J Med Assoc Thai 2015; 98 (3):118

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Homelessness among the Elderly in Bangkok Metropolitan
Viwatpanich K Mail

The combination between quantitative and qualitative research, “Homelessness among the Elderly in Bangkok Metropolitan” aimed to study causes of homelessness, patterns of living, problems, health status, social and health needs. Purposive sampling of 60 older homeless people could be divided into two groups; temporary and permanent homeless. Causes of homelessness were health problems, money problems, family background, emotional management, cultural sensitivities, limitation of extended family, financial management, political control, and domestic violence. Their living problems included: financial insecurity, police suppression, social and medical services, attacks from the young generations, sexual harassment, stealing, and social hierarchy of homelessness. 63.3% reported having hearing problems and a peptic ulcer before becoming homeless. These evolved into musculo-skeletal problems, accident-injuries, and skin diseases. 95% performed ADL/IADLs independently, 78.3% were depressed, 5% diagnosed with severe stress depression. 70% rated themselves happier than the rest of the population, and 75% were identified as having normal cognition. 58.3% had a good relationship with a religious network, 55% still had some contacts with their family members. More than 90% indicated that they were satisfied, could sustainin a life on the street, were happy with their freedom, liked being close to green areas, learned about human life, fulfilled the dhamma, and felt close to the king.

Keywords: Homelessness, Elderly, Social gerontology, Qualitative research


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