KUMJ | VOL. 18 | NO. 4 | ISSUE 72 | OCT.-DEC. 2020
The Influence of Health Literacy, Social Capital and Health Status on Quality of Life of Laotian Migrant Workers in the Northeast of Thailand
Piyawatchwela S, Laohasiriwong W
Abstract: Background
Thailand has been a key destination country for labor migrants from Lao PDR due to
its higher economic development level.
Objective
To determine the level of quality of life as well as influence of health literacy, social
capital and health status on quality of life of Laotian migrant workers in the Northeast
of Thailand.
Method
This cross sectional study was conducted among 1,477 Laotian migrant workers. The
multistage random sampling method was applied to select the study respondents
from eight provinces of the Northeast of Thailand. A structured questionnaire
interview was applied to collect required information. A generalized linear mixed
model was performed to identify the influence of health literacy, social capital
and health status on quality of life of Laotian migrant workers in the Northeast of
Thailand.
Result
Among the total of 1,477 Laotian migrant workers, 37.78% (95% CI: 35.30-40.31)
of the respondents had good quality of life while 61.1% (95% CI: 58.59-63.63) had
fair level of quality of life. Factors that were significantly associated with having
good quality of life of Laotian migrant workers were; had high level of social capital
(adj. OR=3.55;95% CI: 2.62-4.83), high level of health literacy on access to health
information, communication skills, self-management, media literacy and decision
making skills literacy (adj. OR= 2.33;95% CI: 1.69-3.23), high level of cognitive health
literacy (adj.OR=1.77; 95% CI:1.28-2.45), low to moderate levels of stress (adj.
OR=2.12;95% CI:1.49-3.02), not depressed (adj. OR=4.05;95% CI:1.96-8.41) and
physically healthy (adj.OR=1.71;95% CI:1.12-2.62). Other significant covariates were
socioeconomic status including family size, accommodation, financial status, and
migration conditions.
Conclusion
More than one-third of Laotian migrant had good quality of life. Quality of life was
better among those with high social capital, high level of health literacy, good mental
and physical health status, better socioeconomic status, and proper migration
conditions.
Keyword : Health literacy, Health status, Laotian migrant workers, Social capital, Quality of life