Factors Influencing Mental Health Status of Residents in U-thong District, Suphanburi Province during the Covid-19 Pandemic


  • Natawan Khumsaen Boromarajonani College of Nursing, Suphanburi Faculty of nursing
  • Supannee Peawnalaw Boromarajonani College of Nursing Suphanburi, Faculty of Nursing
  • Sirithida Sripituk Boromarajonani College of Nursing, Suphanburi Faculty of nursing
  • supattra Narysangkharn Boromarajonani College of Nursing, Suphanburi Faculty of nursing


Covid-19, knowledge, attitudes, practices, mental health


Introduction: As with other countries across the globe, Thailand has experienced a serious pandemic of the corona virus disease 2019 (Covid-19). Adherence to the public health recommendations plays a role in tackling a crisis of this outbreak which is affected by knowledge, attitudes, and preventive practice (KAP) towards Covid-19. As a result, mental health status of individuals would be affected by the Covid-19 pandemic.

Aims: The study assessed KAP towards Covid-19 and to explore the associations between socio-demographic variables, KAP towards Covid-19 and mental health status (anxiety, and fear related Covid-19) of Thai individuals in U-thong district during Covid-19 pandemic. The predictors of mental health status were also examined.

Methods: This predictive study was conducted using Google forms, via Line application. A set of questionnaires was used to collect data including the KAP questionnaire (16 items), the Corona virus Anxiety Scale (5 items), and the Fear of Covid-19 Scale (7 items). Data were analyzed using descriptive statistics, the Pearson Product Moment Correlation, and multiple regression analysis. A significance level was set at p<0.05.

Findings: A total of 445 participants completed the questionnaires. Most of the participants were between the ages of 30-49 years, and 46% earned a bachelor’s degree. Participants had an adequate and good level of knowledge about Covid-19. Regarding attitude towards Covid-19, 80.70% of the participants were confident that Thailand can win the battle against Covid-19 virus and 83.40% had confidence that Covid-19 will be successfully controlled. Most participants (98.70%) followed correct practices regarding Covid-19 prevention (wearing a face mask when leaving home and avoiding crowded places). Mental health status average score was 36.21 (SD=9.05), with average score of anxiety was 4.26 (SD=3.33), and average score of fear of Covid-19 was 8.42 (SD=3.43).Education and KAP towards Covid-19 were significantly related to mental health status (r =0.08, p<.05; r=0.16, p<.01, respectively). Education and KAP towards Covid-19 were significant predictors of mental health status. Results of multiple regression analysis showed that education and KAP towards Covid-19 together explained 4.5% (R2=0.045) of the variance in mental health status.

Conclusion: The participants reported good mental health status, with no anxiety and no fear of Covid-19. Education level, KAP towards Covid-19 influenced mental health status among participants.

Recommendations: These findings provide valuable information for health professions. These findings would be useful to improving people’s knowledge and fostering optimistic attitude towards COVID-19 prevention leading to improving mental health outcomes.


Download data is not yet available.


Dong E, Du H, Gardner L. An interactive web-based dashboard to track COVID-19 in real time.The Lancet Infectious Diseases. 2020 May;20(5):533-4.

Department of Disease Control Ministry of Public Health. Coronavirus Disease 2019(COVID-19) [Internet]. 2020[cited 2021 Jan 5]. Available from: https://ddc.moph.go.th/viralpneumonia/index.php

Zhang Y, Ma ZF. Impact of the COVID-19 Pandemic on Mental Health and Quality of Life among Local Residents in Liaoning Province, China: A Cross-Sectional Study. IJERPH. 2020 Mar 31;17(7):2381.

Harkness A, Behar-Zusman V, Safren SA. Understanding the Impact of COVID-19 on Latino

Sexual Minority Men in a US HIV Hot Spot. AIDS Behav. 2020 07;24(7):2017-23.

SuphanburiPublic Health Office. Covid 19 situation in Suphanburi[Internet]. 2020 [cited 2021 Jan 5]Available from: http://www.spo.moph.go.th/spo/

Su Y, Xue J, Liu X, Wu P, Chen J, Chen C, et al. Examining the Impact of COVID-19 Lockdown in Wuhan and Lombardy: A Psycholinguistic Analysis on Weibo and Twitter. IJERPH. 2020 Jun 24;17(12):4552.

Li S, Wang Y, Xue J, Zhao N, Zhu T. The Impact of COVID-19 Epidemic Declaration on Psychological Consequences: A Study on Active Weibo Users. IJERPH. 2020 Mar 19;17(6):2032.

Spielberger, C.D. Manual for the State-Trait Anxiety Inventory (STAI). Palo Alto, CA: Consulting Psychologists Press; 1983.

Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009 Nov;41(4):1149-60.

Zhang M, Zhou M, Tang F, Wang Y, Nie H, Zhang L, et al. Knowledge, attitude, and practice regarding COVID-19 among healthcare workers in Henan, China. Journal of Hospital Infection. 2020 Jun; 105(2):183-7.

Zhong B, Luo W, Li H, Zhang Q, Liu X, Li W, et al. Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. Int J Biol Sci. 2020;16(10):1745-52.

Lee SA. Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety. Death Studies. 2020 Jul 2;44(7):393-401.

Ahorsu DK, Lin C, Imani V, Saffari M, Griffiths MD, Pakpour AH. The Fear of COVID-19 Scale: Development and Initial Validation. Int J Ment Health Addiction. 2020 Mar 27;1-9.

Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. Multivariate Data Analysis,

(7th Edition).Upper Saddle River, New Jersey: Prentice Hall; 2010.

Azlan AA, Hamzah MR, Sern TJ, Ayub SH, Mohamad E. Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in Malaysia. PLoS ONE. 2020 May 21;15(5):e0233668.

Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Research. 2020 Jun;288:112954.

Fitzpatrick KM, Harris C, Drawve G. Fear of COVID-19 and the mental health consequences in America. Psychological Trauma: Theory, Research, Practice, and Policy. 2020 Aug;12(S1):S17-S21.

Liang L, Ren H, Cao R, Hu Y, Qin Z, Li C, et al. The Effect of COVID-19 on Youth Mental Health.Psychiatr Q. 2020 Sep;91(3):841-52.



How to Cite

Khumsaen N, Peawnalaw S, Sripituk S, Narysangkharn supattra. Factors Influencing Mental Health Status of Residents in U-thong District, Suphanburi Province during the Covid-19 Pandemic . JHNR [Internet]. 2021 Nov. 29 [cited 2022 Dec. 4];37(3):36-50. Available from: https://he01.tci-thaijo.org/index.php/bcnbangkok/article/view/247908



Research articles