Department of Women's and Children's Health, Uppsala University, SE-751 85 Uppsala, Sweden.
Division of Geriatric Medicine, Department of Preventive and Social Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.
Nutrients. 2020 Nov 13;12(11):3497. doi: 10.3390/nu12113497.
Over the past decade, Thailand has experienced a rapid increase in its elderly population. Many unfavorable health outcomes among elderly people are associated with nutrition. Nutrition in elderly people is affected by physical, mental, and social factors. This study explored the food choices and dietary practices among community-dwelling elderly people in Thailand from the perspective of both caregivers and the elderly people themselves. Six focus group discussions and six semistructured interviews were conducted in the Samut Sakhon Province of Thailand. Deductive thematic analyses were conducted based on the "food choice process model framework." The results show that physical and mental factors and societal factors are important determinants of food choices. Moreover, a changing food environment and economic factors were found to affect food choices. Issues of trust in food safety and food markets were highlighted as growing issues. Therefore, fostering healthy food choice interventions that consider both environmental and societal aspects is necessary.
在过去的十年中，泰国的老年人口迅速增加。许多老年人的不良健康结果都与营养有关。老年人的营养受到身体、心理和社会因素的影响。本研究从照顾者和老年人自身的角度探讨了泰国社区居住的老年人的食物选择和饮食实践。在泰国的 Samut Sakhon 省进行了六次焦点小组讨论和六次半结构化访谈。基于“食物选择过程模型框架”进行了演绎主题分析。结果表明，身体和心理因素以及社会因素是食物选择的重要决定因素。此外，不断变化的食物环境和经济因素被发现会影响食物选择。对食品安全和食品市场的信任问题被强调为日益严重的问题。因此，有必要制定考虑环境和社会方面的健康食物选择干预措施。
