Myanmar Migrant Research Articles

LGBT Myanmar Migrants in Thailand: Unveiling Diverse Forms of Abuse, Healthy and Unhealthy Coping Strategies

ABSTRACT This study investigates the challenges faced by LGBT Myanmar migrants in Thailand, including discrimination and abuse due to their gender identity or sexual orientation, and their coping strategies. Through qualitative interviews with 20 self-identified LGBT Myanmar migrants aged over 18 years who experienced discrimination or abuse in Thailand, the findings underscore the presence of a segment within the Myanmar LGBT migrant community in Thailand subject to discrimination and violence across diverse settings, including workplaces, public areas, and even within their homes. Additionally, the research identified healthy coping strategies like self-soothing thoughts, relaxation activities, and seeking support, contrasted with unhealthy coping strategies such as negative self-talk, rumination, and suppressing one’s identity, leading to harmful behaviors and even suicidality. The experiences of severe discrimination and violence among LGBT migrants help this study advocate for policy interventions, such as extending the coverage of the Gender Equality Act to encompass LGBT migrants and implementing mental health support services as a form of secondary prevention. Given the significant contribution of LGBT migrants to various sectors of Thailand’s workforce, these measures are essential. However, the existing legislation concerning gender equality in Thailand inadequately addresses the specific concerns of this demographic group.

Experiences of Myanmar Migrants Working in Healthcare-Related Sectors in Thailand and Japan During COVID-19: A Qualitative Study.

Experiences of Myanmar Migrants Working in Healthcare-Related Sectors in Thailand and Japan During COVID-19: A Qualitative Study.

Development and Validation of a Scale to Measure Violence against Women among Myanmar Migrant Women in Thailand

Introduction: Violence against women (VAW) is a serious human rights violation with significant implications for public health. VAW affects the well-being of women, children, and families. This study aims to develop and validate a scale specifically designed for identifying and assisting migrant women who have experienced violence. Methods: A cross-sectional survey using stratified sampling was conducted among 295 Myanmar migrant women in Thailand. Violence among these women was assessed using self-administered questionnaires with data collection taking 15–20 min per participant between September and December 2023. The construct validity of the Violence against Migrant Women Scale (VAMWS) was confirmed through exploratory factor analysis (EFA) estimated by weighted least squares means and variance with Geomin rotation in Mplus software. Results: The EFA revealed a 13-item scale with a four-factor structure that fit the data exceptionally well, as indicated by the high comparative fit index of 0.99 and low root mean square error of approximation value of 0.02. Communalities ranged from 0.58 to 0.99 and rotated factor correlations between 0.36 and 0.53. The four dimensions were as follows: F1 – physical (4 items, loadings 0.51–0.73), F2 – sexual (2 items, loadings 0.66–0.99), F3 – psychological (3 items, loadings 0.57–0.73), and F4 – economic (3 items, loadings 0.50–0.78). VAMWS had Cronbach’s alpha of 0.90 and corrected item–total correlation values from 0.53 to 0.74. Physical violence, experienced by 50% of respondents, was most common, primarily by spouses, then siblings, acquaintances, employers, parents, and friends. Conclusion: VAMWS is applicable for assessing violence prevalence across multiple sectors, including health care, social services, law enforcement, and future research endeavors.

Association between Social support and Depression in Early Middle Adult Myanmar Migrant Workers

Introduction: It is common for migrant workers to work for difficult, dirty, and dangerous kinds of jobs. Therefore, migrant workers worldwide are commonly susceptible to depression. There are very limited studies focusing on the relationship between depression and social support among early middle-adult Myanmar migrant workers in Thailand. Objectives: The objective is to explore the prevalence of depression and to evaluate the association between social support and depression among early middle-adult Myanmar Migrant Workers. Methods: The study design was a cross-sectional study. From the inclusion and exclusion criteria, the sample size was around 112. Chi-square test was used for bivariate analysis and multiple logistic regression analysis was used for multivariate analysis. Results: Out of 112 total participants, the prevalence of depression was about 47.3%. From the result of multiple logistic regression, social support was associated with depression (adjusted odd ratio=2.48, 95% confidence interval=1.11-5.51; p=0.026). Conclusions: Based on the result, the participants with low social support were 2.48 times more likely to have depression than those with high social support. Therefore, it is recommended that social support is an important variable for reducing depression. Mental health care and social support services should be incorporated into reducing depression.

