Predicting Factors of Nutrition-Label Health Literacy among Junior High School Students in Phetchaburi Province

Main Article Content

Suchada Boontham
Wirod Chinglek
Atcharawadee Sriyasak

Abstract

This cross-sectional descriptive study aimed to examine the relationship and predictive power of nutrition knowledge, family influence, and peer influence on health literacy related to nutrition labels among lower secondary school students in Phetchaburi Province. The sample consisted of 102 students from Grades 7 to 9, selected through multistage random sampling from schools in Phetchaburi Province. Data were collected between August 2021 and June 2022, using a nutrition label knowledge questionnaire with a Kuder-Richardson 20 (KR-20) reliability coefficient of .95, a questionnaire on family and peer influence, and a health literacy scale related to the Guideline Daily Amounts (GDA) nutrition label, with Cronbach’s alpha coefficients of .82 and .85, respectively. Data were analyzed using descriptive statistics, Pearson’s correlation coefficient, and stepwise multiple regression analysis.


The results revealed that nutrition knowledge and the influence of family and peers were positively correlated with students’ health literacy regarding nutrition labels (r = .47, .40; p < .05). These variables together explained 27.6% of the variance in health literacy scores (adj = .276, p < .01).


The findings suggest that school health professionals and nurse educators should promote nutrition-related health literacy by integrating teaching strategies that are connected to students’ family and peer contexts. This approach may enhance students’ abilities to access, understand, interpret, and apply nutrition label information effectively in their daily lives.

Downloads

Download data is not yet available.

Article Details

How to Cite
Boontham, S. ., Chinglek, W. ., & Sriyasak, A. . (2025). Predicting Factors of Nutrition-Label Health Literacy among Junior High School Students in Phetchaburi Province. Journal of Prachomklao College of Nursing, Phetchaburi Province, 8(2), 92–104. retrieved from https://he01.tci-thaijo.org/index.php/pck/article/view/278953
Section
Research Articles

References

Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Prentice-Hall.

Best, J. W., & Kahn, J. V. (2006). Research in education (10th ed.). Pearson Education.

Bureau of Health Promotion. (2023). Annual report on child nutrition status, 2023. Ministry of Public Health. (in Thai)

Bureau of Non-Communicable Diseases. (2022). Thailand NCDs Profile 2022. Ministry of Public Health. (in Thai)

Bureau of Nutrition. (2019). Survey report on health literacy and desirable health behaviors among school-aged children (6–14 years old). Ministry of Public Health. (in Thai)

Chung, A., F., et al. (2021). Adolescent peer influence on eating behaviors via social media: A scoping review. Journal of Medical Internet Research, 23(6), e19697. https://doi.org/10.2196/19697

Division of Health Education. (2019). Health literacy and health behavior assessment report among school-aged children (6–14 years old). Ministry of Public Health. (in Thai)

Institute for Population and Social Research. (2020). Survey on food consumption behavior among children and adolescents. Mahidol University. (in Thai)

Koedphaen, C., Saengnill, W., & Phokongchana, R. (2022). Factors associated with food and nutrition literacy among adolescents. Journal of Public Health Nursing, 36(1), 45–58. (in Thai)

Levin, J., & Rubin, D. (1998). Statistics for management (7th ed.). Prentice Hall.

Nguyen, T. H., Le, A. T., & Tran, M. H. (2023). Enhancing health literacy and nutrition label use among adolescents: The role of family and peer support. Journal of Nutrition Education and Behavior, 55(4), 321-330. https://doi.org/10.1016/j.jneb.2023.01.005

Norman, C. D., & Skinner, H. A. (2006). eHEALS: the eHealth literacy scale. Journal of Medical Internet Research, 8(4), e507. https://doi.org/10.2196/jmir.8.4.e27

Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259–267. https://doi.org/10.1093/heapro/15.3.259

Paakkari, L., & Okan, O. (2020). COVID-19: Health literacy is an underestimated problem. The Lancet Public Health, 5(5), 249-250. https://doi.org/10.1016/s2468-2667(20)30086-4

Phuangphay, U., Singtong, T., & Rattanasiri, S. (2020). Development of a nutrition knowledge and literacy questionnaire for Thai school-aged children. Journal of Health Education, 43(2), 112–124. (in Thai)

Prybutok, V., Prybutok, G., & Yogarajah, J. (2024). Negative influence of social media on children’s diets: A systematic review. Encyclopedia, 4(4), 1700–1710. https://doi.org/10.3390/encyclopedia4040111

Robson, S. M., Snuggs, S., & Harvey, J. (2023). Prevalence of daily family meals among children and adolescents from 43 countries. BMC Public Health, 23, 428. https://doi.org/10.1186/s12889-023-16018-3

Royal Institute of Thailand. (1999). Announcement on nutrition labeling, No. 182. Ministry of Public Health. (in Thai)

Singtong, T., Thongsawat, S., & Laosee, O. (2020). The effects of a nutrition literacy program on nutrition label reading behavior among primary school students. Journal of Health Education, 43(2), 112–124. (in Thai)

Sriyasak, A., Thongnopakun, S., & Promwong, S. (2020). Peer influence and adolescent health behavior: A study among lower secondary school students. Journal of Health Sciences, 18(2), 76–90. (in Thai)

Sutthiwarotamakul, S. (2018). Family influence on dietary behavior among adolescents. Journal of Social Sciences and Humanities, 44(1), 89–102. (in Thai)

Thato, R. (2018). Statistics for health science research. Chulalongkorn University Press.

World Health Organization. (2022). World health statistics 2022: Monitoring health for the SDGs. World Health Organization.

World Health Organization. (2025, May 7). Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight