Prevalence and factors associated with limited hypertensive health literacy among Myanmar migrant workers in Northeastern Thailand

Health literacy among Myanmar migrant workers

Authors

  • Wor Mi Thi MPH, Faculty of Public Health, Khon Kaen University
  • Dr. Kittipong Sornlorm Asst. Prof. Faculty of Public Health, Khon Kaen University, Thailand

Keywords:

Attitude, Education, Health literacy, Hypertension, Knowledge

Abstract

Background: Regarding hypertension, limited health literacy was considerably high worldwide. Although hypertensive health literacy in general population was explored by some studies, there was no study specific for it among Myanmar migrant workers in Thailand.

Objectives: Aimed to explore the prevalence of limited hypertensive health literacy and identify the associated factors among Myanmar migrant workers in Northeastern Thailand.

Method: A cross-sectional analytical study was conducted among Myanmar migrant workers with the age between completed 18 years to 59 years old in Khon Kaen Province, Northeastern Thailand from June 2023 to August 2023. Multistage random sampling procedure was applied to select 406 sample. A validated and reliable structured questionnaire was used to collect the data. Descriptive statistics and multiple logistic regression were used. The association between limited hypertensive health literacy and each statistically significant factor (p-value < 0.05) after controlling other covariates were described by adjusted odds ratio (AOR), 95% Confidence Interval (95% CI).

Results: Of 406 participants, the overall prevalence of limited hypertensive health literacy was 54% (95% CI: 49.20-59.11). Among the participants, 56% were male and 68% of them were married. Factors associated with limited hypertensive health literacy were pre-hypertension (AOR=1.83, 95% CI: 1.12-3.01), primary and below level of  education (AOR=2.26, 95% CI: 1.36-3.74), ≤48 months duration of stay in Thailand (AOR=2.24, 95% CI: 1.44-3.48), poor and fair level of knowledge (AOR=2.02, 95%CI: 1.20-3.42) and poor and fair level of attitude (AOR=2.61, 95%CI: 1.68-4.07).

Conclusion: More than half of the study population was limited in hypertensive health literacy. Educational status, duration of stay in Thailand, blood pressure, knowledge and attitude towards hypertension were associated with health literacy among Myanmar migrant population.  Thus, creating user-friendly resources and health programs for newcomers is essential to close health literacy disparities. Using multidisciplinary approach could be effective in promoting health literacy.      

References

Sorensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health. 2012;12:80,doi:10.1186/1471-2458-12-80

Organization WH. Health literacy development for the prevention and control of noncommunicable diseases: volume 4: case studies from WHO national health literacy demonstration projects. 2022,

WHO. Hypertension facts sheet 2021 [Available from: https://www.who.int/news-room/fact-sheets/detail/hypertension.

WHO. Report on National Survey of Diabetes Mellitus and Risk Factors for Non-communicable Diseases in Myanmar. 2014,

Oliva RV. A review on the status of hypertension in six Southeast Asian Countries. 2019;5(2):58-60,

Rapsomaniki E, Timmis A, George J, Pujades-Rodriguez M, Shah AD, Denaxas S, et al. Blood pressure and incidence of twelve cardiovascular diseases: lifetime risks, healthy life-years lost, and age-specific associations in 1·25 million people. Lancet. 2014;383(9932):1899-911,doi:10.1016/s0140-6736(14)60685-1

Weldegiorgis M, Woodward M. The impact of hypertension on chronic kidney disease and end-stage renal disease is greater in men than women: a systematic review and meta-analysis. BMC Nephrology. 2020;21(1):506,doi:10.1186/s12882-020-02151-7

Jung H, Yang P-S, Kim D, Jang E, Yu HT, Kim T-H, et al. Associations of hypertension burden on subsequent dementia: a population-based cohort study. Scientific Reports. 2021;11(1):12291,doi:10.1038/s41598-021-91923-8

Sorensen K, Pelikan JM, Rothlin F, Ganahl K, Slonska Z, Doyle G, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Public Health. 2015;25(6):1053-8,doi:10.1093/eurpub/ckv043

Sørensen K, Van den Broucke S, Pelikan JM, Fullam J, Doyle G, Slonska Z, et al. Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q). 2013;13:1-10,

Nutbeam D, Lloyd JE. Understanding and Responding to Health Literacy as a Social Determinant of Health. Annu Rev Public Health. 2021;42:159-73,doi:10.1146/annurev-publhealth-090419-102529

