Health literacy, anxiety and stress among people during Coronavirus-2019 pandemic at the northern of Thailand 10.55131/jphd/2022/200318
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Abstract
COVID-19 outbreaks have caused anxiety and stress for the world and Thailand. Low health literacy can cause higher mortality rates. This study investigated stress levels, anxiety, health literacy and predictive factors, creating an equation to predict stress in the upper northern region of Thailand. The sample was 400 people aged over 18 years in Phayao Province, Northern Thailand, selected by multi-stage cluster sampling. The instruments were interview guidelines. Data were collected on 1-30 January 2021 and analyzed with descriptive analysis and univariate analysis by using chi-square test, Phi, Cramer’s V, Spearman’s Rank Correlation and multiple logistic regression for the multivariate analysis.
According to the findings, the study participants (52.2%) had high stress. The univariate analysis showed the independent variables correlated with stress with statistical significance to be gender (p-value < 0.01), occupation (p-value < 0.01), income (p-value < 0.001), number of vulnerable family members (r = 0.170), health literacy (r = -.275), economic anxiety (p-value < 0.05), anxiety about illness (p-value < 0.05) and anxiety about social activity (p-value < 0.01). From multiple logistic regression analysis, negative predictive factors were male gender (OR = 0.543, 95% CI = 0.340-0.868), number of family members (OR = 0.870, 95% CI = 0.758-1.00) and Covid-19 health literacy (OR = 0.941, 95% CI = 0.913-0.969). Positive predictive factors consisted of the sample with occupations as farmers (OR = 2.068, 95% CI = 1.259-3.395), number of vulnerable family members (OR = 1.546, 95% CI = 1.039-2.303) and economic anxiety (OR = 1.156, 95% CI = 1.005-1.330).
Constant (2.015) = OC (0.726) + VUL (0.436) + AECON (0.145) - CVHL (0.061) – FAM (0.139) – SEX (0.611)
The findings can be used to promote care for families with vulnerable family members by considering socioeconomic factors with activities to promote COVID-19 health literacy and policy-setting on healthcare development.
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References
Tang F, Liang J, Zhang H, Kelifa MM, He Q, Wang P. COVID-19 related depression and anxiety among quarantined respondents. Psychol Health. 2021;36(2):164-78. doi: 10.1080/08870446.2020.1782410.
Gamonal Limcaoco RS, Mateos EM, Fernández JM, Roncero C. Anxiety, worry and perceived stress in the world due to the COVID-19 pandemic, March 2020. Preliminary results. medRxiv. 2020:2020.04.03.20043992.
Khademian F, Delavari S, Koohjani Z, Khademian Z. An investigation of depression, anxiety, and stress and its relating factors during COVID-19 pandemic in Iran. BMC Public Health. 2021;21(1):275. doi: 10.1186/s12889-021-10329-3
Montano RLT, Acebes KML. Covid stress predicts depression, anxiety and stress symptoms of Filipino respondents. IJRBS. 2020;9(4):78-103. doi: https://doi.org/10.20525/ ijrbs.v9i4.773
Okan O, Messer M, Levin-Zamir D, Paakkari L, Sørensen K. Health literacy as a social vaccine in the COVID-19 pandemic. Health Promot Int. 2022. doi: 10.1093/heapro/daab 197.
Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International. 2000;15(3):259-67. doi: https://doi.org/10.1093/heapro/15.3.259.
Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health. 2012;12(1):80. doi: https://doi.org/10.1186/1471-2458-12-80.
Kaewdumkeng K, TreePhetoorai N. Health literacy. Department of Health Education. Ministry of Public Health. Nonthaburi; 2011.
Suanrueang P, Suen MW, Lin HF, Er TK, Michaela M, Jamora Q. The impact of the covid-19 pandemic on anxiety, health literacy, and eHealth literacy in 2020 related to healthcare behavior in Thailand. J Public Hlth Dev. 2022;20(1):188-202. doi: 10.55131/jphd/2022/200115.
Baker DW, Wolf MS, Feinglass J, Thompson JA, Gazmararian JA, Huang J. Health literacy and mortality among elderly persons. Arch Intern Med. 2007;167(14):1503-9. doi: 10.1001/archinte.167.14.1503.
