakayawong and Wirin Kittipichai

    Maad Rayan Publishing Company
    Background: Informal Thai workers experience disparities in accessing health services. Improper oral healthcare behavior is the main cause of oral diseases. Promoting oral health literacy (OHL) is an essential strategy for achieving positive oral health outcomes. This study aimed to investigate OHL, oral hygiene behavior (OHB), and associated factors of OHB among informal Thai workers in a rural context. Methods: A cross-sectional community-based survey was conducted among 274 informal Thai workers aged 20–59 years. The data were collected through face-to-face interviews with questionnaires. Cronbach’s alpha coefficient of the OHL scale was 0.86. Data were analyzed using simple and multiple logistic regression with a 95% confidence interval (CI). Results: The findings revealed that 138 of the participants (50.4%) had proper OHB, and 46.4% had proficiency in overall OHL. Seven factors were significantly associated with OHB, namely, educational attainment, the job sector, the sufficiency of family income, and three OHL dimensions, including understand, appraise, and apply. However, three predictors of proper OHB were those who attained secondary school and higher education (adjusted odds ratio [AOR]: 2.24, 95% CI: 1.31–3.85) and OHL proficiency in the understand and appraise components (AOR: 2.23, 95% CI: 1.25–4.00 and AOR: 1.98, 95% CI: 1.11–3.52, respectively). Conclusion: Therefore, public health dental care units should organize activities to improve workers’ capacity and ability to exhibit OHB. The OHL promotion program should be developed with an emphasis on providing the public with a detailed understanding of oral hygiene. Dental health education is enhanced by inquiring, verifying, and looking at skills to help them gain the skills and confidence to provide consistent oral care.

  • Development and validation of the health literacy towards dietary supplements for beauty among Thai undergraduate students
    Anongnat Pansathin, , Natthani Meemon, Wirin Kittipichai, Darunee Phukao, , , and

    ASEAN Institute for Health Development
    The aim of this cross-sectional study is to develop a measurement for Health Literacy towards Dietary Supplements for Beauty (HLDS) based on Sørensen’s health literacy concept. The measurement is applied to assess the health literacy of undergraduate students. The Thai undergraduate students participating in the study are in years 1–4 at a university in Bangkok. Data collection is performed via a self-administered questionnaire. The following techniques are used in this study to investigate the construct validity of the measurement: confirmatory factor analysis, convergent validity, and discriminant validity. The statistical software Analysis of Moment Structures (AMOS) version 20 is used. To develop the HLDS measurement, 31 items are derived, divided into four dimensions: Access (9 items), Understand (10 items), Appraise (4 items), and Apply (7 items). The findings revealed high discrimination values (r = 0.54-0.94) with Cronbach’s alpha coefficients ranging from good to very good (α = 0.81-0.91). The measurement model of the HLDS fits well with the empirical data. The convergent validity meets the acceptance criteria, while the discriminant validity exhibits values slightly higher than the criteria (r=0.74-0.94). Accordingly, the HLDS measurement is considered to be valid, reliable, and applicable for applying to undergraduate students. However, the addition of the social skill assessment is required to achieve a more comprehensive measurement. This skill is recognized within the process of HLDS development but with some limitations. Thus, it is recommended that this dimension be added for future study.

  • Health Literacy among Older Adults during COVID-19 Pandemic: A Cross-Sectional Study in an Urban Community in Thailand
    Kirada Pechrapa, Korravarn Yodmai, Wirin Kittipichai, Phithaya Charupoonpol, and Wanich Suksatan

    The Korean Geriatrics Society
    Background: This study assessed health literacy (HL) and its associated factors among older adults during the coronavirus disease 2019 (COVID-19) pandemic.Methods: This cross-sectional study included older adults in urban communities in Thailand. We randomly selected a total of 421 older adults and performed multiple logistic regression analyses.Results: The average age of the respondents was 70.0±7.1 years. Most respondents were female, married, had a low education level (primary school or lower), were unemployed, and had sufficient income. We observed nonproficient and proficient HL levels in 56.1% and 43.9% of respondents, respectively. The factors influencing HL included attending healthcare services at a tertiary hospital, good accessibility to COVID-19 prevention materials and health information, and provision of a high level of social support from neighbors and health personnel.Conclusion: The results of our study provide important information on the outcome of accessibility and social support among older adults in an urban community during the COVID-19 pandemic. In addition, access to health services, prevention equipment, and information was important for people at risk of HL and helped promote good behaviors.

