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Prevalence and management of prehypertension and hypertension by geographic regions of Thailand: the Third National Health Examination Survey, 2004.
J Hypertens. 2008 Feb; 26(2):191-8.JH

Abstract

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 > or = 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.

Authors+Show Affiliations

Community Medicine Center, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. rawap@mahidol.ac.thNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18192831

Citation

Aekplakorn, Wichai, et al. "Prevalence and Management of Prehypertension and Hypertension By Geographic Regions of Thailand: the Third National Health Examination Survey, 2004." Journal of Hypertension, vol. 26, no. 2, 2008, pp. 191-8.
Aekplakorn W, Abbott-Klafter J, Khonputsa P, et al. Prevalence and management of prehypertension and hypertension by geographic regions of Thailand: the Third National Health Examination Survey, 2004. J Hypertens. 2008;26(2):191-8.
Aekplakorn, W., Abbott-Klafter, J., Khonputsa, P., Tatsanavivat, P., Chongsuvivatwong, V., Chariyalertsak, S., Sangwatanaroj, S., Tiptaradol, S., & Lim, S. S. (2008). Prevalence and management of prehypertension and hypertension by geographic regions of Thailand: the Third National Health Examination Survey, 2004. Journal of Hypertension, 26(2), 191-8. https://doi.org/10.1097/HJH.0b013e3282f09f57
Aekplakorn W, et al. Prevalence and Management of Prehypertension and Hypertension By Geographic Regions of Thailand: the Third National Health Examination Survey, 2004. J Hypertens. 2008;26(2):191-8. PubMed PMID: 18192831.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and management of prehypertension and hypertension by geographic regions of Thailand: the Third National Health Examination Survey, 2004. AU - Aekplakorn,Wichai, AU - Abbott-Klafter,Jesse, AU - Khonputsa,Panrasri, AU - Tatsanavivat,Pyatat, AU - Chongsuvivatwong,Virasakdi, AU - Chariyalertsak,Suwat, AU - Sangwatanaroj,Somkiat, AU - Tiptaradol,Siriwat, AU - Lim,Stephen S, PY - 2008/1/15/pubmed PY - 2008/4/19/medline PY - 2008/1/15/entrez SP - 191 EP - 8 JF - Journal of hypertension JO - J Hypertens VL - 26 IS - 2 N2 - 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 > or = 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. SN - 0263-6352 UR - https://www.unboundmedicine.com/medline/citation/18192831/Prevalence_and_management_of_prehypertension_and_hypertension_by_geographic_regions_of_Thailand:_the_Third_National_Health_Examination_Survey_2004_ L2 - https://doi.org/10.1097/HJH.0b013e3282f09f57 DB - PRIME DP - Unbound Medicine ER -