Health Literacy and Preventive Behaviors towards COVID-19 among Village Health Volunteers and Residents in Urban and Rural Areas of Upper Southern Thailand

Wanvisa Saisanan Na Ayudhaya (), Chamnong Thanapop, Paleeratana Wongrith, Sriprapa Loonlawong, Pussadee Laor and Rohmatul Fajriyah
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Wanvisa Saisanan Na Ayudhaya: Department of Community Public Health, School of Public Health, Walailak University, 222 Thaiburi Sub-District, Thasala District, Nakhon Si Thammarat 80160, Thailand
Chamnong Thanapop: Department of Community Public Health, School of Public Health, Walailak University, 222 Thaiburi Sub-District, Thasala District, Nakhon Si Thammarat 80160, Thailand
Paleeratana Wongrith: Department of Community Public Health, School of Public Health, Walailak University, 222 Thaiburi Sub-District, Thasala District, Nakhon Si Thammarat 80160, Thailand
Sriprapa Loonlawong: Regional Health Promotion Center 9, Nakhon Ratchasima, 177 Moo 6 Khok-kruad Sub-District, Muang District, Nakhon Ratchasima 30280, Thailand
Pussadee Laor: Department of Environmental Health, School of Health Science, Mae Fah Luang University, 333 Thasud Sub-District, Mueang District, Chiang Rai 57100, Thailand
Rohmatul Fajriyah: Department of Statistics, Universitas Islam Indonesia, Jl. Kaliurang km. 14, 5 Sleman, Yogyakarta 55584, Indonesia

Social Sciences, 2023, vol. 12, issue 7, 1-17

Abstract: This study aimed to assess health literacy (HL), preventive behaviors (PBs), and the factors associated with PBs toward COVID-19 among village health volunteers (VHVs) and residents in urban and rural areas in the upper south of Thailand. A cross-sectional study was conducted using valid questionnaires administered using an online platform. Data were analyzed using descriptive statistics, t -tests, and binary logistic regression analysis. A total of 846 people participated in this study, and 62.8% of participants had an adequate level of HL. Furthermore, 55.0% of participants had an adequate level of PBs. Among VHVs, PB levels were adequate, whereas among residents, they were inadequate. Moreover, among VHVs, underlying diseases (adjusted odds ratio (OR): 1.77, 95% CI: 1.13–2.76), access to HL (adjusted OR: 4.28, 95% CI: 1.42–12.88), appraisal of HL (adjusted OR: 3.09, 95% CI: 1.90–5.02), and application of HL (adjusted OR: 2.51, 95% CI: 1.52–4.12) were associated with COVID-19 PB. Additionally, among residents, only marital status (adjusted OR: 1.59, 95% CI: 1.04–2.44), appraisal of HL (adjusted OR: 1.78, 95% CI: 1.18–2.84), and application of HL (adjusted OR: 3.85, 95% CI: 2.39–6.20) were associated with PBs towards COVID-19. Furthermore, individuals with inadequate HL demonstrated noteworthy significance in all dimensions of PBs. To prioritize and optimize preventive programs aimed at enhancing PBs, the government must take proactive initiatives in implementing robust health communication strategies across diverse media platforms, both in the present and future.

Keywords: village health volunteers; community residents; health literacy; COVID-19; rural; urban (search for similar items in EconPapers)
JEL-codes: A B N P Y80 Z00 (search for similar items in EconPapers)
Date: 2023
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