The Cardiovascular Diseases Risk among the Akha Ethnic Group in Mae Suai District, Chiang Rai Province

Authors

  • Chittraphorn Suthipong School of Nursing, Mae Fah Luang University
  • Vipada Srimantayamas School of Nursing, Mae Fah Luang University
  • Pimrat Boonyapuk School of Nursing, Mae Fah Luang University

Keywords:

Akha Ethnic Group, cardiovascular disease, the risk of cardiovascular disease within the next ten years

Abstract

Cardiovascular diseases present a significant health challenge within the Akha ethnic community. This prospective observational study seeks to evaluate the risk factors for cardiovascular diseases over the next ten years among the Akha population in the Mae Suai district, Chiang Rai province. Employing a simple random sampling method, 128 individuals were included in the study. The research utilized various tools, including personal data records, assessments of disease risk factors, Stress Test 5 (ST5) evaluations, and the Thai CV risk score application from Ramathibodi Hospital’s Faculty of Medicine.The statistical analysis encompassed both descriptive and inferential methods, investigating the relationships between disease occurrence and various risk factors.
Findings indicated that 77.30% of the Akha ethnic group faced the risk of cardiovascular diseases over the next ten years, with 15.60% in the moderate risk category and 7.00% at high risk. Notably, individuals with hypertension exhibited a 3.48 times higher risk of developing cardiovascular diseases compared to other the risk of cardiovascular diseases over the next ten years.
To proactively address the risk of cardiovascular diseases over the next ten years, health promotion initiatives should concentrate on heightening awareness about blood pressure control, proper nutrition, stress reduction, regular exercise, and smoking cessation among individuals in the Akha ethnic group. These targeted efforts aim to empower the community with knowledge and preventive strategies, fostering a healthier cardiovascular profile for the Akha population in the years to come.

References

Kaptoge S, Pennells L, De Backer G, Cooney M, Kavousi M, Stevens J, et al. World Health Organization cardiovascular disease risk charts: revised models to estimate risk in 21 global regions, The Lancet Global Health. 2019; 7(10):1332-45.

Arnett DK, Blumenthal RS, Albert MA, Buroker AB, Goldberger ZD, Hahn EJ, et al. ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation Journal. 2019; 140(11):596-646.

Tamornpark R, Apidechkul T, Upala P, Inta C. Factors associated with type 2 diabetes Mellitus among the elderly hill tribe population in Thailand. Southeast Asian Journal of Tropical Medicine and Public Health. 2017; 48(5):1072-82.

Appelman Y, van Rijn BB, Ten Haaf ME, Boersma E, Peters SA. Sex differences in cardiovascular risk factors and disease prevention. Atherosclerosis. 2015; 241(1): 211-18.

Khumrat J, Mesukmak N. Relationship between cigarette smoking and coronary artery disease involving nurses’ role in smoking cessation. Journal of The Royal Thai Army Nurses. 2017; 18(2):1-6. (In Thai)

Kondo T, Osugi S, Shimokata K, Honjo H, Morita Y, Maeda K. et al. Smoking and smoking cessation in relation to all-cause mortality and cardiovascular events in 25,464 healthy male Japanese workers. Circulation Journal. 2011; 75(12):2885-92.

Flint AJ, Rexrode KM, Hu FB, Glynn RJ, Caspard H, Manson JE,et al. Body mass index, waist circumference, and risk of coronary heart disease: a prospective study among men and women. Obesity Research & Clinical Practice. 2010; 4(3):171-81.

Walaisatean J, Prasong MP, Nakprakob M. Health Literacy of personnel in prevention and control of non-communicable diseases of the Office of Disease Prevention and Control Nakhon Ratchasima. The office of disease prevention and control 9th Nakhon Ratchasima Journal. 2021; 27(1):46-55. (In Thai).

Apidechkul T, Laingoen O, Suwannaporn S. Inequity in Accessing Health Care Service in Thailand in 2015: A Case Study of the Hill Tribe People in Mae Fah Luang District, Chiang Rai, Thailand. Journal of Health Research, 2016; 30(1):67-71.

