The Study of Health Literacy among Thai Older Adults in Yang Noeng Sub-District, Saraphi District, Chiang Mai Province

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Sivaporn Aungwattana
Sukritta Suankaew


Introduction: The older adults have certain factors which affect their health literacy. Increased age leads to difficulties in listening, reading, memory loss, and the ability to think, analyze, perceive health information, unfamiliarity with new technologies and communications. All of these may affect their understanding of health information. Research objectives: This study aimed to explore health literacy among Thai older adults. Research methodology: This study employed a descriptive design. Participants were 332 older adults in Yang Noeng Sub-district, Saraphi District, Chiangmai Province. Inclusion criteria were (a) older adults aged 60 years and over; (b) able to communicate in Thai; and (c) able to provide information themselves. A purposive sampling technique was used to recruit 332 participants. Krejcie and Morgan method was used to calculate sample size with a confidence level of 95%. Instruments included a health literacy scale with Cronbach’s alpha coefficient of 0.79. Data were analyzed using mean, percentage, and standard deviation. Results: Findings showed that the overall score of health literacy among older adults was at a high level (M= 28.95, SD.= 2.60). In term of knowledge and understanding of health, 87.13% reported at a high level (M= 20.91, SD.= 1.95). Followed by access to health information, 82.20% reported at a high level. (M=4.11, SD.=0.97), 71.75% reported health decision-making at a moderate level M= 2.87, SD.= 0.58). Also, 54%reported reading and understanding of the number at a moderate level (M= 1.08, SD.= 0.98). Conclusions: Older adults had a high level of overall health literacy. Yet, there are health literacy issues in health decision-making and reading and understanding of the numbers. Implications: Public health personnel should promote health literacy among Thai older adults, especially, health decision-making, and reading and understanding of the numbers to raise their health literacy.


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Aungwattana, S., & Suankaew, S. (2021). The Study of Health Literacy among Thai Older Adults in Yang Noeng Sub-District, Saraphi District, Chiang Mai Province. Journal of Health and Nursing Research (Journal of Boromarajonani College of Nursing, Bangkok), 37(2), 63-73. Retrieved from
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