Factors influencing self-management of health behaviors among older adults with chronic kidney disease in Chiang Rai Province, Thailand 10.55131/jphd/2025/230301
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Abstract
The burden of chronic kidney disease (CKD) and its associated risk factors is expected to rise alongside the rapidly increasing global population of older adults. A new trend in CKD management emphasises the adoption of self-management (SM) approaches. This cross-sectional study aims to investigate the proportion of self-management of health behaviors (SMHB) and identify the factors influencing SMHB among older adults with CKD in Chiang Rai Province, Thailand. The study sample comprised 408 individuals aged ≥ 60 years, selected using a multi-stage sampling method. Data were collected through face-to-face interviews conducted from April to June 2024 and analysed using descriptive statistics, Pearson’s product-moment correlation, Spearman’s rank correlation coefficient, simple linear regression and multiple regression analysis. The average age of the participants was 70.0 ± 6.7 years, with over one-third (38.5%) reporting CKD stage 2 and 32.4% at stage 1. The findings indicated a good proportion of SMHB (79.4%) among older adults with CKD in Chiang Rai Province, with an average SMHB score of 44.0 ± 12.8. Multiple regression analysis revealed that self-condition management for health promotion (SCMHP), maintaining self-care for health (MSCH), participation in social health activities (PSHA), health literacy related to self-care practices (HLSCP) and occupation were significant predictors of SMHB. Collectively, these factors explained over half of the variance in SMHB levels (R² = 0.619, p < 0.05). Consequently, the study suggests that promoting sustainable SMHB among older adults with CKD should be a healthcare priority for precautionary prevention.
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