Determinants of Health-Care Utilization Among Community-Dwelling Persons 45 Years and Older: National Longitudinal Data from the 2015–2022 Health, Aging, and Retirement in Thailand Research

Supa Pengpid; Karl Peltzer; André Hajek; Razak M. Gyasi

doi:10.1080/01634372.2025.2509167

Determinants of Health-Care Utilization Among Community-Dwelling Persons 45 Years and Older: National Longitudinal Data from the 2015–2022 Health, Aging, and Retirement in Thailand Research

Supa Pengpid
, Karl Peltzer^*
, André Hajek
, Razak M. Gyasi

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

This study aimed to investigate the determinants of healthcareutilization among individuals 45 years and older based onlongitudinal and national representative, data on community residentsfrom 2015 to 2022 in Thailand. Findings support the importance ofneed factors (poor self-rated physical health, number of chronicconditions, vision and hearing impairment, functional limitations,and health risk behaviours), predisposing factors (decreasing age,transitioning to not married or widowed, and transitioning to notworking) and enabling factors (private health insuance, highereconomic status, religious involvement and higher subjective lifeexpectancy) in healthcare use.

Original language	English
Pages (from-to)	377-394
Number of pages	18
Journal	Journal of Gerontological Social Work
Volume	69
Issue number	3
DOIs	https://doi.org/10.1080/01634372.2025.2509167
Publication status	Published - 2026
Externally published	Yes

Keywords

Adults 45 years and older
Thailand
health-care utilization
longitudinal study

Access to Document

10.1080/01634372.2025.2509167

Cite this

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title = "Determinants of Health-Care Utilization Among Community-Dwelling Persons 45 Years and Older: National Longitudinal Data from the 2015{\textendash}2022 Health, Aging, and Retirement in Thailand Research",

abstract = "This study aimed to investigate the determinants of healthcareutilization among individuals 45 years and older based onlongitudinal and national representative, data on community residentsfrom 2015 to 2022 in Thailand. Findings support the importance ofneed factors (poor self-rated physical health, number of chronicconditions, vision and hearing impairment, functional limitations,and health risk behaviours), predisposing factors (decreasing age,transitioning to not married or widowed, and transitioning to notworking) and enabling factors (private health insuance, highereconomic status, religious involvement and higher subjective lifeexpectancy) in healthcare use.",

keywords = "Adults 45 years and older, Thailand, health-care utilization, longitudinal study",

author = "Supa Pengpid and Karl Peltzer and Andr{\'e} Hajek and Gyasi, \{Razak M.\}",

note = "Publisher Copyright: {\textcopyright} 2025 The Author(s). Published with license by Taylor \& Francis Group, LLC.",

year = "2026",

doi = "10.1080/01634372.2025.2509167",

language = "English",

volume = "69",

pages = "377--394",

journal = "Journal of Gerontological Social Work",

issn = "0163-4372",

publisher = "Routledge",

number = "3",

}

Determinants of Health-Care Utilization Among Community-Dwelling Persons 45 Years and Older: National Longitudinal Data from the 2015–2022 Health, Aging, and Retirement in Thailand Research. / Pengpid, Supa; Peltzer, Karl; Hajek, André et al.
In: Journal of Gerontological Social Work, Vol. 69, No. 3, 2026, p. 377-394.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

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T2 - National Longitudinal Data from the 2015–2022 Health, Aging, and Retirement in Thailand Research

AU - Pengpid, Supa

AU - Peltzer, Karl

AU - Hajek, André

AU - Gyasi, Razak M.

PY - 2026

Y1 - 2026

N2 - This study aimed to investigate the determinants of healthcareutilization among individuals 45 years and older based onlongitudinal and national representative, data on community residentsfrom 2015 to 2022 in Thailand. Findings support the importance ofneed factors (poor self-rated physical health, number of chronicconditions, vision and hearing impairment, functional limitations,and health risk behaviours), predisposing factors (decreasing age,transitioning to not married or widowed, and transitioning to notworking) and enabling factors (private health insuance, highereconomic status, religious involvement and higher subjective lifeexpectancy) in healthcare use.

AB - This study aimed to investigate the determinants of healthcareutilization among individuals 45 years and older based onlongitudinal and national representative, data on community residentsfrom 2015 to 2022 in Thailand. Findings support the importance ofneed factors (poor self-rated physical health, number of chronicconditions, vision and hearing impairment, functional limitations,and health risk behaviours), predisposing factors (decreasing age,transitioning to not married or widowed, and transitioning to notworking) and enabling factors (private health insuance, highereconomic status, religious involvement and higher subjective lifeexpectancy) in healthcare use.

KW - Adults 45 years and older

KW - Thailand

KW - health-care utilization

KW - longitudinal study

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DO - 10.1080/01634372.2025.2509167

M3 - Article

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SN - 0163-4372

VL - 69

SP - 377

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JO - Journal of Gerontological Social Work

JF - Journal of Gerontological Social Work

IS - 3

ER -

Determinants of Health-Care Utilization Among Community-Dwelling Persons 45 Years and Older: National Longitudinal Data from the 2015–2022 Health, Aging, and Retirement in Thailand Research

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Keywords

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