Predictors of depression and social support among community-dwelling older adults living alone in Thailand
摘要
Rapid population aging and changing family structures have led to an increasing number of older adults living alone, placing them at elevated risk for mental health problems and social isolation. Evidence from semi-urban Thai contexts remains limited. This study examined physical and mental health status, perceived social support, and health needs among community-dwelling older adults living alone in Pathum Thani Province, Thailand, and identified predictors of depression and social support.
MethodsA cross-sectional study was conducted among 395 adults aged ≥ 60 years using multi-stage random sampling. Standardized instruments included the Thai Geriatric Depression Scale (TGDS-15), Revised UCLA Loneliness Scale (RULS-6), ADL, IADL, and a multidimensional Social Support Scale.
ResultsMultiple linear regression was performed. Over half (54.2%) experienced mild to moderate depressive symptoms, and 98.0% reported moderate to high loneliness. Social support was predominantly moderate (66.8%). Longer duration of living alone (β = 0.419, p < .001) and lower contact frequency (β = −0.127, p = .023) were associated with higher depression scores (Adjusted R² = 0.257). Having children (β = 0.326, p < .001), frequent contact (β = 0.541, p < .001), and caregiver availability (β = 0.158, p < .001) were associated with higher perceived social support (Adjusted R² = 0.478).
ConclusionOlder adults living alone in semi-urban Thailand face substantial psychosocial vulnerability. Strengthening family engagement and structured community support systems may reduce depression and enhance perceived support.