The effect of Risk Factors for Cerebrovascular Disease, Regional Health 1, Thailand

Abstract

Risk factors for Stroke include high blood pressure, cardiovascular disease, diabetes, high blood cholesterol, and behaviors such as smoking and drinking. In Thailand, Stroke morbidity and mortality rates are gradually increasing. Stroke situation in Regional Health 1 is ranked as 5^th and 6^th for mortality and morbidity rates. The impact evaluation of disease risk factors in relation to other activities promotes decision-making by related health personnel for more appropriate measures to help reduce morbidity and mortality of Stroke patients. This study proposed is to study the correlation of factors and measure the impact of factors affected in patients with stroke in Region Health 1. Descriptive epidemiological study and analytical epidemiology Case-Cohort study of the correlation of factors measured the impact of various factors with the occurrence of stroke by calculating Attributable fraction among Exposed (AFe) and Attributable fraction among Population (AFp) and 95% CI. The result found that patients with stroke were significantly associated with kidney disease, cardiovascular, hypertension and diabetes. Among these factors, AFe in kidney disease showed highest of 0.93 (95%CI, 0.86-0.97) and hypertension have the highest of AFp, 45.45 (95%CI, 43.76-46.90). Prevention of hypertension in patients would lead to a drop of up to 9,350 (95% CI, 9,003-9,650). Therefore appropriate strategies are needed to combat with hypertension patients to prevent death in stroke patients in the area of Region Health 1.