Demographic and socioeconomic obstacles to access to malaria services for Myanmar migrants in Thailand

BackgroundTypically mobile and vulnerable, migrants face significant barriers to access to routine malaria prevention, diagnostics and treatment, which leads to unchecked malaria transmission, particularly in border regions with a high population displacement. This study aimed to investigate the demographic and socioeconomic obstacles to access to malaria services among Myanmar migrants residing in the Thailand–Myanmar border areas.MethodsA cross-sectional study was conducted in early 2024 across three districts near the Thailand–Myanmar border. Quantitative data were collected from Myanmar migrants using standardized questionnaires through structured surveys. Data analysis included descriptive statistics and simple and multiple logistic regression models.ResultsOut of 300 participants, approximately a quarter (27.3%) reported adequate access to comprehensive malaria services, including prevention, diagnostics, treatment and malaria-related health information. In multiple logistic regression models, factors associated with inadequate access included Myanmar migrants aged over 60 years (aOR: 7.63, 95% CI 1.74–20.58), accompanied by one to three family members (aOR: 3.33, 95% CI 1.06–8.45), earning monthly incomes below 3000 THB (aOR: 5.13, 95% CI 1.38–19.09) and 3000 to 6000 THB (aOR: 3.64, 95% CI 1.06–12.51), belonging to the Karen ethnicity (aOR: 2.13, 95% CI 1.02–3.84), with poor perception toward malaria (aOR: 2.03, 95% CI 1.03–4.01) and with poor preventive and health-seeking practices (aOR: 5.83, 95% CI 2.71–9.55).ConclusionsA significant proportion of Myanmar migrants encounter demographic and socioeconomic barriers to access to routine malaria services in Thailand. Tailored interventions are required to expand such access, including the recruitment of worksite health volunteers, strengthening the role of ethnic health organizations across the border and collaboration with private sector stakeholders (e.g. farm/company owners) to distribute preventive tools and ensure timely referral of suspected malaria cases to health facilities.

Factors associated with the uptake of COVID-19 vaccination, testing and medical care among Myanmar migrants in Japan: a cross-sectional study

BackgroundMigrants are individuals who move to a different country from their usual place of residence. Japan’s migrant population, particularly technical interns and students, has been growing. Even before the pandemic, previous studies have highlighted difficulties faced by migrants in utilizing healthcare services. This study examined the uptake of COVID-19 vaccination, testing, and medical care among Myanmar migrants in Japan; identified the factors associated with this uptake; and described the difficulties encountered when utilizing these services.MethodsA cross-sectional study was conducted between March and April 2023 targeting Myanmar migrants over 18 years residing in Japan for more than 6 months. An online self-administered questionnaire in Myanmar language covered socioeconomic characteristics; history of COVID-19 vaccination, testing, and medical care; and difficulties encountered while utilizing these services with multiple-choice questions. Multivariate logistic regression analysis was performed separately to identify the factors associated with the uptake of COVID-19 vaccination, testing, and medical care.ResultsAmong the 207 participants, 52% (n = 108) were under 30 years, 30% (n = 62) were male, and 31% (n = 65) were low-skilled workers (technical interns and students). Overall, 91% (n = 189) had received the COVID-19 vaccination, 76% (n = 157) had been tested for COVID-19, and 43% (n = 68) tested positive. However, only 77% (n = 52) of COVID-19 patients sought medical care. Participants under 30 years of age were less likely to receive the COVID-19 vaccine compared to those aged 30 and older (adjusted odds ratio [aOR] 0.10, 95% confidence interval [CI] 0.01–0.88, p = 0.038). Low-skilled workers were less likely to seek medical care compared to those holding other categories of residential status (aOR 0.12, 95% CI 0.02–0.79, p = 0.027). Among service users, 5% faced difficulties with COVID-19 vaccination, 10% with testing, and 17% with receiving medical care. Long waiting times and complex reservation processes were the main difficulties encountered.ConclusionsThe uptake of COVID-19 vaccination, testing, and medical care in this sample was reasonably good. However, individuals under 30 years of age showed lower uptake of vaccination, while low-skilled workers had lower uptake of medical care. Strengthening education and support for young migrants and low-skilled workers regarding COVID-19 and other infectious diseases is essential, especially in workplaces and educational institutions.

