ArticleHealth literacy research and practice2026
A Structural Model Linking Health Literacy to Quality of Life in Thai Adults.
Article in Health literacy research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundSeveral factors affect Quality of Life (QoL) such as health literacy, health behaviors, and mental health.
objectiveThis quantitative study examined the relationships between health literacy (HL), health behaviors (HB), mental health (MH), and QoL among Thailand's working-age population.
methodsA total of 360 individuals were selected using multistage sampling. Seven of 13 health regions were randomly chosen, followed by random selection of one province, district, and agency per region. Participants age 15 to 59 years were purposively recruited. Data were collected from December 2024 to January 2025 by using four questionnaires consisting of HL, HB, MH, and QoL (rating scale 1 to 5). Structural equation modeling (SEM) was used for data analysis. KEY
resultsMost participants demonstrated excellent health literacy (78.06%) and QoL (48.89%), with good HB (Mean = 3.82) and MH (Mean = 3.95). SEM showed HB and MH had significant direct positive effects on QoL (
conclusionThese findings suggest two potential pathways for improving QoL among working-age Thais: directly enhancing MH and HB to prevent illness or promoting HL to indirectly improve health outcomes. Health care providers should develop programs targeting these factors, with particular emphasis on MH given its stronger influence.
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