Longevity, Well-being and Quality of Life in Thailand Compared to the OECD in the Transition to an Aged Society
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Abstract
The growing elderly population and increased life expectancy have led many countries to adjust retirement age policies. However, Thailand has not revised its retirement policies for over 50 years, despite significant demographic changes. Understanding elderly health is crucial for revising retirement policies, as healthier older adults can work longer, reducing public resource burdens and improving well-being.
This study aims to compare life expectancy, healthy life expectancy, and years lived in poor health among older adults in Thailand and in countries within the Organisation for Economic Co-operation and Development (OECD). It also analyses the relationship between demographic, economic, and social factors and the healthy life expectancy of older adults. Using secondary data and demographic analysis, this study estimates life expectancy, healthy life expectancy, and years lived in poor health for the population aged 55–95. These estimates are further examined through regression analysis to explore the underlying statistical relationships.
Findings indicate that although Thailand has a shorter life expectancy, its elderly spend a higher proportion of life in good health. Extended retirement ages and longer working hours in OECD countries correlate with increased healthy life expectancy, suggesting similar policies could benefit Thailand. Gender disparities and socio-economic factors also influence elderly health and workforce participation. The study recommends promoting elderly labour participation, addressing gender disparities, and investing in healthcare and socio-economic infrastructure to support Thailand’s transition to a super-aged society.
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References
พงศธร พอกเพิ่มดี, กฤติยา สุขพัฒนากุล, โศรดากรณ์ พิมลา, วันวิสา เพ็ญสุริยะ, นาฎอนงค์ เจริญสันติสุข, ปุณณิภา คงสืบ, ศศิภา จันทรา, ณัฐนรี ขิงจัตุรัส, อิสริยาภรณ์ คันธา, และ อรจิรา หนูทองอินทร์. 2567. “การประเมินสมรรถนะระบบสุขภาพของประเทศไทย ปี พ.ศ. 2565-2566.” วารสารวิจัยระบบสาธารณสุข. https://spd.moph.go.th/wp-content/uploads/2024/10/document.pdf.
เยาวลักษณ์ แหวนวงษ์, ชาฮีดา วิริยาทร, ศศิรัตน์ ลัพธิกุลธรรม, วริศา พานิชเกรียงไกร, กัญจนา ติษยาธิคม, และ วลัยพร พัชรนฤมล. 2560. "ความจำเป็นทางสุขภาพที่ไม่ได้รับการตอบสนอง (Unmet health need) กรณีผู้ป่วยนอก ผู้ป่วยใน และบริการทันตกรรมในประชากรไทย พ.ศ. 2558." วารสารวิจัยระบบสาธารณสุข. 11 (2): 182-94.
สำนักงานสภาพัฒนาการเศรษฐกิจและสังคมแห่งชาติ. 2564. “Policy Brief: การประเมินผลกระทบและความยั่งยืนของการบริโภคของผู้สูงอายุ ภายใต้ระบบบำนาญของประเทศไทย.” กองพัฒนาข้อมูลและตัวชี้วัดสังคม สำนักงานสภาพัฒนาการเศรษฐกิจและสังคมแห่งชาติ. https://www.nesdc.go.th/ewt_dl_link.php?nid=14368.
สำนักงานสถิติแห่งชาติ กระทรวงดิจิทัลเพื่อเศรษฐกิจและสังคม. 2565. “สรุปผลที่สำคัญ การทำงานของสตรีในประเทศไทย พ.ศ. 2564.” กองสถิติพยากรณ์ สำนักงานสถิติแห่งชาติ. https://www.nso.go.th/sites/2014/DocLib13/ด้านสังคม/สาขาแรงงาน/Labor_of_women/2564/Pocket_book_64.pdf.
Aung, Thin Nyein Nyein, Myo Nyein Aung, Saiyud Moolphate, Yuka Koyanagi, Siripen Supakankunti, and 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." International Journal of Environmental Research and Public Health 18 (11): 5873. https://doi.org/10.3390/ijerph18115873.
