Setting Priorities Using Information on Cost-Effectiveness Project, Ministry of Public Health, Nontaburi, Thailand.
Asia Pac J Public Health. 2012 Jan;24(1):185-94. doi: 10.1177/1010539510377651. Epub 2010 Aug 3.
The prevalence, diagnosis, treatment, and control of hypercholesterolemia and/or hypertension were estimated for Thailand using data from a recent, nationally representative health examination survey. Multivariate logistic regression was used to assess factors associated with diagnosis, treatment, and control. In all, 14% of men and 17% of women had hypercholesterolemia, 23% and 21% had hypertension, and 5% and 6%, respectively, had both. A large proportion of individuals with these risk factors is neither diagnosed nor treated, let alone adequately controlled; 30% of people with hypertension had been diagnosed and 24% treated, and 9% had their blood pressure controlled. The figures for hypercholesterolemia were 13%, 9%, and 6%, respectively. Those for both risk factors combined were below 15% and did not differ by sex, urbanicity, age, or marital status. Among men, education correlated with diagnosis and treatment odds. There is great scope for improved prevention of cardiovascular disease in Thailand.
采用最近一次全国代表性健康体检调查的数据，估计了泰国高胆固醇血症和/或高血压的流行情况、诊断、治疗和控制情况。多变量逻辑回归用于评估与诊断、治疗和控制相关的因素。结果显示，14%的男性和 17%的女性患有高胆固醇血症，23%和 21%的男性和女性患有高血压，5%和 6%的男性和女性同时患有这两种疾病。相当大比例的具有这些风险因素的个体既未被诊断也未得到治疗，更谈不上得到充分控制；30%的高血压患者被诊断，24%的患者接受了治疗，而 9%的患者血压得到了控制。高胆固醇血症的这三个数字分别为 13%、9%和 6%。同时患有这两种风险因素的患者比例低于 15%，且不受性别、城市、年龄或婚姻状况的影响。在男性中，教育与诊断和治疗的几率相关。泰国在预防心血管疾病方面有很大的改进空间。
