This study explored factors affecting quality of life in older adults with hypertension by comparing those living in urban and rural areas. A cross-sectional study was conducted on 420 older adults living in urban and rural areas in Thailand. Data were collected using the WHOQOL-OLD and Health-Promoting Lifestyle Profile-II tools, which measured quality of life and health-promoting behaviors among the participants. Older adults in urban areas had higher quality of life scores than those in rural locations. Health-promoting behaviors significantly predicted higher quality of life for all residents. A high perceived health status predicted increase of quality of life in urban residents, whereas the presence of comorbidity effects decreased quality of life. A longer hypertension duration predicted higher quality of life in rural residents. These findings suggest that healthy behaviors and self-management interventions are critical to improve quality of life in older Thai adults with hypertension.

本研究通过比较居住在城市和农村地区的老年人，探讨影响高血压老年人生活质量的因素。对居住在泰国城市和农村地区的 420 名老年人进行了一项横断面研究。使用 WHOQOL-OLD 和 Health-Promoting Lifestyle Profile-II 工具收集数据，这些工具测量了参与者的生活质量和健康促进行为。城市地区老年人的生活质量得分高于农村地区的老年人。健康促进行为显着预测所有居民的生活质量更高。高感知健康状况预示着城市居民生活质量的提高，而合并症效应的存在降低了生活质量。较长的高血压病程预示着农村居民的生活质量较高。