An Exploratory Study of Prevalence and Associated Factors of Cardiovascular Risk among Elderly with Hypertension in Chiang Rai Province
Keywords:
Cardiovascular risk, elderly, Epidemiology, Risk factors, Hypertension PatientsAbstract
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.
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