KUMJ | VOL. 22 | NO. 3 | ISSUE 87 | JULY-SEPTEMBER 2024
Health Promotion of Ottawa Charter and Factors Associated with Quality of Life among Thai Monks
Janthapan S, Sornlorm K, Laohasiriwong W, Nutravong T, Muntaphan S, Nawawonganun R, Aunthakot K
Abstract: Background
Health care is a significant health concern among monks, who are a special group
that is different from the normal population in terms of access to the health care
service system.
Objective
This study aimed to expose the prevalence of quality of life (QOL) and the association
between health promotion and the quality of life of monks in the northeast of
Thailand.
Method
This cross-sectional analytical research was conducted among monks in the
northeast of Thailand. Of these, 420 samples were selected using the multi-stage
random sampling method. The generalized linear mixed model was used to identify
the association between health promotion, health literacy, and quality of life in the
northeast of Thailand.
Result
The results found that 55.24% of the monks had health check-ups, and the prevalence
of good quality of life was 49.05 (95% CI: 44.27–53.84). Good quality of life was
associated with good implementation of the Ottawa Charter of Health Promotion
(AOR = 5.35; 95% CI 3.42-8.36; p-value < 0.001) and adequate to excellent health
literacy (AOR = 1.77; 95% CI 1.04-3.03; p-value = 0.034). Furthermore, low stress
(AOR = 2.36; 95% CI = 1.07-5.20; p-value = 0.032) and low depressive symptoms (AOR
= 2.32; 95% CI = 1.06-5.10; p-value = 0.036) have been associated with improved
quality of life.
Conclusion
Almost half of the monks had a good quality of life. The major factors that determined
the good quality of life were health promotion in the Ottawa Charter, health literacy,
stress, and depression. Therefore, health policymakers could emphasize the principle
of the Ottawa Charter, health literacy in monks, which will be attributed to other
health promotions.
Keyword : Health literacy, Health promotion, Mental health, Ottawa charter, Quality of life, Thai Monks
