Living in Harmony with the Community’s Nature and Socio-culture: An Ethnography of Healthy Older People in a Northeastern Thai Rural Community

Authors

  • Onanong Nilphat Faculty of Nursing, Chiang Mai University, Thailand.
  • Kasara Sripichyakan Faculty of Nursing, Chiang Mai University, Thailand.
  • Rojanee Chintanawat Faculty of Nursing, Chiang Mai University, Thailand.
  • Totsaporn Khampolsiri Faculty of Nursing, Chiang Mai University, Thailand.

DOI:

https://doi.org/10.60099/prijnr.2023.261325

Keywords:

Community, Ethnography, Social support, Healthy Lifestyle, Natural environment, Rural, Socio-culture

Abstract

        Preparing to enter old age is crucial for accommodating longevity. However, a holistic view of socio-culture and natural environments that influences the healthiness of older people is not clearly explained. This focused ethnographic study was conducted between December 2017 and July 2019 and aimed to describe the healthy ways of life of older people in a rural community of northeastern Thailand (Isan) and the influence of socio-culture and natural environment. Fifteen people 70-87 years old and 15 of the people involved were interviewed in-depth, and focus group interviews, participant observations, and document reviews were also conducted.
        The study found that healthiness was determined by physical strength and self-reliance and a peaceful mind and happy life. Living in harmony with the community’s nature and socio-culture was the healthy way of life indicated by natural/Isan food, modest physical
activities, a peaceful life, community participation, and folk/modern health remedies. Their sense of healthiness was influenced by the conversion of the community in a concordant interweaving manner, including the preserved nature in the developed infrastructure,
sufficiency/reliance in expanding networks, and spirituality in contemporary viewpoints. Healthy older people benefited from the community development mediated by the younger people. A holistic approach to natural resources and socio-culture with a balance between conservation and development is recommended for developing rural community nursing guidelines to achieve a healthy way of life for older people and others who are aging.

References

World Health Organization. Maternal, newborn, child and adolescent health and aging (Data portal) [Internet]. 2022. [cited 2022 Dec 2]. Available from: https://www.who. int/data/maternal-newborn-child-adolescent-ageing/ mca/ageing

United Nations. Department of Economic and Social Affairs: ten key messages [Internet]. 2022 [cited 2022 Dec 2]. Available from: https://www.un.org /development/desa/pd/sites/ www.un.org.development.desa.pd/files/undesa_pd_ 2022_wpp_key-messages.pdf

National Statistical Office. Number of population from registration by age, sex, region and province: 2021-2022. [Internet]. 2022 [cited 2022 Dec 2]. Available from: http:// statbbi.nso.go.th/staticreport/page/sector/th/01.aspx

Department of Older Persons. Promoting measures to support Thai aging society, longevity of Thailand into effective practice [Internet]. 2022 [cited 2022 Nov 20]. Available from: www.dop.go.th/download/knowledge/th1658208320- 1649_0.pdf

Thanakwang K, Soonthorndhada K, Mongkolprasoet J. Perspectives on healthy aging among Thai elderly: a qualitative study. Nurs Health Sci. 2012;14(4):472-9. doi:10. 1111/j.1442-2018.2012.00718.x

Manasatchakun P, Chotiga P, Roxberg Å, Asp M. Healthy ageing in Isan-Thai culture: -- a phenomenographic study based on older persons’ lived experiences. Int J Qual Stud Health Well-being. 2016;11:29463. doi: 10.3402/ qhw. v11.29463.

Chanprasit C, Lirtmunlikaporn S, Kaewthummanukul T, Jongrungrotsakul W, Sawasdisingha P. Lanna local wisdom in promoting the elderly well-being: a pilot study. [Internet]. 2020;47(1):185-97. Available from: https://he02. tci-thaijo.org/index.php/cmunursing/article/view/ 240744/164071 (in Thai).

Danyuthasilpe C, Amnatsue K, Tanasugarn C, Kerdmongkol P, Steckler AB. Ways of healthy aging: a case study of elderly people in a Northern Thai village. Health Promot Int. 2009;24(4):394-403. doi:10.1093/heapro/ dap038.

Thailand Development Research Institute. TDRI Annual Public Conference 2019 [Internet]. 2019 [cited 2019 Sep 9]. Available from: https://tdri.or.th/2019/04/tdri-annual-public-conference-2019/ (in Thai).

World Health Organization, Regional Office for Europe. Creating age-friendly environments in Europe: indicators, monitoring and assessments [Internet]. 2018 [cited 2021 Sep 9]. Available from: https://www.who.int/publications/i/ item/9789289052122

Sang Khom District Public Health Office, Udon Thani province. Report of population health: yearly report; 2018 (in Thai).

United Nations, Economic and Social Commission for Asia and the Pacific (ESCAP). Climate change and population aging in the Asia-Pacific region: status, challenges and opportunities. [Internet]. 2022 june 1 [cited 202 Sept 19]. Available from: https://www.unescap.org/kp/2022/ climate-change-and-population-ageing-asia-pacific-region-status-challenges-and

United Nations. Department of Economic and Social Affairs. World population aging 2019 [Internet]. 2019 [cited 2019 Sept 9]. Available from: https://digitallibrary.un.org/record/3846855

McFarland M, Wehbe-Alamah H. Leininger's transcultural nursing: concepts, theories, research, and practice. 4th ed. US: McGraw-Hill; 2017.

Rattanapun S. Becoming healthy aging among the elderly in Southern Thailand. [dissertation]. [Chiang Mai]: Chiang Mai University; 2008.

