Health Literacy and COVID-19 Preventive Behaviors among the Working-Age Population in Nakhon Ratchasima Province


  • Nathakon Nilnate Faculty of Nursing and Allied Health Sciences, Phetchaburi Rajabhat University
  • Suksiri Prasomsuk Faculty of Nursing and Allied Health Sciences, Phetchaburi Rajabhat University, Phetchaburi
  • Nakarin Prasit Faculty of Public Health Khon Kaen University
  • Penwipa Nilnate Health Service Support Center 6, department of health service support ministry of public health of Thailand
  • Nuttapol Yotha Phon District Public Health Office, Khon Kaen Province
  • Krittiyanee Thammasarn Faculty of Public Health, Vongchavalitkul University



Health literacy, COVID-19 preventive behaviors, Working-age population


Coronavirus disease 2019 is an emerging disease. At present, this disease has been spreading out all over the world, including in Thailand. It caused morbidity and mortality among large populations. For that reason, health literacy and COVID-19 preventive behaviors are crucial tasks. This cross-sectional study aimed at investigating association of health literacy with COVID-19 preventive behaviors among the 585 working-age population in Nakhon Ratchasima Province using multi-stage sampling. The questionnaire’s manipulation collected data. The inferential statistics were analyzed using multiple logistic regression and were presented with the correlation sizes shown as an adjusted odds ratio and 95%CI. The results revealed that the Nakhon Ratchasima Province's working-age population had an overall health literacy at insufficient level of 31.62%, a COVID-19 preventive behaviors moderate level of 54.70%, and the factors associated with a high level of COVID-19 preventive behaviors were statistically significant (p <.05): composed accessibility skills (ORadj. = 2.06, 95%CI: 1.34-3.56), decision skills (ORadj. = 1.69, 95%CI: 1.20-2.87), and applied skills (ORadj. = 2.48, 95%CI: 1.66-3.94). As a result, the related public health agencies should recognize the significance of promoting health literacy, especially accessibility skills, decision skills, and applied skills in conjunction with social distancing and reducing exposure to high-risk areas to prevent disease and reduce morbidity and mortality rates.


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Department of Disease Control, Ministry of Public Health. Coronavirus disease 2019 situation report. [Internet]. 2021 [Cited in 10 December, 2021]. Available from:

Department of Disease Control, Ministry of Public Health. Manual of public health officials in case of emergency response to the outbreak of coronavirus disease 2019 in Thailand. [Internet]. 2020 [Cited in 19 December, 2021]. Available from:

Ahmad AR, Murad HR. The impact of social media on panic during the COVID-19 pandemic in Iraqi Kurdistan: an online questionnaire study. Journal of Medical Internet Research 2020; 22(5): e19556.

Weerakhachon P, Kwanpichit C, Nawsuwan K, Singweratham N. Perception and Preventive Behavior son of the Coronavirus Disease-2019 (COVID-19) among Personnel in Medical Operations at Southern Border Provinces Medical Center. Thai Journal of Public Health and Health Sciences 2020; 3(3): 106-117. (In Thai)

Choeisuwan V. Health Literacy: Concept and Application for Nursing Practice. Royal Thai Navy Boonsatean W, Reantippayasakul O. Health Literacy: Situation and Impacts on Health Status of the Older Adults. Journal of Nursing and Health 2020; 2(1): 1-19. (In Thai)

Intarakamhang U. Creating and Developing of Thailand Health Literacy Scales. (First edition). Bangkok: Department of Health Service Support, Ministry of Public Health, 2017. (In Thai)

Phansuma D, Boonruksa P. Knowledge, Attitudes, and Preventive Behaviors of COVID-19 among Residents in Pru Yai Sub-district, Muang District, Nakhon Ratchasima Province. Srinagarind Med J 2021; 36(5): 597-604. (In Thai)

Moonti J. Factors Influencing Preventive Behavior of Coronavirus Disease 2019 Among Village Health Volunteers in Kong Krailat District, Sukhothai Province. DPC 9 Journal 2021; 27(2): 5-14. (In Thai)

Nakhon Ratchasima Provincial Statistical Office. Survey to working conditions of the population in Nakhon Ratchasima Province, 1st quarter: January - March 2020. (First edition). Nakhon Ratchasima Provincial: Nakhon Ratchasima Provincial Statistical Office, 2020. (In Thai)

Nakhon Ratchasima Provincial Public Health Office. Coronavirus situations report 2019, Nakhon Ratchasima province. (First edition). Nakhon Ratchasima Provincial: Nakhon Ratchasima Provincial Public Health Office, 2021. (In Thai)

World Health Organization. WHO director general’s opening remarks at the media briefing on COVID-19 [Internet]. 2020. [Cited in 20 December, 2021]. Available from:

Likert R. The Method of Constructing and Attitude Scale. Attitude Theory and Measurement. Fishbeic, Martin, Ed. New York: Wiley & Son, 1967.

