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Table 4 Comparison of thalassemia-related health literacy and health behaviors among Thai, Myanmar, and Cambodian subjects

From: Feasibility of and barriers to thalassemia screening in migrant populations: a cross-sectional study of Myanmar and Cambodian migrants in Thailand

 

Thai

Myanmar

Cambodian

(N = 197)

(N = 119)

(N = 176)

Health-seeking Behaviors

 First Point of Contact When Sick

  Drug store (%)

71 (37.6)

47 (40.2)

77 (44.8)

  Doctor (%)

115 (60.9)

65 (55.6)

88 (51.2)

  Traditional healer (%)

1 (0.5)

3 (2.6)

3 (1.7)

  Other (%)a

2 (1.1)

2 (1.7)

4 (2.3)

 Median Number of Doctor Visits in 1 year (IQR)

1 (0–3)

0 (0–1)

0 (0–2)

 Method of Payment for Healthcare

  Public Insurance (%)

82 (44.1)

37 (31.4)

80 (46.2)

  Employer Insurance (%)

52 (28.0)

29 (24.6)

30 (17.3)

  Private Insurance (%)

18 (9.7)

1 (0.9)

1 (0.6)

  Cash (%)

19 (10.2)

49 (41.5)

53 (30.6)

  Other (%)b

15 (8.1)

2 (1.7)

9 (5.2)

 Want to test self for thalassemia (%)c

25 (62.5)

67 (61.5)

147 (86.5)

 Want to test baby for thalassemia (%)c

29 (72.5)

77 (70.6)

145 (86.8)

 Want to test partner for thalassemia (%)c

29 (78.4)

81 (74.3)

150 (88.8)

 Best Method for Thalassemia Education

  Consultation with doctor (%)

26 (68.4)

93 (86.9)

144 (84.2)

  Brochure (%)

1 (2.6)

8 (7.5)

10 (5.9)

  Employer workshop (%)

1 (2.6)

1 (0.9)

2 (1.2)

  Government workshop (%)

5 (13.2)

2 (1.9)

5 (2.9)

  Other (%)d

5 (13.2)

3 (2.8)

10 (5.9)

Thalassemia-related Health Literacy

 Aware of Anemia (%)

151 (80.3)

23 (20.0)

24 (13.7)

 Aware of Thalassemia (%)

156 (79.6)

8 (6.8)

4 (2.3)

 Personal History of:

  Anemia (%)

31 (16.0)

7 (6.0)

7 (4.1)

  Thalassemia (%)

12 (6.2)

0

3 (1.7)

  Transfusion (%)

13 (6.7)

1 (0.9)

10 (5.8)

  Miscarriage (%)

15 (7.9)

8 (6.9)

11 (6.4)

 Family History of:

  Anemia (%)

34 (17.4)

4 (3.5)

9 (5.2)

  Thalassemia (%)

11 (5.7)

1 (0.9)

1 (0.6)

  Transfusion (%)

15 (7.8)

2 (1.7)

6 (3.5)

  Miscarriage (%)

17 (8.9)

5 (4.4)

8 (4.6)

  1. IQR Inter-quartile range
  2. a Other preferred sources of medical care included on-site clinics provided by the employer in workplaces such as factories, or multiple sources of medical care were selected
  3. b Other methods of payment include civil insurance and the selection of multiple sources of medical care
  4. c Subjects unaware of thalassemia were asked whether they would want to test themselves, their babies, or their partners for an inherited disease, such as thalassemia
  5. d Other preferred methods of education included mass media (television, internet), word of mouth (friends, employers, spouse), or multiple sources