Factors related to active aging in Surin province


  • Kampanart Kunjaethong Faculty of Public Health, Mahidol University
  • Naruemon Auemaneekul Department of Public Health Nursing, Faculty of Public Health, Mahidol University
  • Kwanjai Amnatsatsue Department of Public Health Nursing, Faculty of Public Health, Mahidol University
  • Tassanee Rawiworrakul Department of Public Health Nursing, Faculty of Public Health, Mahidol University
  • Pratana Satitvipawee Department of Biostatistics, Faculty of Public Health, Mahidol University


elderly, Active aging, determinants of active aging


Active aging is an important process to promote quality of life among elderly people. This study aimed to study the level of active aging and factors associated to active aging among elderly people in Surin province. The concept of active aging of World Health Organization was applied as the conceptual framework. This Crosssectional study uses interview forms for data collection with the elderly people without cognitive and memory impairment. 450 samples were gathered using multistage random sampling. Data were analyzed using chi-square.

The results showed that most of elderly people had moderate level of active aging (54.2 percent), and factors associated to active aging among elderly people were personal characteristics factors including of living place, ethnics, health benefits, cognitive or brain training. Moreover, the determinants factors of active aging were cross-cutting determinants (culture and gender), determinants related to health and social service system, behavioural determinants, determinants related to physical environment, determinants related to social environment, and economic determinants (p-value < .05).

The finding suggest that active aging programs include living place, culture and gender, health and social service system, and physical environment are essential to enhance the quality of life among elderly people.


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World Health Organization. WHO Global report on falls Prevention in older Age [Internet]. 2007 [cited 2015 February13]. Available from http://www.who.int/ageing/publications/Fallsprevention7March.pdf.

National Statistical Office. The 2014 survey of the elderly in Thailand [Internet]. 2015 [cited 2016 April 28]. Available from http://www.m-society.go.th/articleattach/13101/17262.pdf.

Prachuapmore P. Situation of Thai elderly 2013. Nonthaburi: SS Plus Media; 2014.

Soonthorndhada K, Kamsuwan K. The level and trend of Active Ageing among Thai elderly [Internet]. 2010 cited 2016 January 7]. Available from http://www.Thaipopulation.org/Stable/index.php?option=comcontent&view=article&_id=103&Itemid=76.

Health Promotion Center Region Provincial overview; Results of government inspections and supervisory work in normal cases at the Ministry level Fiscal Year 2013 [Internet]. 2013 [cited 2013 February 20]. Available from http://hpc5.anamai.moph.go.th/.

Wasri P. District network for elderly care. Bangkok: Sahamitr Printing and Publishing; 2015. p. 2-9.

Vogel T, Brechat PH, Lepretre PM, Kaltenbach G, Berthel M, Lonsdorfer J. Health benefits of physical activity in older patients: a review. International journal of clinical practice 2009; 63(2): 303-20.

World Health Organization. Active Ageing A Policy Framework [Internet]. 2002 [cited 2015 January 13]. Available from http://whqlibdoc.who.int/hq/2002/WHO_NMHNPH02.8.pdf?ua=1.

Perales J, Martin S, Ayuso-Mateos JL, Chatterji S, Garin N, Koskinen S, et al. Factors associated with active aging in Finland, Poland, and Spain.International psychogeriatrics 2014; 26(8): 1363-75.

McFarquhar T, Bowling A. Psychological well-being and active ageing: Maintaining quality of life in older age. European Psychiatry 2009; 24(S1): 1-1. doi: https://doi.org/10.1016/S0924-9338(09)71335-5.

Di Gessa G, Grundy E. The relationship between active ageing and health using longitudinal data from Denmark, France, Italy and England. Journal of epidemiology and community health 2014; 68(3): 261-7.

Nantsupawat W, Kamnuansilapa P, Sritanyarat W, Wongthanawasu S. Family Relationships, Roles and the Meaning of Active Aging among Rural Northeastern Thai Elders. Pacific Rim International Journal of Nursing Research 2010; 14(2): 137-48.

Yatniyom P, Katepitchayawattana S. Active Ageing characteristics: a case study of a famous Thai elderly. Journal of Gerontology and Geriatric Medicine 2006; 7(2). (in Thai)

Saengprachaksakula S. Active Ageing of Thai Elderly. Journal of Social Sciences Srinakharinwirot University 2015; 17: 231-248. (in Thai)

Chansarn S. Active ageing of elderly people and its determinants: Empirical evidence from Thailand. Asia-Pacific Social Science Review 2012; 122(1): 1-18.

