Health Literacy and Factors associated with Health Promoting Behaviors among Middle-Aged Population, Bangkok
Keywords:
Health-promoting behavior , Health literacy, Middle-aged populationAbstract
Prawet, Bangkok, is a semi-urban community that is home to a large number of businesses and middle-aged people. Health literacy is also an important factor for good health. This study was aimed at learning about the relationships and predictive factors of health promotion behaviors in middle-aged people. The study relied on the PRECEDE Model for its conceptual framework. Data were collected by the use of questionnaires on 349 middle-aged persons aging from 40-59 years.
The study found that the subjects overall had a moderate level of health promotion behaviors and moderate health literacy (Mean = 107.1, S.D. = 17.6) (Mean = 72.0, S.D. = 18.4). Predisposing factors (personal factors, attitude toward health promotion, and health literacy), enabling factors (exercise equipment in the community, exercise facilities in the community, sources of healthy foods in the community, perception of Prawet’s health promotion policy and perception of the community’s health policy), and reinforcing factors (support from family members, neighbors, public health volunteers and health personnel) were correlated with health promotion behaviors with statistical significance (p < 0.001), while the factors capable of predicting health promotion behaviors consisted of health literacy, health understanding, decision-making skills and self-management skills (predisposing factors); perception of the community’s health policy (enabling factor); and support from public health volunteers (reinforcing factor); they were able to achieve co-prediction by 61.1% (R2 = .611, p<.001) (β = .308, .187, .179, .133 and .106). The findings of this study offer this health promotion recommendations: Activities should be organized to develop health literacy in decision-making and self, while the capabilities of public health volunteers in promoting health literacy should also be promoted, and structured participation in review and specification of community health policies should be encouraged.
References
World Health Organization. The World health report: 1998: life in the 21st century: a vision for all: executive summary. Geneva: WHO; 1998.
Nutbeam D. The evolving concept of health literacy. Social Science & Medicine. 2008; 67(12): 2072-8.
Ministry of Public Health. National strategic plan 20 years (for Public Health). Nonthaburi: Office of Policy and Strategy Office of the Permanent Secretary; 2016. (in Thai)
Bureau of Non-Communicable Diseases. Health behavior modification course for nurse manager in case of chronic disease. Bangkok: War Veterans Organization of Thailand Press; 2017.
Health Department, Bangkok Metropolitan Administration. Annual Report 2019: Health Department. Bangkok: Thanapornpanid; 2020. (in Thai)
Ruffolo VP. Health promotion and the international year on the elderly in 1999. Bangkok: Chulalongkorn University; 1999. (in Thai)
Ministry of Public Health. National strategic plan 20 years (for Public Health). Nonthaburi: Office of Policy and Strategy Office of the Permanent Secretary; 2016. (in Thai)
Green LW, Kreuter MW. Health promotion planning: an educational and ecological approach. California: Mayfield; 2005.
Rosenstock IM. Historical origins of the health belief model. Health Education Monographs. 1974; 2(4):328-35.
Ngamyingyod J. Health literacy and health behavior of primary school teachers Nakhon Pathom Province. (thesis). Nakhon Phathom, Mahidol University; 2019. (in Thai)
Techajawijitcharu C. Health literacy: a key Indicator towards good health behavior and health outcomes. Journal of The Royal Thai Army Nurses. 2018; 19:1-11. (in Thai)
Srisaeng P, DeeNamnam W. Health knowledge in taking care of oneself to be healthy of people: Elderly in Bangkok development and quality checking of tests. Journal of The Royal Thai Army Nurses. 2019;20(2):340-50. (in Thai)
Wongchan W. Health knowledge and prevention of type 2 diabetes in school age children. Journal of The Royal Thai Army Nurses. 2019;20(2):1-9. (in Thai)
Department of Provincial Administration. Bureau of the Registration Administration. Population statistics system, Prawet District, population information. Bangkok. Department of Provincial Administration; 2018. (in Thai)
Pheykang B, Muktaphun B. The association of health literacy level with food consumption behavior and physical activities of middleage women living in Tanot Sub-district, Nonsung District, Nakhonratchasima Province. KKU Journal for Public Health Research. 2019; 12(1): 51-61. (in Thai)
Polit DF, Beck CT. Essentials of nursing research : appraising evidence for nursing practice. 9thed. Philadelphia: Wolters Kluwer; 2018.
Bloom B. Mastery learning. New York: Holt, Rinehart & Winston; 1971.
Erikson EH. Identity, youth and crisis. New York: W. W. Norton; 1968.
Getchinda N, Junprasert S, Rattanagreethakul S. Factors predicting preventive behavior for chronic illness among middle-aged persons. The Journal of Faculty of Nursing Burapha University. 2018; 26(4):30-9. (in Thai)
Kotra P, Sarakan K, Ratanarat P. Factors related to food consumption behavior for chronic disease prevention in adults. Journal of Health Science Research. 2016; 10(1):25-31. (in Thai)
Sirirungruang T. Knowledge attitude and health behavior according to (three อ’s and two ’s principle) of the employees at Betagro public company limited. (thesis). Bangkok: Krirk University; 2016. (in Thai)
Ratanawarang W. Health communication: concepts and applications. Bangkok: Thammasart University; 2017. (in Thai)
Darun P, Krairat P. Health literacy factors influencing on health behavior of population in Bueng Kan Province. Journal of Department of Health Service Support. 2019;15(3):71-82. (in Thai)
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. Proceedings of the 10th Hatyai National and International Conference; 2019 Jul 12-13. Songkra, Thailand; 2019. p. 1600-11. (in Thai)
Kaeo-Dum-Koeng K, Triphetsriurai N. Health literacy intelligence. Bangkok: Samcharoenpanid; 2011. (in Thai)
Jaruwat L. Risk factors and factors related to risk behavior regarding to hypertension and diabetes mellitus of people in Khampangphet Province. Disease Control Journal. 2009; 35(2): 79-88. (in Thai)
Musikthong J, Sriyuktasuth A, Kongkar R, Sangwichaipat N. Nutritional knowledge, attitude towards food, food consumption behavior, and nutritional status in nursing students, Faculty of Nursing, Mahidol University. Journal of Nursing Science. 2010; 28(3):40-9. (in Thai)
Piromsit N, Srikulsiripunho J, Nurakhe A, Luangphanthao K. Factors influencing Cardiovascular disease prevention behaviors among the risk group in SuphanBuri Province, Thailand. HCU Journal. 2018; 22(43-44):55-69. (in Thai)
Sangprasert P. Health promotion in differently age population in Thai community. Journal of Science and Technology. 2013; 21(7):711-21. (in Thai)
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Journal of The Royal Thai Army Nurses
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความหรือข้อคิดเห็นใดใดที่ปรากฏในวารสารพยาบาลทหารบกเป็นวรรณกรรมของผู้เขียน ซึ่งบรรณาธิการหรือสมาคมพยาบาลทหารบก ไม่จำเป็นต้องเห็นด้วย
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลทหารบก
The ideas and opinions expressed in the Journal of The Royal Thai Army Nurses are those of the authors and not necessarily those
of the editor or Royal Thai Army Nurses Association.