  • Challenges and obstacles of mother-daughter sexual communication among Thai rural communities: An exploratory study


  • Quality of life for type II diabetes mellitus patients in a suburban tertiary hospital in Thailand
    Chankawee Komaratat, Naruemon Auemaneekul, and Wirin Kittipichai

    Office of Academic Resources, Chulalongkorn University - DIGITAL COMMONS JOURNALS
    PurposeThe purposes of this paper were to assess the quality of life (QoL) in patients with type II diabetes mellitus (DM) in a suburban tertiary hospital and determine the factors that affect the QoL including individual characteristics, health factors, self-care behaviors and social support.Design/methodology/approachThis study was a cross-sectional study among DM type II cases being treated in a suburban tertiary hospital in Thailand. Data were collected by personal interview from 188 patients in 2018. Diabetes-39 was administered to assess QoL.Findings54.3 percent of patients had good QoL. Total score of QoL was moderate which found an average score of 216.0 ± 41.0, 46.8% had moderate level in self-care behaviors and 56.4 percent had moderate level in social support. The factors associated with QoL in patients were cerebrovascular disease (Fisher = 7.2, p = 0.01), self-care behaviors (rs = 0.191, p = 0.008) and social support (rs = 0.229, p = 0.002).Originality/valueHealth care system ought to develop a policy driven to improve the QoL in DM type II patients by encouraging self-care behaviors and social support for DM type II patients.

  • Factors Associated with Good COVID-19 Preventive Behaviors Among Older Adults in Urban Communities in Thailand
    Korravarn Yodmai, Krirada Pechrapa, Wirin Kittipichai, Phithaya Charupoonpol, and Wanich Suksatan

    SAGE Publications
    Introduction/Objectives:The coronavirus disease 2019 (COVID-19) pandemic has affected mobility and mortality entire age, especially older adults. The COVID-19 preventive behaviors among older adults during the pandemic should be determined. To our knowledge, little is known about the preventive behavior during the COVID-19 pandemic among older adults living in urban areas in Thailand and the factors predicted to their behavior. Hence, the present study aimed to assess COVID-19 preventive behaviors among older adults and to identify the associated factors.Methods:This cross-sectional study included 421 participants aged ≥60 years. Data were analyzed using descriptive statistics, binary and multiple logistic regression analysis.Results:We found that 321 (72.6%) of the participants had good COVID-19 preventive behaviors. Moreover, 83.4% of the participants had good family support and 58.2% had easy access to health information. Only sufficient income (odds ratio [OR]: 1.76, 95% confidence interval [CI]: 1.04-2.97), easy access to health services (OR: 3.66, 95% CI: 1.42-9.45) and protective material (OR: 1.98, 95% CI: 1.14-3.45), and good family support (OR: 2.05, 95% CI: 1.10-3.82) were associated with good COVID-19 preventive behaviors. In contrast, health literacy, access to health information, and neighbor and health personnel support were not associated with COVID-19 preventive behaviors.Conclusion:Based on the present results, interdisciplinary healthcare teams should consider social support, and access to healthcare when developing interventions for encouraging and promoting health outcomes in order to improve physical and psychological COVID-19 preventive behaviors, particularly among elderly people living in urban communities during the COVID-19 pandemic.

  • Antecedent factors of maternal identity among primiparous Thai teenage mothers
    Suphawadee Panthumas, Wirin Kittipichai, Kanittha Chamroonsawasdi, and Pimsurang Taechaboonsermsak

