Knowledge, attitude, behavior and sodium content in the food prepared by households among prototyping low salt in community of the upper northern region Thailand

Main Article Content

Isaraphong Perdpern
Amnut Muangkaew
Khetsirin Puttawong
Jitrat Pongtong

Abstract

The objective of this Quasi-experimental study was to examine the relationship and compare the mean value of knowledge, attitude, behavior, and sodium content in the food prepared by households between the pre-and post-intervention phases. The study was conducted using a community-based intervention for non-communicable disease control in four provinces of the upper northern region of Thailand, with a sample of 238 individuals. Data were collected via questionnaires to assess a community model for reducing salt and sodium in food in the northern region of Thailand before and after the intervention, between May and August 2021. Statistical analysis was performed using Pearson's correlation coefficient and paired sample T-tests. The results showed that mean knowledge and consumption of salty food increased, while sodium content in cooked food decreased from pre-intervention at a statistically significant level of 0.05. However, attitude did not change significantly. In terms of the relationship between knowledge, attitude, behavior, and sodium content in cooked food, the study found that knowledge had a positive relationship with food attitude and attitude had a positive relationship with food consumption behavior at a statistically significant level of 0.05. Based on these findings, it is recommended that a community action plan be implemented to reduce salt, including the establishment of community measures and the creation of an environment that encourages changes in salt consumption, such as raising awareness and increasing communication channels from public health personnel and community leaders.

Article Details

How to Cite
1.
Perdpern I, Muangkaew A, Puttawong K, Pongtong J. Knowledge, attitude, behavior and sodium content in the food prepared by households among prototyping low salt in community of the upper northern region Thailand. JMPH4 [Internet]. 2023 Dec. 13 [cited 2024 Jul. 3];13(3):16-31. Available from: https://he01.tci-thaijo.org/index.php/JMPH4/article/view/262819
Section
Original Articles

References

World Health Organization. Guideline sodium intake for adults and children [Internet]. Geneva: World Health Organization; 2012 [Cited 2022 August 29]. Available from: https://www.who.int/publications/i/item/9789241504836

Department of Disease Control (TH), Division of Non-Communicable Disease. Situation on NCDs prevention and control in Thailand [Internet]. Nonthaburi: Department of Disease Control (TH), Division of Non-Communicable Disease; 2018 [cited 2022 November 11]. Available from: URL: http://thaincd.com/document/file/download/paper-manual/NCDUNIATF61.pdf (in Thai)

Chailimpamontree W, Kantachuvesiri S, Aekplakorn W, Lappichetpaiboon R, Sripaiboonkij Thokanit N, Vathesatogkit P, et al. Estimated dietary sodium intake in Thailand: A nation-wide population survey with 24-hour urine collections. J Clin Hypertens (Greenwich) [Internet]. 2021 Apr [Cited 2021 Dec 2];23(4):744-54. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8678751/

Department of Disease Control (TH), Division of Non-Communicable Disease. Strategy to reduce salt and sodium consumption in Thailand 2016-2025. Bangkok: Printing Office of the War Veterans Organization of Thailand; 2016. (in Thai)

Aekplakorn W, editor. The 6th national health examination survey [NHES], 2019-2020 [Internet]. Bangkok: Aksornsamai Press; 2021 [cited 2021 December 3]. Available from: https://online.fliphtml5.com/bcbgj/znee/#p=5 (in Thai)

Thai Hypertension Society. Guidelines in the treatment of hypertension 2015 [Internet]. Bangkok: Thai Hypertension Society; 2015 [cited 2021 December 13]. Available from: http://www.thaihypertension.org/files/GL%20HT%202015.pdf (in Thai)

Mozaffarian D, Fahimi S, Singh GM, Micha R, Khatibzadeh S, Engell RE, et al. Global sodium consumption and death from cardiovascular causes. N Engl J Med [Internet]. 2014 Aug [Cited 2022 Jan 12]; 371:624-34. Available from: https://www.nejm.org/doi/10.1056/NEJMoa1304127

Panmung N, Srisawat K, Bunthawi P. The experimental study of using the low salt intervention program in communities. Department of Health Service Support Journal [Internet]. 2020 [cited 2022 January 12];16(3): 39-48. Available from: https://thaidj.org/index.php/jdhss/article/view/9501/8528 (in Thai)

Department of Disease Control (TH), Division of Non-Communicable Disease. Manual for the community based intervention for NCDs controlling: CBI NCDs [Internet]. 2017. Bangkok: Emotion Art company limited; [cited 2022 January 13]. Available from: http://thaincd.com/document/file/info/non-communicable-disease/CBI_NCDs60.pdf (in Thai)

Bloom.BS. Learning for mastery. UCLA – CSEIP Evaluation Comment. Los Angeles: University of California at Los Angeles.; 1968.

Best JW. Research in education. New Jersey: Prentice Hall Inc; 1997. 12. Department of Disease Control (TH), Division of Non-Communicable Disease. Manual for salt survey in food with salt meter [Internet]. Nonthaburi: Department of Disease Control (TH), Division of Non-Communicable Disease; 2022 [cited 2022 November 11]. Available from: https://ddc.moph.go.th/uploads/publish/1238320220301081354.pdf (in Thai)

Sanyanuban P. Prototyping community to decrease saltiness for reducing chronic diseases in health region 3rd, 2019. Journal of disease and health risk DPC 3 [Internet]. January - April. 2022 [cited 2023 March 29];16(1): 61-77. Available from: https://he01.tci-thaijo.org/index.php/JDPC3/article/view/249367/172711 (in Thai)

Maneechay M, Saisum B, Kwawpichit U. Effect of health behavior change program on food consumption among hypertensive disease patients with chronic kidney disease stage 3 In Banmi District, Lop Buri Province. Journal of Medical and Public Health Region 4 [Internet]. April - December 2022 [cited 2023 March 30];12(2): 22-35. Available from: https://he01.tci-thaijo.org/index.php/JMPH4/issue/view/17531/4715 (in Thai)

Sridawruang C, Worawong C, Sriyasak A, Howharn C, Manassatchakun P. Relationships between Knowledge, Attitude, and Behavior toward Food Consumption and Physical Exercises among Rural Overweight Middle-Aged Adults. Regional Health Promotion Center 9 Journal [Internet]. September - December 2020 [cited 2023 April 2];14(35): 464-82. Available from: https://he02.tci-thaijo.org/index.php/RHPC9Journal/article/view/245362/168233 (in Thai)