In Thailand, rabies is an endemic fatal viral zoonosis where 40% of those infected are under age 15. The aim of this rabies KAP study (Knowledge, Attitudes, and Practices) is to examine preventive behaviors. A multistage sampling technique was employed for selecting the sample. Of 290 primary school students, 52.1% of them had poor knowledge, 89% had favorable attitudes, and 52.1% exercised proper preventive behaviors. We employed structural equation modeling to verify the systemic relationships and found rabies knowledge (β = .157, se=.059, P = .008) and attitude (β = .206 se=.054, P < .001) were associated with rabies preventive behaviors. Moreover, children in school No.4 statistically had less adept at rabies prevention than others. (β = – .232, se=.054, P < .001). This study highlights the need to strengthen rabies education programs, especially for rabies risk situations among school-aged children.
Objectives: The aim of this study was to predict rabies protective behaviors (RPB) based on protection motivation theory (PMT) among fourth-grade students at schools in Chonburi Province, Thailand.Methods: This cross-sectional study was conducted from December 2020 to February 2021. A multistage sampling technique was used for sample selection. The questionnaire was divided into socio-demographic data and questions related to PMT and RPB. Descriptive statistical analysis was conducted using the EpiData program and inferential statistics, and the results were tested using the partial least squares model with a significance level of less than 5%.Results: In total, 287 subjects were included, of whom 62.4% were girls and 40.4% reported that YouTube was their favorite media platform. Most participants had good perceived vulnerability, response efficacy, and self efficacy levels related to rabies (43.9, 68.6, and 73.2%, respectively). However, 54.5% had only fair perceived severity levels related to rabies. Significant positive correlations were found between RPB and the PMT constructs related to rabies (β, 0.298; p<0.001), and the school variable (S4) was also a predictor of RPB (β, -0.228; p<0.001). Among the PMT constructs, self efficacy was the strongest predictor of RPB (β, 0.741; p<0.001).Conclusions: PMT is a useful framework for predicting RPB. Future RPB or prevention/protection intervention studies based on PMT should focus on improving self efficacy and response efficacy, with a particular focus on teaching students not to intervene with fighting animals. The most influential PMT constructs can be used for designing tools and implementing and evaluating future educational interventions to prevent rabies in children.
Background: This quasi-experimental study aimed to determine the effects of the ‘Our Love, Our Control’ online program on sexual health literacy and behaviors during the COVID-19 situation in Thailand from February 2020 to September 2021. Methods: Multistage sampling resulted in 37 and 34 participants in the experimental and control groups, respectively. Data were collected by a self-administered questionnaire. Descriptive statistics, Fisher’s exact test/Chi-square test, and independent t-test/Mann-Whitney test were used to determine differences in sociodemographic variables between the experimental and control groups. Repeated measures of ANCOVA were used to compare the mean and 95% confidence intervals of the adjusted variables. Results: From the results, adolescents who had sexual intercourse experience had statistically significant differences at the eighth week of score for behaviors (23.92; 95% CI: 16.56; 31.29), and at the eighth and at the twentieth week of score for sexual health literacy (43.55; 95% CI: 28.10; 59.00; and 19.35; 95% CI: 0.23; 38.48, respectively). However, adolescents who had no sexual intercourse experience had statistically significant differences only at the eighth week of score for sexual health literacy. (11.20; 95% CI: 3.79; 18.61). Conclusions: These findings present a useful practical program to prevent unintended pregnancy and sexually transmitted diseases, especially in sexually active adolescents.
Background: This study explored the association between sexual health literacy (SHL) and preventive behaviors of pregnancies and sexually transmitted diseases (STDs) among middle-school students during the COVID-19 outbreak to aid in the development of an informative program. Methods: Mixed-method study with stratified two-stage cluster sampling was used to obtain 730 students from 20 middle schools in a rural province of Thailand. Online self-administered questionnaire was used to collect data from February 2020 to February 2021. Two brainstorming sessions were conducted with a purposeful sample of 25 stakeholders. Multiple linear regressions were used to assess the relationships. Results: The associated significant factors with the preventive behaviors were sex (b=2.06, 95% CI: 1.07, 3.05), nightlife (b=-2.33, 95% CI: -3.99, -0.67), drinking alcoholic beverages (b=2.24, 95% CI: -3.24, -1.23), sexual intercourse experience (b=-2.64, 95% CI: -4.56, -0.72), and SHL (b=0.12, 95% CI: 0.08, 0.16). The stakeholders recommended an edutainment online program via Facebook. Conclusion: This study investigated factors associated with SHL and preventive behaviors among middle school students. The most effective variable in this model was SHL. Therefore, a trial of an online program emphasizing SHL improvement should be examined for effectiveness among these students and seems appropriate, considering their rural area context and middle-school status.
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