Association Between Life Satisfaction and Subjective Survival Expectation Among Older Adults in Krabi and Songkhla, Thailand
摘要
Purpose: This study aimed to examine the factors associated with survival expectation and life satisfaction among older adults in Krabi and Songkhla provinces of southern Thailand, and to investigate the relationship between survival expectation and multiple domains of life satisfaction.Methods: The study utilized secondary data from the Health, Aging, and Retirement in Thailand (HART) survey, comprising 644 older adults (259 from Krabi and 385 from Songkhla). Data were analyzed using descriptive statistics, non-parametric tests (Mann-Whitney U test, Kruskal-Wallis test), Spearman’s rank correlation, and ordinal logistic regression to identify factors associated with survival expectation. Results: The mean survival expectation scores were similar between Krabi (6.98) and Songkhla (7.09), with no significant differences observed across socio-demographic characteristics in either province. In contrast, several socio-demographic factors were significantly associated with specific domains of life satisfaction, particularly in Songkhla. Comparative analysis indicated that older adults in Krabi reported significantly higher satisfaction in physical health, economic status, relationship with children, and overall quality of life. Correlation analysis revealed that survival expectations were positively associated with life satisfaction domains in both provinces, with stronger and more consistent associations observed in Songkhla. Ordinal logistic regression analysis identified physical health satisfaction as a significant predictor of survival expectations in both provinces, while economic status satisfaction was additionally significant in Krabi. Conclusion: The findings indicate that survival expectations among older adults are more closely associated with subjective well-being, particularly perceived physical health, than socio-demographic characteristics. Although overall satisfaction levels differed between provinces, survival expectations remained comparable, highlighting the complex nature of perceived longevity. These results underscore the importance of promoting physical health and overall well-being in aging populations and provide evidence to inform policies aimed at improving quality of life and healthy aging outcomes.