2012 ©
             Publication
Journal Publication
Title of Article Sociocultural, Health Knowledge, and Health Literacy among Children Ages 9-10 Years in Thailand  
Date of Acceptance 1 September 2021 
Journal
     Title of Journal Journal of Education and Health Promotion (JEHP) 
     Standard SCOPUS 
     Institute of Journal Isfahan University of Medical Science, Isfahan, IR. Iran 
     ISBN/ISSN Online ISSN: 2319-6440 and Print ISSN: 2277-9531 
     Volume 2021 
     Issue  
     Month April
     Year of Publication 2022 
     Page  
     Abstract ABSTRACT BACKGROUND: Health literacy enables a person to make good decisions regarding health care, disease prevention, and health promotion to maintain and improve health. In Thailand most existing studies focus on adults’ health literacy rather than children. This research aimed to determine the influence of sociocultural and health knowledge on health literacy among children ages 9 to 10 years in Thailand MATERIALS AND METHODS: A cross-sectional study was conducted among 1,650 children aged 9 to 10 years. The respondents were recruited by using multistage random sampling from 39 primary schools of 13 provinces in all 4 regions of Thailand. A self-administered structured questionnaire was used to collect the required data. The multi-level analysis was used to determine the association between sociocultural, health knowledge and health literacy while controlling the effects of co-variates. The result was presented as adjusted odd ratios and its 95% confidence interval. RESULTS: Of the total 1,650 respondents, 86.24% (95%CI: 84.49%-87.82%) had adequate and excellent levels of health literacy. The multivariable analysis indicated factors that were significantly associated with adequate and excellent levels health literacy including; adequacy of per diem (adj. OR= 6.78; 95%CI: 3.54-12.97), and had good relationship with teachers (adj.OR= 2.19; 95%CI: 1.55-3.09). Sources of health education which were; received health education from parents (adj.OR= 3.51; 95%CI: 2.39-5.14), from teachers (adj.OR= 2.03; 95%CI: 1.43-2.89) and from internet (adj.OR= 1.83; 95%CI: 1.12-2.99) were also significantly associated with health literacy. Another significant factor was had good level of health knowledge (adj.OR= 1.86; 95%CI: 1.30-2.66) when control clustering effect of region, provinces, school and classroom size. CONCLUSION: More than eighty five percent of children ages 9-10 years in Thailand had adequate and excellence levels of health literacy. Sociocultural and health knowledge had influence on children health literacy.  
     Keyword Keywords: Health literacy, Children ages 9-10 years old, Sociocultural, Health knowledge. 
Author
617110016-7 Miss NOPPARAT SENAHAD [Main Author]
Public Health Doctoral Degree

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