Borges FM, Silva ARVd, Lima LHdO, Almeida PCd, Vieira NFC, Machado ALG. Health literacy of adults with and without arterial hypertension. 2019;72:646-53,

Lovrić B, Placento H, Farčić N, Lipič Baligač M, Mikšić Š, Mamić M, et al. Association between Health Literacy and Prevalence of Obesity, Arterial Hypertension, and Diabetes Mellitus. Int J Environ Res Public Health. 2022;19(15),doi:10.3390/ijerph19159002

Kimura N, Kobayashi T. Association of health literacy with hypertension, diabetes, and dyslipidemia: A cross-sectional survey of a regional Japanese community. 2020;67(12):871-80,

Nan-Kyi-Shwe, Laohasiriwong W. Health literacy and hypertension among middle and elderly aged population in Myanmar: A cross-sectional study. 2022,

Mohd Isa D, Shahar S, He FJ, Majid HA. Associations of Health Literacy with Blood Pressure and Dietary Salt Intake among Adults: A Systematic Review. Nutrients. 2021;13(12),doi:10.3390/nu13124534

Shi D, Li J, Wang Y, Wang S, Liu K, Shi R, et al. Association between health literacy and hypertension management in a Chinese community: a retrospective cohort study. Intern Emerg Med. 2017;12(6):765-76,doi:10.1007/s11739-017-1651-7

Rajah R, Hassali MAA, Murugiah MK. A systematic review of the prevalence of limited health literacy in Southeast Asian countries. Public Health. 2019;167:8-15,doi:10.1016/j.puhe.2018.09.028

Keller DL, Wright J, Pace HAJAoP. Impact of health literacy on health outcomes in ambulatory care patients: a systematic review. 2008;42(9):1272-81,

Alhamidi SA, Alyousef SM. Health Literacy of Migrant Workers in Saudi Arabia: A Cross-sectional Survey. 2022;7(10):67,

Medina P, Maia AC, Costa A. Health Literacy and Migrant Communities in Primary Health Care. Front Public Health. 2021;9:798222,doi:10.3389/fpubh.2021.798222

Shrestha A, Singh SB, Khanal VK, Bhattarai S, Maskey R, Pokharel PKJHHLR, et al. Health literacy and knowledge of chronic diseases in Nepal. 2018;2(4):e221-e30,

Costa ACd, Conceição APd, Butcher HKJRL-AdE. Factors that influence health literacy in patients with coronary artery disease. 2023;31:e3878,

Organization IL. TRIANGLE in ASEAN Quarterly Briefing Note Thailand. 2023,

Hsieh FY, Bloch DA, Larsen MDJSim. A simple method of sample size calculation for linear and logistic regression. 1998;17(14):1623-34,doi:10.1002/(sici)1097-0258(19980730)17:14<1623::aid-sim871>3.0.co;2-s.

Pelikan J, Ganahl K, Van den Broucke S, Sørensen K. Measuring health literacy in Europe: Introducing the European Health Literacy Survey Questionnaire (HLS-EU-Q).10.51952/9781447344520.ch0082019. p. 115-38.

Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). 2015;25(6):1053-8,

Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo Jr JL, et al. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. 2003;42(6):1206-52,

Garcia-Codina O, Juvinya-Canal D, Amil-Bujan P, Bertran-Noguer C, Gonzalez-Mestre MA, Masachs-Fatjo E, et al. Determinants of health literacy in the general population: results of the Catalan health survey. BMC Public Health. 2019;19(1):1122,doi:10.1186/s12889-019-7381-1

Kosiyaporn H, Julchoo S, Sinam P, Phaiyarom M, Kunpeuk W, Pudpong N, et al. Health Literacy and Its Related Determinants in Migrant Health Workers and Migrant Health Volunteers: A Case Study of Thailand, 2019. Int J Environ Res Public Health. 2020;17(6),doi:10.3390/ijerph17062105

Downloads

Published

16-01-2024

How to Cite

1.
Thi WM, Sornlorm K. Prevalence and factors associated with limited hypertensive health literacy among Myanmar migrant workers in Northeastern Thailand: Health literacy among Myanmar migrant workers. IJPHAP [Internet]. 2024 Jan. 16 [cited 2024 Feb. 22];2(3):49-60. Available from: https://ijphap.com/index.php/home/article/view/44

Issue

Section

Original Article

Categories