{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T13:00:27Z","timestamp":1790600427875,"version":"4.1.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100007431","name":"Pibulsongkram Rajabhat University","doi-asserted-by":"publisher","award":["RDI-2-67-14"],"award-info":[{"award-number":["RDI-2-67-14"]}],"id":[{"id":"10.13039\/501100007431","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Public Health Research"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Oral health significantly affects the overall well-being of the elderly, influencing nutrition, communication, and quality of life. Poor oral hygiene can cause infections and dental issues. In Thailand, promoting oral hygiene among the aging population remains a pressing and ongoing public health challenge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and methods:<\/jats:title>\n                    <jats:p>This study explores the factors influencing oral health care behaviors among elderly individuals at the Phitsanulok Health Center (Buddhachinaraj Hospital) as a case study of lower Northern Thailand. A total of 365 elderly participants were surveyed using a structured questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Multiple regression analysis showed that general employment (\u03b2\u2009=\u2009\u22120.227,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), business (\u03b2\u2009=\u2009\u22120.300,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and government service (\u03b2\u2009=\u2009\u22120.205,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001) were negative predictors of oral health care behaviors. In contrast, enabling factors (\u03b2\u2009=\u20090.204,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), average monthly income (\u03b2\u2009=\u20090.200,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and supporting factors (\u03b2\u2009=\u20090.142,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.005) had positive effects. These factors together explained 20.02% of the variation in behaviors (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), with enabling factors having the strongest influence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This study emphasizes the importance of financial security, access to dental care, and social support in maintaining oral health among the elderly. Enhancing affordable dental services is crucial for low-income seniors. The findings suggest further research into factors influencing elderly oral health and strategies to improve care access. Recommendations include reducing dental costs, creating family-centered health initiatives, involving families in oral hygiene, and enacting policies to support low-income elderly individuals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/22799036251388588","type":"journal-article","created":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T11:47:47Z","timestamp":1762429667000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Factors associated with dental health care behaviors among elderly patients in lower northern Thailand: A case study of Mueang Phitsanulok Health Center"],"prefix":"10.1177","volume":"14","author":[{"given":"Wiphada","family":"Srijaroen","sequence":"first","affiliation":[{"name":"Faculty of Science and Technology, Pibulsongkram Rajabhat University, Phitsanulok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wongnapha","family":"Chuenjaichon","sequence":"additional","affiliation":[{"name":"Phitsanulok Health Center, Buddbachinaraj Phitsanulok Hospital, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiraroj","family":"Tosasukul","sequence":"additional","affiliation":[{"name":"Research Center for Academic Excellence in Mathematics, Naresuan University, Phitsanulok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9852-4043","authenticated-orcid":false,"given":"Panit","family":"Yamchuen","sequence":"additional","affiliation":[{"name":"Faculty of Physical Education, Sports and Health, Srinakharinwirot University, Nakhon Nayok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2431-2124","authenticated-orcid":false,"given":"Touchkanin","family":"Jongjitvimol","sequence":"additional","affiliation":[{"name":"Faculty of Science and Technology, Pibulsongkram Rajabhat University, Phitsanulok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,6]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"Population projections for Thailand 2010\u20132040","author":"Office of the National Economic and Social Development Council","year":"2019","unstructured":"Office of the National Economic and Social Development Council. 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Population and percentage of elderly people in Phitsanulok Province https:\/\/hpc2appcenter.anamai.moph.go.th\/datacenter\/web\/site\/ (2022 accessed 12 September 2022)."},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6831-13-61"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12497"},{"issue":"3","key":"e_1_3_3_12_2","first-page":"246","article-title":"Oral health status and oral health-related quality of life of elderly patients in geriatric clinic","volume":"40","author":"Phumprasitchok A.","year":"2023","unstructured":"Phumprasitchok A. Oral health status and oral health-related quality of life of elderly patients in geriatric clinic. Buddhachinaraj Med J 2023; 40(3): 246\u2013259.","journal-title":"Buddhachinaraj Med J"},{"issue":"1","key":"e_1_3_3_13_2","first-page":"38","article-title":"Utilization of the PRECEDE model in health promotion","volume":"12","author":"Ueakij N","year":"2019","unstructured":"Ueakij N, Pensri L. 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