Axelrad, Hila, and Kevin J Mahoney. 2017. "Increasing the pensionable age: what changes are OECD countries making? What considerations are driving policy?" Open Journal of Social Sciences 5 (07): 56-70.
Bahall, Mandreker, and Henry Bailey. 2022. "The impact of chronic disease and accompanying bio-psycho-social factors on health-related quality of life." Journal of Family Medicine and Primary Care 11 (8): 4694-4704. https://doi.org/10.4103/jfmpc.jfmpc_2399_21.
Been, Jim. 2015. "Pensions, retirement, and the financial position of the elderly." https://hdl.handle.net/1887/32882.
Cipollone, Angela, Eleonora Patacchini, and Giovanna Vallanti. 2014. "Female labour market participation in Europe: novel evidence on trends and shaping factors." IZA Journal of European Labor Studies 3: 1-40.
Demir, Özlem. 2021. "Gender inequality in the labour market: Comparison of Turkey and OECD countries by multidimensional scaling method." Yönetim ve Ekonomi Dergisi 28 (2): 377-397. https://doi.org/10.18657/yonveek.868465.
Fang, Liang, and Ruiyao Shi. 2022. "Comparative analysis of the effects of retirement on health status of older adulthood." International Journal of Environmental Research and Public Health 19 (16): 9957.
García-Miralles, Esteban, and Jonathan M Leganza. 2024. "Joint retirement of couples: Evidence from discontinuities in Denmark." Journal of Public Economics 230: Article 105036. https://doi.org/10.1016/j.jpubeco.2023.105036.
Haque, Md Nuruzzaman, Kusol Soonthorndhada, Pojjana Hunchangsith, and Manasigan Kanchanachitra. 2016. "Active ageing level in Thailand: a comparison between female and male elderly." Journal of Health Research 30 (2): 99-107.
Hoffmann, Rasmus, Hannes Kröger, and Eduwin Pakpahan. 2018. "The reciprocal relationship between material factors and health in the life course: evidence from SHARE and ELSA." European Journal of Ageing 15 (4): 379-391.
IHME. 2021. "Global Burden of Disease Study 2021 Results." Accessed January 5. https://vizhub.healthdata.org/gbd-results/.
ILO. 2023. "Labour Force Survey (LFS) Data." Accessed January 7. https://ilostat.ilo.org/data/.
Jagger, Carol, B Cox, S Le Roy, A Clavel, Jean-Marie Robine, I Romieu, and Hermann Van Oyen. 2014. "Health expectancy calculation by the Sullivan method: a practical guide." Nihon University Population Research Institute (NUPRI) Research Paper Series 68.
Jayasvasti, Isareethika, Manisthawadee Jayasvasti, Supa Pengpid, Karl Peltzer, and Pheeraya Nanthananate. 2021. "Participants’ views on lifestyle intervention program enhancing long-term health-related behaviors improvement among prehypertension and/or prediabetes mellitus older adults: A qualitative study examined in Thailand at health promoting hospitals." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 58: 00469580211025209. https://doi.org/10.1177/00469580211025209.
Johnson, C. Shanthi. 2008. "Ageing and healthy life expectancy: Will the extended years be spent in good or poor health." Journal of The Indian Academy of Geriatrics 4: 64-7.
Karcharnubarn, Rukchanok, Philip Rees, and M Gould. 2009. "Population Ageing and Healthy Life Expectancy in Thailand." The 5th International Conference on Population Geographics.
Khanthapok, Patipanee, and Suchada Sukrong. 2019. "Anti-aging and health benefits from Thai food: Protective effects of bioactive compounds on the free radical theory of aging." Journal of Food Health and Bioenvironmental Science 12 (1): 54-67.
Larsen, Mona, and Peder J Pedersen. 2017. "Labour force activity after 65: what explain recent trends in Denmark, Germany and Sweden?" Journal for labour market research 50 (1): 15-27.
Lau, Robert S., Sarah Johnson, and T. Jayaraman Kamalanabhan. 2012. "Healthy life expectancy in the context of population health and ageing in India." Asia Pacific Journal of Public Health 24 (1): 195-207.
