A survey of 630 people across five Health Region 10 provinces plus 50 interviews found communication had the strongest SEM association (β=0.705), knowledge β=0.022, with 49.23% variance explained.
Key findings
- Communication β=0.705 (p
Why this matters globally
Health knowledge detached from food culture, economics and communication networks may not change behavior; interventions require community co-design.
Thai researcher contribution
Ubon Ratchathani University generated evidence from high-risk northeastern communities combining quantitative and local perspectives.
Limitations to consider
Previously infected participants do not represent the public. The 6.62% prevalence is contextual, self-report risks social desirability, SEM is noncausal, and the denominator for 83% requires full-text checking.