Okan O, Bollweg TM, Berens EM, Hurrelmann K, Bauer U, Schaeffer D. Coronavirus-Related Health Literacy: A Cross-Sectional Study in Adults during the COVID-19 Infodemic in Germany. Int. J. Environ. Res. Public Health. 2020 17: 5503.

Morasakul B, Punthasee P. Knowledge and Prevention Behaviors Regarding COVID-19 among the First-Year Nursing Students of Saint Theresa International College and Saint Louis College. Regional Health Promotion Center 9 Journal 2021; 15(37): 179-195. (In Thai)

Karoonngamphan M, Suvaree S, Numfone N. Health Behaviors and Health Status of Workers: A Case Study Of Workplaces In Sathorn District, Bangkok Metropolitan: Songklanagarind Nursing Journal 2012; 32(3): 51-64. (In Thai)

Chotchai T, Seedaket S, Taearak K, Panyasong S, Buajun A. Factors Related to Health Literacy in Prevention of Hypertension among Group at Risk in Samran Sub-District, Muaeng District, Khon Kaen Province. The Southern College Network Journal of Nursing and Public Health 2020; 7(1): 45-56. (In Thai)

Undara W. The Study of Health Status and Health Behaviors of People in Baan Aur-Arthorn Community Bangkhen (Klong Thanon). Royal Thai Navy Medical Journal 2018; 45(1): 121-138. (In Thai)

Khumsaen N. Knowledge, Attitudes, and Preventive Behaviorsof COVID-19 among People Livingin AmphoeU-thong, Suphanburi Province. Journal of Prachomklao College of Nursing, Phetchaburi Province 2021; 4(1): 33-48. (In Thai)

Thongtip B. Coronavirus Disease 2019 (COVID-19). Problems And Leadership Potential for New Normal Organization Development. Journal of Social Science and Buddhistic Anthropology 2020; 5(11): 434-447. (In Thai)

Nutbeam D. Health literacy as a public health goal: A challenge for contemporary health education and ommunication strategies into the 21stcentury. Health Promotion International 2000; 15(3): 259-267.

Yaowakul D, Abdullakasim P, Maharachpong N. Health literacy on coronavirus disease 2019 prevention behaviors of village health volunteers in region 6 health provider. Research and Development Health System Journal 2022; 15(1): 257-272. (In Thai)

Chapakiya F, Yalor M, Cua Ngoc Le, Kaewsawat S. Information Exposure, Perceived Susceptibility and Preventive Behaviors Relating to Coronavirus Disease 2019 among People Living in Nakhon Si Thammarat Province. Journal of the Health Education Professional Association 2020; 35(2): 49-58. (In Thai)

Konsnan W, Poum A. Health Literacy Associated with Preventing and Controlling Behavior of Dengue Hemorrhagic Fever among Village Health Volunteers in Nong Yai Sub-District, Prasat District, Surin Province. Journal of Health Science and Community Public Health 2020; 3(1): 35-44

HLS-EU Consortium. Comparative report on health literacy in eight EU member states [Internet]. The European Health Literacy Survey HLS-EU; 2012. [cited 2022 Mar 12]. Available from:

Doloh O, Seng A, Kaewsawat S, Khammaneechan P, Waeyeng D. Threat Perception on dengue fever among students living in on-campus dormitory at a university in southern region of Thailand. Journal of Graduate School 2020; 16(75): 118-123. (In Thai)




How to Cite

Nilnate N, Prasomsuk S, Prasit N, Nilnate P, Yotha N, Thammasarn K. Health Literacy and COVID-19 Preventive Behaviors among the Working-Age Population in Nakhon Ratchasima Province. Health Sci J Thai [Internet]. 2022 Sep. 27 [cited 2023 Dec. 6];4(4):10-8. Available from:



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