An Exploratory Study of Prevalence and Associated Factors of Cardiovascular Risk among Elderly with Hypertension in Chiang Rai Province


  • Phataraphon Markmee Faculty of Public Health, Naresuan University
  • Phitsanuruk Kanthawee School of Health Science, Mae Fah Luang University, Thailand
  • Phayong Thepaksorn Faculty of Public Health and Allied Health Sciences Praboromarajchanok Institute, Thailand


Cardiovascular risk, elderly, Epidemiology, Risk factors, Hypertension Patients


Objective: The objective of this study was to examine the prevalence and explore factors associated with cardiovascular risk levels among elderly with hypertension patients.  Method: A cross-sectional analytical study was carried out on 615 samples drawn in Doi-Louang District, Chiang-Rai Province, Northern Region, Thailand from December 2018 - July 2019 through a multistage sampling technique. A binary logistic regression was used for the univariate and multivariate analyses to examine factors associated Cardiovascular risk.  Result: A total of 615 elderly with hypertension were recruited into the study, of whom 59.20 were female. The average age was 67.16, 43.70% had a family history with hypertension, 22 % with diabetes. The prevalence of a 10-year cardiovascular disease (CVD) risk of elderly with hypertension was high-risk or extremely-high level about 30.90%. Factors associated with CVD risk were 70-79 groups of age (OR=3.05,95%CI=2.12-4.38), male (OR=2.29, 95%CI=1.61 -3.24), Family’ history with hypertension (OR=1.61,95%CI=1.13 – 2.29),  diagnosed with diabetes (OR=2.86,95%CI=1.93 -4.24), and self-care behavior factors were low medication behavior level (OR=1.74,95%CI=1.08 -2.78), after adjust confounding factors there were no behavior factors associated with CVD risk, otherwise only current smoking that associated CVD risk factors  was confirmed majors risk factors behavior (AOR=5.37,95%CI=2.40 – 11.98). Conclusion: The primary prevention and control of CVD recommended for elderly with hypertension patients to identify high-risk individuals’ factors concerned are in middle older age, male, with diabetes and smoker, especially the intervention program should be promoted to reduce smoking and increased medication behavior.

Author Biography

Phayong Thepaksorn, Faculty of Public Health and Allied Health Sciences Praboromarajchanok Institute, Thailand

Faculty of Public Health and Allied Health Sciences Praboromarajchanok Institute, Thailand


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