{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T03:12:38Z","timestamp":1760929958955,"version":"build-2065373602"},"reference-count":55,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Rabies remains a life\u2010threatening yet preventable disease, particularly among school\u2010aged children in Thailand. Understanding how health literacy (HL) and protection motivation theory (PMT) influence rabies protective behaviors (RPB) is vital for school health interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using validated questionnaires, a cross\u2010sectional study was conducted among 1751 Grade 4\u20136 students in Chonburi Province. HL, PMT constructs, and RPB were measured. Structural equation modeling was used to examine predictive relationships.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>HL was a strong predictor of RPB (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20090.439, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), especially in accessing, appraising, and applying health information. PMT constructs, particularly response efficacy and self\u2010efficacy, also significantly predicted RPB (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20090.200, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). HL levels were higher among older students, private school attendees, and those with stronger academic performance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for School Health Policy, Practice, and Equity<\/jats:title><jats:p>Integrating HL and PMT frameworks into rabies education curricula may improve behavioral outcomes. Programs should be developmentally appropriate and address disparities across school types and student performance levels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Strengthening HL and motivational factors through school\u2010based education and multisectoral collaboration is critical to achieving rabies prevention goals and advancing child health equity in endemic settings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.70059","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T08:02:47Z","timestamp":1754899367000},"page":"933-943","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Strengthening Rabies Protection Behaviors Among Thai Children: The Role of Health Literacy and Protection Motivation"],"prefix":"10.1111","volume":"95","author":[{"given":"Mayurin","family":"Laorujisawat","sequence":"first","affiliation":[{"name":"Faculty of Public Health Burapha University  Chonburi Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Worrawit","family":"Nakpan","sequence":"additional","affiliation":[{"name":"School of Health Science Sukhothai Thammathirat Open University  Nonthaburi Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Araya","family":"Prasertchai","sequence":"additional","affiliation":[{"name":"School of Health Science Sukhothai Thammathirat Open University  Nonthaburi Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theerawut","family":"Thammakun","sequence":"additional","affiliation":[{"name":"School of Health Science Sukhothai Thammathirat Open University  Nonthaburi Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vuttajug","family":"Punsombut","sequence":"additional","affiliation":[{"name":"Educational Development Group, Angthong Provincial Education Office  Angthong Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3632-6227","authenticated-orcid":false,"given":"Kowit","family":"Suwannahong","sequence":"additional","affiliation":[{"name":"Faculty of Public Health Burapha University  Chonburi Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,11]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"WHO \u201cReported Number of Human Rabies Deaths \u201dhttps:\/\/www.who.int\/data\/gho\/data\/indicators\/indicator\u2010details\/GHO\/reported\u2010number\u2010of\u2010human\u2010rabies\u2010deaths."},{"key":"e_1_2_13_3_1","unstructured":"WHO FAO OIE \u201cZero by 30: The Global Strategic Plan to End Human Deaths From Dog\u2010Mediated Rabies by 2030 \u201dWHO;2018:47."},{"key":"e_1_2_13_4_1","unstructured":"WHO \u201cEpidemiology and Burden of Disease \u201dWorld Health Organization. 2025 https:\/\/www.who.int\/teams\/control\u2010of\u2010neglected\u2010tropical\u2010diseases\/rabies\/epidemiology\u2010and\u2010burden."},{"volume-title":"Rabies in the South\u2010East Asia Region","year":"2025","author":"WHO","key":"e_1_2_13_5_1"},{"key":"e_1_2_13_6_1","unstructured":"WHO \u201cWhat is Rabies? 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