J Med Assoc Thai 2008; 91 (7):1102

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Family Relations and Health-Promoting Behavior among Older People in Nan Province
Thanakwang K Mail, Soonthorndhada K

Objective: To examine the relationships by which family networks and support influence the health-promoting
behaviors among the older persons.

Material and Method:
The present study was a cross-sectional survey of 469 elders aged 60 years and over
living in a community in Nan Province. Samples were selected by multi-stage random sampling. Data were
collected by interviewing from May to July 2007. A structural equation modeling (SEM) with the LISREL
program version 8.72 was used for analysis after the effects of socio-demographic factors were controlled.

Results:
Family networks did not have direct influence on the elderly health-promoting behavior, but had
indirect influence through support and sense of well-being. Family support had a prominent influence on
elderly sense of well-being, then facilitating health-promoting behavior. Elderly sense of well-being had
strong association with health-promoting behavior.

Conclusion: Family support programs to facilitate the good interrelationship within the family should be
encouraged and promoted to enhance elderly psychological well-being and health-promoting behaviors
subsequently.

Keywords: Family support, Health-promoting behaviors, Older persons

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