De Chesnay M, Nursing research using ethnography: qualitative designs and methods in nursing. New York: Springer Publishing; 2015.

O’Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA. Standards for reporting qualitative research: a synthesis of recommendations. Acad Med. 2014;89(9):1245-51. doi: 10.1097/ACM.0000000000000388.

Phillips LR, Salem BE, Skrine Jeffers K, Kim H, Ruiz ME, Salem N, Woods DL. Developing and proposing the ethno-cultural gerontological nursing model. J Transcult Nurs. 2015;26(2):118-28. doi:10.1177/104365 9614 563615.

Green J, Thorogood N. Qualitative methods for health research. 4th ed. Los Angeles: Sage; 2018.

Holloway I, Wheeler S. Qualitative research in nursing and healthcare. 3rd ed. New Jersey: John Wiley & Sons; 2013.

Maguire M, Delahunt B. Doing a thematic analysis: a practical, step-by-step guide for learning and teaching scholars. AISHE-J. 2017;8(3):3351-14. Available from: http://ojs.aishe.org/index.php/aishe-j/article/view/335

Sia A, Tam WWS, Fogel A, Kua EH, Khoo K, Ho RCM. Nature-based activities improve the well-being of older adults. Sci Rep. 2020;10:18178. doi:10.1038/s41598-020- 74828-w. Erratum in: Sci Rep. 2021;11(1):16971.

Szychowska A, Drygas W. Physical activity as a determinant of successful aging: a narrative review article. Aging Clin Exp Res. 2022;34(6):1209-14. doi:10.1007/s40520-021-02037-0.

Sproesser G, Bhangaokar R, Ruby MB, Fischler C, Rozin P, Schupp HT, Renner B. Traditional and modern eating in older adults: a comparison between an urban and rural sample from Gujarat, Western India. Health Psychol Behav Med. 2022;10(1):818-36. doi: 10.1080/21642850. 2022.2116327.

Deluga A, Kosicka B, Dobrowolska B, Chrzan-Rodak A, Jurek K, Wrońska I, Ksykiewicz-Dorota A, Jędrych M, Drop B. Lifestyle of the elderly living in rural and urban areas measured by the FANTASTIC Life Inventory. Ann Agric Environ Med. 2018;25(3):562-7. doi: 10.26444/ aaem/86459.

Chantakeeree C, Sormunen M, Jullamate P, Turunen H. Health-promoting behaviors among urban and rural older Thai adults with hypertension: a cross-sectional study. Pacific Rim Int J Nurs Res. 2021; 25(2) 242-54. Available from: http://he02. tci-thaijo.org/index.php/PRIJNR/ article/view/243 253/169996

Chuthaputti A, editor. Thai traditional medicine at a glance [Internet]. 2016 [cited 2021 Feb 7]. Available from: https:// tpd.dtam.moph.go.th/images/oic/E-Book/TTM_PR_ ENG_Final_resize.pdf

Smith-Cavros E, Avotri-Wuaku J, Wuaku A, Bhullar A. “All I need is help to do well”: herbs, medicines, faith, and syncretism in the negotiation of elder health treatment in rural Ghana. J Relig Health. 2017;56(6):2129-43. doi: 10.1007/ s10943-017-0378-0.

Sackett K, Carter M, Stanton M. Elders’ use of folk medicine and complementary and alternative therapies: an integrative review with implications for case managers. Prof Case Manag. 2014;19(3):113-23. doi: 10.1097/NCM. 0000000000000025.

Vilhelmson B, Thulin E. Changes in outdoor physical activities among older people in Sweden: exploring generational shifts in time spent in natural environments. Can Geogr. 2022; 66(1):94–106. doi: 10.1111/cag.12732.

Bernardo LD, de Carvalho CRA. The role of cultural engagement for older adults: an integrative review of scientific literature. Rev Bras Geriatr Gerontol. 2020; 23(6): e190141. Available from: scielo.br/j/rbgg/a/bm4KygNqHKR8Q F4QQFdGZbj/?format=pdf&lang=en

Tohit N, Browning CJ, Radermacher H. ‘We want a peaceful life here and hereafter’: healthy aging perspectives of older Malays in Malaysia. Ageing Soc. 2012;32(3): 405-24. doi: 10.1017/S0144686X11000316.

Malone J, Dadswell A. The role of religion, spirituality and/or belief in positive ageing for older adults. Geriatrics (Basel). 2018;3(2):28. doi: 10.3390/geriatrics302 0028.

Hu A, Li D. “Are elders from ancestor-worshipping families better supported? an exploratory study of post-reform China.” Popul Res Policy Rev. 2021;40:475–98. doi: 10.1007/s11113-020-09576-w.

Elliott KS, Di Minno M. Unruly grandmothers, ghosts and ancestors: Chinese elders and the importance of culture in dementia evaluations. J Cross-Cult Gerontol. 2006;21(3-4): 157-77. doi: 10.1007/s10823-006-9030-2.

Center for Aging Better. Aging in a rural place: a commentary on the challenges and opportunities for people aging in rural and coastal places [Internet]. 2021 Apr [cited 2022 Feb 7]. Available from: https://ageing-better.org.uk/sites/ default/ files/2021-04/Ageing-in-rural-place.pdf (ageing-better.org.uk)

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Published

2023-09-28

How to Cite

1.
Nilphat O, Sripichyakan K, Chintanawat R, Khampolsiri T. Living in Harmony with the Community’s Nature and Socio-culture: An Ethnography of Healthy Older People in a Northeastern Thai Rural Community. PRIJNR [Internet]. 2023 Sep. 28 [cited 2024 Oct. 6];27(4):753-66. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/261325