Level of Blood Pressure and Its Related Factors among People Aged 35 Years and Over in Mahasarakham Province


  • Siriporn Sutjacharee Faculty of Public Health, Khon Kaen University
  • Pongdech Sarakarn Faculty of Public Health, Khon Kaen University
  • Donlagon Jumparway ASEAN Cancer Epidemiology and Prevention Research Group
  • Pakee Sappipat Mahasarakham Provincial Public Health Office
  • Amorn Suttisa Mahasarakham Provincial Public Health Office




Blood pressure levels, risk factor, the JNC7 guideline


Hypertension is a high risk for cardiovascular disease and stroke leading to premature death, which is the first cause of morbidity in Thailand. This study aimed to investigate factors associated with blood pressure levels of those aged 35 years and above in Mahasarakham Province using data of hypertension screening between Dec 1, 2018, and Sep 30, 2019, from 43 files (Data Health Center: DHC) of Mahasarakham Provincial Public Health Office. The samples accounted for 143,912 people aged 35 years and above in Mahasarakham Province. Blood pressure levels were categorized into four groups, using the JNC7 guideline, including normal (<120/80 mmHg), pre-hypertension (120/80-139/89 mmHg), stage1-hypertension (140/90-159/99 mmHg), and stage 2-hypertension (≥160/100 mmHg). The study showed that the factors significantly associated with the occurrence of hypertension among the normal and pre-hypertension group were as follows: gender, age, marital status /widowed/divorced/separated, waist circumference over standard, place of residence, family history of hypertension, smoking, and drinking alcohol. Meanwhile, all these factors, but smoking, were also observed as associations among stage 1-hypertension. Therefore, public health efforts in control and risk behavior modification for hypertension should be considered and monitored among both normal and pre-hypertension groups in order to reduce the likelihood of developing hypertension in the future.


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Chockalingam A, Campbell NR, Fodor JG. Worldwide epidemic of hypertension. Can J Cardiol. 2006;22(7):553-5.

WHO. Global action plan for the prevention and control of noncommunicable diseases 2013- 2020. World Heal Organ [Internet]. 2013 [cited 2020 Feb 24];102. Available from: http:// apps.who.int/iris/bitstream/10665/94384/ 1/9789241506236_eng.pdf

Mills KT, Bundy JD, Kelly TN, Reed JE, Kearney PM, Reynolds K, et al. Global Disparities of Hypertension Prevalence and Control. Circulation [Internet]. 2016 [cited 2020 Feb 9] ;134(6): 441-50. Available from: https://www.aha-journals.org/doi/10.1161/CIRCULATIONA-HA.115.018912

Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hyper¬tension: analysis of worldwide data. Lancet. 2005;365(9455):217-23.

Aekplakorn W. The 5th Thai National Health Examination Survey. Nonthaburi: Aksorn Graph¬ic and Design Publishing Limited Partnership; 2016. (in Thai)

Strategy and Planning Division, Ministry of Pub¬lic Health. Thailand Regional Health Profile 2012-2017. Nonthaburi: Strategy and Planning Division; 2018. (in Thai)

Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo Joseph LJ, et al. The Sev¬enth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treat¬ment of High Blood PressureThe JNC 7 Report. JAMA [Internet]. 2003 [cited 2020 Feb 28];289(19):2560-71. Available from: https:// doi.org/10.1001/jama.289.19.2560

Thailand Development Research Institute. Estimates of public health costs within 15 years study report [Internet]. 2018 [cited 2020 Dec 11]. Available from: https://tdri.or.th/wp-content/uploads/ 2019/12/ประมาณการค่่าใช้้จ่่ายสาธารณะด้้าน สุุขภาพในอีีก-15-ปีีข้้างหน้้า.pdf (in Thai)

Chunpradab B. Factors Affecting Hypertension in Trang Province of Southern Thailand [master’s thesis]. Songkla: Songkla University; 2016.

Satipunyalert H. Factors related to hypertension of people who live in the area of Thai-Myanmar borderline, Mae Hong Son province [master’s thesis]. Chiang Mai: Chiang Mai University; 2014. (in Thai)

P Devi, M Rao, A Sigamani, A Faruqui, M Jose, R Gupta, et al. Prevalence, risk factors and awareness of hypertension in India: A systematic review. J Hum Hypertens. 2013;27(5):281-7.

