Health Promotion of Ottawa Charter and Factors Associated with Quality of Life among Thai Monks.

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.