Psychological Resilience and its Associated Factors among Hill Tribe Junior High School Students in Northern Thailand: A School-Based Cross-Sectional Study
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Creator Thitaporn Kaewboonchoo
Title Psychological Resilience and its Associated Factors among Hill Tribe Junior High School Students in Northern Thailand: A School-Based Cross-Sectional Study
Contributor Thapakorn Ruanjai, Fartima Yeemard, Pilasinee Wongnuch
Publisher คณะสาธารณสุขศาสตร์ มหาวิทยาลัยมหิดล
Publication Year 2569
Journal Title Thai Journal of Public Health
Journal Vol. 56
Journal No. 1
Page no. 1617 - 1637
Keyword Psychological resilience, Adolescent, Ethnic minority, Mental health literacy, Family support
URL Website https://he02.tci-thaijo.org/index.php/jph
Website title Thai Journal of Public Health
ISSN 2697 - 5866
Abstract A school-based cross-sectional study was carried out to explore the psychological resilience and its associated factors among junior hill tribe high school students in Chiang Rai Province, Thailand. A multistage sampling method was used to randomly select participants from four secondary schools located in a hill tribe village across three districts in Chiang Rai Province. Data were collected using validated questionnaires, including the Resilience Inventory (RI-9), from December 2023 to March 2024. Data were analyzed using descriptive statistics and binary logistic regression, with a statistically significant p-value set at <0.05. A total of 396 participants were included in this study. Of these, 63.9% were female, with an average age of 14.16 years (SD = 0.98), 40.9% identified as Akha, and 23.0% identified as Hmong. The prevalence of low psychological resilience was 26.8%. Multivariable logistic regression analysis identified five factors significantly associated with low psychological resilience: female sex (aOR = 2.35, 95% CI: 1.38–3.99), smoking (aOR = 2.43, 95% CI: 1.08–5.47), negative life events (aOR = 2.92, 95% CI: 1.41–6.04), low family support (aOR = 2.68, 95% CI: 1.13–6.38), moderate family support (aOR = 1.90, 95% CI: 1.03–3.49), and inadequate-to-problematic mental health literacy (aOR = 2.05, 95% CI: 1.11–3.80). In conclusion, a considerable proportion of junior hill tribe high school students had low psychological resilience. Targeted public health interventions should be developed to promote psychological resilience, particularly among students who are female, smoke, have experienced negative life events, report low family support, or have limited mental health literacy.
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