Prevalence and management of prehypertension and hypertension by geographic regions of Thailand: The Third National Health Examination Survey, 2004

OBJECTIVE: To determine the prevalence of prehypertension and hypertension, and management of hypertension, by geographic regions of Thailand. METHODS: Using a stratified, multistage sampling design, data from a nationally representative sample of 39 290 individuals aged ≥15 years were collected by...

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Main Authors: Wichai Aekplakorn, Jesse Abbott-Klafter, Panrasri Khonputsa, Pyatat Tatsanavivat, Virasakdi Chongsuvivatwong, Suwat Chariyalertsak, Somkiat Sangwatanaroj, Siriwat Tiptaradol, Stephen S. Lim
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Published: 2018
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http://cmuir.cmu.ac.th/jspui/handle/6653943832/60185
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spelling th-cmuir.6653943832-601852018-09-10T03:47:04Z Prevalence and management of prehypertension and hypertension by geographic regions of Thailand: The Third National Health Examination Survey, 2004 Wichai Aekplakorn Jesse Abbott-Klafter Panrasri Khonputsa Pyatat Tatsanavivat Virasakdi Chongsuvivatwong Suwat Chariyalertsak Somkiat Sangwatanaroj Siriwat Tiptaradol Stephen S. Lim Biochemistry, Genetics and Molecular Biology Medicine OBJECTIVE: To determine the prevalence of prehypertension and hypertension, and management of hypertension, by geographic regions of Thailand. METHODS: Using a stratified, multistage sampling design, data from a nationally representative sample of 39 290 individuals aged ≥15 years were collected by interview, physical examination and blood sample. RESULTS: The prevalence of hypertension and prehypertension weighted to the national 2004 population was 22.0% [95% confidence interval (CI) = 20.5-23.6] and 32.8% (95% CI = 31.5-34.1), respectively, with a higher prevalence in men compared to women. Hypertension was more common in urban compared to rural men, but similar between urban and rural women. Despite some variation, the prevalence of hypertension and prehypertension was relatively uniform across geographical regions. Of those identified as having hypertension in the survey, 69.8% (95% CI = 67.8-71.7) were unaware that they had hypertension. Although the majority of those who were aware (78.2%; 95% CI = 75.8-80.5) had taken blood pressure-lowering drugs in the last 2 weeks, of these only 36.6% (95% CI = 33.3-40.0) had blood pressure < 140/90 mmHg. Rural populations and those from the economically poorer Northeast region were more likely to be unaware that they had hypertension. CONCLUSION: Compared to previous surveys, the prevalence of hypertension and prehypertension is rising rapidly, and is spread relatively evenly across regions of Thailand. Levels of awareness of hypertension were low across the country. A challenging task remains in improving screening, treatment and control of hypertension at the same time as promoting healthier lifestyles. © 2008 Lippincott Williams & Wilkins, Inc. 2018-09-10T03:39:07Z 2018-09-10T03:39:07Z 2008-02-01 Journal 02636352 2-s2.0-38149045893 10.1097/HJH.0b013e3282f09f57 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=38149045893&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/60185
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Biochemistry, Genetics and Molecular Biology
Medicine
spellingShingle Biochemistry, Genetics and Molecular Biology
Medicine
Wichai Aekplakorn
Jesse Abbott-Klafter
Panrasri Khonputsa
Pyatat Tatsanavivat
Virasakdi Chongsuvivatwong
Suwat Chariyalertsak
Somkiat Sangwatanaroj
Siriwat Tiptaradol
Stephen S. Lim
Prevalence and management of prehypertension and hypertension by geographic regions of Thailand: The Third National Health Examination Survey, 2004
description OBJECTIVE: To determine the prevalence of prehypertension and hypertension, and management of hypertension, by geographic regions of Thailand. METHODS: Using a stratified, multistage sampling design, data from a nationally representative sample of 39 290 individuals aged ≥15 years were collected by interview, physical examination and blood sample. RESULTS: The prevalence of hypertension and prehypertension weighted to the national 2004 population was 22.0% [95% confidence interval (CI) = 20.5-23.6] and 32.8% (95% CI = 31.5-34.1), respectively, with a higher prevalence in men compared to women. Hypertension was more common in urban compared to rural men, but similar between urban and rural women. Despite some variation, the prevalence of hypertension and prehypertension was relatively uniform across geographical regions. Of those identified as having hypertension in the survey, 69.8% (95% CI = 67.8-71.7) were unaware that they had hypertension. Although the majority of those who were aware (78.2%; 95% CI = 75.8-80.5) had taken blood pressure-lowering drugs in the last 2 weeks, of these only 36.6% (95% CI = 33.3-40.0) had blood pressure < 140/90 mmHg. Rural populations and those from the economically poorer Northeast region were more likely to be unaware that they had hypertension. CONCLUSION: Compared to previous surveys, the prevalence of hypertension and prehypertension is rising rapidly, and is spread relatively evenly across regions of Thailand. Levels of awareness of hypertension were low across the country. A challenging task remains in improving screening, treatment and control of hypertension at the same time as promoting healthier lifestyles. © 2008 Lippincott Williams & Wilkins, Inc.
format Journal
author Wichai Aekplakorn
Jesse Abbott-Klafter
Panrasri Khonputsa
Pyatat Tatsanavivat
Virasakdi Chongsuvivatwong
Suwat Chariyalertsak
Somkiat Sangwatanaroj
Siriwat Tiptaradol
Stephen S. Lim
author_facet Wichai Aekplakorn
Jesse Abbott-Klafter
Panrasri Khonputsa
Pyatat Tatsanavivat
Virasakdi Chongsuvivatwong
Suwat Chariyalertsak
Somkiat Sangwatanaroj
Siriwat Tiptaradol
Stephen S. Lim
author_sort Wichai Aekplakorn
title Prevalence and management of prehypertension and hypertension by geographic regions of Thailand: The Third National Health Examination Survey, 2004
title_short Prevalence and management of prehypertension and hypertension by geographic regions of Thailand: The Third National Health Examination Survey, 2004
title_full Prevalence and management of prehypertension and hypertension by geographic regions of Thailand: The Third National Health Examination Survey, 2004
title_fullStr Prevalence and management of prehypertension and hypertension by geographic regions of Thailand: The Third National Health Examination Survey, 2004
title_full_unstemmed Prevalence and management of prehypertension and hypertension by geographic regions of Thailand: The Third National Health Examination Survey, 2004
title_sort prevalence and management of prehypertension and hypertension by geographic regions of thailand: the third national health examination survey, 2004
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=38149045893&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/60185
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