ปัจจัยทำนายพฤติกรรมการดูแลสุขภาพของเด็กวัยเรียนในจังหวัดอุบลราชธานี

Mayura  Rueangseree

Authors

Mayura Rueangseree Faculty of Nursing, Ubon Ratchathani Rajabhat University

Keywords:

health care behaviors, school-aged children, knowledge and attitude, public health service system, social support

Abstract

Introduction: Malnutrition and obesity among school-age children are important public health problems. Therefore, it is necessary to encourage school-aged children to practice health care behaviors.

Reasearch objective: To study predictive factors of health care behaviors of school-aged children.

Research methodology: This study was predictive research. The sample consisted of 346 school-aged children grade 4-6 in Ubon Ratchathani Province. The sample size was calculated using Krejcie & Morgan formula. Data were collected using 4 questionnaires that the reliability were .86, .72, .78, .83 and .80, respectively. Data were analyzed by descriptive statistics, Peason’s Product Moment Correlation Coefficient and Stepwise Multiple Regression Analysis.

Results: Most of the samples had health care behaviors of school-aged children at a moderate level (63.3%). Factors significantly related to health care behaviors of school-aged children were predisposing factors (knowledge and attitude), enabling factors (public health service system), and reinforcing factors (social support) (p<.01) and factors predicting health care behavior of school-age children include: 1) enabling factors include the public health service system, which had the highest predictive power (β = 1.063, p < .000), 2) reinforcing factors included social support (β = -.381, p < .000) and 3) predisposing factors included knowledge and attitude (β = .099, p < .004). These findings were able to predict health care behaviors of school-aged children at 64.1% (R²=.641, p<.05)

Conclusion: Factors predicting health care behavior of school-aged children in Ubon Ratchani Province is the public health service system, social support from family, friends, and healthcare professionals and knowledge and attitudes about health care.

Recommendation: Promoting to practice health care behaviors of school-age children is important by schools and teachers organizing public health service systems in schools, encouraging their family, friends and healthcare professionals to support them and continuously organize activities to provide knowledge about health care.

Downloads

Download data is not yet available.

References

Hockenberry MJ, Wilson D, Wong DL. Wong’s nursing care of infants and children. 10th ed. St. Loius: Missouri; 2015.

Hockenberry MJ, Rodgers CC, Wilson D, . Wong’s essentials of pediatric nursing. 11th ed.St. Louis: Elsevier/Mosby; 2022.

International Obesity Task Force [IOTF] [Internet]. 2004 [cited 2021 January 6]. Available from: http://www.worldobesity.org/data/aboutobesity/. (in Thai)

Bureau of Nutrition Public Health. Screening guidelines referral and solve the problem of obese at-risk children in educational institutions. Public health facilities and DPAC clinics. 5th ed . Bangkok: Sam Charoen Phanit; 2019. (in Thai)

Division of Health Education, Department of Health Service Support. Global school based student health survey Thailand 2021. [Internet]. 2021 [cited 2023 September 5]. Available from: https://cdn.who.int/media/docs/default-source/ncds/2021-thailand-gshs-fact-sheet.pdf. (in Thai)

Department of Health. Guidelines for health promotion and disease prevention for school-aged children and youth. 5thed. Office of Academic Service: Silpakorn University; 2017. (in Thai)

Division of Health Education, Department of Health Service Support. Promoting and assessing health literacy and health behaviors among children and youth (7-14 years old), people aged 15 years and over. [Internet]. 2018 [cited 2021 February 25]. Available from: http://www.hed.go.th/linkhed/file/575. (in Thai)

Bureau of Dental Public Health. Report on the results of the 8th National Oral Health Survey Thailand 2017. [Internet]. 2018 [cited 2021 August 18]. Available from: https://dental.anamai.moph.go.th/webupload/migrated/files/dental2/n2423_3e9aed89eb9e4e3978640d0a60b44be6_survey8th_2nd.pdf. (in Thai)

Green LW, Kreuter MW. PRECEDE- PROCEED model of health program planning [Internet]. 2005 [cited 2021 March19]. Available from: https://www.researchgate.net/figure/Green-andKreuters-Green-and-Kreuter-2005-P-RECEDE-P-ROCEED-model-of-health program_ fig1_24253959

Muksing W, Tohyusoh N, Punriddum J. Factors related to health care behavior among school children in Nakhon Si Thammarat Municipality. The Southern College Network Journal of Nursing and Public Health 2016;3(3):65-76. (in Thai)

Opalinski A. Cultural perspectives of childhood obesity in haitian and hispanic children. The Journal for Nurse Practitioners 2013;9(3):149-54. doi: 10.1016/j.nurpra.2012.10.009

Chaiyasung P, Yakasem P, Chuthongrat N. Factors Predicting Food Consumption Behaviors of Overweight Elementary School Students, Grade 4-6.The Journal of Boromarajonani College of Nursing, Nakhonratchasima 2014;20(1):30-43. (in Thai)

Nontawee W, Sangthong W, Jaicheun W, Thanopajai S, Nuengnan C, Boonsong T. Desirable Health Behavior of Grade 8 Students at Health Literate School in Ubonratchathani Province. Regional Health Promotion Centre 10 Journal 2022;10(2):17-30. (in Thai)

Krejcie RV, Morgan DW. Determining sample sizes for research activities. Educational and Psychological Measurement 1970;30:607-10.

Bloom BS. Taxonomy of education objective: The classification of educational goals: Handbook II: Affective domain. New York: David Mckay; 1964

Best JW, Kahn JV. Research in education. 9th ed. India: Pearson prentice Hall; 2003

Piaget, J. The theory of stages in cognitive development. New York: McGraw-Hill; 1973

Nongrak J, Health behaviors and health literacy among school-aged children in the subdistrict model of integrated health promotion and environmental health, Health Region 5. Regional Health Promotion Center 5 Ratchaburi, Department of Health. [Internet]. 2021 [cited 2023 November 2]. Available from: https://hpc.go.th/rcenter/fulltext/20210716183439_4557/20210716184438_4325.pdf. (in Thai)

Chaimongkol N, Pongjaturawit Y, Khwansamran W. Health behaviors among School-agechildren and its associated factors. The Journal of Faculty of Nursing Burapha University 2014;22(3):14-28. (in Thai)

Yaemsang J, Phumprawaithya A, Sarakshetrin A. Effects of the empowerment program on behavior modification regarding exercise and food consumption among obese students in Suratthani Province. The Southern College Network Journal of Nursing and Public Health 2015;2(2):41-52. (in Thai)

Thojampa S. School Health. (revised edition). 2nd ed. Naresuan University Press; 2022. (in Thai)