Health literacy and behavioral model of Dhammanamai among village health volunteers in the Northern Thailand 10.55131/jphd/2022/200309

Main Article Content

Wirinya Mueangchang
Nattanida Jantarach
Taweewun Srisookkum

Abstract

This cross-sectional study aimed to explain the level of health literacy and health behavior, investigate relevant factors, predict factors, and construct the behavioral model of Dhammanamai among village health volunteers (VHVs) in northern Thailand. The sample participants were 347 VHVs in Phayao Province, Thailand. They were selected by using the multi-stage random sampling technique. In this research, a questionnaire was used for collecting data that was administered from June-August 2021. Data were analyzed through descriptive analysis, independent-sample t-tests, one-way ANOVA and stepwise multiple regression analysis. The results revealed that both health literacy and health behaviors regarding Dhammanamai had an adequate level ( = 62.69, SD = 8.284;  = 52.83, SD = 6.149). The years of VHVs experience was significantly related to health literacy (p-value = 0.004) and the total components of health literacy on Dhammanamai were significantly related to health behavior (r=0.543). The behavioral model of Dhammanamai identified four independent variables that significantly influenced health behavior regarding Dhammanamai; health literacy (p-value < 0.001) age (p-value < 0.01) disease condition (p-value < 0.05) and sex (p-value < 0.05). These affecting factors were taken to construct the health behavior regarding Dhammanamai and could predict model at 33.7%. The health behavior regarding Dhammanamai model is equal to constant (19.20) + HLD (0.417) + AGE (0.124) – DISEASE CONDITION (1.604) + SEX (1.774). The recommendation should be taken to establish a health literacy program regarding Dhammanamai among Village Health Volunteers in the same area study.

Article Details

How to Cite
1.
Mueangchang W, Jantarach N, Srisookkum T. Health literacy and behavioral model of Dhammanamai among village health volunteers in the Northern Thailand: 10.55131/jphd/2022/200309. J Public Hlth Dev [Internet]. 2022 Sep. 9 [cited 2024 Apr. 16];20(3):108-20. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/258507
Section
Original Articles
Author Biographies

Wirinya Mueangchang, Department of Applied Thai Traditional Medicine, Faculty of Public Health, University of Phayao, Phayao, Thailand

Department of Applied Thai Traditional Medicine, Faculty of Public Health, University of Phayao, Phayao, Thailand

Nattanida Jantarach, Department of Applied Thai Traditional Medicine, Faculty of Public Health, University of Phayao, Phayao, Thailand

Department of Applied Thai Traditional Medicine, Faculty of Public Health, University of Phayao, Phayao, Thailand

Taweewun Srisookkum, Faculty of Public Health, University of Phayao, Phayao, Thailand

Faculty of Public Health, University of Phayao, Phayao, Thailand

References

Roma W, Kloyiam S, Sookawong W, Kaewamdee T, Tunnung A, Khampang R, et al. Department of Health. Survey on health literacy of Thai people aged 15 years and over, 2017 phase 1 [Internet]. Bangkok: The Department; 2020 [cited 2020 Jan 20]. Available from:https://www.hsri.or.th/researcher/ research/new-release/detail/11454.

Switzerland. World Health Organization. Noncommunicable diseases [Internet]. Geneva: United Nations agency; 2021 [cited 2021 Apr 21]. Available from: https://www. who.int/healthtopics/noncommunicable-diseases#tab=tab_1

Division of non communicable diseases, Thailand. NCDs disease situation report 2020 [Internet]. Bangkok: Ministry of Public Health; 2020 [cited 2020 Apr 20]. Available from: https://ddc.moph.go.th/uploads/ publish/1035820201005073556.pdf

Simonds SK. Health education as social policy. Health Education Monographs 1974;2(1):1-10. doi:10.1177/ 10901981740020S102.

Nutbeam D. The evolving concept of health literacy. Soc Sci Med 2008;67(12):2072-8. doi:10.1016/ j.socscimed.2008.09.050.

Kaeodumkoeng K, Tripetchsriurai N. Health literacy. Health education division: Ministry of Public Health. Bangkok: Samcharoen Panich; 2011.

Ratzan SC, Parker RM. Health literacy. National Institutes of Health: Bethesda(MD): U.S. Department of Health and Human Services; 2000.

Drug and Medical Supply information Center, Thailand. The national health development plan, strategic plan, issue 12 [Internet]. Bangkok: Ministry of Public Health; 2021 [cited 2021 May 1]. Available from: http://dmsic.moph. go.th/index/detail/6991.

