Determinants of Health-Related Quality of Life Among Community-Dwelling Thai Older Adults in Chiang Mai, Northern Thailand

Background: Population aging has been growing worldwide and Thailand has become an aged society with 20% of its population aged 60 and over. Age-related decline in physical and mental health impacts the health-related quality of life (HRQOL) of older adults. Purpose: We aimed to describe the HRQOL o...

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Bibliographic Details
Published in:Risk management and healthcare policy 2022-09, Vol.15, p.1761-1774
Main Authors: Aung, Thin Nyein Nyein, Moolphate, Saiyud, Koyanagi, Yuka, Angkurawaranon, Chaisiri, Supakankunti, Siripen, Yuasa, Motoyuki, Aung, Myo Nyein
Format: Article
Language:English
Subjects:
Activities of daily living
Age
Aging
Aging in place
Analysis
Chronic illnesses
ciic
community integrated intermediary care
Consent
Data collection
Educational attainment
Exercise
Falls
Families & family life
Geriatrics
Gerontology
Health behavior
Health care
Health promotion
health-related quality of life
hrqol
Life expectancy
Mental depression
Mental health
Older people
Original Research
Population
Public health
Quality of life
Questionnaires
Risk factors
Sociodemographics
Surveys
thailand
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Summary:Background: Population aging has been growing worldwide and Thailand has become an aged society with 20% of its population aged 60 and over. Age-related decline in physical and mental health impacts the health-related quality of life (HRQOL) of older adults. Purpose: We aimed to describe the HRQOL of Thai older adults, residing in the community. Methods: This cross-sectional survey was part of a Community-Integrated Intermediary Care project (CIIC), TCTR20190412004. A total of 1509 participants from an intervention arm of a cluster randomized controlled trial were included. A Thai version of the Euro-Qol questionnaire (EQ-5D-5L) was used to determine the HRQOL and associated sociodemographic background, health behaviors and underlying diseases of a representative sample from Maehia, Chiang Mai, Thailand. SPSS version 24 was used to analyze data via descriptive analysis and binary logistic regression. Results: The mean age of the participants was 69.31[+ or -]7.10 years, and nearly a quarter (23.8%) was older than 75 years. The mean EQ index score was 0.81[+ or -]0.23 and older age, lower educational attainment, unemployment, lack of exercise habits, current smokers, having history of a fall in the last 6 months, diabetes, hyperlipidemia, dependency assessed using Barthel's Activity of Daily Living (ADL) Index, and depression using the Geriatric Depression Scale (GDS) were more likely to represent HRQOL-related problems. Conclusion: Our findings have highlighted the factors affecting the HRQOL of community-dwelling older adults which could be of importance in preparing for active and healthy aging communities. The routine dependency assessment using the ADL index will be useful in estimating the HRQOL of the aging population. Fall prevention programs are also recommended to reduce dependency. Moreover, the association of having diabetes and hyperlipidemia with problems in HRQOL dimensions highlight the need for public health intervention not only to prevent the increasing burden of non-communicable diseases but also to improve the HRQOL of older adults. Keywords: aging, Community-Integrated Intermediary Care, CIIC, health-related quality of life, HRQOL, Thailand
ISSN:1179-1594
1179-1594
DOI:10.2147/RMHP.S370353