Stigma and Discrimination Towards People Living With HIV/AIDS Among Myanmar Migrants in Chiang Mai Province, Thailand

Stigma and Discrimination Towards People Living With HIV/AIDS Among Myanmar Migrants in Chiang Mai Province, Thailand

The Impact of Stressors on Depressive Symptoms Among Youth Myanmar Migrant Workers in Thailand: A Cross-Sectional Study.

Many youths suffer from depressive symptoms globally, especially youth migrant workers who are more vulnerable to depressive symptoms than non-migrant youths. Given the extensive literature reviewed, little is known about the impact of stressors on depressive symptoms among young migrant populations. Therefore, this study aimed to investigate the impact of stressors on depressive symptoms among young Myanmar migrants in Thailand. This cross-sectional analytical study was conducted between August and December 2023, using self-administered questionnaires. The sample size was 165 young migrant workers in Myanmar by simple random sampling. The exclusion criteria were participants who had serious physical illness or acute mental illness, and unwillingness to participate in the study. Sociodemographic characteristics, Rosenberg Self-Esteem Scale, and CESD (The Center for Epidemiological Studies-Depressive symptoms) were included in the questionnaires. Chi-square and Fisher exact tests were used for descriptive statistics. Hierarchical linear regression analysis was used to examine the association between stressors, self-esteem, coping behavior, and depressive symptoms. It was found that 47.9% of young Myanmar migrant workers had experienced depressive symptoms. Depressive symptoms was associated with four variables: workplace stressors (β = 0.525, p <0.001), security stressors (β = 0.181, p <0.01), living stressors (β = 0.126, p <0.05), and self-esteem (β = -0.135, p <0.05). According to hierarchical linear regression analysis, workplace, security, and living stressors significantly increased depressive symptoms scores, whereas self-esteem decreased depressive symptoms scores among young 165 Myanmar migrant workers. Therefore, policymakers should be encouraged to establish preventive measures against specific stressors. In addition, many young migrant workers have been found to experience depressive symptoms. Mental health care should be prioritized and made accessible to this vulnerable and risky group.

Ethical gamified health communication intervention to prevent Work-related Musculoskeletal Disorders (WMSDs) in Myanmar migrants at Thailand's seafood factory: A study protocol

Background Thailand's seafood industry heavily depends on Myanmar migrant workers, who face significant occupational health issues, including an increase in work-related Musculoskeletal Disorders (WMSDs). Due to linguistic and cultural limitations, traditional health communication strategies often fail to reach this population. This study explores the effectiveness of a culturally and linguistically tailored gamified health communication intervention aimed at preventing WMSDs in Myanmar migrant workers in a Thai seafood factory. Methods The intervention is developed and then implemented in two phases. The objective of the study is to develop, implement, and evaluate a gamified health intervention for Myanmar migrant workers that will prevent WMSDs. The intervention is customized to the workers' cultural background and work natures through focus group discussions, key informant interviews, and expert reviews. The intervention then consists of a set of 12 exercises designed to prevent the WMSDs. The Intervention’s impact is assessed through pre- and post-intervention evaluations measuring changes in knowledge, awareness, and self-reported musculoskeletal health. Results Since this is a study protocol, precise findings are not yet available. The target audience is expected to adopt safe work practices more frequently, have better physical health, and have a greater understanding of WMSDs. Conclusions This protocol describes a novel way to use a culturally-tailored and ethically appropriate gamified health communication intervention to address the health issues (such as WMSDs) experienced by Myanmar migrant workers in Thailand's seafood industry. This technique may serve as a model for comparable health promotion initiatives in other labour-intensive industries and migrant worker groups, promoting better awareness and prevention of WMSDs. Registration Thai Clinical Trials Registry (TCTR) (TCTR20240515003, Registration Date: 15 May 2024).

