| บทคัดย่อ(English) |
This study is a cross-sectional survey research on health promoting behaviors, related factors and affecting factors of the elderly in Nakhonsawan province. The PRECEDE Model was applied to formulate the conceptual framework of the study. Four hundred and twenty four elderly were selected by four stage stratified random sampling. The data were collected using an interview form and analyzed by using frequency, percentage, mean, standard deviation, Chi-square, Pearsons Product Moment Correlation Coefficient and Multiple Classification Analysis (MCA). Physical and medical examination such as body mass index (BMI) and mean arterial pressure (MAP) were also measured. This study found that age, sex, residential area, health status perception, the availability of clubs for the elderly, the availability of health service and social support from family members, neighborhood, health promoting personnel and receiving health promotion information were significantly related to health promoting behavior (p-value <0.05). Multiple classification analysis showed that sociodemographic factors could be used to predict health promoting behavior of the elderly at about 8 percent (Multiple R(2) = 0.079), and the best predictors for sociodemographic factors were residential area and sex (Beta(2) = 0.193). The Predisposing factors could predict health promoting behaviors of the elderly at about 3 percent (Multiple R(2) = 0.033). The enabling factors could be used to predict health promoting behaviors of the elderly at about 7 percent (Multiple R(2) = 0.073), and the best predictor for enabling factors was the availability of elderly clubs (Beta(2) = 0.214). The reinforcing factors could be used to predict health promoting behavior of the elderly at about 14 percent (Multiple R(2) = 0.135), and the best predictor for reinforcing factors was social support from health promoting personnel (Beta(2) = 0.291). Total factors could be used to redict health promoting behavior of the elderly at about 18 percent (Multiple R(2) = 0.176). The best predicting factor was reinforcing factors (social support from health promoting personnel, Beta(2) = 0.274). Therefore, the result of this study show that a planned health promoting program could apply social support theory in order to develop health promoting behavior of the elderly. |