Prevalence and factors associated with stroke among the elderly in Yasothon province

Authors

  • Thanom Namwong Yasothon Provincial Health Office
  • Narisara Arrirak Yasothon Provincial Health Office

DOI:

https://doi.org/10.14456/dcj.2023.13

Keywords:

elderly, stroke,, prevalence, factors

Abstract

This cross-sectional study aimed to examine the prevalence and identify factors associated with stroke in the elderly. The study population was all elderly people aged 60 years and older, who lived in ​​Muang Yasothon District. Data were collected by questionnaires and analyzed by descriptive statistics and binary logistic regression. Findings from the study indicated that 18,818 (89.6%) out of 20,994 elderly populations had received screening for stroke. The overall prevalence of stroke was 2.3%, male was 2.9% and female was 1.7%. The stroke prevalence increased with increasing age. Seven factors associated with stroke were sex (male) (ORadj 1.6, 95% CI 1.3-2.1), age [60-69 years, reference group (70-79 year, ORadj 1.3, 95% CI 1.1-1.6; 80 year and upper ORadj 1.3, 95% CI 0.9-1.8)], occupation [Self-employed; reference group (farmer ORadj 2.1, 95% CI 1.5-2.9; other occupations ORadj 1.8, 95% CI 1.1-2.9)], smoking (ORadj 1.5, 95% CI 1.2-1.9), hypertension (ORadj 1.7, 95% CI 1.4-2.1), hyperlipidemia (ORadj 3.0, 95% CI 2.3-3.9), and family history of stroke (ORadj 3.5, 95% CI 2.7-4.5). The prevalence of stroke in this study was higher than previous studies, which was consistent with increasing aging population. In addition, these seven risk factors of stroke were also consistent with other studies. Healthcare workers can use the findings from this study to improve the design of health care system to better address stroke issues among the elderly population.

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References

Phadungvanichkul P. Stroke [Internet]. 2017 [cited 2022 Jan 12]. Available from: http://www.med.nu.ac.th/dpMed/fileKnowledge/106_2017-08-19.pdf (in Thai)

Towanabutr S, Hanchaipibulkul S, Tantirittisak T, Termklinjan T, Laoratanasai L, Traicharoenwong J. Stroke [Internet]. 2022 [cited 2022 Jan 5]. Available from: https://www.hiso.or.th/hiso/picture/reportHealth/report/report8_5.pdf (in Thai)

Viriyavejakul A, Senanarong V, Prayoonwiwat N, Praditsuwan R, Chaisevikul R, Poungvarin N. Epidemiology of stroke in the elderly in Thailand [Internet]. J Med Assoc Thai; 1998 [cited 2022 Jan 13]; 81(7):497–505. Available from: https://europepmc.org/article/med/9676086 (in Thai)

Saengsuwan J, Suangpho P, Tiamkao S. Knowledge of stroke risk factors and warning signs in patients with recurrent stroke or recurrent transient ischaemic attack in Thailand. Neurology Research International. 2017;1-7.

World Health Organization (WHO). Stroke, Cerebrovascular accident [Internet]. 2022 [cited 2022 Jan 12]. Available from: http://www.emro.who.int/health-topics/stroke-cerebrovascular-accident/index.html

Division of Non-communicable Diseases (TH). Disease situation report of NCDs 2020. Nonthaburi: Division of Non-communicable Diseases; 2020. (in Thai)

Department of Elderly Affairs (TH). Elderly statistics [Internet]. 2021 [cited 2022 Jan 12]. Available from: https://www.dop.go.th/th/know/1 (in Thai)

Thanuchit S, Chinkham D, Malathong N, Duangthipsirikul S, Tantives S. A study to create a proposal on the provision of appropriate emergency medical services for the elderly in Thailand [Internet]. 2019 [cited 2021 Mar 10]. Available from: https://www.niems.go.th/pdfviewer/index.html (in Thai)

Health Data Center (HDC). Health status Yasothon province [Internet]. 2021 [cited 2021 Jun 6]. Available from: https://yst.hdc.moph.go.th/hdc/reports/page.php?cat_id=7f9ab56b0f39fd053143ecc4f05354fc (in Thai)

Klinsakorn C, Saeton S. Factors Related to Self-protective behavior of stroke with controlled hypertention patients who live in Danchang district, Suphanburi province. Journal of Council of Community Public Health. 2020;2(2):62-77. (in Thai)

Siriyong W. Prevalence of stroke and stroke risk factors in Kanchanadit hospital. Med Journal. 2021;32(1):863-70. (in Thai)

Doungchan N, Sinprasert P, Wanchai A, Trongthiang W , Sutthilak C, Blenengchit S. Stroke in older people and guidelines for strengthening caregivers. Journal of The Royal Thai Army Nurses. 2021;22(1):20–8. (in Thai)

Majavong M. Stroke in the elderly. J Thai Stroke Soc. 2019;18(1):59–74. (in Thai)

10th Public Health Region. Project implementation of community health system development into an integrated seamless health service system for the high risk elderly of stroke, STEMI and Hip fracture in 10th Public Health Region. Ubon Ratchathani: 10th Public Health Region; 2021. (in Thai)

Cochran WG. Sampling techniques. 3rd ed. Biostatistics. New York: John Wiley & Son; 1977.

Hosmer DW, Lemeshow S. Applied logistic regression. 2nd ed. New York: McGraw-Hill; 2000.

Tuangpho P. Prevention of recurrent stroke in the elderly. North-Eastern Thai J Neuroscince. 2019;13(2):56–67. (in Thai)

Mueangphaisan W. Stroke and prevention [Internet]. Bangkok: Faculty of Medicine Siriraj Hospital, Mahidol University; 2022 [cited 2022 Jan 12]. Available from: https://www.si.mahidol.ac.th/project/geriatrics/knowledge_article/knowledge_healthy_7_006.html (in Thai)

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Published

2023-03-25

How to Cite

1.
Namwong T, Arrirak N. Prevalence and factors associated with stroke among the elderly in Yasothon province. Dis Control J [Internet]. 2023 Mar. 25 [cited 2024 Dec. 19];49(1):149-57. Available from: https://he01.tci-thaijo.org/index.php/DCJ/article/view/254129

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Original Article