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The causal model of health literacy and health behavior for obesity prevention among primary school students in Bangkok, Thailand
Background: The aim of the study was to develop a research instrument to study the levels of health literacy for obesity prevention (HLFOP), as well as health behavior for obesity prevention (HBFOP). In addition, we investigated the causal model between health literacy and health behavior for obesit...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
F1000 Research Limited
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8822475/ https://www.ncbi.nlm.nih.gov/pubmed/35186279 http://dx.doi.org/10.12688/f1000research.26249.2 |
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author | Thongsong, Ladaporn Neranon, Wanida |
author_facet | Thongsong, Ladaporn Neranon, Wanida |
author_sort | Thongsong, Ladaporn |
collection | PubMed |
description | Background: The aim of the study was to develop a research instrument to study the levels of health literacy for obesity prevention (HLFOP), as well as health behavior for obesity prevention (HBFOP). In addition, we investigated the causal model between health literacy and health behavior for obesity prevention among primary school students in Bangkok, Thailand. Methods: A cross-sectional study among 600 participants who were primary school students (aged 9-13 years) was conducted. The participants were selected from schools in all parts of Bangkok using multi-stage random sampling technique. The research instrument to assess HLFOP and HBFOP, constructed by the researchers, were utilized for data collection. Data were analyzed using descriptive statistics, exploratory and confirmatory factor analyses, and structural equation model through linear structural relationship. Results: We found that HBFOP was directly influenced by heath literacy in the category of Critical Literacy with an effect size of 0.65 (p < 0.01), and was indirectly influenced in the category of Basic Literacy and Interactive Literacy through Critical Literacy with effect sizes of 0.46 and 0.58 (p<0.01), respectively. The model was consistent with the empirical data, with Chi-Square=13.68, df=7, p=0.05721, RMSEA (root mean square error of approximation)= 0.040, SRMR (standardized root mean square residual)= 0.017 NFI (normal fit index)=0.99, GFI (goodness of fit index)=0.99, and AGFI (adjusted goodness of fit index)=0.97. Conclusions: HLFOP was influential on HBFOP in primary school students in the Bangkok Metropolis. The categories that were particularly influential were: 1) Basic Literacy: accessing health information skills; 2) Interactive Literacy: communication skills; and 3) Critical Literacy: media literacy and self-management skills. |
format | Online Article Text |
id | pubmed-8822475 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | F1000 Research Limited |
record_format | MEDLINE/PubMed |
spelling | pubmed-88224752022-02-17 The causal model of health literacy and health behavior for obesity prevention among primary school students in Bangkok, Thailand Thongsong, Ladaporn Neranon, Wanida F1000Res Research Article Background: The aim of the study was to develop a research instrument to study the levels of health literacy for obesity prevention (HLFOP), as well as health behavior for obesity prevention (HBFOP). In addition, we investigated the causal model between health literacy and health behavior for obesity prevention among primary school students in Bangkok, Thailand. Methods: A cross-sectional study among 600 participants who were primary school students (aged 9-13 years) was conducted. The participants were selected from schools in all parts of Bangkok using multi-stage random sampling technique. The research instrument to assess HLFOP and HBFOP, constructed by the researchers, were utilized for data collection. Data were analyzed using descriptive statistics, exploratory and confirmatory factor analyses, and structural equation model through linear structural relationship. Results: We found that HBFOP was directly influenced by heath literacy in the category of Critical Literacy with an effect size of 0.65 (p < 0.01), and was indirectly influenced in the category of Basic Literacy and Interactive Literacy through Critical Literacy with effect sizes of 0.46 and 0.58 (p<0.01), respectively. The model was consistent with the empirical data, with Chi-Square=13.68, df=7, p=0.05721, RMSEA (root mean square error of approximation)= 0.040, SRMR (standardized root mean square residual)= 0.017 NFI (normal fit index)=0.99, GFI (goodness of fit index)=0.99, and AGFI (adjusted goodness of fit index)=0.97. Conclusions: HLFOP was influential on HBFOP in primary school students in the Bangkok Metropolis. The categories that were particularly influential were: 1) Basic Literacy: accessing health information skills; 2) Interactive Literacy: communication skills; and 3) Critical Literacy: media literacy and self-management skills. F1000 Research Limited 2021-12-21 /pmc/articles/PMC8822475/ /pubmed/35186279 http://dx.doi.org/10.12688/f1000research.26249.2 Text en Copyright: © 2021 Thongsong L and Neranon W https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Thongsong, Ladaporn Neranon, Wanida The causal model of health literacy and health behavior for obesity prevention among primary school students in Bangkok, Thailand |
title | The causal model of health literacy and health behavior for obesity prevention among primary school students in Bangkok, Thailand |
title_full | The causal model of health literacy and health behavior for obesity prevention among primary school students in Bangkok, Thailand |
title_fullStr | The causal model of health literacy and health behavior for obesity prevention among primary school students in Bangkok, Thailand |
title_full_unstemmed | The causal model of health literacy and health behavior for obesity prevention among primary school students in Bangkok, Thailand |
title_short | The causal model of health literacy and health behavior for obesity prevention among primary school students in Bangkok, Thailand |
title_sort | causal model of health literacy and health behavior for obesity prevention among primary school students in bangkok, thailand |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8822475/ https://www.ncbi.nlm.nih.gov/pubmed/35186279 http://dx.doi.org/10.12688/f1000research.26249.2 |
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