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Multi-group Causal Model of Mental Health Literacy and Helping Behavior Toward People at Risk of Depression Among Thai and Vietnamese Health Science Students
Anchalee Jansem, Ungsinun Intarakamhang, Charin Suwanwong, Krittipat Chuenphitthayavut, Sudarat Tuntivivat, Khuong Le, Le Thi Mai Lien, Pitchada Prasittichok
J Prev Med Public Health. 2025;58(3):241-249.   Published online January 13, 2025
DOI: https://doi.org/10.3961/jpmph.24.449
  • 5,751 View
  • 508 Download
  • 2 Web of Science
  • 2 Crossref
AbstractAbstract AbstractSummary PDF
Objectives
Depression affects 23.3% of Thai and 15.2% of Vietnamese health science students, rates that exceed the global average of 4.4%. This study compared the causal models of mental health literacy and helping behavior toward individuals at risk of depression between these 2 groups.
Methods
This cross-sectional study was conducted from April 2023 to October 2023 and included 422 students from Thailand and Vietnam, who were studying medicine, nursing, psychology, and physical therapy. Stratified random sampling was used to select 211 students from each country. Data collection was performed using a Likert scale, which showed total-item correlations ranging from 0.24 to 0.83 and Cronbach’s alpha values between 0.74 and 0.86. The data were analyzed using a structural equation model.
Results
The causal models were consistent with the empirical data. The helping behavior of students toward peers at risk of depression was significantly influenced by their mental health literacy (effect size [ES], 0.91). This influence was also mediated indirectly by self-efficacy (ES, 0.18), positive attitudes (ES, 0.29), and social support (ES, 0.77). Collectively, these factors accounted for 83% of the variance in helping behavior. Social support had a more pronounced effect on mental health literacy among Vietnamese students than among their Thai counterparts (ES, 0.46 vs. 0.27, p<0.05). Conversely, positive attitudes had a stronger influence among Thai students than among Vietnamese students (ES, 0.17 vs. 0.01, p<0.05).
Conclusions
The causal models of helping behavior among Thai and Vietnamese health science students exhibited no significant differences. However, improving mental health literacy is crucial, as it significantly impacts helping behavior.
Summary
Key Message
This study compared causal models of mental health literacy (MHL) and helping behavior toward people at risk of depression between Thai and Vietnamese health science students. Findings indicated that MHL significantly impacted helping behavior (effect size [ES], 0.91), mediated indirectly by self-efficacy (ES, 0.18), positive attitudes (ES, 0.29), and social support (ES, 0.77), with no significant differences in the overall causal models between groups. However, variations in effects were noted, such as social support having a more pronounced effect on MHL among Vietnamese students than their Thai counterparts (ES, 0.46 vs. 0.27), while positive attitudes had a stronger influence among Thai students (ES, 0.17) than Vietnamese (ES, 0.01).

Citations

Citations to this article as recorded by  
  • Relationship between extraversion and mental health literacy in Chinese adolescents: a chain mediation model
    Zhanfang Liu, Fangru Yuan, Jianzheng Du
    Frontiers in Psychology.2026;[Epub]     CrossRef
  • Health and Mental Well-Being of Academic Staff and Students in Thailand: Validation and Model Development
    Ungsinun Intarakamhang, Cholvit Jearajit, Hanvedes Daovisan, Phoobade Wanitchanon, Saichol Panyachit, Kanchana Pattrawiwat
    Education Sciences.2025; 15(10): 1310.     CrossRef
Factors Predicting the Physical Activity Behavior of Female Adolescents: A Test of the Health Promotion Model
Hashem Mohamadian, Mohammad Ghannaee Arani
J Prev Med Public Health. 2014;47(1):64-71.   Published online January 29, 2014
DOI: https://doi.org/10.3961/jpmph.2014.47.1.64
  • 16,791 View
  • 195 Download
  • 8 Crossref
AbstractAbstract PDF
Objectives

Physical activity behavior begins to decline during adolescence and continues to decrease throughout young adulthood. This study aims to explain factors that influence physical activity behavior in a sample of female adolescents using a health promotion model framework.

Methods

This cross-sectional survey was used to explore physical activity behavior among a sample of female adolescents. Participants completed measures of physical activity, perceived self-efficacy, self-esteem, social support, perceived barriers, and perceived affect. Interactions among the variables were examined using path analysis within a covariance modeling framework.

Results

The final model accounted for an R2 value of 0.52 for physical activity and offered a good model-data fit. The results indicated that physical activity was predicted by self-esteem (β=0.46, p<0.001), perceived self-efficacy (β=0.40, p<0.001), social support (β=0.24, p<0.001), perceived barriers (β=-0.19, p<0.001), and perceived affect (β=0.17, p<0.001).

Conclusions

The findings of this study showed that the health promotion model was useful to predict physical activity behavior among the Iranian female adolescents. Information related to the predictors of physical activity behavior will help researchers plan more tailored culturally relevant health promotion interventions for this population.

