DEVELOPING A PARTICIPATORY OCCUPATIONAL HEALTH WELFARE MANAGEMENT MODEL TO ENHANCE THE QUALITY OF LIFE OF WORKING OLDER ADULTS IN THE BORDER AREAS OF TAK PROVINCE, THAILAND
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Abstract
This research article aimed to: (1) examine the occupational conditions and occupational health problems of older adults who continue to work in the border areas of Tak Province; (2) analyze the factors influencing health risks and the need for occupational health welfare; and (3) develop appropriate welfare management guidelines tailored to the local border context. A mixed-methods approach was employed. Quantitative data were collected from 400 working older adults across five border districts, while qualitative data were obtained from 15 key informants. Quantitative data were analyzed using descriptive statistics, One-way ANOVA, t-test, and multiple regression analysis, whereas qualitative data were analyzed through thematic content analysis.
The research findings revealed that:
- Most older adults were aged 60–69, with monthly incomes below 6,000 baht, and engaged in agriculture, wage labor, or small-scale trading. Income level, educational attainment, and type of occupation were significantly associated with health risks and the need for occupational health welfare.
- Satisfaction with welfare services showed a positive correlation with the administrative efficiency of local government organizations (r = .351, p < .001), and community participation significantly contributed to reducing health risks among older adults (R² = .308, p < .001).
- Qualitative evidence highlighted challenges such as limited inter-agency integration, inconsistent access to health services, and unmet needs for tools, safety knowledge, and ongoing income support. The study proposed a community-participatory occupational health welfare model appropriate for the local context.
- Policy recommendations include establishing community-level occupational health teams, integrating health data and proactive services, and developing welfare models that address area-specific needs to enhance the quality of life, safety, and sustainable livelihoods of older adults in the border areas of Tak Province.
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