Luenam Amornrat, Laohasiriwong Wongsa, Puttanapong Nattapong, Saengsuwan Jiamjit, Phajan Teerasak
a Faculty of Public Health and The Research and Training Center for Enhancing Quality of Life of Working-age People , Khon Kaen University , Khon Kaen , Thailand.
b Faculty of Public Health and Research and Training Center for Enhancing Quality of Life for Working Age People , Khon Kaen University , Khon Kaen , Thailand.
Inform Health Soc Care. 2018 Dec;43(4):348-361. doi: 10.1080/17538157.2017.1363760. Epub 2018 May 10.
This study aimed to determine the association between socioeconomic determinants and Chronic Respiratory Diseases (CRDs) in Thailand. The data were used from the National Socioeconomics Survey (NSS), a cross-sectional study conducted by the National Statistical Office (NSO), in 2010 and 2012. The survey used stratified two-stage sampling to select a nationally representative sample to respond to a structured questionnaire. A total of 17,040 and 16,905 individuals in 2010 and 2012, respectively, were included in this analysis. Multiple logistic regressions were used to identify the association between socioeconomic factors while controlling for other covariates. The prevalence of CRDs was 3.81% and 2.79% in 2010 and 2012, respectively. The bivariate analysis indicated that gender, family size, geographic location, fuels used for cooking and smoking were significantly associated with CRDs in 2010, whereas education, family size, occupation, region, geographic location, and smoking were significantly associated with CRDs in 2012. Both in 2010 and 2012, the multiple logistic regression indicated that the odds of having CRDs were significantly higher among those who lived in urban areas, females, those aged ≥41-50 or ≥61 yr old, and smokers when controlling for other covariates. However, fuels used for cooking, wood and gas, are associated with CRDs in 2010.
本研究旨在确定泰国社会经济决定因素与慢性呼吸道疾病（CRDs）之间的关联。数据来源于国家统计局（NSO）在2010年和2012年进行的全国社会经济调查（NSS），这是一项横断面研究。该调查采用分层两阶段抽样来选取具有全国代表性的样本，以回答一份结构化问卷。本分析分别纳入了2010年的17,040人和2012年的16,905人。在控制其他协变量的同时，使用多元逻辑回归来确定社会经济因素之间的关联。2010年和2012年CRDs的患病率分别为3.81%和2.79%。双变量分析表明，2010年性别、家庭规模、地理位置、烹饪所用燃料和吸烟与CRDs显著相关，而2012年教育程度、家庭规模、职业、地区、地理位置和吸烟与CRDs显著相关。在2010年和2012年，多元逻辑回归均表明，在控制其他协变量时，居住在城市地区的人、女性、年龄≥41 - 50岁或≥61岁的人以及吸烟者患CRDs的几率显著更高。然而，2010年烹饪所用燃料木材和燃气与CRDs相关。
