Health literacy based on 3E2S and adherence to preventive behavior of people with high-normal blood pressure


  • Siriwan Chukumnird Borommrajonani College of Nursing, Songkhla Faculty of NursingPraboromarajchanok Institute
  • Apisit Chuakompeng Borommrajonani College of Nursing, Songkhla Faculty of NursingPraboromarajchanok Institute
  • Naiyanan Tejavanija Borommrajonani College of Nursing, Songkhla Faculty of NursingPraboromarajchanok Institute


Health literacy, Adherence to preventive behavior, High-normal blood pressure, eating, exercise, emotion, stop smoking, stop drinking, 3E2S


Health literacy is important for health and investment outcomes. However, the studies of the association between health literacy and preventive behavior of high-normal blood pressure are limited. The objectives of this study were to 1) determine health literacy based on 3E2S of people with high-normal blood pressure, 2) examine the association between health literacy based on 3E 2S and adherence to preventive behavior of people with high-normal blood pressure. A cross-sectional research was conducted from February, 1 to March 30, 2021. The sample were 220 people, diagnosed with high normal blood pressure, aged 35-59 years living in the area of Sighanakhon district, Songkhla province. Research instruments consisted of 1) health literacy based on the 3E 2S questionnaire,
2) adherence to preventive behavior scale. Reliability was tested by Cronbach alpha coefficient yielding a value of .83 and .95, respectively. Data were analyzed using descriptive statistics and Spearman’s Rho correlation coefficient. Research results revealed that 1) health literacy of people with high-normal
blood pressure, overall, was at a fair level (gif.latex?\bar{x}=47.14, SD=5.50), 2) preventive behavior of people with high-normal blood pressure was at a fair level (gif.latex?\bar{x}=216.04, SD=41.79), 3) overall, health literacy based on 3E2S was significantly positively associated with adherence to preventive behavior of hypertension (r=.386, p<.01).From these findings, it is recommended that health literacy based on 3E2S which is related to adherence to preventive behavior of people with high-normal blood pressure should be promoted. Health literacy based on 3E2S should also be developed for proper and continuous adherence to hypertension preventive behaviors.


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Author Biography

Siriwan Chukumnird, Borommrajonani College of Nursing, Songkhla Faculty of NursingPraboromarajchanok Institute

พยาบาลวิชาชีพชำนาญการพิเศษ (ด้านการสอน) วิทยาลัยพยาบาลบรมราชชนนี สงขลา


กองสุขศึกษา กรมสนับสนุนบริการสุขภาพ และมหาวิทยาลัยศรีนครินทรวิโรฒ. (2556). คู่มือการประเมินความรอบรู้ด้านสุขภาพคนไทยอายุ 15 ปี ขึ้นไปในการปฏิบัติตามหลัก 3อ.2ส. นนทบุรี: โรงพิมพ์การเกษตรแห่งประเทศไทย จำกัด.

กองสุขศึกษา กรมสนับสนุนบริการสุขภาพ กระทรวงสาธารณสุข. (2561). แบบประเมินความรอบรู้ด้านสุขภาพและพฤติกรรมสุขภาพ 3อ.2ส. ประชาชนที่มีอายุ 15 ปีขึ้นไป. สืบค้นเมื่อ 17 มกราคม 2564, จาก

คลังข้อมูลสุขภาพด้านการแพทย์ กระทรวงสาธารณสุข. (2564). รายงานตามตัวชี้วัด NCD ClinicPlus ปี 2564. สืบค้นเมื่อ 18 กรกฎาคม 2565, จาก reports/report.php?


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How to Cite

Chukumnird, S., Chuakompeng, A., & Tejavanija, N. (2022). Health literacy based on 3E2S and adherence to preventive behavior of people with high-normal blood pressure. Journal of Nursing and Health Research, 23(2), 55–70. Retrieved from



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