STUDENTS’ PERCEPTION AND INTERPRETATION OF HEALTH INFORMATION: THE ROLE OF DIGITAL MEDIA AND SOCIETY

Phongdej Khawinpat; Veena Chantarasompoch; Mukda Tosaeng; Nustha Kitprathaung

Authors

Phongdej Khawinpat Research & Development Department, Make Up Arts And Technique School, Bangkok, Thailand. https://orcid.org/0009-0001-7554-2272
Veena Chantarasompoch Faculty of Health Sciences, Shinawatra University, Pathum Thani, Thailand. https://orcid.org/0009-0004-5399-1570
Mukda Tosaeng Faculty of Health Sciences, Shinawatra University, Pathum Thani, Thailand https://orcid.org/0009-0004-1209-5075
Nustha Kitprathaung https://orcid.org/0009-0005-4864-9305

Abstract

This study examined the impact of digital media and social factors on the health information behaviors of senior high school students in Bangkok, Thailand. Using in-depth interviews with 32 students from diverse educational backgrounds, the research identified their commonly used health information sources and explored their criteria for credibility evaluation, interpretation processes, experiences with conflicting content, and the influences that shape their health-related decisions. The findings indicated that social media platforms, such as TikTok, YouTube, and Instagram, were the primary sources of health information due to their accessibility and visual appeal. However, students faced challenges related to misinformation, inconsistent advice, and limited skills in assessing credibility. Demographic factors, including age, type of school, and location, affected these behaviors. Older students and those studying in urban and private schools demonstrated stronger digital health literacy. Family and peer influences also played a significant role in shaping students’ understanding and actions regarding health content. These results underscore the importance of incorporating critical evaluation and media literacy skills into school-based digital health programs. Collaboration among educators, health professionals, and digital platforms is crucial for helping adolescents navigate online health information responsibly. The study also contributes to the global sustainability agenda by supporting the United Nations Sustainable Development Goals (SDGs), particularly SDG 3 (Good Health and Well-being) and SDG 4 (Quality Education), highlighting the role of digital health literacy in promoting equitable health and learning opportunities for young people in the digital age.

References

Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Prentice-Hall.

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa

Chassiakos, Y. L. R., Radesky, J., Christakis, D., Moreno, M. A., & Cross, C. (2016). Children and adolescents and digital media. Pediatrics, 138(5), Article e20162593. https://doi.org/10.1542/peds.2016-2593

De Veirman, M., Cauberghe, V., & Hudders, L. (2017). Marketing through Instagram influencers: The impact of number of followers and product divergence on brand attitude. International Journal of Advertising, 36(5), 798–828. https://doi.org/10.1080/02650487.2017.1348035

Deroover, K. M. J. (2023). Understanding how people integrate conflicting health information: An epistemic cognition approach [Doctoral dissertation, University of Technology Sydney]. UTS Open Publications.

Levin-Zamir, D., & Bertschi, I. (2018). Media health literacy, eHealth literacy, and the role of the social environment in context. International Journal of Environmental Research and Public Health, 15(8), Article 1643. https://doi.org/10.3390/ijerph15081643

Liu, K., & Chen, M. (2026). Disentangling the effects of cognitive, affective, and sociocultural factors on risk information avoidance: A meta-analysis. Communication Research, 53(3). https://doi.org/10.1177/00936502241246513

Livingstone, S., & Helsper, E. J. (2007). Gradations in digital inclusion: Children, young people, and the digital divide. New Media & Society, 9(4), 671–696. https://doi.org/10.1177/1461444807080335

Nabudda, K., Promjariyakoon, R., Kitprathaung, N., Ritthong, W., Intasonti, S., & Poungthong, P. (2025). Optimization of degradable polylactic acid-based coating materials for sustainable wire manufacturing injection process using computational fluid dynamics analysis. ES Materials and Manufacturing, 28, Article 1532. https://doi.org/10.30919/mm1532

Nutbeam, D. (2008). The evolving concept of health literacy. Social Science & Medicine, 67(12), 2072–2078. https://doi.org/10.1016/j.socscimed.2008.09.050

Sørensen, K., Van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Słońska, Z., & Brand, H. (2012). Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 12, Article 80. https://doi.org/10.1186/1471-2458-12-80

Taba, M., Allen, T. B., Caldwell, P. H. Y., Skinner, S. R., Kang, M., McCaffery, K. J., & Scott, K. M. (2022). Adolescents’ self-efficacy and digital health literacy: A cross-sectional mixed methods study. BMC Public Health, 22, Article 1223. https://doi.org/10.1186/s12889-022-13599-7

United Nations. (2015). Transforming our world: The 2030 agenda for sustainable development. World Health Organization. (2019). WHO guideline: Recommendations on digital interventions for health system strengthening. World Health Organization