Factors Determining Home Death Among Older Adults in Thailand.

This article focuses on identifying factors associated with home deaths among older adults in Thailand, using secondary data from the Health Aging and Retirement in Thailand (HART) study. The analysis of 320 decedents aged 60 and older found that 65.6% died at home, with higher likelihoods of home death among those residing in the North and Northeast regions and those whose deaths were attributed to natural aging, while infectious disease deaths were less likely to occur at home. The study highlights the influence of social, environmental, and health-related factors, including regional cultural practices and health care system disparities, on the place of death. It underscores the need for community-based palliative care services tailored to regional and cultural contexts to support older adults' preferences for dying at home. Limitations include reliance on next-of-kin reports and lack of data on individual preferences or palliative care receipt.