Prevalence of healthy aging and factors associated in Thai urban elderly, Bangkok, Thailand


  • Onsiri Pitisuttithum College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand
  • Peerasak Chantaraprateep College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand
  • Karl Jakob Neeser College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand


Elderly, Healthy aging, Successful aging, Thailand


Purpose - Population aging is a global phenomenon affecting many countries including Thailand. Healthy aging is the key to many challenges that come with population aging. This study aimed to estimate prevalence of healthy aging and identify factors related to healthy aging among Thai urban elderly in Bangkok, Thailand.

Design/methodology/approach - This research was a cross-sectional study. Data collection was done by face-to-face interviews using questionnaires at Lumpini Park, Bangkok. A total of 200 older persons (100 males and 100 females) aged 60 years or over were recruited non-randomly. Descriptive analysis including chi-square test, univariate and multivariate regression analyses were used to analyze the prevalence and associated factors of healthy aging. This study defined healthy aging as having totally independent physical function, normal cognitive function, good mental health status, normal nutritional status, and good quality of life. 

Findings - The prevalence of healthy aging was 66.0%. There were no differences in prevalence of healthy aging between males and females. After controlling for other covariates, household income, health awareness, physical activity, and sleep were associated with factors of healthy aging.

Originality/value - About two-thirds of the older persons met the criteria of healthy aging. The findings of this study can be used as provisional data for policy makers to help Thailand overcome challenges that come with aging population.


1. World Health Organization [WHO]. World report on ageing and health. Geneva: WHO; 2015. [cited 2018 June]. Available from:

2. World Health Organization [WHO]. Global health and aging. [cited 2018 June]. Available from:

3. United Nations [UN]. World population prospects: the 2017 revision. [cited 2018 June]. Available from:

4. Lee R, Mason A, Cotlear D. Some economic consequences of global aging: A Discussion note for the world bank. Washington, DC: World Bank; 2010.

5. Rowe JW, Kahn RL. Successful aging. Gerontologist. 1997 Aug; 37(4): 433-40. doi: 10.1093/geront/37.4.433

6. Holstein MB, Minkler M. Self, society, and the "New Gerontology". Gerontologist. 2003; 43(6): 787-96. doi: 10.1093/geront/43.6.787

7. Glass TA. Assessing the success of successful aging. Ann Intern Med. 2003 Sep; 139(5 Pt 1): 382-3.

8. Scheidt RJ, Humpherys DR, Yorgason JB. Successful aging: What's not to like? J Appl Gerontol. 1999 Sep; 18(3): 277-82. doi: 10.1177/073346489901800301

9. Bousquet J, Kuh D, Bewick M, Standberg T, Farrell J, Pengelly R, et al. Operational definition of Active and Healthy Ageing (AHA): A conceptual framework. J Nutr Health Aging. 2015 Nov; 19(9): 955-60. doi: 10.1007/s12603-015-0589-6

10. Depp CA, Jeste DV. Definitions and predictors of successful aging: a comprehensive review of larger quantitative studies. Am J Geriatr Psychiatry. 2006 Jan; 14(1): 6-20. doi: 10.1097/01.JGP.0000192501.03069.bc

11. McLaughlin SJ, Connell CM, Heeringa SG, Li LW, Roberts JS. Successful aging in the United States: prevalence estimates from a national sample of older adults. J Gerontol B Psychol Sci Soc Sci. 2010 Mar; 65B(2): 216-26. doi: 10.1093/geronb/gbp101

12. Hamid TA, Momtaz YA, Ibrahim R. Predictors and prevalence of successful aging among older Malaysians. Gerontology. 2012; 58(4): 366-70. doi: 10.1159/000334671

13. Nanthamongkolchai S, Tuntichaivanit C, Munsawaengsub C, Charupoonphol P. Successful ageing: A case study of Rayong province, Thailand. Asia Journal of Public Health. 2011; 2(1): 35-9.

14. Thailand, Ministry of Public Health, Department of Health. Manual of geriatric screening tools. Bangkok: Department of Health; 2014.

15. Silva PAB, Soares SM, Santos JFG, Silva LB. Cut-off point for WHOQOL-bref as a measure of quality of life of older adults. Revista De Saude Publica. 2014 Jun; 48(3): 390-7. doi: 10.1590/S0034-8910.2014048004912

16. Thailand, National Statistical Office. The 2014 survey of the older persons in Thailand. Bangkok: Ministry of Information and Communication Technology; 2014.

17. Li C, Wu W, Jin H, Zhang X, Xue H, He Y, et al. Successful aging in Shanghai, China: definition, distribution and related factors. Int Psychogeriatr. 2006 Sep; 18(3): 551-63. doi: 10.1017/S1041610205002966

18. Meng X, D'Arcy C. Successful aging in Canada: prevalence and predictors from a population-based sample of older adults. Gerontology. 2014; 60(1): 65-72. doi: 10.1159/000354538

19. Wu M, Yang Y, Zhang D, Sun Y, Xie H, Zhang J, et al. Prevalence and related factors of successful aging among Chinese rural elders living in nursing homes. Eur J Ageing. 2017 Dec; 14(4): 419-28. doi: 10.1007/s10433-017-0423-6

20. White CM, St John PD, Cheverie MR, Iraniparast M, Tyas SL. The role of income and occupation in the association of education with healthy aging: results from a population-based, prospective cohort study. BMC Public Health. 2015 Nov; 15: 1181. doi: 10.1186/s12889-015-2504-9

21. Kim SH, Park S. A Meta-Analysis of the Correlates of Successful Aging in Older Adults. Res Aging. 2017 Jun; 39(5): 657-77. doi: 10.1177/0164027516656040

22. Neeser KJ, Somrongthong R. The key to health and longevity. Bangkok: College of Public Health Science, Chulalongkorn University; 2017.

23. Viña J, Rodriguez-Mañas L, Salvador-Pascual A, Tarazona-Santabalbina FJ, Gomez-Cabrera MC. Exercise: the lifelong supplement for healthy ageing and slowing down the onset of frailty. J Physiol. 2016 Apr; 594(8): 1989-99. doi: 10.1113/JP270536

24. Pines A. Lifestyle and healthy aging. Gynecol Endocrinol. 2014 Sep; 30(9): 609-11. doi: 10.3109/09513590.2014.945905

25. Sowa A, Tobiasz-Adamczyk B, Topor-Madry R, Poscia A, la Milia DI. Predictors of healthy ageing: public health policy targets. BMC Health Serv Res. 2016 Sep; 16(Suppl 5): 289. doi: 10.1186/s12913-016-1520-5

26. Shi WH, Zhang HY, Zhang J, Lyu YB, Brasher MS, Yin ZX, et al. The status and associated factors of successful aging among older adults residing in longevity areas in China. Biomed Environ Sci. 2016 May; 29(5): 347-55. doi: 10.3967/bes2016.045




How to Cite

Pitisuttithum, O., Chantaraprateep, P., & Neeser, K. J. (2018). Prevalence of healthy aging and factors associated in Thai urban elderly, Bangkok, Thailand. Journal of Health Research, 32(Suppl.2), S167-S176. Retrieved from