Exploring predictive factors of family relationships among older adults: a study in community settings 10.55131/jphd/2025/230319

Main Article Content

Yuranun Tepa
Pornpana Somjit
Natnapa Promma
Manuchet Manotham
Nattapon Pansakun
Taweewun Srisookkum
Sarunyoo Suebjit
Piyaporn Roknoi

Abstract

This cross-sectional study aimed to identify predictive factors of family relationships among older adults in Ban Rong Subdistrict, Ngao District, Lampang Province. A total of 450 older adults were selected using multi-stage random sampling. Data were gathered from May to June 2024 through structured interviews. Descriptive and multiple linear regression analyses were performed to identify predictors of family relationships. Results indicated that the sample was predominantly female (mean age = 70.23 years), educated at the primary level, married, and engaged in agricultural occupations. The most common comorbidity was hypertension, while most participants reported having sufficient income. Social support emerged as the primary predictor of family relationships (β = 0.493, p < 0.001), followed by self-efficacy (β = 0.171, p < 0.001), income sufficiency (β = 0.130, p = 0.001), and leisure activities (β = 0.118, p = 0.001). These factors collectively accounted for 44.2% of the variance in family relationships (R² = 0.442). These findings underscore the importance of targeting social support to enhance family dynamics among older adults in community settings. Strengthening support mechanisms, advocating for health-promotion policies, and fostering an environment that encourages self-efficacy and leisure activities may collectively improve the quality of life and well-being of older adults in Thailand.

Article Details

How to Cite
1.
Yuranun Tepa, Somjit P, Natnapa Promma, Manuchet Manotham, Nattapon Pansakun, Taweewun Srisookkum, Sarunyoo Suebjit, Piyaporn Roknoi. Exploring predictive factors of family relationships among older adults: a study in community settings: 10.55131/jphd/2025/230319. J Public Hlth Dev [internet]. 2025 Sep. 30 [cited 2025 Dec. 9];23(3):247-59. available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/274187
Section
Original Articles
Author Biographies

Yuranun Tepa, Ngao District Public Health Office, Lampang, Thailand

Ngao District Public Health Office, Lampang, Thailand

Pornpana Somjit, Department of Community Health, School of Public Health, University of Phayao, Phayao,Thailand

Department of Community Health, School of Public Health, University of Phayao, Phayao,Thailand

Natnapa Promma, Department of Community Health, School of Public Health, University of Phayao, Phayao,Thailand

Department of Community Health, School of Public Health, University of Phayao, Phayao,Thailand

Manuchet Manotham, Department of Community Health, School of Public Health, University of Phayao, Phayao,Thailand

Department of Community Health, School of Public Health, University of Phayao, Phayao,Thailand

Nattapon Pansakun, Department of Health Promotion, School of Public Health, University of Phayao, Phayao, Thailand

Department of Health Promotion, School of Public Health, University of Phayao, Phayao, Thailand

Taweewun Srisookkum, Department of Community Health, School of Public Health, University of Phayao, Phayao,Thailand

Department of Community Health, School of Public Health, University of Phayao, Phayao,Thailand

Sarunyoo Suebjit, Ban Sab Pon Subdistrict Health Promoting Hospital, Ngao, Lampang, Thailand

Ban Sab Pon Subdistrict Health Promoting Hospital, Ngao, Lampang, Thailand

Piyaporn Roknoi, Ban Sab Pon Subdistrict Health Promoting Hospital, Ngao, Lampang, Thailand

Ban Sab Pon Subdistrict Health Promoting Hospital, Ngao, Lampang, Thailand

References

World Health Organization. Ageing and health [Internet]. 2022 [Cited 2024 Sep 2]. Available from: https://www. who.int/news-room/fact-sheets/detail/ ageing-and-health

National Statistical Office of Thailand. The 2021 Survey of the Elderly Population in Thailand: Provincial Statistical Tables [Internet]. Bangkok: NSO; 2022 [Cited 2024 Sep 2]. Available from: https://www.nso. go.th/nsoweb/storage/survey_detail /2023/20230731135832_95369.pdf

Milkie MA, Bierman A, Schieman S. How adult children influence older parents' mental health: Integrating stress-process and life-course perspectives. Soc Psychol Q. 2008; 71(1):86-105.

