Publication:
Multi-group Causal Model of Health Literacy and Behaviors on Family Well-being among Thai Adults at Risk of Non-Communicable Diseases (NCDs)

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Issued Date

2018

Resource Type

Article

File Type

application/pdf

ISSN

22287809

Other identifier(s)

2-s2.0-85061153063

Rights Holder(s)

มหาวิทยาลัยศรีนครินทรวิโรฒ

Bibliographic Citation

Journal of research in health sciences. Vol 18, No.4 (2018), p.e00429-

Suggested Citation

Intarakamhang U., Macaskill A. Multi-group Causal Model of Health Literacy and Behaviors on Family Well-being among Thai Adults at Risk of Non-Communicable Diseases (NCDs). Journal of research in health sciences. Vol 18, No.4 (2018), p.e00429-. Retrieved from: https://hdl.handle.net/20.500.14740/5841

Title

Multi-group Causal Model of Health Literacy and Behaviors on Family Well-being among Thai Adults at Risk of Non-Communicable Diseases (NCDs)

Author(s)

Intarakamhang U.
 Macaskill A.

Abstract

BACKGROUND: We aimed to develop a causal model of family well-being with health literacy (HL) as a mediator and to compare models between male and female spouses in urban and rural communities. STUDY DESIGN: A cross-sectional study. METHODS: The samples included 2000 spouses at risk of non-communicable diseases (NCDs) by stratified randomly sampled in 2018. Data were collected Likert questionnaires with reliability of 0.79-0.93, and analyzed via confirmatory factor analysis (CFA), and multi-group structural equation modeling (MSEM). RESULTS: A causal model for the overall group was consistent with the data. Causal factors had direct effects on health behavior including social norms, positive attitude toward health, psychological capital, and HL (β=0.11, 0.14, 0.30, and 0.41, P<0.05 respectively). Health behavior and positive attitudes towards health had direct effects on family well-being (β=0.36 and 0.42, P<0.05, respectively). All factors could predict health behavior and family well-being with variance of 70% and 50%. Invariance analysis of models showed no difference between male and female spouses. In addition, the mean comparison of latent variables showed that the positive attitudes towards health were lower in women than men. HL and positive attitudes towards health of spouses in urban were lower than in rural communities. CONCLUSION: Thai adult families in cities were at higher risk with NCDs. Therefore, health providers need to address HL and positive attitude toward health which were the main causal factors.

Subject(s)

Adult
 Attitude
 City
 Comparative study
 Cross-sectional study
 Family
 Female
 Health behavior
 Health literacy
 Human
 Male
 Middle aged
 Non communicable disease
 Psychology
 Quality of life
 Questionnaire
 Risk factor
 Rural population
 Sex factor
 Social norm
 Spouse
 Thailand
 Theoretical model
 Urban population
 Adult
 Attitude
 Cities
 Cross-Sectional Studies
 Family
 Female
 Health Behavior
 Health Literacy
 Humans
 Male
 Middle Aged
 Models, Theoretical
 Noncommunicable Diseases
 Quality of Life
 Risk Factors
 Rural Population
 Sex Factors
 Social Norms
 Spouses
 Surveys and Questionnaires
 Thailand
 Urban Population

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URI

https://hdl.handle.net/20.500.14740/5841

Collections

Scopus: Year 1983-2021

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