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Coronary Artery Disease Preventive Behaviors among Thai Community-Dwelling Older Adults with Chronic Illnesses and Associated Factors: A Cross-Sectional Study | ||
| International Journal of Community Based Nursing & Midwifery | ||
| مقالات آماده انتشار، پذیرفته شده، انتشار آنلاین از تاریخ 28 شهریور 1405 | ||
| شناسه دیجیتال (DOI): 10.30476/ijcbnm.2026.109970.2988 | ||
| نویسندگان | ||
| Sattawas Udonsat؛ Kumaleeporn Treesorn؛ Palama Sobut* | ||
| Division of Adult and Gerontological Nursing, Faculty of Nursing, Roi Et Rajabhat University, Roi Et, Thailand | ||
| چکیده | ||
| Background: Coronary artery disease (CAD) is a major health burden among community-dwelling older adults with chronic illnesses. Preventive behaviors, such as healthy diet, physical activity, smoking avoidance, and medication adherence, are important for reducing CAD risk. However, limited health literacy and health information access may affect engagement in preventive behaviors. This study aimed to investigate the factors associated with CAD preventive behaviors among Thai communitydwelling older adults with chronic illnesses. Methods: This cross-sectional study was conducted from August to October 2025 among 130 community-dwelling older adults with chronic illnesses in Selaphum District, Roi Et Province, Thailand. Participants were selected using multi-stage sampling. Data were collected using questionnaires on demographic characteristics, CAD knowledge, perceptions of CAD prevention, health literacy, and CAD preventive behaviors. Data were analyzed using multiple linear regression with SPSS 26 software. Statistical significance was set at P<0.05. Results: The mean overall score of CAD preventive behaviors was 2.89±0.49. Multiple linear regression analysis showed that health literacy (B=0.44, 95% CI [0.33,0.56], P<0.001), perceived benefits (B=0.30, 95% CI [0.05,0.56], P=0.020), family history of non-communicable diseases (B=2.23, 95% CI [0.39,4.08], P=0.018), and female (B=−2.67, 95% CI [−5.09,−0.25], P=0.031) were significantly associated with CAD preventive behaviors. Conclusion: Older adults with chronic illnesses demonstrated high levels of CAD preventive behaviors. Health literacy, perceived benefits, family history of non-communicable diseases, and female sex were significantly associated with CAD preventive behaviors. Interventions should prioritize improving health literacy and tailoring strategies to the needs of older women. | ||
| کلیدواژهها | ||
| Chronic illnesses؛ coronary artery disease؛ Health literacy؛ Older adults | ||
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آمار تعداد مشاهده مقاله: 2 |
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