Apidechkul T, Wongnuch P, Sittisarn S, Ruanjai T. Health situation of Akha Hill Tribe in Chiang Rai Province, Thailand. Journal of Public Health and Development 2016; 14(1):77-9.

Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavioral Research Methods. 2007; 39(2):175-91.

Kjeldsen SE. Hypertension and cardiovascular risk: General aspects. Pharmacal Research. 2018 ; 129:95-9.

Rapsomaniki E, Timmis A, George J, PujadesRodriguez M, Shah AD, Denaxas S, et al. Blood pressure and incidence of twelve cardiovascular diseases: lifetime risks, healthy life-years lost, and age-specific associations in 1•25 million people. Lancet. 2014; 383(9932):1899-911.

Gu Q, Dillon CF, Burt VL, Gillum RF. Association of hypertension treatment and control with All-cause and cardiovascular disease mortality among US adults with hypertension. Am Journal Hypertension. 2010; 23(1):38-45.

Teo KK, Ounpuu S, Hawken S, Pandey MR, Valentin V, Hunt D, et al. INTERHEART Study Investigators. Tobacco use and risk of myocardial infarction in 52 countries in the INTERHEART study: a case-control study. Lancet. 2006; 368(9536):647-58.

Mons U, Müezzinler A, Gellert C, Schöttker B, Abnet CC, Bobak M, et val. CHANCES Consortium. Impact of smoking and smoking cessation on cardiovascular events and mortality among older adults: meta-analysis of individual participant data from prospective cohort studies of the CHANCES consortium. British Medical Journal. 2015; 350-60.

Mandviwala T, Khalid U, Deswal A. Obesity and Cardiovascular Disease: a Risk Factor or a Risk Marker? Current Atherosclerosis Reports. 2016; 18(5):21.

Flint AJ, Rexrode KM, Hu FB, Glynn RJ, Caspard H, Manson JE, et al. Body mass index, waist circumference, and risk of coronary heart disease: a prospective study among men and women. Obesity Research & Clinical Practice Journal. 2010; 4(3):171-81.

Lao XQ, Liu X, Deng HB, Chan TC, Ho KF, Wang F, et al. Sleep Quality, Sleep Duration, and the Risk of Coronary Heart Disease: A Prospective Cohort Study with 60,586 Adults. Journal of Clinical Sleep Medicine. 2018; 14(1):109-17.

Yan B, Yang J, Zhao B, Fan Y, Wang W, Ma X. Objective Sleep Efficiency Predicts Cardiovascular Disease in a Community Population: The Sleep Heart Health Study. Journal of the American Heart Association. 2021; 10(7):016-20.

Vancheri F, Longo G, Vancheri E, Henein MY. Mental Stress and Cardiovascular HealthPart I. Journal of Clinical Medicine. 2022; 11(12):33-53.

Huntrakul S, S0mbuntanon W. Developing self-care competency to prevent complication in hypertensive clients in the community, Journal of Royal Thai Army Nurses. 2012;13(3):38-46. (in Thai)

Henein MY, Vancheri S, Longo G, Vancheri F. The Impact of Mental Stress on Cardiovascular Health-Part II. Journal of Clinical Medicine. 2022; 11(15):44-5. (in Thai).

Manotham M. Knowledge and Behaviors for Healthcare of Akha Ethnic Group in Mae Suai District, Chiang Rai Province Thailand. Health Science Research Journal. 2019;12(1); 111-18. (in Thai).

Downloads

Published

10-04-2024

How to Cite

1.
Suthipong C, Srimantayamas V, Boonyapuk P. The Cardiovascular Diseases Risk among the Akha Ethnic Group in Mae Suai District, Chiang Rai Province. J Royal Thai Army Nurses [Internet]. 2024 Apr. 10 [cited 2024 Nov. 19];25(1):56-65. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/267219

Issue

Section

Research Articles