Leijten, Fenna RM, Swenne G van den Heuvel, Allard J van der Beek, Jan Fekke Ybema, Suzan JW Robroek, and Alex Burdorf. 2015. "Associations of work-related factors and work engagement with mental and physical health: a 1-year follow-up study among older workers." Journal of occupational rehabilitation 25: 86-95.
Lommi, Marzia, Maria Matarese, Rosaria Alvaro, Michela Piredda, and Maria Grazia De Marinis. 2015. "The experiences of self-care in community-dwelling older people: A meta-synthesis." International Journal of Nursing Studies 52 (12): 1854-1867. https://doi.org/https://doi.org/10.1016/j.ijnurstu.2015.06.012.
Miao, Xin-lei, Xiu-hua Guo, Yue Cai, Xiang Zhang, and Qun Meng. 2019. "The Relationship and Trends of Socio-Demographic Index, Healthy Life Expectancy and Life Expectancy in China." SSRN. https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3478099
Molla, Michael T. 2001. “Summary measures of population health: methods for calculating healthy life expectancy.” Healthy People 2010 Stat Notes. 21: 1-11.
Pongiglione, Benedetta, Bianca L. De Stavola, and George B. Ploubidis. 2015. "A Systematic Literature Review of Studies Analyzing Inequalities in Health Expectancy among the Older Population." PLOS ONE 10 (6): e0130747. https://doi.org/10.1371/journal.pone.0130747.
Rogers, Richard G, Bethany G Everett, Jarron M Saint Onge, and Patrick M Krueger. 2010. "Social, behavioral, and biological factors, and sex differences in mortality." Demography 47: 555-578. https://doi.org/10.1353/dem.0.0119.
Rosenthal, Lisa, Amy Carroll-Scott, Valerie A Earnshaw, Alycia Santilli, and Jeannette R Ickovics. 2012. "The importance of full-time work for urban adults' mental and physical health." Social science & medicine 75 (9): 1692-1696. https://doi.org/10.1016/j.socscimed.2012.07.003.
Siengthai, Sununta, and Orose Leelakulthanit. 1993. "Women in management in Thailand: Participation for national prosperity." International Studies of Management & Organization 23 (4): 87-102.
Somboonsin, Pattheera, Brian Houle, and Vladimir Canudas-Romo. 2024. "Sex disparities in the burden of air particulate matter-related unhealthy years and life-years lost in Asia-Pacific countries, 1990–2019." Atmospheric Environment 337: 120763. https://doi.org/10.1016/j.atmosenv.2024.120763.
Sricharoen, Thitiwan, Gertrud Buchenrieder, and Thomas Dufhues. 2008. "Universal health-care demands in rural Northern Thailand: Gender and ethnicity." Asia-Pacific Development Journal 15 (1): 65-92.
Tangcharoensathien, Viroj, Woranan Witthayapipopsakul, Warisa Panichkriangkrai, Walaiporn Patcharanarumol, and Anne Mills. 2018. "Health systems development in Thailand: a solid platform for successful implementation of universal health coverage." The Lancet 391 (10126): 1205-1223. https://doi.org/10.1016/S0140-6736(18)30198-3.
The World Bank. 2023. "World Development Indicators." Accessed January 10. https://data.worldbank.org/.
Tur-Sinai, Aviad, Shosh Shahrabani, Ariela Lowenstein, Ruth Katz, Dafna Halperin, and Haya Fogel-Grinvald. 2024. "What drives older adults to continue working after official retirement age?" Ageing & Society 44 (7): 1618-1644.
Wacharaporn, Ajjima. 2008. "Female Labour Participation and Women's Social Status in Contemporary Thai Society." Journal of Demography 24 (2): 49-69. https://doi.org/10.56808/2730-3934.1243.
Zanier, Maria Letizia, and Isabella Crespi. 2015. "Facing the gender gap in aging: Italian women’s pension in the European context." Social Sciences 4 (4): 1185-1206. https://doi.org/10.3390/socsci4041185.