Strategic Cosmopolitanism: Chinese Female Jadeite Live Streamers in Ruili

With China's construction of free trade zones and the development of digital technology, immigrants from Myanmar and internal migrants from all parts of China have gathered in Ruili, a cross-border hub connecting the two countries. As a result of these mobilities it has been transformed into a grass-roots level cosmopolitan area. Through six years of fieldwork, this study found that grassroots female live streamers who were excluded from mainstream metropolises gained more opportunities for survival and development in jadeite cross-border trade activities in Ruili through the concepts of female entrepreneurship and everyday strategic cosmopolitanism The notion of strategic cosmopolitanism refers to non-elite openness as a strategic response to economic, employment or career advancements generated by policies, discursively presented as economic cosmopolitanism. The increase in economic gains for some has significantly improved their socio-economic status, while at the same time paying the price of being locked in the logic and rules of capitalism.

Translation and validation of the East Asian Acculturation Measure (EAAM) among Myanmar migrants in Thailand.

Acculturation provides a framework for exploring the health behaviors of ethnic minority or cultural groups. Research on the acculturation level and patterns of Myanmar migrants is crucial since there is ample evidence that acculturation promotes health-promoting behaviors. However, no Myanmar version has undergone cross-cultural validation. This study aimed to translate the original East Asian Acculturation Measure (EAAM) into the Myanmar version (EAAM-M) and investigate its psychometric properties. The validation study was conducted on a sample of 200 Myanmar migrants in three factories in Bangkok, Thailand, by a multistage random sampling method from August to September 2023. Brislin's back translation technique was applied to convert the original EAAM into its modified version, EAAM-M. The reliability, content validity, and construct validity of the EAAM-M were examined, and confirmatory factor analysis (CFA) was employed to test the appropriateness of the model that underpins the EAAM-M structure. The average age of the participants was 38.39 years (SD = 5.56), and 68% of participants reported they earned less than 9000 baht. In terms of how long they stayed in Thailand, slightly over half (52.5%) did so for 1-5 years. Nearly half of them (46%) cannot communicate at all regarding their proficiency in speaking Thai. The score regarding the comparability of language and similarity of interpretability between the original EAAM and the EAAM-M was satisfactory. The overall alpha reliability of the EAAM-M was 0.76. Based on the CFA, the measurement model was well fit, with acceptable goodness-of-fit values (Chi-square test of model fit (p = 0.05), CMIN/df = 1.70 (χ2 = 624.931, df = 366), RMSEA = 0.02, CFI = 0.98, and SRMR = 0.06). The validity and reliability of the factors were affirmed through appropriate factor loadings and satisfactory levels of composite reliability (0.942) and average variance extracted (0.538). The EAAM-M is a reliable and valid instrument to measure the acculturation patterns of Myanmar migrants. It is beneficial for scholars across various disciplines, including health professionals and nurses, to deliver culturally tailored care for migrants.

Myanmar migrants living along the Thailand-Myanmar border: Experiences related to pandemic and migration decisions

ImportanceIn Myanmar, amid political and civil unrest, droves of Burmese are displaced to neighboring countries including Thailand. Since the COVID-19 pandemic, little is known about the available healthcare services and health and well-being among refugees and migrant workers within resettlement areas along the Myanmar-Thailand border. ObjectiveTo explore the unmet needs of migrants along the Thailand-Myanmar border during the COVID-19 pandemic and their reasons for leaving Myanmar. DesignA qualitative study that used focus groups with migrant schoolteachers and school masters was undertaken. An interpretative analysis approach was used to analyze the data from the focus group sessions. The study followed the COREQ (COnsolidated criteria for REporting Qualitative) checklist. SettingIn July 2022, community stakeholders from migrant schools located in the vicinity of Mae Sot, Thailand were referred to the study team. ParticipantsA purposive sample of 17 adult participants was recruited from 4 migrant schools. The participants were schoolteachers and schoolmasters who had traveled from Myanmar to Thailand 1 to 20 years ago. Main Outcome(s) and Measure(s)Thematic analysis was used to scrutinize qualitative data for the outcomes of health and well-being, barriers, and reasons for migration. ResultsThree main themes were identified: “issues related to the pandemic”, “teenage marriage and pregnancies” and "migration decisions". The issues related to the pandemic included behavior changes in children, a diminished quality of education, and barriers to receiving COVID-19 vaccines and accessing other health care. There were more dropouts due to teenage pregnancy/marriage during the shelter in place mandate. Migration decisions were affected by concerns over health, civil unrest, and military harassment. Conclusions and RelevanceThis study presented the difficulties experienced by Myanmar migrants currently living along the Thailand-Myanmar border. The reasons for leaving Myanmar included health and safety. Suspending education during the pandemic caused more school dropouts due to teenage pregnancy/marriage. Additionally, behavioral changes in children, a diminished quality of education, barriers to receiving COVID-19 vaccines and access to other health care services were reported. Future studies should focus on how migration stress and access to mental health care impact the migrant population.