    Office of Academic Resources, Chulalongkorn University - DIGITAL COMMONS JOURNALS
    Purpose Maternal identity (MI) is the attainment of maternal role adaptation. Though the role of the motherhood is expected to be achieved, teenagers, who are still developing their personal identity, do not always clearly identify or align with their role of motherhood. The purpose of this paper is to determine the structural relationship among a set of variables, infant temperament (IT), strain (ST), social support (SS), self-esteem (SE) and balanced family functioning (BF) influencing MI and to test the model using the empirical data. Design/methodology/approach A cross-sectional survey was conducted among 353 primiparous Thai teenagers of infants aged 4–12 months. A self-administered questionnaire comprised six scales with Cronbach’s α coefficients ranging from 0.81 to 0.93. The structural equation modeling method was employed to test the validity of the model undertaken using Mplus Software. Findings The model fit the empirical data well (χ2/df=2.17, CFI=0.92, TLI=0.91, RMSEA=0.06, SRMR=0.05). The MI could explain 62 percent of the variance through its set of variables. Three antecedents, i.e. IT, ST and SS, had a direct effect while SE and BF had an indirect effect on MI. The IT had the highest total effect on the MI, while ST was a mediator among other study antecedences concerning the MI. Originality/value The model adequately fit the data among teenage mothers one-year postpartum. Promoting MI should strongly diminish strain and encourage positively perceived infant temperament, self-esteem, social support and balanced family functioning.

  • Validation of the Maternal Identity Scale for Primiparous Thai Teenage Mothers
    Suphawadee Panthumas and Wirin Kittipichai

    Elsevier BV

  • Effects of self-management program on healthy lifestyle behaviors among elderly with hypertension


  • Traditional Galactagogue Foods and Their Connection to Human Milk Volume in Thai Breastfeeding Mothers
    Ganokwun Buntuchai, Patcharanee Pavadhgul, Wirin Kittipichai, and Warapone Satheannoppakao

    SAGE Publications
    Background: Thai traditional galactagogue consumption is still observed today. However, there are few scientific studies that describe this practice. Research aim: The aim of this study was to describe the connection between traditional galactagogue consumption and human milk volume. Methods: Self-reported maternal surveys ( N = 36) were conducted of mothers and their infants who breastfeed exclusively. The mothers were interviewed about traditional galactagogue consumption and intake of protein-rich foods using a semiquantitative food-frequency questionnaire. They were also assessed for energy and nutrient intake using the 24-hr dietary recall method. Their infants were between 1 and 3 months of age and were test weighed for 24 hr to measure their mother’s own milk volume. Partial correlation was used to test the relationship between galactagogue consumption and milk volume by controlling the infants’ birth weight, weight-for-age, maternal energy, and carbohydrate intake. Results: The results revealed that consumption of some traditional galactagogues was significantly correlated to human milk volume, including banana flower, lemon basil, Thai basil, bottle gourd, and pumpkin ( p < .05). Furthermore, there were significant correlations between consumption of some kinds of protein and milk volume, including egg tofu, chicken, fish, and seafood ( p < .05). Maternal energy and carbohydrate intake were related to milk volume ( p < .05), but protein intake was not. Conclusion: Certain kinds of traditional galactagogues and proteins are associated with human milk volume. However, studies related to the active ingredients in these galactagogues are required to secure a recommendation about use of traditional galactagogues among breastfeeding mothers.

  • Development of the 5 minds for 21<sup>st</sup> century in nurse students through psychological group training
    Yatida Wuttisartkul, Rungson Chomeya, and Wirin Kittipichai

    Canadian Center of Science and Education
    The purposes of this study were to (1) study and develop the measurement of 5 minds for 21st century, (2)develop the 5 components of minds, (3) develop the 5 minds development program, (4) compare the scoringsfrom the measurement of 5 minds for 21st century before and after participating in intervention, and (5) study theeffectiveness of the mind developed program. Participants were 333 nurse students; of those, 32 students wereincluded in the experiment group. Simple random sampling was used to assign students into two groups.Instruments were the 5 minds for 21st century scale, and psychological group training the 5 minds for 21stcentury program. Data was analyzed by using Confirmatory Factor Analysis, Wilcoxon Match Pair SignedRanks Test, and Mann Whitney U Test, respectively. The measurement of 5 minds for 21st century included 70items with the Likert scale ratings, and the Cronbach’s Alpha was .935. The confirmatory factor analysis showedstatistic significant difference in five components of minds, and these were integrated in to 12 activities ofpsychological group training-5 minds for 21st century program. The researcher found that psychological grouptraining could be used to develop 5 minds because this program showed the effectiveness at an adequate level.Study showed statistically significant differences in the mean scores of minds in the experimental group betweenbefore and after participating in the program, except the Respectful mind component.