Thanakwang K, Soonthorndhada K. Mechanisms by which social support networks influence healthy aging among Thai community-dwelling elderly. J Aging Health. 2011;23(8): 1352-78. doi: 10.1177/08982643114 18503.

Olson DH. Circumplex model of marital and family systems. J Fam Ther. 2000;22:144-167. doi: 10.1111/1467-6427.00144.

Li W, Sun H, Xu W, Ma W, Yuan X, Wu H, Kou C. Leisure activity and cognitive function among Chinese old adults: The multiple mediation effect of anxiety and loneliness. J Affect Disord. 2021;294:137-42. doi: 10.1016/j.jad. 2021.07.051.

Wang J. The longitudinal relationship between leisure activities and depressive symptoms among older Chinese adults: an autoregressive cross-lagged analysis approach. BMC Public Health. 2024;24:763. doi: 10.1186/ s12889-024-18293-4.

Bražinová I, Chytil O. The family as a source of social support for older adults: Implications for gerontological social work. J Soc Work. 2024;24(3):339-56. doi: 10.1177/14680173231222612

Kuang-Chung W, Cheng-En W. Effects of exercise behavior, social cohesion, and social support on health behaviors in older adults: intervention in a multi-component exercise program. J Community Med Public Health. 2023; 7:301. doi: 10.29011/2577-2228. 100301.

Pissamorn C, Chaipin E, Prasansri A, Thammakawinwong N. Private funding research: application of self-efficacy theory on health behaviors of elderly in Lampang Province [Internet]. Lampang: Lampang Rajabhat University; 2018 [cited 2024 Mar 8]. Available from: https://research.lpru. ac.th/upload/certificate/64a396cff00b 51344.pdf.

Shu Z, Xiao J, Dai X, Han Y, Liu Y. Effect of family" upward" intergenerational support on the health of rural elderly in China: Evidence from Chinese Longitudinal Healthy Longevity Survey. PLoS One. 2021; 16(6):1932-6203. doi: 10.1371/journal. pone.0253131.

Mefteh KY, Shenkute BK. Experience of rural family caregivers for older adults in co-residential family care arrangements in central Ethiopia: motives of family caregivers in reciprocal relationship. Patient Prefer Adherence. 2022;16:2473-2482. doi: 10.2147/ PPA.S378153.

Sringernyuang L, Felix MS, Torut B, Wongjinda S, Chaimongkol U, Wongjinda T. Thailand: case studies of filial piety, family dynamics, and family finances-unexpected findings of a country-wide research of the evaluation of project performance supported by older persons fund. Asia-Pac Soc Sci Rev. 2020;20(1):13. doi: 10.59588/2350-8329.1289.

Lalani N, Katare B, Wagle S, Yang S. Rural family caregiving: Promoting self-care and well-being of rural female caregivers of frail older family members. Innov Aging. 2024;8(Suppl 1):560. doi: 10.1093/geroni/igae098. 1831.

Daniel WW. Biostatistics: a foundation for analysis in the health sciences: Wiley; 1978.

Krejcie RW, Morgan DW. Determining Sample Size for Research Activities. Educational and Psychological Measurement. 1970;30(3):607-610.

Mongkol A, Wongphirumthasan Y, Tangseree T, Hattapanom W, Romsai P, Jutha W. Research report on the development and testing of the Thai mental health indicator (Version 2007). Nonthaburi: Department of Mental Health, Ministry of Public Health; 2009.

House JS, Kahn RL. Measures and concepts of social support. In: Cohen S, Syme SL, editors. Social Support and Health. San Diego: Academic Press; 1985. p. 83-108.

McCubbin H, Thompson A, Elver K. Family attachment and changeability index 8 (FACI8). Family assessment: Resiliency, coping and adaptation: Inventories for research and practice. 1996:725-51.

Chompikul J, Suthisukon P, Sueluerm K, Dammee D. Relationship in Thai families. Nakhon Pathom: ASEAN Institute for Health Development, Mahidol University; 2009.

Jumneansuk A, Detboon P, Mingmai K, Phophak S, Phoha S, Phanitcharoen S. Quality of life of older adults with chronic diseases in Si Chomphu District, Khon Kaen Province. Ratchaphruek J. 2017;15(2):16-26.

