The Limited Activities of Daily Living (ADLs) among Thai Older Adults: An evidence from the 2017 national survey of older persons in Thailand

  • Alongkorn Pekalee Department of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University
  • Paranee Vatanasomboon Department of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University
Keywords: Older adults, Activities of daily living, National survey

Abstract

     Ability to accomplish activities of daily living (ADLs)- routine activities people do every day without assistance, among older adults is important to determine the needs of aids and assistants, and quality of life improvement. This secondary research aimed to assess the limited ADL among older adults and its associated factors. The data of the 2017 survey of the older persons in Thailand permitted by the National Statistical Office were used for the study. The sample of 39,032 older adults aged 60 years and over who reported on their activities of daily living were selected to analyze. Descriptive statistics and binary logistic regression analysis were employed for data analysis.

     The results showed as overall that 29.4 % of older adults reported at least one limited ADL. Among the 10 basic ADLs, incontinence (17.4 %) and mobility within their house (16.4 %) were mostly reported as limited activities. The result of binary logistic regression analysis revealed that the factors significantly associated with having at least one limited ADLs were being female; mid-old and oldest-old persons; single/widowed/divorced/ separated status; completing education at below bachelor’s degree; insufficient income; having fall history; having visual, hearing, and chewing problems; and no regular exercise.  The findings suggest the related agencies such as the Division of Health, Ministry of Public Health, and Department of Older Persons, Ministry of Social Development and Human Security for provisions of elderly care and support, particularly for older adults with low socioeconomic status. Screening of degenerative and functional problems should be implemented as routine annual health check-ups to early detect and plan to support and care.

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Published
2021-05-18
Section
Research Article