Somchai N. Thai traditional and alternative health profile. Thai traditional medicine, indigenous medicine and alternative medicine 2011 –2013, 1st ed., Kaeo Chao Chom Media and Print Materials Center: Bangkok. 2014:39–71.

Thailand. Department of Health Support. Health literacy from village health volunteer to family volunteer 2020 [Internet]. Bangkok: Ministry of Public Health; 2020 [cited 2021 Jan 15]. Available from: http://phc.moph. go.th/www_hss/data_center/dyn_mod/Manual_official.pdf.

Liu YB, Liu L, Li YF, Chen YL. Relationship between health literacy, health-related behavior and health status: A survey of elderly Chinese. Int J Environ Res Public Health 2015;12(8):9714-9725. doi: 10.3390/ ijerph120809714.

Geboers B, Reijneveld SA, Jansen CJM, Winter AF. Health literacy is associated with health behaviors and social factors among older adults: Results from the lifelines cohort study. J Health Commun. 2016;21(2):45-53. doi: 10.1080/10810730.2016.1201174.

Levin-Zamir D, Baron-Epel OB, Cohen V, Elhayany A. The association of health literacy with health behavior, socioeconomic Indicators, and self-assessed health from a national adult survey in Israel. J Health Commun. 2016;21(2):61-8. doi: 10.1080/ 10810730.2016.1207115.

Tantranont K, Wisutthananon A, Suthakorn W, Supavititpatana B, Lirtmunlikaporn S, Kampoun S. Factors associated with health literacy among working population, NongPa Krang subdistrict, Mueang district, Chiang Mai province. LPHJ. 2020;16(2):61-71.

Koson N, Ubonkan P, Limvijitwong C, Sirikaew N. The working age group’s health literacy and health behavior 3E 2S for health management village: A case study of Baan Wanghin, Thungyai district, Nakhon Si Thammmarat province. Paper presented at the 10th Hatyai National and International Conference; Thailand; 2021 Jul 12-13.

Darun P. Health literacy factors influencing on health behavior of population in Bueng Kan province. Journal Department of Health Service Support. 2019;15(3):71-82.

Chotchai T, Seedaket S, Taearak K, panyasong S, Buajun A. Factors related to health literacy in prevention of hypertension among group at risk in Samran sub-district, Muaeng district, Khon Kaen province. SCNJ. 2020;7(1):45-56.

Lijuan X, Seungmi R, Hwasoo G. Gender differences in predictors of health behaviors modification among patients with cardiovascular disease. The Journal of the Korea Contents Association 2015;15(3):280-9. doi: https://doi.org/10.5392/JKCA.2015.15.03.280

Lee HY, Rhee TG, Kim NK. Health literacy as a social determinant of health in Asian American Immigrants: findings from a population-based survey in California. J Gen Intern Med 2015;30(8):1118–24. doi: 10.1007/s11606-015-3217-6.

Levy H, Janke A. Health Literacy and Access to Care. J Health Commun 2016;21(1):43-50. doi: 10.1080/10810730.2015.1131776.

Paibulsiri P. Health literacy and health behaviors 3E 2S of public sector executives, Phra Nakhon Si Ayutthaya province. JPMAT 2018;8(1):97-107.

Srisookkum T, Supbumrer R. Health symptoms and health literacy of pesticides used among Thai cornfield. Iran J Public Health 2020;49(1):2095-2102. doi: 10.18502/ijph.v49i11.4725.

Khampisut J. Health literacy and health promotion behaviors of students in Naresuan University. JEM-MSU 2017;24(1):1-12.

Boonmun T. Factors affecting to health literacy among village health volunteers in Sukhothai province [dissertation]. Phitsanolok: Naresuan University; 2021.

Visanuyothin S, Chatanuluk R, Saengsuwan S, Rojanavarapong A, Pornchanya P. Health literacy of village health volunteers in municipalitiy, Nakhon Ratchasima. J Public Hlth Dev 2015;13(1):37-54. doi: https://doi.org/10.14456/jphd.2015.6

Peyman N, Samiee-roudi K. Investigating the status of health literacy among health providers of rural area. Journal of Health Literacy. 2016;1(1):46-52.

Srisookkum T, Supbumrer R. Demographics, self-efficacy and health literacy on pesticides using among corn farmers in Phayao province. Paper presented at the 4 th Nation Science and Technology Conference; Thailand; 2019 Feb 7-8.

Abedini S, Nooradin S, Mohseni S, Daryafti H, Karimi F, Ezati-rad R. Health Literacy and Health-Promoting Behaviors in Southern Iran. Journal of Health Literacy 2021;2(6):53-60.

