Factors Influencing 3E3R Health Behavior among People in Phitsanulok Province

Abstract

            This predictive correlational study aimed to study the factors influencing 3E3R health behavior among people in Phitsanulok Province. The population consisted of 621,869 residents of Phitsanulok Province. The sample size was determined using the population mean estimation formula, resulting in 595 individuals selected through multistage sampling. Data were collected using questionnaires and analyzed with descriptive statistics and stepwise multiple regression analysis.
          The findings revealed that health literacy regarding the 3E3R principles was at a moderate level (78.3%). Specifically, knowledge and understanding of health under the 3E3R principles were at a low level (46.1%), access to health service information was at a low level (69.6%), health communication regarding the 3E3R principles was at a low level (52.1%), self-management based on the 3E3R principles was at a low level (66.1%), media and information literacy under the 3E3R principles was at a moderate level (79.3%), decision-making regarding adherence to the 3E3R principles was at a low level (36.6%), and health behaviors following the 3E3R principles were at a moderate level (64.4%). The factors influencing 3E3R health behavior among people included health communication regarding the 3E3R principles, decision-making in adhering to the 3E3R principles, self-management under the 3E3R principles, non-smoking behavior, non-alcohol consumption, gender, and age. These seven predictive variables collectively explained 37.5% of the variance in 3E3R health behavior, with statistical significance at the 0.05 level.
         Therefore, relevant agencies should promote health literacy regarding the 3E3R principles and encourage people to adopt appropriate 3E3R health behaviors.