Combined Effects of Hypertension and Diabetes Mellitus with Stroke among Thais in the Central Region of Thailand: A Cross-Sectional Study
Kulaya Narksawat MSc*, Dusit Sujirarat MSc*, Panuwat Panket MD, PhD**
Affiliation : * Department of Epidemiology, Faculty of Public Health, Mahidol University, Bangkok, Thailand ** Ministry of Public Health, Bureau of Non-Communicable Diseases, Bangkok, Thailand
Objective : To determine associations of individual and combined effects of hypertension and diabetes with stroke among
Thais aged 55 years and older.
Material and Method: Cross-sectional data from national screening program for metabolic syndrome in Thailand for the
year 2010 among participants who lived in central region of Thailand were used. The number of participants was 13,268 in
the analysis.
Results : The prevalence of stroke was 0.9%. Associations between hypertension and diabetes found among participants who
had hypertension only, diabetes only, and both hypertension and diabetes were: 8.99 (95% CI 4.63-17.43), 3.72 (95% CI
1.03-13.37), 10.48 (95% CI 4.54-24.20) among males and 5.16 (95% CI 2.29-11.53), 6.55 (95% CI 2.19-19.55), and 9.29
(95% CI 3.81-22.68) among females, respectively.
Conclusion : The present study suggested dramatically the strong effects of the association of combined hypertension and
diabetes with stroke. Strengthening health promotion programs for the prevention of hypertension, diabetes, especially
having both diseases after screening, is important among Thai population.
Keywords : Hypertension, Diabetes mellitus, Stroke, National screening program, Thais
