Severe Disability Among Elderly Community Dwellers in Rural Thailand: Prevalence and Associated Factors

Sihapark, Siranee; Kuhirunyaratn, Piyathida; Chen, Hongtu

doi:10.1007/s12126-013-9190-7

Cited by 4 publications

(3 citation statements)

References 16 publications

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“…Among older adults (60 years) in Thailand in 2011, 2.7% had difficulty with the ADL item dressing and 2.2% with eating ( 21 ); in 2014 and 2017, 7.6% had difficulty with at least one (of 8) ADL item ( 22 , 23 ). In a small study in rural Thailand, the prevalence of severe disability among older adults was 11.9% ( 24 ).…”

Section: Introductionmentioning

confidence: 99%

Bidirectional association between functional disability and multimorbidity among middle-aged and older adults in Thailand

Pengpid

Peltzer

Anantanasuwong

2022

Front. Public Health

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ObjectivesThe purpose of this study was to assess the bidirectional association between multimorbidity (MM) and functional disability among middle-aged and older adults in a longitudinal study in Thailand.MethodsWe analyzed longitudinal data of participants aged 45 years and older from two consecutive waves (in 2015 and 2017) of the Health, Aging, and Retirement in Thailand (HART). Functional disability was assessed with a 4-item activity of daily living (ADL) scale. Logistic regression analysis was conducted to assess the association between baseline functional disability and incident MM (≥2), and baseline morbidity and incident functional disability.ResultsThe results indicate that a total of 1,716 individuals without morbidity at baseline and 3,529 without functional disability at baseline were included. At follow-up, 16.7 and 20.0% of functional disability cases and 7.1 and 3.6% of nonfunctional disability cases developed 2 morbidities and 3 or more morbidities, respectively, and 6.6% of MM cases and 4.0% of non-MM cases developed a functional disability. In the final logistic regression model adjusted for education, income, age, marital status, sex, smoking tobacco, body mass index (BMI), alcohol use, physical activity, and social engagement, functional disability at baseline was positively associated with incident MM (≥2) (adjusted odds ratio [aOR]: 2.58, 95% CI: 1.42–4.72), and MM (≥3) at baseline was positively associated with incident functional disability (aOR: 1.97, 95% CI: 1.13–3.43).ConclusionMultimorbidity and functional disability were bidirectionally associated.

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Section: Introductionmentioning

confidence: 99%

Bidirectional association between functional disability and multimorbidity among middle-aged and older adults in Thailand

Pengpid

Peltzer

Anantanasuwong

2022

Front. Public Health

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“…Multi morbidity also increases health care utilization (costs, length of hospital stays, and number of physician visits). 11,12 The occurrence of multimorbidity was 11.5% and 25.3% of the Thai elderly population in 2010 and 2014, respectively, 13,14 as one of the most pressing issues confronting Thailand's health care system with increasing prevalence and incidence of chronic NCDs such as hypertension, diabetes, stroke, and coronary artery disease. 4 These diseases seriously disrupt the well-being of the elderly and may render them completely dependent.…”

Section: The Effect Of Health Promotion Program On Perceived Self-eff...mentioning

confidence: 99%

The Effect of Health Promotion Program on Perceived Self-Efficacy and Self-Care Practices among Elderly with Multimorbidity in Chiang Mai, Thailand

Wungrath

Khumai

Phrommasen

2022

Kesmas: Jurnal Kesehatan Masyarakat Nasional

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Multimorbidity in the elderly is a major public health issue with serious consequences. This study investigated the effects of health promotion programs on perceived self-efficacy and self-care practices among the elderly with multimorbidity using a quasi-experimental study design from February to July 2021. The study samples were the elderly from Doi Saket District, Chiang Mai Province, Thailand, selected by a multistage random sampling technique. The experimental and control groups each comprised 40 elderlies with multimorbidity. All elderly participants took part in a 12-week health promotion program. The perceived self-efficacy and self-care practices of the study samples were assessed using interviews, and the group results were compared using the independent t-test. Repeated measures analysis of variance (ANOVA) was applied at a significance level of 0.05 for three different periods. Follow-up results after the intervention showed that the experimental group had significantly higher mean scores of perceived self-efficacy and self-care practice than the control group (p-value<0.05). The health promotion program enhanced perceived self-efficacy and self-care practices in the elderly with multimorbidity. It can also be applied to improve the quality of life of people in other age groups.

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“…Four studies, to date, have been conducted to understand disability among older adults in Thailand ( 11 , 33 – 35 ). However, only two studies find significant relationship between hypertension and disability ( 11 , 35 ). These studies are limited because they employ a cross-sectional design.…”

Section: Introductionmentioning

confidence: 99%

Sex differences in the risk factors of disability among community-dwelling older adults with hypertension: Longitudinal results from the Health, Aging, and Retirement in Thailand study (HART)

Wongsin

Chen

2023

Front. Public Health

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BackgroundHypertension poses a serious health problem among Thai older adults which could subsequently lead to disability. However, little to no research has been conducted to understand modifiable risk factors of disability among community-dwelling older adults with hypertension in Thailand. In addition, sex is an important social determinant of health, but its role in disability among older adults with hypertension is less clear.ObjectivesThis study focused on community-dwelling older adults with hypertension in Thailand and investigated predictors of disability and examined sex differences in the risk factors that were associated with disability in this population.MethodsLongitudinal data were from the Health, Aging, and Retirement in Thailand (HART) survey (2015–2017; N = 916). The outcome variable was difficulty with the activity of daily living at follow-up. Potential risk factors included sociodemographic information, health behaviors/health status, and disability at baseline. Descriptive analysis and logistic regression analysis were employed to analyze the data.ResultsMost of the participants were female and between aged 60 and 69 years old. Being in an older age group (OR = 1.78, 95% CI: 1.07–2.97, p < 0.05), having more chronic conditions (OR = 1.38, 95% CI: 1.10–1.73, p < 0.01), experiencing obesity (OR = 2.02, 95% CI: 1.11–3.69, p < 0.05), and having disability at baseline (OR = 2.42, 95% CI: 1.09–5.37, p < 0.05) significantly predicted disability at 2 year follow-up among community-dwelling Thai older adults with hypertension. The effects of these risk factors on disability at follow-up did not differ by sex. However, different risk factors of disability were observed across sexes.ConclusionThe situations of disability among older adults with hypertension in Thailand are likely to aggravate due to the rapid aging of the population. Our analysis provided useful information regarding significant predictors of disability and sex-specific risk factors of disability. Tailored promotion and prevention programs should be readily available to prevent disability among community-dwelling older adults with hypertension in Thailand.

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Severe Disability Among Elderly Community Dwellers in Rural Thailand: Prevalence and Associated Factors

Cited by 4 publications

References 16 publications

Bidirectional association between functional disability and multimorbidity among middle-aged and older adults in Thailand

Bidirectional association between functional disability and multimorbidity among middle-aged and older adults in Thailand

The Effect of Health Promotion Program on Perceived Self-Efficacy and Self-Care Practices among Elderly with Multimorbidity in Chiang Mai, Thailand

Sex differences in the risk factors of disability among community-dwelling older adults with hypertension: Longitudinal results from the Health, Aging, and Retirement in Thailand study (HART)

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