Household hazardous products contain hazardous chemicals, so when discarding these products a household hazardous waste (HHW) stream is created. HHW is a major environmental problem in Thailand, yet HHW has received scant attention so management is often inadequate or inappropriate. The objective of this study was to investigate the factors associated with appropriate HHW management in Thailand. Data were collected using a structured questionnaire completed during randomly assigned household interviews in Nakhon Nayok province, Thailand, between February and May 2017. The proportion of "appropriate management" was presented as percentage with its 95% confidence interval (CI). A multilevel mixed-effects logistic regression model was performed to determine the factors associated with appropriate HHW management, with 663 households included. The proportion of appropriate HHW management was 23.4% (95%CI: 20.2% to 26.6%). Both individual and local government administrative organization factors had on an effect on appropriate HHW management, including (a) being female (adjusted odds ratio [OR]:1.59; 95%CI: 1.03 to 2.46); (b) household size (adjusted OR: 1.66; 95%CI: 1.09 to 2.54); (c) knowledge score vis-à-vis HHW management (adjusted OR: 1.78; 95%CI: 1.43 to 2.02); (d) appropriate HHW storage behavior (adjusted OR: 2.48; 95%CI: 1.60 to 3.83); and (e) appropriate HHW use behavior (adjusted OR: 3.97; 95%CI: 2.40 to 6.58). The government of Thailand might consider a program to increase appropriate management of household hazardous waste to mitigate public health and environmental contamination risks.Implications: Household hazardous waste becomes a major concern in many countries, including Thailand. The household hazardous waste management should be started at the source first, because household hazardous waste is mixed with the municipal waste stream. Thus, this study finding will be important for policymakers such as government and local government and can be used to create a specific policy and campaigns for household hazardous waste management.

This study revealed that IV fluid administration was significantly associated with survival of OHCA patients while controlled other covariates including female gender, response time, scene time and transport time. Therefore, it is recommended that the IV fluid administration should be medicated for resuscitated OHCA patients.

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