Occupational Health Literacy among Aircraft Maintenance Mechanics in Private Aircraft Maintenance Repair and Overhaul Facilities in Thailand
Main Article Content
Abstract
This cross-sectional study aimed to assess occupational health literacy (OHL) and related factors among aircraft maintenance mechanics in private aircraft maintenance repair and overhaul facilities in Thailand. The sample consisted of 691 mechanics. Data were collected using an OHL self-administered questionnaire, covering 6 domains, which was validated for content validity and reliability. The data were analysed using multiple linear regression statistics. The results revealed that the average OHL score among the sample was 143.56 ± 10.54 points, corresponding to 89.72% of the total score, categorized as high level of OHL. The predictor variables that significantly explained the overall OHL score at a 0.05 significance level accounted for 57.74% of the variance (R² = 0.5774) included gender, departments, years of work experience, being aware of occupational health and safety policies, and support from the organization regarding health surveillance and disease prevention. Factors associated with OHL, statistically significant at the .05 level, included being male gender, having 11 years or more of work experience, working in the hangar department, and being aware of occupational health and safety policies. Based on the findings, enhancing OHL among aircraft maintenance mechanics should focus on improving media literacy and increasing awareness of occupational health and safety policies, ensuring that mechanics understand and align with these policies and the guidelines, which will further improve their OHL levels.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Woratanarat T, Woratanarat P, Wongdontri O, Chenphanitsub M. Health literacy system framework. [Research Report]. Nonthaburi: Health Systems Research Institute; 2015. (in Thai.)
Ehmann AT, Ög E, Rieger MA, Siegel A. Work-related health literacy: a scoping review to clarify the concept. Int J Environ Res Public Health 2021;18(19):9945.
Azizi N, Karimy M, Abedini R, Armoon B, Montazeri A. Development and validation of the health literacy scale for workers. Int J Occup Environ Med 2019;10(1):30-9.
Torun SD. Occupational health literacy level and related factors in casting factory workers. Medical Journal of Bakirkoy 2023;19(2):229-35.
National Economic and Social Development Council. National strategy (2018 - 2037). Royal Thai Government Gazette 2018;135(82 A):25. (in Thai).
Eastern Economic Corridor. Business opportunities-aviation and logistics. [Internet]. [cited 2024 Sep 7]. Available from: https://www.eeco.or.th/en/aviation-and-logistics. (in Thai).
The Civil Aviation Authority of Thailand. Air Navigation Act B.E. 2497. Royal Thai Government Gazette 1954;71(58):1249. (in Thai).
Pawskul P. Aircraft maintenance management. [Internet]. [cited 2024 Nov 8]. Available from: https://aviation609.wordpress.com. (in Thai).
Pardo A. Chapter 6 - Walk-through survey. In: Ribak J, Rayman RB, Froom P, editors. Occupational health in aviation. San Diego: Academic Press; 1995. p. 73-115.
Khalili M, Nasrabadi T. Assessment of occupational health risk due to inhalation of chemical compounds in an aircraft maintenance, repair, and overhaul company. Environ Sci Pollut Res Int 2023;30(20):57558-70.
Sorensen G, Dennerlein JT, Peters SE, Sabbath EL, Kelly EL, Wagner GR. The future of research on work, safety, health and wellbeing: a guiding conceptual framework. Soc Sci Med 2021;269:113593.
Social Security Office. Statistics on work-related injuries or illnesses B.E. 2561 - 2565. [Internet]. [cited 2024 Sep 7]. Available from: https://www.ohswa.or.th/attachments/view/?attach_id=359766. (in Thai).
Pejtersen JH, Holt H. Literacy and risk of occupational injury. Int Arch Occup Environ Health 2022;95(10):1971-8.
Ho K, Tenkate T. Safety Data Sheets as a Hazard Communication Tool: An Assessment of Suitability and Readability. Saf Health Work 2024;15(2):192-9.
Suthakorn W, Songkham W, Tantranont K, Srisuphan W, Sakarinkhul P, Dhatsuwan J. Scale development and validation to measure occupational health literacy among Thai informal workers. Saf Health Work 2020;11(4):526-32.
Thailand Convention and Exhibition Bureau. Thailand and its goal to become a new aviation maintenance and logistics hub. [Internet]. [cited 2024 Nov 5]. Available from: https://intelligence.businesseventsthailand.com/files/keyindustries/49815586993831. (in Thai).
Friedrich J, Rupp M, Feng YS, Sudeck G. Occupational health literacy and work ability: a moderation analysis including interpersonal and organizational factors in healthy organizations. Front Public Health 2024;12:1243138.
Chawakitchareon V, Sithisarankul P, Hengpraprom S. Occupational health literacy among health workers in a hospital under the Bangkok Metropolitan Administration. BSCM 2021;60(4):599-613. (in Thai).
Bassem R, Fahim AE, Mosaad SE, Waheed A. Occupational health literacy among agricultural workers. Egypt J Occup Med 2023;47(2):33-45.
Yusida H, Soewandi T, Yusuf A, Sholihah Q. Relationship individual factors with occupational health literacy. IJSRP 2016;6(1):481-4.
Wang J, Mo C, Sheng Q, Huang Y, Lin D, Liang Y, et al. Association of length of service and job category with occupational health literacy of port employees in Shenzhen, China. BMC Public Health 2023;23(1):1223.
Polyong CP, Rittideah D, Kongsombatsuk M, Praisuthirat K, Samanusron K. Validation of the occupational health literacy test for industrial workforce. Thai Journal of Safety and Health 2020;13(2):140-57. (in Thai).
Daniel WW. Biostatistics: a foundation for analysis in the health sciences. 6th ed: New York: Wiley & Sons; 1995.
Intarakamhang U. Creating and developing of Thailand health literacy scales. [Research Report]. Bangkok: Behavioral Science Research Institute Srinakharinwirot University; 2017. (in Thai).
Kongsombatsuk M, Polyong CP, Rittideah D. Occupational health literacy affecting work-related disease and injury prevention behaviors among industrial workers. Journal of Medicine and Public Health, Ubon Ratchathani University 2020;3(2):112-20. (in Thai).
Institute for Apprenticeships and Technical Education. Aircraft maintenance technician. [Internet]. [cited 2024 Nov 8]. Available from: https://www.instituteforapprenticeships.org/apprenticeship-standards/aircraft-maintenance-technician.
Federal Aviation Administration. Mechanics. [Internet]. [cited 2024 Nov 8]. Available from: https://www.faa.gov/mechanics.
Waesoho A. Media literacy: essential skills needed in using social media. Journal of Liberal Arts (Wang Nang Leng) RMUTP 2021;1(1):38-55. (in Thai).
Clark PJ, Newcomer JM, Jones AM. Overcoming gender barriers in aircraft maintenance: women’s perceptions in the United States. University Aviation Association 2015;33(2):66-84.
Alli BO. Fundamental principles of occupational health and safety. 2nd ed. Geneva: International Labour Organization; 2008.
Rauscher KJ, Myers DJ. Occupational health literacy and work-related injury among U.S. adolescents. Int J Inj Contr Saf Promot 2014;21(1):81-9.
Shukri SA, Millar RM, Gratton G, Garner M. The potential risk of communication media in conveying critical information in the aircraft maintenance organisation: a case study. IOP Conference Series: Materials Science and Engineering 2016;152:012044.
Choeisuwan V. Health literacy: concept and application for nursing practice. RTN Med J 2017;44(3):183-97. (in Thai).