Singh M, Kotwal A, Mittal C, Babu SR, Bharti S, Ram CVS. Prevalence and correlates of hypertension in a semi-rural population of Southern India. J Hum Hypertens [Internet]. 2018 [cited 2020 May 14];66-74. Available from: http://dx.doi.org/10.1038/s41371- 017-0010-5

Dhungana RR, Pandey AR, Bista B, Joshi S, Devkota S. Prevalence and Associated Factors of Hypertension: A Community-1. Putri NRIAT, Rekawati E, Wati DNK. Relationship of age, gender, hypertension history, and vulnerability perception with physical exercise compliance in elderly. Vol. 29, Enfermeria Clinica. Internati1 Putri NRIAT, Rekawati E, Wati DNK Relatsh age, gender, Hypertens Hist vulnerability Percept with Phys Exerc compliance elderly Vol 29, Enferm Clin 2019 p 541-5 onal J Hypertens [Internet]. 2016 [cited 2020 May 15];2016:1- 10. Available from: http://www.hindawi.com/ journals/ijhy/2016/1656938/

Boontein P, Anuritprasert B, Saneha C. Factors related to Metabolic Syndrome among Patients at Out-Patient Department. J Nurs Sci. 2017;35 (4):74-86.

Erdem Y, Arici M, Altun B, Turgan C, Sindel S, Erbay B, et al. The relationship between hypertension and salt intake in Turkish population: SALTURK study. Blood Press. 2010;19(5):313-8.

Thai Hypertension Society. 2019 Thai Guide¬lines on The Treatment of Hypertension. Trick¬think [Internet]. 2019. [cited 2020 May 15]. Available from: http://www.thaihypertension. org/files/HT%20guideline%202019.with%20 watermark.pdf (In Thai)

Won-Jun Choi, Hye-Sun Lee, Jung Hwa Hong, Hyuk-Jae Chang, Ji-Won Lee. Comparison of the JNC7 and 2017 American college of cardiology/ american heart association guidelines for the management of hypertension in Koreans: Analysis of two independent nationwide population-based studies. Int J Environ Res Public Health. 2019; 16(24):1-13.

Guo X, Zou L, Zhang X, Li J, Zheng L, Sun Z, et al. Prehypertension: A meta-analysis of the epide¬miology, risk factors, and predictors of progres¬sion. Texas Hear Inst J. 2011;38(6):643-52.

Karoonngamphan M, Suvaree S. Reducing the Risk of Hypertension: The Important Role of Nurses in Empowering Clients. Songklanagarind Journal of Nursing. 2016;3(36):222-33. (in Thai)

Han M, Li Q, Liu L, Zhang D, Ren Y, Zhao Y, et al. Prehypertension and risk of cardiovascular diseases: A meta-Analysis of 47 cohort studies. J Hypertens. 2019;37(12):2325-32.

Ghosh S, Mukhopadhyay S, Barik A. Sex differ¬ences in the risk profile of hypertension: A cross-sectional study. BMJ Open. 2016;6(7):1-8.

Tuoyire DA, Ayetey H. Gender differences in the association between marital status and hyperten¬sion in Ghana. J Biosoc Sci. 2019;51(3):313-34.

Erem C, Hacihasanoglu A, Kocak M, Deger O, Topbas M. Prevalence of prehypertension and hypertension and associated risk factors among Turkish adults: Trabzon Hypertension Study. J Public Health (Oxf). 2009;31(1):47-58.

Bjertness MB, Htet AS, Meyer HE, Htike MMT, Zaw KK, Oo WM, et al. Prevalence and deter¬minants of hypertension in Myanmar - A nation wide cross-sectional study. BMC Public Health [Internet]. 2016 [cited 2020 Dec 10];16(1). Available from: http://dx.doi.org/10.1186/ s12889-016-3275-7

Wongsa T. Factors related to prehypertension blood pressure [master’s thesis]. Nakhon Pathom: Silpakon University; 2008. 103 p. (in Thai)

Wu J, Li T, Song X, Sun W, Zhang Y, Liu Y, et al. Prevalence and distribution of hypertension and related risk factors in Jilin Province, China 2015: a cross-sectional study. BMJ Open [Internet]. 2018 [cited 2020 Dec 10];8(3) :e020126. Available from: http://bmjopen. bmj.com/content/8/3/e020126.abstract

Tamura T, Kadomatsu Y, Tsukamoto M, Okada R, Sasakabe T, Kawai S, et al. Association of exposure level to passive smoking with hyper¬tension among lifetime nonsmokers in Japan: a cross-sectional study. Medicine (Baltimore). 2018 ;97(48):e13241.



How to Cite

Sutjacharee ศ, Sarakarn พ, Jumparway ฎ, Sappipat ภ, Suttisa เ. Level of Blood Pressure and Its Related Factors among People Aged 35 Years and Over in Mahasarakham Province . Dis Control J [Internet]. 2021 Dec. 29 [cited 2022 Jun. 27];47(Suppl 2):1242-53. Available from: https://he01.tci-thaijo.org/index.php/DCJ/article/view/246935