Main Article Content
This study investigated the healthy aging levels and the factors of healthy aging among the elderly in Khon Kaen Province, which has been identified as having the highest level of healthy aging in Thailand. The sample (n = 449) was obtained from multistage random sampling. Physical factors, psychological, and spiritual factors, and a healthy aging instrument were part of the instruments. Findings revealed that elderly had an excellent level of healthy aging (M = 4.66, SD = .36). Correlation analysis showed eight independent variables were significantly associated with healthy aging. The first step of the hierarchical regression model showed that civil service was statistically significant to healthy aging (β = -.17, adj. R2= .09, p = .01). In the second step, health perception (β = .15, p < .001) and active daily living (β = .21, p < .001) were statistically significant to healthy aging. In the third step, self-esteem (β = .15, p < .001) and psychological spiritual needs (β = .56, p < .001) were statistically significant to healthy aging. In the final model, psychosocial factors were statistically significant (β =.18, p < .001, adj. R2 = .56). These findings suggest that promoting health perceptions, active daily living, self-esteem, psychological and spiritual needs, and psychosocial necessities could assist individuals healthy aging. This presents an opportunity for behavioral science research to be utilized to promote healthy aging by engaging the specific areas and identifying chances where behavioral promotion may be used to create behavior that contribute to healthy aging.
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Bell, K. (2014). Age stratification theory. Open Education Sociology Dictionary. https://sociologydictionary.org/age-stratification-theory/
Cacioppo, J. T., Hawkley, L. C., Norman, G. J., & Bernston, G. G. (2011). Social isolation. Annals of the New York Academy of Sciences, 1231(1), 17–22. https://doi.org/10.1111/j.1749-6632.2011.06028.x
Choochom, O., Sucaromana, U., Chavanovanich, J., & Tellegen, P. (2019). A model of self-development for enhancing psychological immunity of the elderly. Journal of Behavioral Science, 14(1), 84–96. https://doi.org/10.20472/iac.2019.048.009
Collin, C., Wade, D. T., Davies, S., & Horne, V. (1998). The Barthel ADL Index: A reliability study. International Disability Studies, 10(2), 61–63. https://doi.org/https://doi.org/10.3109/
Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., Hirsch, C., Gottdiener, J., Seeman, T., Tracy, R., Kop, W. J., Burke, G., & McBurnie, M. A. (2001). Frailty in older adults: Evidence for a phenotype. Journals of Gerontology - Series A Biological Sciences and Medical Sciences, 56(3), 146–157. https://doi.org/10.1093/gerona/56.3.m146
Foundation of Thai Gerontology Research and Development institute. (2019). Situation of the Thai Elderly 2019. https://thaitgri.org/?p=39473
Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2010). Multivariate Data Analysis. Vectors (7th ed.). Pearson Prentice Hall. https://doi. org/10.1016/j. ijpharm.2011.02.019
Han, K. H., Lee, Y. J., Gu, J. S., Oh, H., Han, J. H., & Kim, K. B. (2015). Psychosocial factors for influencing healthy aging in adults in Korea. Health and Quality of Life OutcomesI 13(1), 1–10. https://doi.org/10.1186/s12955-015-0225-5
Hansen-Kyle, L. (2005). A concept analysis of healthy aging. Nursing Forum, 40(2), 45–57. https://doi.org/10.1111/j.1744-6198.2005.00009.x
Jung, C. G. (1969). Psychological factors determining human behavior (R. F. C. Hull, Trans.). In H. Read et al. (Eds.), The collected works of C. G. Jung: Vol. 8. Structure and dynamics of the psyche (2nd ed., pp. 114-125). Princeton University Press. (Original work published 1937)
Kim, C.-B., Yoon, S.-J., & Ko, J. (2017). Economic Activity and Health Conditions in Adults Aged 65 Years and Older: Findings of the Korean National Longitudinal Study on Aging. Healthcare, 5(4), 63. https://doi.org/10.3390/healthcare5040063
Kim, E. S., Tkatch, R., Martin, D., MacLeod, S., Sandy, L., & Yeh, C. (2021). Resilient Aging: Psychological Well-Being and Social Well-Being as Targets for the Promotion of Healthy Aging. Gerontology and Geriatric Medicine, 7, 1–12. https://doi.org/10.1177/23337214211002951
Kristof, A. L. (1996). Person-organization fit: An integrative review of its conceptualizations, measurement and implications. Personnel Psychology, 49(1), 1–49.
