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State of household need for caregivers and determinants of psychological burden among caregivers of older people in Thailand: An analysis from national surveys on older persons

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  • Ruttana Phetsitong
  • Patama Vapattanawong
  • Malee Sunpuwan
  • Marc Völker

Abstract

Objectives: To explore the levels and trends of household need for caregivers of older people and to explore the impact of potential determinants of psychological burden among caregivers of older people in Thailand. Methods: The secondary data analysis was performed using the Survey of Older Persons in Thailand 2007, 2011, and 2014 datasets which conducted by the National Statistical Office of Thailand. The household need for caregivers of older persons refers to having at least one older person in the household who needs a caregiver for assistance with activities of daily living. Caregiver mental health, which is confined to the available 2011 data, is defined as a state of psychological burden. Ordinal logistic regression models were used to explore the impact of potential determinants of psychological caregiver burden. Results: The household need for caregivers in Thailand tends to be increasing, from 5.0% in 2007 to 6.6% in 2014. The levels of the household need for caregivers were significantly higher in urban areas, Bangkok, and high socioeconomic households. In terms of psychological caregiver burden, the Thai Mental Health Indicators in 2011 produced, on average, a fair level of mental health, but one-fourth of caregivers had poor mental health. Duration of care for older people, household wealth, and functional dependency significantly predict total caregiver burden. Household characteristics are vital in predicting psychological caregiver burden, and the adjusted effect of the fifth quintile of household wealth was high (odds ratio = 2.34; 95% confidence interval = 1.47–3.73). Conclusion: The increasing need for caregiving in households with an older person can lead to a higher caregiver burden, particularly among those caregivers who care for dependent older people in poor households. Longer duration of caregiving is a factor that mitigates this burden.

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  • Ruttana Phetsitong & Patama Vapattanawong & Malee Sunpuwan & Marc Völker, 2019. "State of household need for caregivers and determinants of psychological burden among caregivers of older people in Thailand: An analysis from national surveys on older persons," PLOS ONE, Public Library of Science, vol. 14(12), pages 1-18, December.
    • Handle: RePEc:plo:pone00:0226330
    DOI: 10.1371/journal.pone.0226330
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    References listed on IDEAS

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    2. Phillips, C.D. & McLeroy, K.R., 2004. "Health in rural America: Remembering the importance of place," American Journal of Public Health, American Public Health Association, vol. 94(10), pages 1661-1663.
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    1. Thin Nyein Nyein Aung & Myo Nyein Aung & Saiyud Moolphate & Yuka Koyanagi & Mariko Ichikawa & Siripen Supakankunti & Motoyuki Yuasa, 2021. "Estimating Service Demand for Intermediary Care at a Community Integrated Intermediary Care Center among Family Caregivers of Older Adults Residing in Chiang Mai, Northern Thailand," IJERPH, MDPI, vol. 18(11), pages 1-14, June.
    2. Ruttana Phetsitong & Patama Vapattanawong & Rosie Mayston & Martin Prince & Kia-Chong Chua, 2022. "In Caring for Older People in Low- and Middle-Income Countries, Do Older Caregivers Have a High Level of Care Burden and Psychological Morbidity Compared to Younger Caregivers?," IJERPH, MDPI, vol. 19(24), pages 1-12, December.
    3. Thin Nyein Nyein Aung & Myo Nyein Aung & Saiyud Moolphate & Yuka Koyanagi & Siripen Supakankunti & Motoyuki Yuasa, 2021. "Caregiver Burden and Associated Factors for the Respite Care Needs among the Family Caregivers of Community Dwelling Senior Citizens in Chiang Mai, Northern Thailand," IJERPH, MDPI, vol. 18(11), pages 1-15, May.

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