The Factors Influencing Health Literacy of Elderly Caregivers in Phitsanulok Province
Keywords:
attitudes, Caregivers, elderly, health literacy, social supportAbstract
Long-term caregivers for the elderly require health literacy to effectively care for dependent older adults in the community. This cross-sectional analytical study aimed to investigate factors influencing health literacy among elderly caregivers in Phitsanulok Province. The sample consisted of 327 elderly caregivers selected through multi-stage sampling. Data were collected between June and July 2024 using a questionnaire with five parts: personal factors, knowledge of elderly healthcare, attitudes toward elderly healthcare, social support, and health literacy of elderly caregivers. The instrument’s content validity ranged from 0.67 to 1.00. The knowledge section’s reliability (KR-20) was 0.56, and the Cronbach’s alpha coefficients for attitudes, social support, and health literacy were 0.70, 0.89, and 0.90, respectively. Data were analyzed using descriptive statistics and stepwise multiple linear regression. The results revealed that overall health literacy among elderly caregivers was at a high level. Social support (β=.45, p<.001) and attitudes toward elderly healthcare (β=.15, p=.003) together predicted 27.5% of the variance in health literacy among elderly caregivers (R2=.275, p<.001). Therefore, to promote and enhance health literacy among elderly caregivers, emphasis should be placed on providing social support and fostering positive attitudes toward elderly healthcare.
References
Department of Elderly Affairs. Situation and trends of the Thai aging society 2022. Bangkok: Amarin Corporation Public Company Limited; 2023. (in Thai).
Health Center No. 2 Phitsanulok. Elderly demographics. [internet]. 2024 [cited 5 Feb 2024]. Available from: https://hpc2service.anamai.moph.go.th/ltcdata/oldperson.php (in Thai).
Health Center No. 2 Phitsanulok. LTC Subdistrict passed the criteria of the National Health Security Office, Region 2, Phitsanulok as of September 30, 2022. [internet]. 2024 [cited 5 Feb 2024]. Available from: https://hpc2service.anamai.moph.go.th/ltcdata/ltc.php. (in Thai).
Office of the Promotion and Protection of the Elderly. A guide to the rights of the elderly under the Elderly Persons Act B.E. 2546 (2003). (7thed.). Bangkok: Office of the Promotion and Protection of the Elderly, 2010. (in Thai).
Srihaphak S, Chuengsatiansup K, Tengrang K. Research report on the impact and burden of long-term care for the elderly under Thai culture. Nonthaburi: Health Systems Research Institute, 2013. (in Thai).
Department of Elderly Affairs, Ministry of Social Development and Human Security. Measures to drive the national agenda on aging society (revised edition). (2nded.). Bangkok: Amarin Printing and Publishing Public Company Limited, 2019. (in Thai).
Prayoonwong N. Trend situation and health promotion of elderly bedridden people in Thailand.
Journal of Public Health and Innovation. 2022;2(2):14-25. (in Thai).
Yuen EYN, Knight T, Ricciardelli LA, Burney S. Health literacy of caregivers of adult care recipients: A systematic scoping review. Health Soc Care Community. 2018;26(2):e191-e206. doi: 10.1111/hsc.12368.
Selvi Sarıgül S, Ürek D, Uğurluoğlu Ö. The effect of caregivers’ health literacy levels on the quality of life and self-care of patients with heart failure. Geriatr Nurs. 2024;60:491-496. doi:10.1016/j.gerinurse.2024.10.015.
Choomyen S, Wanaratwichit C. Factors influencing role performance among the caregivers forcaring of the dependent elderly people in Uttaradit Province. Journal of Phrapokklao Nursing College, Chanthaburi. 2023;34(1):158-171. (in Thai).
Nampan J, Auemaneekul N, Kalampakorn S. Factors Influencing Job Performance Among Trained Caregivers for Caring Dependent Elderly in Bangkok. The Journal of Faculty of Nursing Burapha University. 2020;28(3):41-52. (in Thai).
Division of Health Education, Department of Health Service Support, Ministry of Public Health. Strengthening and evaluating health literacy and health behaviors. Bangkok: New Thammada Printing Co., Ltd; 2016. (in Thai).
Sangkhaphong A, Toonsiri C, Lawang W. Factors Influencing Health Literacy among Family Caregivers of Chronic Disease Patients in Community. Journal of Nursing and Health Care. 2019;37(2):55-62. (in Thai).
Pechsombat S, Wattanaburanon A, Sangjun S, Thongnopakun S. Association betweeen health literacy with social support and dependent elderly care of caregivers in sa kaeo province. Journal of Environmental Education Medical and Health. 2025;10(4):360-369. (in Thai).
Boonmun T. Factors affecting to health literacy among village health volunteers in Sukhothai Province [Master thesis]. Phitsanulok: Naresuan University; 2021. (in Thai).
Nutbeam D. The evolving concept of health literacy. Soc Sci Med. 2008;67(12):2072-8. doi: 10.1016/j.socscimed.2008.09.050.
Edwards M, Wood F, Davies M, Edwards A. The development of health literacy in patients with a long-term health condition: The health literacy pathway model. BMC Public Health. 2012;12(1):1-15. doi: 10.1186/1471-2458-12-130.
Daniel W. W, Ross C. L. Biostatistics: A foundation of analysis in the health sciences. (6thed.). John Wiley & Sons; 1995.
Bloom S. Human characteristics and school learning. New York: McGraw-Hill; 1976.
Best J. W. Research in education. (3rded.). New Jersey: Prentice hall; 1977.
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้