Influential Factors on Dementia Preventive Behaviors of Older Adults Living in Communities, Pathum Thani Province
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Abstract
Objective: To investigate the level of dementia preventive behaviors and examine predicting factors of dementia preventive behaviors in older adults living in communities, Pathum Thani province. Methods: The cross-sectional predictive correlational design was conducted. The participants were older adults without dementia. A multistage random sampling was operated to recruit 298 participants. Mental State Examination T10 (MSET10) questionnaire was used to screen dementia condition. The instrument was a questionnaire comprising four sections: personal data, health literacy, social participation, and dementia preventive behavior. Data were collected by interview at home or at a convenient place for the participants. Descriptive statistics and stepwise multiple regressions were used to analyze predictive powers. Results: Eighty-eight point three percent of older adults performed dementia preventive behavior at moderate level, social participation (Beta .463, p < .001), health literacy (Beta .169, p < .010), smoking (Beta -.142, p < .01), and educational level (Beta .117, p < .05) were able to predict 33.50% of variances explained in dementia preventive behavior. Conclusion: Encouraging the elderly to regularly participate in family and community social activities and promoting adequate health literacy of the elderly are significant for older adults without dementia to perform dementia preventive behavior.
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References
Prince M, Guerchet M, Prina M. The epidemiology and impact of dementia-current state and future trends. WHO Thematic Briefing; 2015. hal-03517019.
Aekplakorn W. Elderly health. in Aekplakorn W, editor. Report of the 5th Thai national health examination survey 2014. Nonthaburi: Aksorn Gephic And Design Publishing; 2016. Thai.
Suwan A, Trakulsittichok S. Prevalence and factors associated with dementia among elderly in Lukhok subdistrict, Muang district, Pathumtani rovince. APHEIT Journal. 2017; 5(2): 21-32. Thai.
Nuysri M. The prevention of dementia. JOPN. 2016; 8(1): 227-40. Thai.
Tiparat W, Meng-aied S, Suwanweala S, et al. Factors predicting dementia preventive behavior among older adults-at-risk. JFONUBUU. 2019; 27(1): 100-8. Thai.
Boonkaew N. Activities of daily living with dementia protective behaviors in older person in Pathum Thani Social Welfare Development Center. EAU Heritage Journal Science and Technology. 2018; 12(3): 213-24. Thai.
Pibarnwong P, Juntaparuk C, Pangsuk P, et al. A study of dementia and factors associated with dementia among elderly in North East. JOBCNSUR. 2018; 8(2): 46-57. Thai.
Panakorn L, Nanthamongkolchai S, Pitikultung S, et al. Factors influencing dementia in elderly women in Lumphun province. J Public Health. 2015; 45(2): 197-209. Thai.
Scazufca M, Almeida OP, Menezes PR. The role of literacy, occupation and income in dementia prevention: The São Paulo Ageing & Health Study (SPAH). Int Psychogeriatrics. 2010; 22(8): 1209-15. doi: 10.1017/S1041610210001213.
Deckers K, Van Boxtel MPJ, Schiepers OJG, et al. Target risk factors for dementia prevention: A systematic review and Delphi consensus study on the evidence from observational studies. Int J Geriatr Psychiatry. 2015; 30(3): 234-46. doi: 10.1002/gps.4245.
Barak Y, Gray AR, Rapsey C, et al. The Dunedin dementia risk awareness project: Pilot study in older adults. Int Psychogeriatrics. 2020; 32(2): 241-54. doi: 10.1017/S1041610219000772.
Thongwachira C, Jaignam N, Thophon S. A model of dementia prevention in older adults at Taling Chan District Bangkok Metropolis. KKU Res J (GS). 2019; 19(3): 96-109. Thai.
Berkman ND, Davis TC, McCormack L. Health literacy: What is it?. J Health Commun. 2010; 15(Suppl 2): 9-19. doi: 10.1080/10810730.2010.499985.
Nutbeam D. Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int. 2000; 15(3): 259-67. doi: 10.1093/heapro/15.3.259.
Boyle PA, Yu L, Wilson RS, et al. Cognitive decline impairs financial and health literacy among communitybased older persons without dementia. Psychol Aging. 2013; 28(3): 614-24. doi: 10.1037/a0033103.
Baker DW, Gazmararian JA, Sudano J, et al. The association between age and health literacy among elderly persons. J Gerontol B Psychol Sci Soc Sci. 2000; 55(6): S368-74. doi: 10.1093/geronb/55.6.s368.
Trainattawan W, Wirojratana V, Watanakukrilert D. Factors influencing health literacy among older adults. J Hlth Sci Res. 2019; 13(2): 41-51. Thai.
Srithanee K. Relationship between health literacy and quality of the elderly’s life at the central part of the North-East Thailand. JHSR. 2017; 11(1): 26-36. Thai.
Srikuankaew A, Jiawiwatkul A, Thayansin S. The relationship between happiness, health literacy and quality of life of elderly: A case study in Wiang Elderly school, Fang distric, Chiang Mai province. MFU Connexion. 2018; 7(2): 76-95. Thai.
Geboers B, Uiters E, Reijneveld SA, et al. Health literacy among older adults is associated with their 10-years’ cognitive functioning and decline-The Doetinchem Cohort Study. BMC Geriatr. 2018; 18(1): 77. doi: 10.1186/s12877-018-0766-7.
James BD, Boyle PA, Bennett JS, et al. The impact of health and financial literacy on decision making in community-based older adults. Gerontology. 2012; 58(6): 531-9. doi: 10.1159/000339094.
Oliveira D, Bosco A, Lorito CD. Is poor health literacy a risk factor for dementia in older adults? Systematic literature review of prospective cohort studies. Maturitas. 2019; 124: 8-14. doi: 10.1016/j.maturitas.2019.03.010.
Kaup AR, Simonsick EM, Harris TB, et al. Older adults with limited literacy are at increased risk for likely dementia. J Gerontol A Biol Sci Med Sci. 2014; 69(7): 900-6. doi: 10.1093/gerona/glt176.
Cochran WG. Sampling techniques. 2nd ed. New York: John Wiley and Son., Inc.; 1963.
Boonsatean W, Reantippayasakul A. The association of health literacy with self-management in perople with type 2 diabetes living in communities, Pathum Thani province. TRC Nurs J. 2020; 14(1): 198-212. Thai.
Best JW. Research in education. 4th ed. New Jersey: Prentice-Hall Inc; 1981.
Pasunon P. Reliability of questionnaire in quantitative research. PRCJ. 2014; 27(1): 145-63. Thai.
Duangchan C, Yodthong D, Dechduang P. The prevalence and predicting factors of dementia among older people living in community, Phetchaburi province. JPCN. 2020; 3(2): 133-48. Thai.
Tiller D, Herzog B, Kluttig A, et al. Health literacy in an urban elderly East-German population-results from the population-based CARLA study. BMC Public Health. 2015; 15(1): 883. doi: 10.1186/s12889-015-2210-7.
Undara W, Singhasenee U, Wongnitikul P. The study of dementia, knowledge and prevention of dementia and the demographic data in the elderly association of Rayal Thai Airforce Nursing College. JOPN. 2016; 8(1): 23-33. Thai.