Griffey RT, Kennedy SK, D'Agostino McGowan L, Goodman M, Kaphingst KA. Is low health literacy associated with increased emergency department utilization and recidivism? Acad Emerg Med. 2014;21(10):1109-15. doi: 10.1111/acem.12476.
Mautong H, Gallardo-Rumbea JA, Alvarado-Villa GE, Fernández-Cadena JC, Andrade-Molina D, Orellana-Román CE, et al. Assessment of depression, anxiety and stress levels in the Ecuadorian general population during social isolation due to the COVID-19 outbreak: a cross-sectional study. BMC Psychiatry. 2021;21(1): 212. doi: 10.1186/s12888-021-03214-1.
Ruksee N, Donjdee K, Songsiri N, Deesawas W, Janjaroen S, Yupu A. A study of the stress, anxiety and family relationships among Thai people after the Covid-19 pandemic in the early stages. Quality of life and law Journal. 2012;17(1):94-108.
Harnlakorm P, Phetcharat T, Rithirod N, Kamollerd S, Pitayavatanachai T, Meesing A. Stress worry and effects among health personnels during pandemic of Coronavirus Disease 2019 in Srinagarind Hospital. SMJ. 2021; 36(4):488-94.
Prapasorn J. Stress and factors associated with operational stress of Khaen Dong hospital personnel, Buriram province in the Covid-19 pandemic situation. Regional Health Promotion Center 9 Journal. 2021;15(38):469-83. doi: 10.14456/ rhpc9j.2021.34.
de Pinho LG, Sampaio F, Sequeira C, Teixeira L, Fonseca C, Lopes MJ. Portuguese Nurses' Stress, Anxiety, and Depression Reduction Strategies during the COVID-19 Outbreak. Int J Environ Res Public Health. 2021;18(7):3490. doi: 10.3390/ijerph 18073490.
Netirojjanakul W. Prevalence and associated factors of mental health problems on healthcare workers at Nakhonpathom hospital in Corona Virus Disease 2019 (COVID-19) Epidemic Era. Medical Journal. 2020; 39(4):616-27.
Boondiskulchok S, Weerametachai S, Leesri T. Prevalence and associated factors of Stress and depression among SARS-Cov-2 patient in field hospital, Saraburi hospital. Regional Health Promotion Center 9 Journal. 2022; 16(2).
Sangma RD, Kumar P, Nerli LM, Khanna AM, Vasavada DA, Tiwari DS. Social stigma and discrimination in Coronavirus Disease-2019 survivors and its changing trend: A longitudinal study at tertiary care center Gujarat, India. Asian J Soc Health Behav. 2022; 5:68-74.
Hu Y, Ye B, Tan J. Stress of COVID-19, Anxiety, Economic Insecurity, and Mental Health Literacy: A Structural Equation Modeling Approach. Front Psychol. 2021;12:707079. doi: 10.3389/fpsyg.2021.707079.
Choompunuch B, Suksatan W, Sonsroem J, Kutawan S, In-udom A. Stress, adversity quotient, and health behaviors of undergraduate students in a Thai university during COVID-19 outbreak. Belitung Nursing Journal. 2021;7(1):1-7. doi: https://doi.org/ 10.33546/bnj.1276
Suwanaphant K, Seedaket S, Vonok L, Assana S, Wawngam W, Kingsawad K, On-Kail P. Factors associated with stress due to corona virus disease 2019 (COVID-19) pandemic among students of the Faculty of Public Health and Allied Health Sciences, Praboromarajchanok Institute. Journal of Health Science Research. 2020; 14(2):138-4.
Kostić J, Žikić O, Đorđević V, Krivokapić Ž. Perceived stress among university students in south-east Serbia during the COVID-19 outbreak. Ann Gen Psychiatry. 2021;20(1):25. doi: 10.1186/s12991-021-00346-2.
Nayan MI, Uddin M S, Hossain MI, Alam MM, Zinnia MA, Haq I, et al. Comparison of the performance of machine learning-based algorithms for predicting depression and anxiety among University Students in Bangladesh: A result of the first wave of the COVID-19 pandemic. Asian J Soc Health Behav. 2022;5:75-84.