Information behaviour and factors influencing family planning knowledge of Myanmar ethnic migrants: a qualitative study

The accessibility to quality family planning (FP) information and counselling for Myanmar ethnic migrants in Thailand is questionable. Inadequate knowledge and lack of informed choice to practice FP methods increase the risk of unmet needs and method failures in FP, which could result in unplanned pregnancies and induced abortions. This research aimed to understand the FP information behaviour of a Pa-O migrant group, as well as structural and agency influencing factors on FP knowledge acquisition in Chiang Mai. A qualitative research based on the Information Behaviour model and Structuration theory was conducted using participant observation, in-depth interviews, focus group discussions, and key informant interviews. A non-probability sampling method was employed, and 31 respondents participated in the study. The study found that actively seeking FP information from formal sources to make an informed decision was not common among Pa-O migrants. Instead, there was more reliance on informal information sources for choosing FP methods. Cultural norms related to sex, marriage, and age hinder migrant health information-seeking behaviour from formal and informal information sources. Pa-O migrants were alienated from structural resources, limiting the opportunities to promote FP knowledge. The personal and situational factors that significantly influenced the agency of migrants were lack of awareness of the right to information, language barriers, and perceived communication barriers with health staff. Limited resources of migrant-friendly health education programmes adversely affect migrant FP information behaviour. Reproductive health education programmes, including quality FP counselling services, should be accessible for marginalised migrants to ensure that their choices of FP are well-informed.

Social relationship expectations, care, and loneliness in later life: Perspectives from Thai and Myanmar adults in northern Thailand

Loneliness results from unfulfilled social relationship expectations (SREs). Little research has investigated how SREs vary by culture and context, how loneliness is experienced in rural Southeast Asia, and how loneliness relates to care provision in later life. The current study qualitatively explored the understanding of loneliness, contextual differences in the content, avenues, and obstacles for SREs, and care provided by Myanmar and Thai people living at the border in Chiang Rai. Data were analysed using thematic analysis. Between November and December 2022, 10 focus group discussions were held with 17 migrants from Myanmar and 33 older people from Thailand. Emerging themes from the focus groups shed light on how loneliness differs between cultures and contexts. Loneliness was experienced particularly at night, when people thought about their unmet relationship expectations. Having “nothing to do” and overthinking were closely related to the experience of loneliness, whereas engaging in activities, including caregiving, alleviated loneliness. Compared to Myanmar adults, Thai older adults were more likely to have family members nearby but less likely to share personal problems and feelings of loneliness with others. Fulfilling the SREs of proximity, generativity, and respect was more challenging for Myanmar migrants, who had been unable to return home for years while struggling with financial insecurity.

Do Electronic Health Literacy and Online Health Information-Seeking Behavior Mediate the Effects of Socio-Demographic Factors on COVID-19- and Non-communicable Disease-Related Behaviors Among Myanmar Migrants in Southern Thailand?

