Exploring Healthcare Utilization Disparities Among Myanmar Migrant Workers in Mueang District, Chiang Rai, Thailand
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Abstract
BACKGROUND:Migrant workers are more vulnerable to occupational hazards, infectious diseases, and other health concerns compared to the local population. There is a critical need better to understand the healthcare utilization patterns of migrant workers, considering their precarious status and frequent exclusion from the healthcare system.
OBJECTIVE:This study aimed to identify the healthcare utilization patterns of Myanmar migrant workers in Mueang District, Chiang Rai, Thailand.
METHODS:A cross-sectional study was conducted among 355 Myanmar migrant workers aged 18 to 60 years old in Mueang District. Data was collected using a validated questionnaire through face-to-face interviews.
RESULTS:Of the 355 participants, 55.80% were male, and 44.20% were female, with a mean age of 35 years old (S.D. ± 9.46). Many were insured workers (70.70%), and 96.30% had legal documentation. Regarding healthcare utilization, 49.60% sought healthcare services for illness within the past six months. Age, monthly expenses, health insurance coverage, and daily working hours were significantly associated with healthcare utilization (p ≤ 0.05).
CONCLUSIONS AND RECOMMENDATIONS:This study provides essential data aimed at improving healthcare utilization and outcomes for migrant workers in Thailand, particularly noting a higher utilization rate in Chiang Rai. Effective policy development should prioritize targeted awareness campaigns to educate migrant workers about available healthcare services, their rights, and the benefits of using public healthcare facilities. Increasing awareness is crucial for bridging the gap between knowledge and actual healthcare utilization. By implementing these strategies, policymakers can significantly enhance healthcare access and outcomes for migrant workers in Thailand.
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References
Porru S, Baldo M. Occupational health and safety and migrant workers: has something changed in the last few years? Int J Environ Res Public Health. 2022;19(15):9535.
Dang Y, Zou G, Peng B, Ling L. Health service seeking behavior among migrant workers in small and medium-sized enterprises in Guangdong, China: does family migration matter? Biomed Res Int. 2018;2018
Chiang Rai Provincial Labour Office [Internet]. Chiang Rai: Ministry of Labor Government Center; 2024. Province labour situation; n.d. [cited 2024 Jan 16]. Available from: https://chiangrai.mol.go.th
Uansri S, Kunpeuk W, Julchoo S, Sinam P, Phaiyarom M, Suphanchaimat R. Perceived barriers of accessing healthcare among migrant workers in Thailand during the coronavirus disease 2019 (COVID-19) pandemic: a qualitative study. Int J Environ Res Public Health. 2023;20 (10) :5781.
Davies AA, Basten A, Frattini C. Migration: a social determinant of the health of migrants. background paper [internet]. Geneva: International Organization for Migration (IOM); 2006. Available from: https://migrationhealthresearch.iom.int/migration-social-determinant-health-migrants
Van der Hoeven M, Kruger A, Greeff M. Differences in health care seeking behaviour between rural and urban communities in South Africa. Int J Equity Health. 2012;11:31
United Nations Development Programme (UNDP). Seeking Opportunities Elsewhere: Exploring the lives and challenges of Myanmar migrant workers in Thailand. New York: UNDP; 2023.
Aung T, Pongpanich S, Robson MG. Health-seeking behaviors among Myanmar migrant workers in Ranong Province, Thailand.J Health Res. . J Health Res. 2009;23 Suppl:5–9.
Paratthakonkun C, Soonthornworasiri N, Maneekan P, Phone Zaw A, Wai Yan Myint Thu S, Arthan D. Health risk behavior and associated factors among myanmar migrant workers in Samut Sakhon province, Thailand. 2020 [cited 2024 Feb 24]. Available from: https://doi.org/10.21203/rs.2.22500/v1
Thi WM, Sornlorm K. Prevalence and factors associated with limited hypertensive health literacy among Myanmar migrant workers in Northeastern Thailand: health literacy among Myanmar migrant workers. International Journal of Public Health Asia Pacific, 2023:2(3);49-60.
Uansri S, Kunpeuk W, Julchoo S, Sinam P, Phaiyarom M, Suphanchaimat R. Perceived barriers of accessing healthcare among migrant workers in Thailand during the coronavirus disease 2019 (COVID-19) pandemic: a qualitative study. Int J Environ Res Public Health. 2023;20(10):5781
Aung TNN, Shirayama Y, Moolphate S, Lorga T, Yuasa M, Nyein Aung M. Acculturation and its effects on health risk behaviors among Myanmar migrant workers: a cross-sectional survey in Chiang Mai, northern Thailand. Int J Environ Res Public Health. 2020;17 (14) :5108.
Daniel WW, Cross CL. Biostatistics: a foundation for analysis in the health sciences. 10th ed. New York:John Wiley & Sons; 2013.
Andersen RM. National health surveys and the behavioral model of health services use. Med Care. 2008;46 (7) :647-53
Aday LA, Andersen R. A framework for the study of access to medical care. Health Serv Res. 1974l;9 (3) :208-20
Li X, Deng L, Yang H, Wang H. Effect of socioeconomic status on the healthcare-seeking behavior of migrant workers in China. PLoS One. 2020;15 (8) :e0237867.
Kohno A, Dahlui M, Koh D, Dhamanti I, Rahman H, Nakayama T. Factors influencing healthcare-seeking behaviour among Muslims from Southeast Asian countries (Indonesia and Malaysia) living in Japan: an exploratory qualitative study. BMJ Open. 2022;12(10):e058718.
Poe NED, Srichan P, Khunthason S, Apidechkul T, Suttana W. Prevalence and factors associated with hyperglycemia among Myanmar migrant workers in Mueang District, Chiang Rai Province, Thailand: a cross-sectional study.J Health Sci Med Res. 2023;41(1):e2022882.
Naing T, Geater A, Pungrassami P. Migrant workers' occupation and healthcare-seeking preferences for TB-suspicious symptoms and other health problems: a survey among immigrant workers in Songkhla province, southern Thailand. BMC Int Health Hum Rights. 2012;12:22.
International Organization for Migration. Thailand social protection diagnostic review: Social protection for migrant workers and their families in Thailand. Bangkok: International Organization for Migration, Country Mission Thailand; 2021
Extending social health protection in Thailand: accelerating progress towards universal health coverage. Bangkok: OIT; 2021.
Maneze D, DiGiacomo M, Salamonson Y, Descallar J, Davidson PM. Facilitators and barriers to health-seeking behaviours among filipino migrants: inductive analysis to inform health promotion. Biomed Res Int. 2015;2015.
Htay M, Nu N, Aye LM; San LPP, Naing ZY, Moe S. Health-seeking behaviour of Myanmar migrant workers in Penang, Malaysia. Manipal J Med Sci [Internet]. 2020 [cited 2024 Jan 20];5(1): 7-15. Available from: https://impressions.manipal.edu/cgi/
Peng Y, Chang W, Zhou H, Hu H, Liang W. Factors associated with health-seeking behavior among migrant workers in Beijing, China. BMC Health Serv Res. 2010;10:69.
