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Factors Associated with Healthy Aging among Older Persons in Northeastern Thailand
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Boromarajonani College of Nursing Udon Thani, Udon Thani, Thailand .ORCID iD: 0000-0003-0240-7122
Boromarajonani College of Nursing Chiang Mai, Chiang Mai, Thailand.
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0002-8865-6818
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. School of Health and Welfare, Halmstad University, Halmstad, Sweden; VID Specialized University, Bergen, Norway .ORCID iD: 0000-0003-0017-5188
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2016 (English)In: Journal of Cross-Cultural Gerontology, ISSN 0169-3816, E-ISSN 1573-0719, Vol. 31, no 4, 369-384 p.Article in journal (Refereed) Published
Resource type
Text
Abstract [en]

The aim of this study was to describe factors associated with perceived health and healthy aging among older people in northeastern Thailand. Thailand’s aging population is growing and facing an increasing old-age dependency ratio. Northeastern Thailand, known as Isan, is a region in which the number of older residents is projected to grow rapidly. Older people in this region are likely to confront great threats to their health and well-being. These issues require appropriate attention and actions to promote healthy aging. However, healthy aging in this region has not been studied. A cross-sectional study was conducted on a sample of 453 older people, aged 60 years or older. Participants completed the Healthy Aging Instrument (HAI) and provided relevant demographic characteristics. Mann-Whitney U tests, Kruskal-Wallis tests and multiple regression models were used to analyze the data. Through comparative analyses, significant differences in HAI scores were observed for the following factors: marital status, residential area, disability, income level, and perceived meaningfulness in life. In the multiple regression models, residential area, disability, and marital status explained 24.30 % of the variance in HAI scores. Health promotion strategies and future targeted intervention programs should consider the importance of these factors. 

Place, publisher, year, edition, pages
2016. Vol. 31, no 4, 369-384 p.
Keyword [en]
Cross-sectional study, Healthy aging, Northeastern Thailand, Older persons
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:mdh:diva-32517DOI: 10.1007/s10823-016-9296-yISI: 000408865400003PubMedID: 27432370Scopus ID: 2-s2.0-84978718906OAI: oai:DiVA.org:mdh-32517DiVA: diva2:953695
Available from: 2016-08-18 Created: 2016-08-18 Last updated: 2017-09-14Bibliographically approved
In thesis
1. Understanding healthy aging in Isan-Thai culture
Open this publication in new window or tab >>Understanding healthy aging in Isan-Thai culture
2017 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The older population in Thailand is growing, and the number of older people who suffer from health problems is increasing as well. The health situation of the older population challenges healthcare providers to care for older people. Healthy aging is key to promoting the health of older people and sustaining their well-being. However, little is known about healthy aging in Thailand, especially in northeastern Thailand, or the Isan region, where the number of older people is increasing. Thus, this thesis aims to understand the factors associated with perceived health and healthy aging and how older people and their relatives in the Isan region conceptualize healthy aging. This thesis also focuses on how community nurses experience the meaning and promotion of healthy aging in this region.

This thesis includes four studies. The first is a quantitative cross-sectional study with 453 participants aged 60 years or older. The second and third studies are qualitative with a phenomenographic approach that is based on lifeworld theory. Participants in the second and third studies include 17 older people and 14 relatives who are responsible for caring for older people, respectively. The fourth study is a qualitative study that involves focus group interviews with 36 community nurses who work with older people in the Isan region.

The findings of the first study show a variance (24.3%) in perceived health and healthy aging based on residential area, marital status and disability status. The meaning of healthy aging, which was derived from the second, third and fourth studies, was divided into three domains: being interconnected; being able to do something good and feeling strong; and thinking beyond the capacity and functions of body and mind. The promotion of healthy aging was described as “providing health assessments”, “sharing knowledge”, and “having limited resources”.

The findings of the first study revealed the key factors that will help healthcare providers promote healthy aging. The findings of the second, third and fourth studies revealed that older people, their children and grandchildren, and community nurses attach different meanings to healthy aging. The finding regarding promotion of healthy aging emphasizes that the person-centredness should be integrated in practice when promoting healthy aging. The results of this thesis will be useful to policymakers, who can apply this enhanced understanding of healthy aging to develop healthcare practices that promote healthy aging.

 

Place, publisher, year, edition, pages
Stockholm: E-Print AB, 2017
Series
Mälardalen University Press Dissertations, ISSN 1651-4238 ; 220
Keyword
cross-sectional study, focus group interviews, healthy aging, lifeworld theory, nursing, person-centred care, phenomenography, relatives, Thai nurses
National Category
Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-34559 (URN)978-91-7485-307-0 (ISBN)
Public defence
2017-02-17, Filen, Mälardalen university, Eskilstuna Campus, Eskilstuna, 10:00 (English)
Opponent
Supervisors
Available from: 2016-12-28 Created: 2016-12-28 Last updated: 2017-01-20Bibliographically approved

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