Introduction Myanmar migrants in Thailand are vulnerable to COVID-19 and non-communicable disease (NCD) risk behaviors, influenced by socio-demographic factors. In the digital age, migrants can seek extensive health information online, and their ability to understand and use electronic health information, which is known as electronic health literacy (e-Health literacy), becomes critical in making decisions about their health behaviors. This study aims to investigate the potential mediating roles of online health information-seeking and e-Health literacy in the associations between socio-demographic factors and COVID-19- and NCD-related behaviors. Methods Our study was conducted in 2022, involving 1,050 Myanmar migrants in two southern Thai cities. Data on socio-demographic factors, e-Health literacy, online health information seeking, COVID-19-related behaviors (adherence to COVID-19 protective behavior (CPB), vaccination), and NCD risk behaviors (smoking, betel chewing, alcohol consumption, substance abuse) were collected. Structural equation modeling (SEM) was employed to analyze the hypothesized relationships. Results Nearly all migrants received the COVID-19 vaccination in two doses and above, with reasonable good adherence to CPB. Migrants exhibited risky NCD-related behaviors, including current smoking (26.8%), alcohol consumption (17.5%), and betel chewing (25.8%). Approximately three-quarters (73.4%) had a limited e-Health literacy level, and the vast majority did not search for online health information. Their COVID-19- and NCD-related behaviors were directly influenced by socio-demographic factors without the significant mediation roles of e-Health literacy and online health information seeking. Conclusions Myanmar migrant workers in Southern Thailand had reasonably good practices in COVID-19-related behaviors despite engaging in risky NCD-related behaviors. These outcome behaviors were directly influenced by their socio-demographic factors, without the significant mediation roles of e-Health literacy and online health information seeking. The findings suggest that diverse interventions beyond e-Health strategies for future pandemic mitigation and enhancement of their health behaviors are needed.

Relationships Between Thai Language Proficiency and Livelihoods of Myanmar Urban Migrant Workers

For decades, Thailand has been the recipient of foreign migrant workers from neighbouring countries, with the majority of these workers being from Myanmar. Myanmar migrant workers are employed in various job sectors such as agriculture, manufacturing factories, and service sectors. They usually earn an adequate wage, which provides a living that is not possible in their home country. However, their income and working conditions largely depend on several factors, including host language fluency. This paper is one of the first papers about migrants and Thai language fluency using Thailand as a case study. In this research study, open-ended questions were used to conduct semi-structured interviews with Myanmar urban migrant workers from different work sectors as well as a representative from a language academy in Bangkok. The results of this study show that Thai language proficiency affects the income of the Myanmar migrants as well as their career opportunities. The policy implications suggested by this paper include implementation of Thai language training for urban migrants by the Bangkok Metropolitan Administration and its non-formal education department.

Transnational students' experiences of EMI in Myanmar's borderlands

Based on a large-scale ethnography of Myanmar migrants, the present study examines the experiences of multilingual Myanmar students who received EMI education in secondary schools and universities in Myanmar's borderlands. Data were collected through the use of linguistic autobiography, semi-structured interviews and written materials. Adopting the borderlands theory, the study investigates how Myanmar ethnic minority students encounter and wrestle with the EMI learning challenges in the hybridized border regions. Our findings indicate that Myanmar ethnic minorities appropriate their agentive practices by leveraging their borderland subjectivities to form an assemblage of semioticized resources. Living in an under-resourced EMI context, our participants flexibly deploy their previous multiliteracies, mobilize the local and community resources and maximize the digital and transnational affordances. Our study argues that the successful validation of EMI prospect in the borderlands needs to overcome the essentialist practices and take into consideration sociopolitical power within and cross the border. By revealing the EMI affordances and constraints mediated in the transnational experiences, our study contributes to the knowledge base of EMI inquiry by including the peripheral voices and indigenous practices as legitimate construct and revealing the interplay of multiple forces shaping EMI students' trajectories.