Choeisuwan V. Health literacy: Concept and application for nursing practice. RTNNMD journal 2017;44(3):183-197.

Norasing M, Thanomphan S. Health literacy and health behavior in patients with uncontrolled blood sugar level or blood pressure: A case study of Nakornping hospital, Chiang Mai. J Nakornping Hosp 2019;10(1):35-50.

Whitehead BR. Health behaviors in older adults: Considering age, affect, and attitudes. J Health Psychol 2016; 22(13):1652-7. doi: 10.1177/ 1359105316631814.

Lee M, Park S, Lee KS. Relationship between morbidity and health behavior in chronic diseases. J Clin Med 2020;9(1):121-9. doi: 10.3390/jcm9010121.

Srisookkum T, Supbumrer R. Development of health promotion program regarding health literacy on risk reduction of pesticide use among corn field farmers in Phayao province. Dis Control J 2021;47(3):571-83.

Thailand. HDC Service. [Internet]. Bangkok: Ministry of Public Health; 2020 [cited 2020 Dec 20]. Available from: https://hdcservice.moph.go.th/ hdc/main/index.php.

Division of non communicable diseases, Thailand. Number and mortality 5 NCDs. [Internet]. Bangkok: Ministry of Public Health; 2020 [cited 2020 Dec 2]. Available from: http://www.thaincd.com/2016/mission/documents detail.php?id=14220&tid= 32&gid=1-020&fbclid=IwAR2KQo EEqEgQvm06io9iUhMpB8IlLsOgP5hq7Bp5ch0fqQ2eEXMbfj-HU8.

Primary Health Care Division, Thailand. Information system of primary health care [Internet]. Bangkok: Ministry of Public Health; 2021 [cited 2021 Feb 28]. Available from: https://www.thaiphc.net/ thaiphcweb/index.php?r=staticContent/show&id=1

Wayne WD. Biostatistics: A foundation of analysis in the health sciences. 6 th ed. New York: John Wiley & Sons; 1995. 744 p.

Ngamjarus C, Chongsuvivatwong V. N4studies: sample size calculation for an epide-miological study on a smart device. Siriraj Med J 2016;68(3):160-70.

Rathong A. Health literacy and health behaviour, 3Aor 2Sor, for the village health volunteers (VHVs): Case study of Hintok sub-district, Ronphibun district, Nakhon Si Thammarat province. Journal of Department of Health Service Support) 2019;15(3): 62-70.

Health education division, Thailand. Assessment tools and programs health literacy and health behaviors [Internet]. Bangkok: Ministry of Public Health; 2021 [cited 2018 Aug 8]. Available from: http://www.nkp-hospital.go.th/th/ H.ed/mFile/20180627124525.pdf

Hinkle DE, William W, Stephen GJ. Applied statistics for the behavior sciences. 4th ed. New York: Houghton Mifflin; 1998. p.756.

Department of Health Service Support, Thailand. Health literacy and health behavior 2018 [Internet]. Bangkok: Ministry of Public Health; 2021 [cited 2020 Aug 19]. Available from: http://www.hed.go.th/linkHed/364.

Noppakao S, Tejativaddhana P, Suphunnakul P, Meakrungrungwong S. Factors predicting self-care behavior in relation to Thai traditional medicine, and alternative medicine among village health volunteers in Phitsanulok province. J Health Sci Res 2017;11(2):1-10.

Deenamjued W, Srisaeng P. Health literacy of healthy aging among elderly people in Bangkok Metropolitan: A case study for promoting health literacy elderly. Vajira Med J 2019;63(S):73-82.

Burnes B. Kurt Lewin and complexity theories: back to the future?. Journal of Change Management 2005;4(4): 309-325.

World Health Organization, Switzerland. Health promotion Glossary. Geneva: WHO Publications; 1998.

Visanuyothin S, Boonshuyar C, Plianbangchang S, Somrongthong R, Thongnopakun S. Health literacy and self-management behaviors among poorly controlled hypertension patients at the primary care level in an urban community of Nakhon Ratchasima province, Thailand. J Public Hlth Dev. 2019;17(1):1-13.

Orem DE. Nursing concept of practice. 3rd ed. New York: McGraw-Hill; 1985.

Rosenstock IM. The health belief model and prevention health behavior. Health Education Monographs.1974;2(b): 355-85.

Brenner JL, Kabakyenga J, Kyomuhangi T, Wotton KA, Pim C, McMillan D, et al. Can volunteer community health workers decrease child morbidity and mortality in Southwestern Uganda? An impact evaluation. LoS One 2011;6(12): e27997. doi: 10.1371/ journal.pone. 0027997