The Management of Infectious Waste Behavior, Health Literacy and Quality of Life Among People in Nakhon Ratchasima Province, Thailand
Keywords:
Infectious waste, Infectious waste management, Quality of lifeAbstract
Introduction
The management of infectious waste has become increasingly important, especially during public health crises like the COVID-19 pandemic, to mitigate the risks of pathogen spread and the adverse impacts on public health and the environment
Methods
This study explored waste management and behavior, the health status, health literacy, and quality of life among 381 residents in Nakhon Ratchasima province, Thailand, using a cross-sectional design with multistage random sampling. Data were collected through self-administered structured questionnaires and analyzed using multiple logistic regression to identify factors associated with quality of life
Results
Results showed that the majority of participants were female (74.28%) with an average age of 38.59 years (S.D. = 14.07). While 66.93% had a high knowledge of infectious waste management, only 49.61% demonstrated moderate waste management behavior, and 46.69% possessed interactive health literacy. Alarmingly, 62.20% of communities lacked designated areas for infectious waste disposal, and just 24.41% of participants reported a good quality of life. The factor significantly associated with good quality of life is health literacy with interactive level and critical level (AOR=2.87; 95% CI:1.53 – 7.66; p-value = 0.014, AOR=2.93; 95% CI:1.92 – 10.03; p-value = 0.018) when controlling for other covariates.
Conclusions
These study findings indicate that health literacy is significantly associated with a good quality of life, emphasizing the importance of empowering individuals with the knowledge and skills necessary to make informed health decisions. This can be achieved through public education, community engagement, and the enforcement of waste disposal policies. These actions aim to mitigate health risks and enhance the overall quality of life, thereby contributing significantly to sustainable public health and environmental safety.
References
Alcada-Almeida, L., Coutinho-Rodrigues, J., Current, J. (2009). A multi objective modeling approach to locating incinerators. Socio-Economic Planning Sciences, 43(2),
-120.
World Health Organization (WHO). (2020). Health care waste management. Retrieved from https://www.who.int
Kumar, R., et al. (2021). COVID-19 pandemic and improper management of infectious waste: environmental and health impact. Journal of Environmental Management, 279, 111593.
Negishi, R., & Kawahara, K. (2022). Infectious waste management in Japan: assessment of current trends in waste measurement and reporting in general and psychiatric hospitals. Journal of Material Cycles and Waste Management, 24(1), 51–60.
Doyle, P. W., Frederick-Dyer, K. C., Martin, B., & Stokes, L. S. (2023). Reducing the environmental and economic costs of single department infectious waste disposal. Journal of The American College of Radiology, 20(4), 303-312.
Nutbeam, D. (2008). The evolving concept of health literacy. Social Science and Medicine, 67(12), 2072-2078.
Dhouib, W., Cheikh, A. B., Hassine, R., Bhiri, S., Ghali, H., Khefacha, S., Latiri, H. S., Ben Rejeb, M. (2024). Knowledge, attitudes, and practices about infectious healthcare waste management in a Tunisian university hospital. In Advances in Science, Technology and Innovation. Springer.
Agarwal, A., Yadav, A., Yadav, C., Mahore, R., Singh, A. P. (2022). A study of awareness about biomedical waste management among healthcare personnel. Asian Journal of Management, 13(3), 145-151. https://doi.org/10.52711/2321-5763.2022.00031
Okechukwu, I. (2020). Attitude of health professionals towards healthcare waste management in South East Nigeria. Texila International Journal of Public Health, 8(1), 123-130.
World Health Organization. (1997). WHOQOL: Measuring quality of life. Geneva: World Health Organization. Retrieved from https://www.who.int/tools/whoqol
Cochran, W. G. (1977). Sampling techniques (3rd ed.). New York: John Wiley and Sons.
World Health Organization. (1996). WHOQOL-BREF: Introduction, administration, scoring and generic version of the assessment. Geneva: World Health Organization.
Pookkaman, N. (2022). Quality of Life of Thai Employees under COVID-19 Pandemic. Journal of Humanities and Social Sciences Thonburi University, 16(2), May–August. Retrieved from https://www.researchgate.net/publication/370341193
Phan, L. T., Nguyen, G. T., Nguyen, Q. A. D., Nguyen, H. S., Nguyen, T. T., & Watanabe, T. (2011). Quality of Life and Factors Affecting It: A Study Among People Living Near a Solid Waste Management Facility. Forntier in Public Health.9, 1-9
Kamthonsirimetha, P., Jaitae, S. (2023). Household infection waste management behavior of people during COVID-19 Pandemic in Pha-Chang-Noi subdistrict, Pong district, Phayao province. Institute for Urban Disease Control and Prevention Journal, 8(1), 28–37. DOI: 10.14456/iudcj.2023.17
Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259–267.
Wongwarissara P, Padchasuwan N, Laohasiriwong W. Occupational health and safety problems, health literacy, mental health and quality of life among public work division workers in the Northeast of Thailand: A cross-sectional study. J Clin Diagn Res.2020;
(11):LC12–6. doi:10.7860/JCDR/2020/45850.14216.
World Health Organization. (2014). Safe management of wastes from health-care activities. Geneva: WHO Press.
Paakkari, L., Okan, O. (2020). COVID-19: Health literacy is an underestimated problem. The Lancet Public Health, 5(5), 249–250.
Zhang, Y., Ma, Z. F. (2020). Impact of the COVID-19 pandemic on mental health and quality of life among local residents in Liaoning Province, China: A cross-sectional study. International Journal of Environmental Research and Public Health, 17(7), 2381.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Parichat Wongwarissara, Nara Ravadchai, Thiwakorn Rachutorn, Parumon Noinarin, Sathitphong Wongsa-nga

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
IJPHR applies the Creative Commons Attribution (CC BY) license to articles and other works we publish. If you submit your paper for publication by IJPHR, you agree to have the CC BY license applied to your work. Under this Open Access license, you as the author agree that anyone can reuse your article in whole or part for any purpose, for free, even for commercial purposes. Anyone may copy, distribute, or reuse the content as long as the author and original source are properly cited. This facilitates freedom in re-use and also ensures that IJPHR content can be mined without barriers for the needs of research.