HIV and syphilis knowledge, perceptions, and practices among Myanmar migrant workers in Samut Sakhon Province, Thailand

BackgroundThailand has been one of the largest migration hubs in Southeast Asia for the past four decades and keeps attracting migrants from neighboring countries. Due to difficulties associated with their status, migration can place individuals at a heightened risk for sexually transmitted diseases. This study aimed to examine factors influencing HIV and syphilis preventive behaviors among Myanmar migrants in Samut Sakhon, Thailand.MethodsA cross-sectional mixed-method study was conducted among Myanmar migrants aged 18 years and above in Samut Sakhon Province, Thailand. To fulfill this study's aims, four hundred seventy-three respondents completed a survey to provide quantitative data, and eight participants completed in-depth qualitative interviews. The factors associated with protective sexual behaviors were identified with multiple logistic regression analysis of the quantitative study data and thematic analysis of the qualitative data.ResultsThe respondents showed good knowledge of HIV and syphilis (50.1%), but over half (55.6%) exhibited the negative perception of sexually transmitted disease prevention; about 81.4% of male respondents never used a condom when they had sexual intercourse in the past year. Based on multivariate analysis, income expenses-balance (adjusted odds ratio (AOR) = 2.379, 95% confidence interval (CI): 1.002–5.731, p = 0.049), number of sex partners (AOR = 3.044, 95% CI: 1.339–6.924, p = 0.008), and having sex with a prostitute (AOR = 6.085, 95% CI: 1.28–28.918, p = 0.023) were all statistically associated with unprotected sex. In the qualitative analysis, knowledge, understanding, beliefs; the influence of culture, community, and environment; and condom perceptions were also important factors.ConclusionLow use of condoms in sexual practice was identified, and the appropriate intervention or approach to improve the utilization of condoms in the community was provided.

'I Doubt Myself and Am Losing Everything I Have since COVID Came'-A Case Study of Mental Health and Coping Strategies among Undocumented Myanmar Migrant Workers in Thailand.

Migrant populations have always been vulnerable to a high burden of social exclusion, mental disorders, physical illnesses, and economic crises. The current COVID-19 pandemic has further created a frantic plight among them, particularly for undocumented migrant workers in the global south. We have conducted a mixed method study among the undocumented Myanmar migrant workers (UMMWs) in Thailand to explore how the COVID-19 disruption has impacted their mental health and what coping strategies they have adopted. Following the onset of COVID-19 and the recent coup d'état in Myanmar, our current study is the first attempt to understand the mental health status and predicament of this neglected migrant group. A total of 398 UMMWs were included in the online survey, of which 23 participated in qualitative interviews. The major mental health issues reported by the study participants were depression, generalized anxiety disorder, frustration, stress, and panic disorders, while loss of employment, worries about the pandemic, social stigma, lack of access to healthcare, lockdown, and fear of detention were the predominant contributing factors. In response, we identified two key coping mechanisms: coping at a personal level (listening to music, playing online game, praying, and self-motivation) and coping at a social level (chatting with family and friends and visiting religious institutions). These findings point to the importance of policy and intervention programs aimed at upholding mental health at such humanitarian conditions. Sustainable institutional mental health care support and social integration for the migrant workers, irrespective of their legal status, should be ensured.

COVID-19 Vaccine Acceptance and Its Determinants among Myanmar Migrant Workers in Southern Thailand.

Success in eradicating COVID-19 will rely on the rate of vaccination adoption worldwide. Vaccine acceptance among vulnerable groups is critical for preventing the spread of COVID-19 and decreasing unnecessary deaths. The purpose of this study was to report on the willingness to obtain COVID-19 immunization and the factors related to its acceptance among Myanmar migrant workers in southern Thailand. This cross-sectional study consisted of 301 samples collected between October and November 2021 and analyzed using multiple logistic regression. Thirty-nine percent of workers intended to receive the COVID-19 vaccine within a year. The following factors were associated with obtaining the COVID-19 vaccine: a high level of perception of COVID-19 (AOR = 5.43), income less than or equal to 10,000 baht/month (AOR = 6.98), financial status at a sufficient level (AOR = 7.79), wearing a face mask in the previous month almost all the time (AOR =4.26), maintaining 1–2 m of distance from anyone in the last month (AOR =2.51), and measuring temperature in the previous month (AOR = 5.24). High reluctance to accept the COVID-19 vaccine among Myanmar migrant workers can influence efforts to eliminate COVID-19. Collaboration with all stakeholders is critical to helping Myanmar workers understand COVID-19, social measures, and preventive beliefs to increase vaccine uptake.