Factors Associated with the Quality of Life among People Aged 19–24 Years Ban Nong Um Subdistrict Health Promoting Hospital, Na Si Nuan Subdistrict, Kantharawichai District, Maha Sarakham Province

Abstract

This study aimed to investigate factors associated with the quality of life among early adults in the catchment area of Ban Nong Oum Subdistrict Health Promoting Hospital, Na Si Nuan Subdistrict, Kantharawichai District, Maha Sarakham Province. A cross-sectional study design was conducted among 114 participants. Data were collected using the World Health Organization Quality of Life questionnaire, Thai brief version (WHOQOL–BREF–THAI), along with information on demographic characteristics, non-communicable disease risk behaviors, health literacy, mental health (ST-5, 2Q), and vaccination status. Data collection was carried out from September to October 2025. Statistical analysis was performed using the Chi-square test, with a significance level set at 0.05.

The results showed that the majority of participants were female (55.26%), with a mean age of 21.21±1.6 years. Most had a normal BMI (64.91%), an average monthly income of 6,929.82 THB, were covered by the Universal Health Coverage Scheme (88.60%), and had no underlying diseases (98.25%). Risk behaviors for smoking and alcohol consumption were at low levels, and 67.55% had moderate levels of physical activity (72.81%, 83.33%, and 67.55%, respectively). A high level of health literacy was found in 71.93% of participants, and 93.86% reported no stress. Among female participants, 33.33% had received the HPV vaccine, while 46.50% had received the influenza vaccine. Overall, 78.07% had a good quality of life.

Factors significantly associated with quality of life included average monthly income (p=0.01, OR=3.71, 95% CI=1.353–10.159), stress (p=0.04, OR=0.18, 95% CI= 0.038–0.881), and influenza vaccination (p=0.003, OR=0.21, 95% CI=0.074–0.619). In conclusion, most participants had a good quality of life. Strategies to enhance income, improve access to healthcare services, promote mental health care, and increase vaccination coverage are recommended to improve the quality of life among early adults in the community.