Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Causal Model of Herb Use Behavior Among Working-age Adults in Thailand

  • Received : 2023.12.01
  • Accepted : 2024.05.30
  • Published : 2024.07.31
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Abstract

Objectives: This study developed a causal relationship model of herb use from observational data and analyzed the direct and indirect effects of herb use on health according to the model. Methods: A cross-sectional study was conducted with 400 participants aged 26-59 years, selected through multistage random sampling. The instruments used for data collection included demographic information, herb use, health literacy (HL), perceived social support, societal values, and attitudes toward herb use. The conceptual model, hypothesized based on prior evidence, was tested using confirmatory factor analysis through structural equation modeling. Path coefficients were estimated using the maximum likelihood method. Results: The final model utilized empirical data, which showed that perceived social support had the most significant impact on herb use. This was followed by HL, positive attitudes toward herbal remedies, and societal values, with coefficients of 0.31, 0.18, and 0.16, respectively. When analyzing variables that indirectly affected herb use, it was clear that positive attitudes, perceived social support, and societal values significantly influenced herb use through HL, with influence coefficients of 0.08, 0.16, and 0.04, respectively. Together, these variables accounted for 68% of the variance in herb use. Conclusions: The findings from this study can be utilized to develop and implement strategies that guide the use of herbal products, ultimately aiming to improve human health.

Keywords

Acknowledgement

We extend our sincere appreciation to all individuals who contributed to this research.