Yomchinda T, Yomchinda L, Chakesaengrat K, Jampangoen R. The effects of organizational behavior toward work stress during Covid-19 pandemic: a case of Bangkok metropolitan private companies. Journal of Chandrakasemsarn. 2012; 27(1):141-57.
Montano RLT, Acebes KML. Covid stress predicts depression, anxiety and stress symptoms of Filipino respondents, Anxiety, Stress, Depression. IJRBS. 2020;9(4):78-103. doi: https://doi.org/10.20525/ijrbs. v9i4.773.
Rehman U, Shahnawaz MG, Khan NH, Kharshiing KD, Khursheed M, Gupta K, et al. Depression, Anxiety and Stress Among Indians in Times of Covid-19 Lockdown. Community Ment Health J. 2021;57(1):42-8. doi: 10.1007/s10597-020-00664-x.
Hasannia E, Mohammadzadeh F, Tavakolizadeh M, Davoudian N, Bay M. Assessment of the anxiety level and trust in information resources among iranian health-care workers during the pandemic of coronavirus disease 2019. JHSB. 2021;4(4):163-8.
Sharma R, Bansal P, Chhabra M, Bansal C, Arora M. Severe acute respiratory syndrome coronavirus-2-associated perceived stress and anxiety among Indian medical students: A cross-sectional study. Asian J Soc Health Behav. 2021;4:98-104.
Rajabimajd N, Alimoradi Z, Griffiths MD. Impact of COVID-19-related fear and anxiety on job attributes: A systematic review. Asian J Soc Health Behav. 2021;4:51-5.
Patel BR, Khanpara BG, Mehta PI, Patel KD, Marvania NP. Evaluation of perceived social stigma and burnout, among health-care workers working in covid-19 designated hospital of India: A cross-sectional study. Asian J Soc Health Behav. 2021;4:156-62.
Olashore AA, Akanni OO, Fela-Thomas AL, Khutsafalo K. The psychological impact of COVID-19 on health-care workers in African Countries: A systematic review. Asian J Soc Health Behav. 2021;4:85-97.
Sandya PD, Shetty KV, Jaise J, Manikappa SK, Pai NB. Stress and burden among caregivers of persons with bipolar affective disorder during the COVID-19 pandemic in India. Asian J Soc Health Behav. 2022;5:51-6
Patil ST, Datar MC, Shetty JV, Naphade NM. "Psychological consequences and coping strategies of patients undergoing treatment for COVID-19 at a tertiary care hospital": A qualitative study. Asian J Soc Health Behav. 2021;4:62-8.
Governor's Office of Phayao Province. Development plan of Phayao Province, 2018-2022. Phayao Province: Ministry of Interior; p.55-6.
Wayne WD. Biostatistics: a foundation of analysis in the health sciences. 6th ed. John Wiley&Sons, Inc.; 1995.
Ngamjarus C, Chongsuvivatwong V. n4Studies: Sample size and power calculations for iOS. The Thailand Research Fund&Prince of Songkla University. 2014.
Nguyen HC, Nguyen MH, Do BN, Tran CQ, Nguyen TTP, Pham KM, et al. People with Suspected COVID-19 Symptoms Were More Likely Depressed and Had Lower Health-Related Quality of Life: The Potential Benefit of Health Literacy. J Clin Med. 2020;9(4). doi: 10.3390/jcm9040965.
Duong TV, Aringazina A, Kayupova G, Nurjanah, Pham TV, Pham KM, et al. Development and Validation of a New Short-Form Health Literacy Instrument (HLS-SF12) for the General Public in Six Asian Countries. Health Lit Res Pract. 2019;3(2):e91-e102.doi: 10.3928/24748307-20190225-01.
Mahatnirunkul S, Pumpaisanchai W, Tapanya P. The construction of Saun Prung Stress test for Thai population. Chai Mai: Saun Prung Hospital; 2017.
Corder GW, Foreman DI. Nonparametric Statistics for Non-Statisticiens: A Step-By-Step Approach. New Jersey: John Wiley & Sons; 2009.
Traimongkolkul P, Chatraphorn S. Research design. 6th ed. Kasetsart University Press; 2010.
Chen PY, Popovich PM. Correlation: parametric and nonparametric measures. California: SAGE Publication; 2002.
Osborn CE. Statistical applications for health information management. Singapore: Jones and Bartlett Publishers; 2006.