Yuanfeng L, Xu Z. Active aging and health among older adults in China: a perspective based on downward intergenerational economic support. Front Public Health. 2024;12. doi: 10.3389/fpubh.2024.1337829.

Stevenson C, Wakefield JRH, Kellezi B, Stack RJ, Dogra S. Families as support and burden: A mixed methods exploration of the extent to which family identification and support predicts reductions in stress among disadvantaged neighbourhood residents. J Soc Pers Relat. 2022;39(4): 886-907. doi:10.1177/0265407521105 0071.

Peng C, Kwok CL, Law YW, Yip PSF, Cheng Q. Intergenerational support, satisfaction with parent–child relationship and elderly parents’ life satisfaction in Hong Kong. Aging Ment Health. 2019;23(4):428-38. doi: 10.1080/13607863.2017.1423035.

Aylaz R, Aktürk Ü, Erci B, Öztürk H, Aslan H. Relationship between depression and loneliness in elderly and examination of influential factors. Arch Gerontol Geriatr. 2012;55(3):548-54. doi: 10.1016/j.archger.2012.03.006.

Cudjoe TKM, Roth DL, Szanton SL, Wolff JL, Boyd CM, Thorpe RJ, Jr. The Epidemiology of Social Isolation: National Health and Aging Trends Study. J Gerontol B Psychol Sci Soc Sci. 2018;75(1):107-13. doi: 10.1093/ geronb/gby037.

Itthichoti N, Sawangsopakul B. Life skill, adaptation, family relationship and self-reliance of the elderly at the elderly club in Bang Mueang municipal district, Samut Prakan province. Valaya Alongkorn Rev. 2019;9(1):1-17.

Kim J. Marital Satisfaction, Gender, and Active Social Engagement in Older Adults: Longitudinal Evidence From South Korea. J Gerontol B Psychol Sci Soc Sci. 2023;78(12):2090-101. doi: 10.1093/geronb/gbad145.

Shane J, Luerssen A, Carmichael CL. Friends, family, and romantic partners: Three critical relationships in older women’s lives. J Women Aging. 2021;33(4):378-95. doi: 10.1080/ 08952841.2020.1838238.

Czaja SJ, Boot WR, Charness N, Rogers WA, Sharit J. Improving Social Support for Older Adults Through Technology: Findings From the PRISM Randomized Controlled Trial. Gerontologist. 2017;58(3):467-77. doi: 10.1093/geront/gnw456.

Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review. 1977;84(2): 191-215. doi: 10.1037/0033-295X.84. 2.191.

Fiori KL, Rauer A. The how, when, and where of women’s social relationships later in life. J Women Aging. 2021;33(4):345-6. doi: 10.1080/089528 41.2021.1946263

Qureshi A, Tariq S, Mubeen B. Social support as predictor of life satisfaction in older adults. J Prof Appl Psychol. 2023;4(1):53-60. doi: 10.52053/jpap. v4i1.121.

Tingchum P, Changmai S, Toskulkao T. The Effects of a Social Support Program on the Loneliness and Well-being of Older Persons. NJPH [Internet]. 2022 [cited 2025 Jan 3]. Available from: https://he02.tci-thaijo. org/index.php/tnaph/article/view/257457.

Kandee P, Sukwong P, Weiangkham D. Perceived social support of community-dwelling rural elderly in northern Thailand. J Ment Health Thailand. 2016;23(2):88-97 [cited 2025 Jan 5]. Available from: https://he01.tci-thaijo. org/index.php/jmht/article/download/ 63588/52202/.

Ye L, Zhang X. Social Network Types and Health among Older Adults in Rural China: The Mediating Role of Social Support. Int. J. Environ. Res. Public Health. 2019;16(3):1-14. doi: 10.3390/ijerph16030410.

Piechota A, Ali T, Tomlinson JM, Monin JK. Social participation and marital satisfaction in mid to late life marriage. J Soc Pers Relat. 2021;39(4): 1175-88. doi: 10.1177/0265407521105 6289.

Social Capital and Successful Aging: The Role of Senior Housing. Ann Intern Med. 2003;139(5):395-9. doi: 10.7326/ 0003-4819-139-5_Part_2-200309021-00003.