Taengwong S, Changmai S, Seang-On L. Factors predicting active aging of the elderly in Nakhon Pathom Province. Nakhon Pathom: Christian University of Thailand; 2009.

Rattanamongkolgul D. Active ageing: a case study in I-san cultural context. [Dissertation]. Khon Kaen: Faculty of Nursing, Khon Kaen University, 2012.

Suwannaphet N. Participation of Active Ageing among older adult in community. [Dissertation]. Khon Kaen: Faculty of Nursing, Khon Kaen University; 2011.

Yeunyow T, Neelapaichit N, Kaveevivitchai C. The health seeking behaviors of the elderly among the Kui ethnic community in north eastern province of Thailand. Nursing Journal of the ministry of public health 2018; 27(3): 120-32. (in Thai)

Daniel WW. Biostatics : A foundation for analysis in the health science. (6th edition) New York: John Wiley &Sons; 1995.

Arun-saeng P. Adult and elderly health assessment for nurses. Khon Kaen: Klang nana wittaya; 2014.

Institute Of Geriatric Medicine. Thai Mental State Examination. Bangkok: Medical Department; 1999.

World Health Organization. Waist Circumference and Waist-Hip Ratio [Internet]. 2011 [cited 2015 February 13]. Available from https://apps.who.int/iris/bitstream/handle/10665/44583/9789241501491eng.pdf;jsessionid=D40B296A4B7E01A0798FA03B97A5E1DE?sequence=1.

National Statistical Office. Active Ageing Index of Thai Elderly [Internet]. 2017 [cited 2019 November 1]. Available from http://www.nso.go.th.

UzoboE, Dawodu OE. Ageing and health: A comparative study of rural and urban aged health status in Bayelsa State Nigeria European Scientific Journal 2015; 11(14): 258-73.

Bowen ME, Gonzalez HM. Racial/ethnic differences in the relationship between the use of health care services and functional disability: the health and retirement study (1992-2004). The Gerontologist 2008; 48(5): 659-67.

Yang YT, Iqbal U, Ko HL, Wu CR, Chiu HT, Lin YC, et al. The relationship between a ccessibility of healthcare facilities and medical care utilization among the middle-aged and elderly population in Taiwan. International journal for quality in health care: journal of the International Society for Quality in Health Care 2015; 27(3): 222-31.

Liang Y, Lu P. Medical insurance policy organized by Chinese government and the health inequity of the elderly: longitudinal comparison based on effect of New Cooperative Medical Scheme on health of rural elderly in 22 provinces and cities. International Journal for Equity in Health 2014; 13(1): 37-52.

Fernandez-Prado S, Conlon S, Mayan-Santos JM, Gandoy-Crego M. The influence of a cognitive stimulation program on the quality of life perception among the elderly. Archives of gerontology and geriatrics 2012; 54(1):181-4.

Franzini L, Fernandez-Esquer ME. Socioeconomic, cultural, and personal . influences on health outcomes in low income Mexican-origin individuals in Texas. Social science & medicine. 2004; 59(8):1629-46.

Visetkamin S. The relationship between selected factors and quality of life of elderly in amphur Pathiu Chumporn province. [Dissertation]. Bangkok: Faculty of Graduate Study, Mahidol University; 2002.

Canadian public health association. Air pollution and senior’s health [Internet]. 2004 [cited 2016 May 8]. Available from https://www.cpha.ca/uploads/progs/env/rdrpseniorse.pdf.

Ahmed T, Haboubi N. Assessment and management of nutrition in older people and its importance to health. Clinical interventions in aging 2010; 5: 207-16. doi: 10.2147/cia.s9664

Tareque MI, Ahmed MM, Tiedt AD, Hoque N. Can an active aging index (AAI) provide insight into reducing elder abuse? A case study in Rajshahi District, Bangladesh. Archives of gerontology and geriatrics 2014; 58(3): 399- 407.



How to Cite

Kunjaethong, K., Auemaneekul, N., Amnatsatsue, K., Rawiworrakul, T., & Satitvipawee, P. (2019). Factors related to active aging in Surin province. Journal of Public Health Nursing, 33(3), 78–94. Retrieved from https://he01.tci-thaijo.org/index.php/phn/article/view/241695



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