Evidence map›Paper›PMID 41899658›Full record

ArticleInternational journal of environmental research and public health2026

Associations Between Health Literacy, Environmental Factors, and Fall Prevention Behaviors Among Community-Dwelling Older Adults in Northern Thailand: A Cross-Sectional Study.

Boonsita Suwannakul, Arunrat Srithawong, Chonticha Kaewjoho, Thapakorn Ruanjai, Chatchada Sutalangka, Ploypailin Namkorn, Ekalak Sitthipornvorakul, Siripatra Atsawakaewmongkhon, Raksuda Taniguchi, Aunyachulee Ganogpichayagrai and 1 more

Abstract read
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In one paragraph

Article in International journal of environmental research and public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Boonsita SuwannakulDepartment of Physical Therapy, Faculty of Allied Health Sciences, University of Phayao, Phayao 56000, Thailand.ORCID 0000-0003-4716-657X
Arunrat SrithawongDepartment of Physical Therapy, Faculty of Allied Health Sciences, University of Phayao, Phayao 56000, Thailand.ORCID 0000-0002-7647-5657
Chonticha KaewjohoDepartment of Physical Therapy, Faculty of Allied Health Sciences, University of Phayao, Phayao 56000, Thailand.ORCID 0009-0000-4485-7514
Thapakorn RuanjaiDepartment of Public health, School of Health Science, Mae Fah Luang University, Chiang Rai 57100, Thailand.ORCID 0009-0004-3923-459X
Chatchada SutalangkaDepartment of Physical Therapy, School of Integrative Medicine, Mae Fah Luang University, Chiang Rai 57100, Thailand.ORCID 0000-0002-9811-262X
Ploypailin NamkornDepartment of Physical Therapy, School of Integrative Medicine, Mae Fah Luang University, Chiang Rai 57100, Thailand.ORCID 0000-0002-4161-5832
Ekalak SitthipornvorakulDepartment of Physical Therapy, School of Integrative Medicine, Mae Fah Luang University, Chiang Rai 57100, Thailand.ORCID 0000-0002-6760-5763
Siripatra AtsawakaewmongkhonDepartment of Physical Therapy, School of Integrative Medicine, Mae Fah Luang University, Chiang Rai 57100, Thailand.ORCID 0000-0003-1707-2740
Raksuda TaniguchiDepartment of Traditional Chinese Medicine, School of Integrative Medicine, Mae Fah Luang University, Chiang Rai 57100, Thailand.ORCID 0009-0005-8498-6691
Aunyachulee GanogpichayagraiDepartment of Applied Thai Traditional Medicine, School of Integrative Medicine, Mae Fah Luang University, Chiang Rai 57100, Thailand.ORCID 0000-0002-4720-9712
Wilawan ChaiutDepartment of Physical Therapy, School of Integrative Medicine, Mae Fah Luang University, Chiang Rai 57100, Thailand.ORCID 0000-0003-2975-9312

Funding

National Sciences, Research and Innovation Fund (NSRF) of Thailand 682A10006
6 · The paper itself

Abstract

Inadequate health literacy (HL) is a critical factor contributing to fall risk among older adults. However, evidence on how HL relates to home environment and fall prevention behaviors in Asian community settings remains limited. This study aimed to assess HL levels and examine their associations with sociodemographic characteristics, home environment, and fall prevention behaviors. A community-based cross-sectional study was conducted among 177 community-dwelling older adults aged 60 to 79 years. Data were collected through structured questionnaires assessing sociodemographic characteristics, home environment, fall prevention behaviors, and HL using the European Health Literacy Survey Questionnaire (HLS-EU-Q47), which cover three subdomains: healthcare, disease prevention, and health promotion. Multiple linear regression analysis was performed to examine the associations between sociodemographic factors, home environment, fall prevention behaviors, and HL. The HL score among older adults was 34.50 ± 7.50 (54.2% limited HL). A total HL score was positively associated with regular exercise (β = 2.73, 95% CI: 0.71, 4.74) and a sitting toilet (β = 6.38; 95% CI: 3.83, 8.92) and marginally associated with wearing properly fitting shoes (β = 2.54; 95% CI: 0.22, 4.86). Therefore, the health promotion aimed at improving HL in this population may benefit from concurrently promoting regular exercise, home safety modifications, and safe footwear practices.

Indexed as

Accidental FallsHealth BehaviorHealth LiteracyHome EnvironmentAgedAging in PlaceCross-Sectional StudiesFemaleHumansIndependent LivingMaleMiddle AgedSurveys and QuestionnairesThailandaccidental fallsagedhealth behaviorhealth informationhome environment

Identifiers

PMID41899658
PMCPMC13027335

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.