Situation of stroke occurrence in high-risk groups Thai Charoen Subdistrict Thaicharoen District, Yasothon Province

Abstract

This phenomenological qualitative research aimed to study the situation of stroke in Thaicharoen Subdistrict, Thaicharoen District, Yasothon Province. The study examined problem situations and operational contexts. Data were collected through interviews and conversations and analyzed using content analysis. The purposively selected sample consisted of officials from the Thaicharoen Subdistrict Administrative Organization, village headmen, Thaicharoen Subdistrict kamnans, representatives of village health volunteers, public health officials responsible for chronic non-communicable diseases from hospitals and district public health offices, and community leaders.

The results of the study revealed that the occurrence of cerebrovascular disease in Thaicharoen Subdistrict was influenced by several factors: 1) Cultural values in food consumption – High intake of sweet and salty foods, increased consumption of processed foods, and health knowledge disseminated mainly through quantitative indicators rather than consideration of real-life contexts. Annual health screenings revealed that the number of high-risk groups for stroke has continued to increase. 2) Daily activities and lifestyle changes – Shifts in occupations outside the home, reduced physical activity, and limited attention to personal health. 3) Cultural values in self-care and health care – Dependence on community leaders and health systems, with individuals entering the treatment system rather than prioritizing preventive self-care.
4) Public health system response – Existence of a seamless district strategic plan supported by a quality of life development committee at both district and subdistrict levels (PCHO.), which drives health promotion efforts in the area.

In summary, the incidence of cerebrovascular disease in Thaicharoen Subdistrict reflects the interplay between social and cultural factors related to health and chronic diseases. Health services should place greater emphasis on proactive and continuous activities to reach at-risk groups, understand local health problems within their specific contexts, and inform effective problem-solving and policymaking to better support at-risk populations in the community.