Prevalence and associated factors of uncontrolled blood pressure among hypertensive patients in the rural communities in the central areas in Thailand: A cross-sectional study

PROJECT SUMMARY

Nowadays, hypertension is a common and primary risk factor for cardiovascular diseases. It is one of the major global public health issues with the prevalence of 30.8%. The high prevalence of hypertension is reported in Thailand. According to the Thai National Health Examination Survey V (NHES V) conducted in 2015, one in four Thais had hypertension. Hypertension may worsen disease progression and lead to further complications, such as the risk of heart failure, cerebral ischemia, cerebral hemorrhage and chronic kidney diseases. Regarding recent available data concerning controlled blood pressure worldwide, the prevalence of controlled blood pressure was 68.9% and 37.5%, in the US and PR China, respectively.

Nevertheless, in Thailand, most information related to hypertension is collected in hospitals or hospital-based organizations rather than at the community level. A half of areas in Thailand are still rural (47%) where the healthcare infrastructure and healthcare provider characteristics differ from those of urban vicinities especially in remote rural areas. Furthermore, the last research related to uncontrolled hypertension was conducted in a rural community in 2012. The report showed that two-thirds patients with hypertension could not achieve the target blood pressure control. Furthermore, the other study in Thailand showed the absolute numbers of individuals with cardiovascular risk factors were greater in rural rather than urban regions.

However, only the limited information is available on factors potentially responsible for uncontrolled blood pressure among patients with hypertension in remote rural communities. The required information is essential to focus on preventing the problems. Improving blood pressure control will help to reduce disability from any complications including cardiovascular accident and chronic kidney disease, reduce medical costs and improve quality of life. The present study was conducted directly in a rural population and in primary health care (PHC) units. The objectives of the study were to determine uncontrolled blood pressure and identify risk factors associated with uncontrolled blood pressure among patients with hypertension in the remote rural communities of the central area in Thailand.

ชื่อเจ้าของฐานข้อมูล และการติดต่อ

ร.อ. ผศ.บุญทรัพย์ ศักดิ์บุญญารัตน์ ภาควิชาเวชศาสตร์ทหารและชุมชน วิทยาลัยแพทยศาสตร์พระมงกุฎเกล้า Capt. Asst.Prof.Boonsub Sakboonyarat, MD, MPH Department of Military and Community Medicine, Phramongkutklao College of Medicine, Bangkok, Thailand E-mail Boonsub1991@pcm.ac.th

Availability of data and materials

The datasets generated or analyzed during the current study are not publicly available because the data sets contain confidential information. Thus, due to ethics restrictions concerning the data sets, they are available from the corresponding author upon reasonable request.

การขอเข้าถึง Protocol และ ข้อมูล

กดที่ ปุ่ม ร้องขอข้อมูล ที่ หน้า Protocol และ ข้อมูล