Determinants of Housing Issues of the Dependent Elderly in Rang Krathum Subdistrict, Bang Len, Nakhon Pathom

Abstract

This study examines determinants of housing issues of dependent elderly in Rang Krathum subdistrict, Banglen, Nakhon Pathom. The seven study cases were categorized by the Barthel Index of Activities of Daily Living (ADL) into two groups: bedbound (ADL 0–4; n=2) and homebound (ADL 5–11; n=5). The study evaluated physical, behavioral, environmental, and socioeconomic dimensions. Findings indicate that housing issues are deeply interconnected with socioeconomic factors—including insufficient income, rising care costs, and lack of social security—forming the root cause. These constraints prevent necessary home modifications, leading to environmental risks such as structural deterioration, slippery surfaces, and impractical accessibility features (ramps/handrails). Furthermore, physical and behavioral constraints, coupled with inconsistent caregiving and unsuitable living spaces, heighten the risk of accidents and complications. The study underscores the urgency of developing safe, sustainable housing to effectively enhance the long-term quality of life for the dependent elderly.