ความชุกและปัจจัยที่มีความสัมพันธ์กับความสามารถในการทำกิจวัตรประจำวันที่ซับซ้อน ของผู้สูงอายุที่อาศัยอยู่ในชุมชนเขตชานเมือง

Nipitphon Seeooppalat; Pawinee Saybungkla; Piyathida Kuhirunyaratn; Bangonsri Jindawong

Authors

Nipitphon Seeooppalat Department of Community, Family, and Occupational Medicine, Faculty of Medicine, Khon Kaen University
Pawinee Saybungkla Department of Community, Family, and Occupational Medicine, Faculty of Medicine, Khon Kaen University
Piyathida Kuhirunyaratn Department of Community, Family, and Occupational Medicine, Faculty of Medicine, Khon Kaen University
Bangonsri Jindawong Department of Community, Family, and Occupational Medicine, Faculty of Medicine, Khon Kaen University

Keywords:

Elderly, Health status, Physical ability, Instrumental activities of daily living, Suburban area

Abstract

Instrumental Activities of Daily Living (IADL) is an important indicator of independent living among older adults and an early marker of functional dependence. This study aimed to determine the prevalence of IADL impairment and identify factors associated with IADL among suburban community-dwelling older adults. A cross-sectional analytical study was conducted among 305 older adults residing in suburban communities. Data were collected using a structured questionnaire on sociodemographic characteristics and health status, the Lawton IADL Scale, and the Timed Up and Go (TUG) test. Descriptive statistics and multiple logistic regression analysis were performed. The results of the study found that the prevalence of IADL impairment was 29.84% (95% CI: 24.7–35.0). After adjustment for potential confounders, advanced age ≥ 80 years (AOR = 8.93, 95% CI: 3.22–24.75), primary education (AOR = 9.06, 95% CI: 2.31–35.51), living alone (AOR = 10.50, 95% CI: 1.51–73.23) or living with family members (AOR = 5.73, 95% CI: 1.43–22.97), use of a walking aid (AOR = 5.46, 95% CI: 1.37–21.68), non-participation in religious activities (AOR = 3.63, 95% CI: 1.56–8.42), and a TUG time >12 seconds (AOR = 3.25, 95% CI: 1.68–6.30) were independently associated with IADL impairment. In conclusion, more than a quarter of elderly individuals experience impairments in performing complex activities of daily living. Age, education level, living arrangement, use of walking aids, participation in religious activities, and physical ability are associated with this condition. The study results can be used to screen at-risk groups and plan initiatives to promote independent living among elderly individuals in the community.

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