Association between Health Literacy and Quality of Life among Elderly in the Upper Northeast of Thailand
Keywords:Elderly, Health literacy, Quality of life
This is a cross-sectional analytical study that aims to study the association between health literacy and quality of life among elderly. In this study, the multistage stratified systematic random sampling was used to recruit 516 elderly samples. The data were collected by health literacy questionnaire and the World Health Organization Quality of Life questionnaire (WHOQOL-BREF) and multiple logistic regression was used for data analysis. The result revealed that factors associated with quality of life among elderly in the Upper Northeast of Thailand were adequate and excellent health literacy level (Adj. OR = 2.13; 95%CI: 1.38 - 3.28), monthly household income at 5,000-10,000 Baht (Adj. OR = 2.02; 95%CI: 1.25 - 3.27), and household income more than 10,000 Baht (Adj. OR = 4.87; 95%CI: 2.53 - 9.36), the occupation of agriculture (Adj. OR = 2.66; 95%CI: 1.68 - 4.19), the occupation of business, self-employed, government pensioner, and state enterprise (Adj. OR = 4.52; 95%CI: 1.92 - 10.63), living in municipal housing (Adj. OR = 2.09; 95%CI: 1.36 - 3.20), non-drinking alcohol (Adj. OR = 7.16; 95%CI: 4.18 - 12.28), and non-disability (Adj. OR = 2.24; 95%CI: 1.03 - 4.89). It can be concluded that the elderly had adequate and excellent levels of health literacy that were positively associated with good quality of life among the elderly. Therefore, factors such as household income, stable occupations, habitation, and drinking alcohol are important to improve the quality of life in the elderly.
World Health Organization [WHO]. Ageing and health. [Internet]. 2018 [Cited in 2 July, 2021]. Available from: https://www.who.int/news-room/fact-sheets/detail/ageingand-health.
Population Division, Department of Economic and Social Affairs, United Nations. World Population Prospects 2019: Highlights (ST/ESA/SER.A/423). Geneva: WHO; 2019.
Department of Health Service support. Currently, there are more than 800,000 elderly people living alone, with another 1.3 million living in their homes and sleeping surly. The trend is increasing. [Internet]. 2017 [Cited in 7 April, 2021]. Available from: https://hss.moph.go.th/show_topic.php?id=337.
World Health Organization. Health promotion glossary. [Internet]. 1998 [Cited in 15 April, 2021]. Available from: https://www.who.int/publications/i/item/WHOHPR-HEP-98.1.
Sorensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health 2012; 12(1): 80.
Nutbeam D. Health literacy as a public goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int 2000; 15(3): 259-267.
Manganello JA. Health literacy and adolescents: a framework and agenda for future research. Health Educ Res 2008; 23(5): 840-847.
Intarakamhang U. Health Literacy: Measurement and Development. Bangkok: Sukhumvitprinting.; 2017. (In Thai).
Chaiyaha A, Numkum L and Rukkapao N. The Relationship between Health Literacy, Medication Intake, and Doctor’s Appointment Behavior among Patients with Diabetes Mellitus and Hypertension in Lamphun Province. Thai Science and Technology Journal 2020, 28(1), 182-196. (In Thai)
Hsieh FY, Bloch DA, Larsen MD. A simple method of sample size calculation for linear and logistic regression. Stat Med 1998, 17(14): 1623-1634.
Sorensen K, Van den Broucke S, Pelikan M, Fullam J, Doyle G, Slonska Z, et al. Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q). BMC Public Health 2013; 13(1): 948.
Mahatnirunkul S, Tuntipivatanakul W, Pumpisanchai W. Comparison of the WHOQOL-100 and the WHOQOL-BREF (26 items). J Ment Health Thai 1998; 5(3): 4-15.
Kitpridaborisud B. Techniques for creating tools and collecting data for research (Seven edition). Bangkok: Sri Anan Printing.; 2010. (In Thai).
Nilnate W, Hengpraprom S, Hanvoravongchai P. Level of health literacy in Thai elders, Bangkok, Thailand. J Health Res 2016; 30(5): 315-321.
Srithanee K. Relationship between Health Literacy and Quality of the Elderly’s Life at the Central Part of the North-East Thailand. Journal of Health Systems Research 2017; 11(1): 26-36. (In Thai).
Chesser AK, Keene Woods N, Smothers K, Rogers N. Health literacy and older adults: A systematic review. Gerontol Geriatr Med 2016; 2(1): 1-13.
Verney SP, Gibbons LE, Dmitrieva NO, Kueider AM, Williams MW, Meyer OL, et al. Health literacy, sociodemographic factors, and cognitive training in the active study of older adults. Int J Geriatr Psychiatry 2019; 34(4): 563–570.
Kooshyar H, Shoorvazi M, Dalir Z, Hosseini M. Health literacy and its relationship with medical adherence and health-related quality of life in diabetic community- residing elderly. J Mazandaran Univ Med Sci 2014; 24(1): 134–143.
Panahi R, Osmani F, Sahraei M, Ebrahimi S, Nehadghashti MS, Javanmardi E. Relationship of health literacy and quality of life in adults residing in Karaj, Iran. J Educ Community Health 2018; 4(4): 13–19.
Tiraphat S, Peltzer K, Thamma-Aphiphol K, Suthisukon K. The role of age-friendly environments on quality of life among Thai older adults. Int J Environ Res Public Health 2017; 14(3): 1-13.
Somrongthong R, Wongchalee S, Ramakrishnan C, Hongthong D, Yodmai K, Wongtongkam N. In fluence of socioeconomic factors on daily life activities and quality of life of Thai elderly. J Public Health Res 2017; 6(1): 49-55.
Hongthong D, Somrongthong R, Ward P. Factors influencing the quality of life among Thai older people in a rural area of Thailand. Iran J Public Health 2015; 44(4): 479-485.
Hanklang S, Ratanasiripong P, Naksranoi S, Sathira-Anant S, Patanasri K. Quality of life and mental health among Thai older workers in community enterprises. J Health Res 2018; 32(3): 237-250.
Gobbens RJ, Remmen R. The effects of sociodemographic factors on quality of life among people aged 50 years or older are not unequivocal: comparing SF-12, WHOQOL-BREF, and WHOQOL-OLD. Clin Interv Aging 2019; 14(1): 231-239.
Rittirong J, Prasartkul P, Rindfuss RR. From whom do older persons prefer support?: The case of rural Thailand. J Aging Stud 2014; 31(1): 171-181.
World Health Organization. Global Age-Friendly Cities: A Guide. [Internet]. 2007 [Cited in 20 January, 2020]. Available from:http://www.Who.Int/ageing/publications/global_age_friendly_cities_guide_english.Pdf?Ua=1.
Gunaydin R, Karatepe AG, Kaya T, Ulutas O. Determinants of quality of life in elderly stroke patients: a short-term follow-up study. Arch Gerontol Geriatr 2011; 53(1): 19-23.
Lasisi AO, Gureje O. Disability and quality of life among community elderly with dizziness: report from the Ibadan study of ageing. J Laryngol Otol 2010; 124(9): 957-962.
How to Cite
Copyright (c) 2022 Health Science Journal of Thailand
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.