Maslow, A. H. (1943). A theory of human motivation. Psychological Review, 50(4), 370–396. https://doi.org/https://doi.org/10.1037/h0054346
McKee, K. J., & Schüz, B. (2015). Psychosocial factors in healthy ageing. Psychology and Health, 30(6), 607–626. https://doi.org/https://doi.org/10.1080/08870446.2015.1026905
Minami, U., Nishi, M., Fukaya, T., Hasebe, M., Nonaka, K., Koike, T., Suzuki, H., Murayama, Y., Uchida, H., & Fujiwara, Y. (2015). Effects of the change in working status on the health of older people in Japan. PLoS ONE, 10(12), 1–10. https://doi.org/10.1371/journal.pone.0144069
Näsman, M., Niklasson, J., Saarela, J., Nygård, M., Olofsson, B., Gustafson, Y., & Nyqvist, F. (2020). Morale in Old Age and Its Association with Sociodemographic, Social, and Health-Related Factors in Different Age Groups. Journal of Aging Research. https://doi.org/10.1155/2020/3939718
National Statistical Office. (2017). The elderly population survey in Thailand. http://www.nso.go.th/sites/2014en/Pages/survey/Social/Demographic,%20Population%20and%20Housing/The-Survey-Of-Elderly-In-Thailand.aspx
Nilsson, K. (2017). The Influence of Work Environmental and Motivation Factors on Seniors’ Attitudes to an Extended Working Life or to Retire. A Cross Sectional Study with Employees 55 - 74 years of Age. Open Journal of Social Sciences, 5(7), 30–41. https://doi.org/10.4236/jss.2017.57003
Potard, C. (2017). Self-esteem Inventory (Coopersmith). In V. Zeigler-Hill & T. K. Shackelford (Eds.), Encyclopedia of Personality and Individual Differences (pp. 1–3). Springer international. https://doi.org/10.1007/978‐3‐319‐28099‐8_81-1
Santacreu, M., Rodríguez, M. A., & Molina, M. Á. (2019). Behavioral health. In Fernández-Ballesteros, A. Benetos, & J.-M. Robine (Eds.), The Cambridge Handbook of Successful Aging (pp. 299–320). Cambridge University Press. https://doi.org/https://doi.org/10.1017/9781316677018.019
Sutipan, P., & Intarakamhang, U. (2017). Healthy Lifestyle Behavioral Needs among the Elderly with Hypertension in Chiang Mai, Thailand. International Journal of Behavioral Science, 12(1), 1–12.
Tavares, R. E., Jesus, M. C. P. de, Machado, D. R., Braga, V. A. S., Tocantins, F. R., & Merighi, M. A. B. (2017). Healthy aging from the perspective of the elderly: An integrative review. Revista Brasileira de Geriatria e Gerontologia, 20(6), 878–889. https://dx.doi.org/10.1590/1981-22562017020.170091
Thiamwong, L., Maneesriwongul, W., Malathum, P., Jitapunkul, S., Vorapongsathorn, T., & Stewart, A. L. (2008). Development and Psychometric Testing of the Healthy Aging Instrument. Pacific Rim International Journal of Nursing Research, 12(4), 285-296. https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/5866
Tseng, H. Y., Löckenhoff, C., Lee, C. Y., Yu, S. H., Wu, I. C., Chang, H. Y., Chiu, Y. F., & Hsiung, C. A. (2020). The paradox of aging and health-related quality of life in Asian Chinese: Results from the Healthy Aging Longitudinal Study in Taiwan. BMC Geriatrics, 20(1), 1–10. https://doi.org/10.1186/s12877-020-1446-y
United Nations. (2020). Policy brief: The impact of COVID-19 on older persons. https://unsdg.un.org/sites/default/files/2020-05/Policy-Brief-The-Impact-of-COVID-19-on-Older-Persons.pdf
United Nations. (2019). World Population Prospects 2019. United Nations Population Division. https://population.un.org/wpp/Download/Standard/Population/
United Nations Department of Economic and Social Affairs Population Division. (2015). World population aging 2015 - Highlights (ST/ESA/SER.A/368). http://esa.un.org/unpd/wpp/publications/files/key_findings_wpp_2015.pdf
Wagner, J., Hoppmann, C., Ram, N., & Gerstorf, D. (2015). Self-esteem is relatively stable late in life: The role of resources in the health, self-regulation and social domains. Developmental Psychology, 51(1), 136–149. https://doi.org/https://doi.org/10.1037/a0038338
Wahl, H. W. (2020). Aging Successfully: Possible in Principle? Possible for all? Desirable for all? Integrative Psychological and Behavioral Science, 54(2), 251–268. https://doi.org/10.1007/s12124-020-09513-8
Waldman-Levi, A., Bar-Haim Erez, A., Katz, N., & Stancanelli, J. M. (2020). Emotional Functioning and Sense of Hope as Contributors to Healthy Aging. OTJR Occupation, Participation and Health, 40(4), 253–260. https://doi.org/10.1177/1539449220920728
Wang, H.-H., & Laffrey, S. C. (2001). A predictive model of well-being and self-care for rural elderly women in Taiwan. Research in Nursing and Health, 24(2), 122–132. https://doi.org/https://doi.org/10.1002/nur.1015
World Health Organization. (2002). Active ageing: A policy framework. https://apps.who.int/iris/handle/10665/67215
World Health Organization. (2011). Global health and ageing. https://www.who.int/ageing/publications/global_health.pdf
World Health Organization. (2015). World report on aging and health. http://apps.who.int/iris/bitstream /10665/186463/1/97892 40694811_ eng.pdf?ua=1
World Health Organization. (2021). Decade of healthy ageing: Baseline report. https://www.who.int/publications/i/item/9789240017900
Yamane, T. (1973). Problem to accompany statistics: An introductory analysis (3rd. ed). Harper & Row.