Intarakamhang Ungsinun, Intarakamhang Patrawut
Behavioral Science Research Institute, Srinakharinwirot University, Bangkok, Thailand.
Department of Physical Medicine and Rehabilitation, Phramongkutklao College of Medicine and Hospital, Bangkok, Thailand.
J Res Health Sci. 2017 Jan 28;17(1):e00368.
WHO focuses on developing health literacy (HL) referring to cognitive and social skills. Our objectives were to develop a scale for evaluating the HL level of Thai childhood overweight, and develop a path model of health behavior (HB) for preventing obesity.
A cross-sectional study.
This research used a mixed method. Overall, 2,000 school students were aged 9 to 14 yr collected by stratified random sampling from all parts of Thailand in 2014. Data were analyzed by CFA, LISREL.
Reliability of HL and HB scale ranged 0.62 to 0.82 and factor loading ranged 0.33 to 0.80, the subjects had low level of HL (60.0%) and fair level of HB (58.4%), and the path model of HB, could be influenced by HL from three paths. Path 1 started from the health knowledge and understanding that directly influenced the eating behavior (effect sized - β was 0.13, P<0.05. Path 2 the health knowledge and understanding that influenced managing their health conditions, media literacy, and making appropriate health-related decision β=0.07, 0.98, and 0.05, respectively. Path 3 the accessing the information and services that influenced communicating for added skills, media literacy, and making appropriate health-related decision β=0.63, 0.93, 0.98, and 0.05. Finally, basic level of HL measured from health knowledge and understanding and accessing the information and services that influenced HB through interactive, and critical level β= 0.76, 0.97, and 0.55, respectively.
HL Scale for Thai childhood overweight should be implemented as a screening tool developing HL by the public policy for health promotion.
世界卫生组织致力于培养健康素养（HL），其涉及认知和社交技能。我们的目标是开发一个评估泰国儿童超重健康素养水平的量表，并构建一个预防肥胖的健康行为（HB）路径模型。
一项横断面研究。
本研究采用混合方法。2014年，通过分层随机抽样从泰国各地收集了2000名9至14岁的在校学生。数据采用验证性因子分析（CFA）、线性结构关系模型（LISREL）进行分析。
健康素养和健康行为量表的信度在0.62至0.82之间，因子载荷在0.33至0.80之间，研究对象的健康素养水平较低（60.0%），健康行为水平一般（58.4%），健康行为路径模型可能受到来自三条路径的健康素养影响。路径1从健康知识和理解开始，直接影响饮食行为（效应量-β为0.13，P<0.05）。路径2中，健康知识和理解影响其健康状况管理、媒体素养以及做出适当的健康相关决策，β分别为0.07、0.98和0.05。路径3中，获取信息和服务影响沟通以增加技能、媒体素养以及做出适当的健康相关决策，β分别为0.63、0.93、0.98和0.05。最后，从健康知识和理解以及获取信息和服务测量的健康素养基础水平通过互动影响健康行为，关键水平的β分别为0.76、0.97和0.55。
泰国儿童超重健康素养量表应作为一种筛查工具实施，通过公共卫生政策促进健康素养的发展。