References

  1. Lee EL, Richards N, Harrison J, Barnes J. Prevalence of use of traditional, complementary and alternative medicine by the general population: a systematic review of national studies published from 2010 to 2019. Drug Saf 2022;45(7):713-735. https://doi.org/10.1007/s40264-022-01189-w 
  2. Kanjanahattakij N, Kwankhao P, Vathesatogkit P, Thongmung N, Gleebbua Y, Sritara P, et al. Herbal or traditional medicine consumption in a Thai worker population: pattern of use and therapeutic control in chronic diseases. BMC Complement Altern Med 2019;19:258. https://doi.org/10.1186/s12906-019-2652-z 
  3. Sam S. Importance and effectiveness of herbal medicines. J Pharmacogn Phytochem 2019;8(2):354-357. 
  4. Mazrouei NA, Meslamani AZ, Alajeel R, Alghadban G, Ansari N, Kaabi MA, et al. The patterns of herbal medicine use in the United Arab Emirates; a national study. Pharm Pract (Granada) 2022;20(3):2698. https://doi.org/10.18549/PharmPract.2022.3.2698 
  5. 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. https://doi.org/10.1186/1471-2458-12-80 
  6. Intarakamhang U, Prasittichok P. Health literacy in dietary supplement use among working-age groups: systematic review and meta-analysis. Heliyon 2022;8(8):e10320. https://doi.org/10.1016/j.heliyon.2022.e10320 
  7. Liu C, Wang D, Liu C, Jiang J, Wang X, Chen H, et al. What is the meaning of health literacy? A systematic review and qualitative synthesis. Fam Med Community Health 2020;8(2):e000351. https://doi.org/10.1136/fmch-2020-000351 
  8. Khattiya S, Fongkerd S, Santayakorn P. Health literacy factors affecting herb use toward self-care among patients with chronic diseases who come to the services at Huai Koeng hospital, Udonthani province. UDRU Hum Social Sc J 2021;10(1):127-144 (Thai). 
  9. Sorensen K, Levin-Zamir D, Duong TV, Okan O, Brasil VV, Nutbeam D. Building health literacy system capacity: a framework for health literate systems. Health Promot Int 2021;36 (Supplement_1):i13-i23. https://doi.org/10.1093/heapro/daab153 
  10. Mancuso JM. Health literacy: a concept/dimensional analysis. Nurs Health Sci 2008;10(3):248-255. https://doi.org/10.1111/j.1442-2018.2008.00394.x 
  11. Nguyen PH, Tran V, Pham DT, Dao TN, Dewey RS. Use of and attitudes towards herbal medicine during the COVID-19 pandemic: a cross-sectional study in Vietnam. Eur J Integr Med 2021;44:101328. https://doi.org/10.1016/j.eujim.2021.101328 
  12. Agova N, Petrova G, Georgieva S, Kumanov I. Consumers attitudes toward the use of herbal medicines and herbal supplements in Northeastern Bulgaria. J IMAB 2020;26(3):3278-84. https://doi.org/10.5272/jimab.2020263.3278 
  13. Whyle E, Olivier J. Social values and health systems in health policy and systems research: a mixed-method systematic review and evidence map. Health Policy Plan 2020;35(6):735-751. https://doi.org/10.1093/heapol/czaa038 
  14. Purwoko P, Wijaya T. Consumer value and lifestyle as a predictor of herbal medicine purchase intention in Surakarta-Indonesia. Glob J Health Sci 2019;11(4):69. https://doi.org/10.5539/gjhs.v11n4p69 
  15. Guo A, Jin H, Mao J, Zhu W, Zhou Y, Ge X, et al. Impact of health literacy and social support on medication adherence in patients with hypertension: a cross-sectional community-based study. BMC Cardiovasc Disord 2023;23(1):93. https://doi.org/10.1186/s12872-023-03117-x 
  16. Bandura A. Social foundation of thought and action: a social cognitive theory. Upper Saddle River: Prentice Hall; 1986, p. 24. 
  17. Ekor M. The growing use of herbal medicines: issues relating to adverse reactions and challenges in monitoring safety. Front Pharmacol 2014;4:177. https://doi.org/10.3389/fphar.2013.00177 
  18. Jackson DL. Sample size and the number of parameter estimates in maximum likelihood confirmatory factor analysis: a Monte Carlo investigation. Struct Equ Modeling 2001;8:205-223. https://doi.org/10.1207/S15328007SEM0802_3 
  19. Kim GS. AMOS 18.0 structural equation model analysis. Seoul: Hannarae Academy; 2013 (Korean). 
  20. Ruangsongkram S, Promsorn T. Factors related to the behavior of using herb for self-care of people in Prachinburi Province in the pandemic situation of coronavirus disease 2019. Thai J Public Health Health Sci 2023;6(1):99-113 (Thai). 
  21. Intarakamhang U, Khammungkul J, Boocha P. General health literacy scale for Thais and comparison between age groups. Heliyon 2022;8(5):e09462. https://doi.org/10.1016/j.heliyon.2022.e09462 
  22. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess 1988;52:30-41. https://doi.org/10.1207/s15327752jpa5201_2 
  23. Chartprasert DK, Deedenkeeratisakul K. Domestic customers' perceived value toward Thai cultural products. J Manag Sci Chiangrai Rajabhat Univ 2022;17(2):31-58 (Thai). 
  24. Udompitayson J. Use of herbs for medical purposes: attitudes and behaviors of local people in Ban Nai Lum, Kantang District, Trang Province. J Lib Arts 2020;1(1):1-7 (Thai). 
  25. Hu LT, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Modeling 1999;6(1):1-55. https://doi.org/10.1080/10705519909540118 
  26. Kumari SS. Multicollinearity: estimation and elimination. J Contemp Res Manage 2008;3(1):87-95. 
  27. Woradet S, Chaimay B, Salaea R, Kongme Y. Factors associated with herbal used behavior toward self-care among village health volunteers in Krung La district, Phatthalung Province. J Health Sci 2015;24(1):50-59 (Thai). 
  28. Khampang R, Kloyiam S, Butchon R. Relationship between socioeconomic, demographic, health and social characteristics and ability to access reliable information on herbal and food supplements: analysis of Thai Health Literacy Survey 2019. BMC Public Health 2022;22(1):1054. https://doi.org/10.1186/s12889-022-13454-9 
  29. Pitug W, Laohasiriwong W, Senahad N, Soeung KP. Health literacy and dietary supplement consumption among northeasterners of Thailand. Indian J Public Health Res Dev 2020;11(7):1482-7. https://doi.org/10.37506/ijphrd.v11i7.10305 
  30. Soltani A, Jaam M, Nazar Z, Stewart D, Shaito A. Attitudes and beliefs regarding the use of herbs and supplementary medications with COVID-19: a systematic review. Res Social Adm Pharm 2023;19(3):343-355. https://doi.org/10.1016/j.sapharm.2022.11.004 
  31. Nguyen PH, Tran V, Pham DT, Dao TN, Dewey RS. Use of and attitudes towards herbal medicine during the COVID-19 pandemic: a cross-sectional study in Vietnam. Eur J Integr Med 2021;44:101328. https://doi.org/10.1016/j.eujim.2021.101328 
  32. Thongruang C. Consumer purchasing behavior for herbal medicine in drugstore in Bangkok. Naresuan Univ J 2013;16(3):195-202. 
  33. Logiel A, Jors E, Akugizibwe P, Ahnfeldt-Mollerup P. Prevalence and socio-economic factors affecting the use of traditional medicine among adults of Katikekile Subcounty, Moroto District, Uganda. Afr Health Sci 2021;21(3):1410-1417. https://doi.org/10.4314/ahs.v21i3.52 
  34. Lasmono SL. Phenomenological research on the values systems of the Indonesian traditional herb consumer. Int J Res Innov Soc Sci 2022;6(7):126-132. 
  35. Tam YA. Profiling herbal medicine use by transtheoretical model and perceived value: a case study of young adults in Malaysia. Int J Account 2021;6(37):48-63. 
  36. Pa-in P, Wonghongkul T, Khampolsiri T, Chintanawat R. Causal model of health literacy in Thai older adults with knee osteoarthritis. Pac Rim Int J Nurs Res 2023;27(2):303-316. https://doi.org/10.60099/prijnr.2023.262040 
  37. Chen WL, Zhang CG, Cui ZY, Wang JY, Zhao J, Wang JW, et al. The impact of social capital on physical activity and nutrition in China: the mediating effect of health literacy. BMC Public Health 2019;19(1):1713. https://doi.org/10.1186/s12889-019-8037-x