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Elderly Health Problem 2547

เยาวรัตน์ ปรปักษ์ขาม; Yawarat Porapakkham; จรรยา ภัทรอาชาชัย; Junya Plattara-Achachai;
Date: 2550
Abstract
As part of the National Health Examination Survey III, the objectives of this study were to determine the health problems of Thai elderly in 4 dimensions; self-reported health status, prevalence of behavioral risks, biological risks and examine an awareness, treatment and control of the leading chronic diseases. The samples of 19,372 respondents aged 60 years and over were drawn from those included in the multi-staged sample national survey during JanuaryAugust 2004. Methods of data collection were interview, physical examination and laboratory findings. Descriptive analysis was used to estimate the size of the conditions and prevalence at the national level, base on standard criteria for diagnosis of chronic diseases and levels of their effective control. With regard to behavioral risks, prevalence of cigarette smokers decreased with ages, the rate among males was nine times over that of females. Alcohol drinking decreased in a small proportion. Insufficient physical activities as well as fruit and vegetables intakes based on standard criteria were observed at high rates (80-90percent), increased with advanced ages and the oldest females were the worst. For biological health risks, anemia and underweight appeared to increase with advanced ages and lower proportion of obese elderly respondents with advanced age was observed. Selected chronic diseases were hypertension, hypercholesterolemia and Diabetes Mellitus, of which known as high risks associated with major cardiovascular events for example, stroke, ischemic heart, and long- termed diabetic consequences.Age-adjusted prevalence of hypertension were at 51.6 percent, diabetes 14.8 percent and high cholesterol 25.4 percent. While overall proportion of unawareness of those chronic diseases were reported to be 56.8 percent for hypertension, 41.2 for diabetes and 81.5 percent for high cholesterol. The proportions of those treated and control of blood pressure, blood sugar and blood cholesterol were12.4, 26.4 and 10.3 percent respectively. Women were found to be more aware of their illnesses, received treatment with effective control than their men counterparts. An ineffective control group was observed among the oldest - 80 years and over- of both genders. In conclusion, there were high prevalence of hypertension and diabetes in the Thai elderly with high percentage of unawareness and inadequate control of those treated.Screening program for early detection was essential. Treatments of these diseases to maintain adequate control should be improved
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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