Health Literacy and Health Behaviors of University Staff in Thailand: A Causal Mediation Analysis

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Nopporn Chantaranamchoo
Apinya Pateepairor
Nuanphun Wongsa-ard
Phanthida Laophungsak
David Dwayne Perrodin

Abstract

Background/problem: Health literacy and adopting healthy behaviors are essential components for university staff to sustain their well-being, improve productivity, avert illness, and cultivate a supportive, health-oriented workplace atmosphere.


Objective/purpose: This study seeks to investigate the causal determinants influencing the health literacy and health behavior of staff at universities in Thailand.


Design and Methodology: Cluster sampling was employed, using a quantitative research design, involving 320 university personnel in Thailand. The research tools used were questionnaires. Data analysis was carried out using descriptive statistics and component-based structural equation modeling.


Results: Results of the study demonstrated that 1) health empowerment positively effects both health literacy (β = .60, p < .001) and health behavior (β = .39, p < .001); 2) social support has a positive effect on health literacy (β= .28, p < .001) and health behavior (β = .11, p = .04), and 3) health literacy positively effects on health behavior (β = .38, p < .001). The factor loadings of all observed variables were significantly different from zero at a statistical significance. Health empowerment and health literacy exhibit a statistically significant indirect effect on health behavior through health literacy (β = .23, p < .001), suggesting that health literacy serves as a partial mediator.


Conclusion and Implications: This study highlights the effect of health literacy on health behavior and finds that health empowerment is a crucial factor in promoting health behavior. Recommendations from this research suggest promoting health literacy and empowering university staff to effectively use health information to make informed decisions.

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Chantaranamchoo, N., Pateepairor, A., Wongsa-ard, N., Laophungsak, P., & Perrodin, D. D. (2025). Health Literacy and Health Behaviors of University Staff in Thailand: A Causal Mediation Analysis. The Journal of Behavioral Science, 20(1), 47–60. retrieved from https://so06.tci-thaijo.org/index.php/IJBS/article/view/274731
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Research Articles

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