  • Quality of life among Thai workers in textile dyeing factories
    Wirin Kittipichai, Rattanaporn Arsa, Ann Jirapongsuwan, and Chatchawal Singhakant

    Canadian Center of Science and Education
    The purpose of a cross-sectional study was to investigate factors influencing the quality of life among Thai workers in textile dyeing factories. Samples included 205 Thai workers from five textile dyeing factories located in the suburban area of Bangkok in Thailand. Data were collected with a self-administered questionnaire. Scales of the questionnaire had reliability coefficients ranging from 0.70–0.91. The results revealed that the overall quality of life among workers was most likely between good and moderate levels, and the percentage-mean score was 74.77. The seven factors associated with the overall quality of life were co-worker relationships, safety at work in the dimension of accident prevention, job characteristics, supervisory relationships, welfares, marital status, and physical environment. Furthermore, co-worker relationships, accident prevention, and marital status were three considerable predictors accounted for 23% of the variance in the overall quality of life among workers in textile dyeing factories.

  • Self-care behaviors among Thai primigravida teenagers.
    Suphawadee Panthumas, Wirin Kittipichai, Supachai Pitikultang, and Kanittha Chamroonsawasdi

    Canadian Center of Science and Education
    The purpose of this study was to investigate predictive factors of the self-care behaviors among Thai teenagers with primigravida. The samples of 206 primigravida teenagers attending ANC clinics of six hospitals in the North-Eastern region of Thailand were included. Data collection was done through self administered-questionnaire. Scales of the questionnaire had reliability coefficients ranging from 0.72 – 0.92. The data were analyzed by using descriptive and inferential statistics. The results revealed that the percentage-mean score of overall self-care behavior was 76.91. The percentage-mean scores of self-care behaviors in specific trimester were found that the score in the second trimester was lower than the scores in the first and third trimesters (57.58, 60.45, and 64.65, respectively). Factors associated with overall self-care behavior were perceived self-efficacy, perceived social support from family, knowledge on self-care during pregnancy, accessibility to health services, self-esteem and age (r = 0.47, 0.34, 0.28, 0.24, 0.19, and 0.15, respectively). Perceived self-efficacy and knowledge on self-care during pregnancy were the two considerable predictors accounted for 25% of the variance in the self-care behaviors of Thai teenagers with primigravida.

  • Alcoholic beverages drinking among female students in a tourist province, Thailand.


  • Success results of high performance and potential system (HiPPS) administration of thai government departments
    Ungsinun Intarakamhang, Wirin Kittipichai, Chutima Hanpachern, and Piyasurang Kuljittiprasit

    Canadian Center of Science and Education
    The HiPPS was developed by the Office of the Civil Service Commission (OCSC). The aim of HiPPS was to prepare the Thai government officers with high performance and potential to develop and learn through the workplace as continual learning. The objectives of this research were 1) to evaluate the success in the HiPPS administration of the government departments, 2) to compare the opinions of the five sample groups about the success factors in the HiPPS administration, and 3) to investigate the problems in the use of HiPPS. The data were collected from five groups, 694 total samples from 42 government departments. The instruments were five rating-scale (1-5 level) questionnaires, in-depth interviews, and focus group interviews. Data was analyzed by ANOVA and the content analysis. The results indicated that overall, the average HiPPS administration of the government departments were fairly strength level in grade B (  = 3.37). In the comparison among the opinions of the five sample groups about the success factors: Context, Input, Process, Product, Outcome, and Impact, there were also statistically significant differences at .01 (F=19.536**, 13.010**, 22.143**, 6.493**, 28.010**, and 6.211** respectively). Finally, the most found problems in HiPPS administration were as follows: lacking of cooperation from executives, existence of patronage system, lacking of definite HiPPS responsible unit, frequent change in HiPPS committee, incompetency of human resource management, negative attitude of increasing workload of the officers responsible for HiPPS.

  • Gender roles, physical and sexual violence prevention in primary extend to secondary school in Samutsakorn province, Thailand


  • Substance-dependence rehab treatment in Thailand: a meta analysis.