Summary

Citations

Citations to this article as recorded by  
  • Exploring the Impact of Self-Efficacy, Social Support, and Environmental Barriers on Physical Activity Behaviour among School-Age Children: A Structural Equation Model
    Betül Beyza Çolak, Eren Timurtaş, Mehmet Inceer, Mine Gulden Polat
    Clinical and Experimental Health Sciences.2025; 15(4): 977.     CrossRef
  • A meta-analysis of the relationship between social support and physical activity in adolescents: the mediating role of self-efficacy
    Hao Lin, Haidong Chen, Qingzao Liu, Jie Xu, Shan Li
    Frontiers in Psychology.2024;[Epub]     CrossRef
  • Modelo de Nola Pender para promoção da saúde do adolescente
    Daniela Bulcão Santi, Iara Sescon Nogueira, Vanessa Denardi Antoniassi Baldissera
    REME-Revista Mineira de Enfermagem.2023;[Epub]     CrossRef
  • Evaluation of Physical Activity and its Effective Factors in Junior High School Female Students in Rafsanjan City: Application of Social-cognitive Theory, 2017-18
    Zahra Soleiman Ahari, Mohammad Asadpour, Leili Mazar, Mostafa Nasirzadeh
    Qom Univ Med Sci J.2021; 15(3): 188.     CrossRef
  • Predicting physical activity among urban adolescent girls: A test of the health promotion model
    Vicki R. Voskuil, Lorraine B. Robbins, Steven J. Pierce
    Research in Nursing & Health.2019; 42(5): 392.     CrossRef
  • Health behaviours in emerging adulthood: Their relationship with perceived maternal and paternal parental attitudes and the mediating role of self-efficacy
    Anna Maria Jankowska, Marta Łockiewicz, Dorota Dykalska-Bieck, Ariadna Łada, Weronika Owoc, Dawid Stańczykowski
    Health Psychology Report.2017; 6(1): 94.     CrossRef
  • The relationship between self-esteem and overall health behaviors in Korean adolescents
    Junghyun Park, Young-Ho Kim, Seon-Joo Park, Sooyeon Suh, Hae-Jeung Lee
    Health Psychology and Behavioral Medicine.2016; 4(1): 175.     CrossRef
  • Should Schools Send BMI Report Cards to Parents? A Review of Literature
    Alexander Henningsen, Piroska Boros, Kent Ingvalson, Fabio E. Fontana, Oksana Matvienko
    Journal of Physical Education, Recreation & Dance.2015; 86(9): 26.     CrossRef
Psychological, Social, and Environmental Factors Associated With Utilization of Senior Centers Among Older Adults in Korea
Hyun-Shik Kim, Masashi Miyashita, Kazuhiro Harada, Jong-Hwan Park, Jae-Moo So, Yoshio Nakamura
J Prev Med Public Health. 2012;45(4):244-250.   Published online July 31, 2012
DOI: https://doi.org/10.3961/jpmph.2012.45.4.244
  • 11,140 View
  • 96 Download
  • 3 Crossref
AbstractAbstract PDF
Objectives

The purpose of the study was to examine the relationships among the psychological, social, and environmental factors influencing the utilization of senior centers among older adults in Korea.

Methods

A questionnaire survey was administered to two types of older adults who lived in Seoul, Korea: 262 older adults who used senior centers (3 places) and 156 older adults who did not use senior centers.

Results

Our results showed clearly that the utilization of the senior centers in Korea is affected by higher self-efficacy (odds ratio [OR], 6.08; 95% confidence interval [CI], 3.31 to 12.32), higher perceived benefits (OR, 1.71; 95% CI, 1.16 to 4.36), lower perceived barriers (OR, 6.43; 95% CI, 3.07 to 11.45), higher family support (OR, 4.21; 95% CI, 2.02 to 8.77), and higher support from friends (OR, 4.08; 95% CI, 2.38 to 7.81). The results also showed that participants whose total travel time was 15 to 29 minutes (OR, 2.84; 95% CI, 1.21 to 3.64) or less than 14 minutes (OR, 4.68; 95% CI, 3.41 to 8.41) were more likely to use a senior center than those who had to travel more than 30 minutes.

Conclusions

This study showed that the utilization of senior centers in Korea is affected by psychological, social, and environmental factors, specifically by self-efficacy, perceived benefits, perceived barriers, social support, convenience of transportation, and total travel time to the senior centers. The effects of longer-term utilization of the senior centers by non-users on health-related outcomes in a large population warrant attention.

Summary

Citations

Citations to this article as recorded by  
  • Kaleidoscopic associations between life outside home and the technological environment that shape occupational injustice as revealed through cross-sectional statistical modelling
    Sarah Wallcook, Louise Nygård, Anders Kottorp, Sophie Gaber, Georgina Charlesworth, Camilla Malinowsky
    Journal of Occupational Science.2021; 28(1): 42.     CrossRef
  • How Does the Built Environment in Compact Metropolitan Cities Affect Health? A Systematic Review of Korean Studies
    Dong Ha Kim, Seunghyun Yoo
    International Journal of Environmental Research and Public Health.2019; 16(16): 2921.     CrossRef
  • Older Adults’ Social Relationships and Health Care Utilization: A Systematic Review
    Nicole K. Valtorta, Danielle Collingridge Moore, Lynn Barron, Daniel Stow, Barbara Hanratty
    American Journal of Public Health.2018; 108(4): e1.     CrossRef

JPMPH : Journal of Preventive Medicine and Public Health
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