Factors Affecting Blood Pressure Control In Hypertensive Patients And Glycemic Control In Type 2 Diabetic Patients In Thai Rural Community | 41393
Journal of Community Medicine & Health Education
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Diabetes mellitus and hypertension are major non-communicable diseases and public health problems. Though many
researches were conducted but only few was in rural area. This study objective was to identify factors associated to
diabetic and hypertension control. A mixed-method design, a cross-sectional quantitative study and focus-group discussion
for qualitative study, was used. We used a standard quantitative questionnaire to collect participants’ demographic data and
potential associated factors. Qualitative study was done to determine participants’ associated charactistics. The result revealed
that prevalence of poorly controlled type 2 diabetes (n = 232) was below the national average at 54.4%. Factors associated to
poor glycemic control were < 60 years old (OR = 3.25, 95%CI: 1.09-9.71, p = 0.002), hypertension as comorbid (OR = 0.05,
95%CI: 0.01-0.36, p = 0.003) and difficulty in getting medicine (OR = 13.71, 95%CI: 1.04-180.43, p = 0.046). The prevalence
of poorly controlled hypertension (n =153) was below the national average at 42.2%. Associated factors for poor hypertension
control were age (OR = 1.06 , 95%CI: 1-1.13, p = 0.038), obesity (OR = 4.57, 95%CI: 1.5-13.97, p = 0.008) and drug adherence
(OR = 3.25, 95%CI: 1.09-9.71). Furthermore in qualitative study we found that difficulty in getting medicine, dietary factors
and no community exercise are associate to poor blood pressure and glycemic control. In conclusion, This data will then lead to
development of self-care program, to decrease risk of complications and to establish new public health policies for other rural
comunities. Despite all significant factors, more research should be conduct to gain better understanding.
Siravich Thamthitiwat is a 5th year medical student enrolling at Phramongkutklao College of Medicine, Bangkok. He graduated from Assumption College in Bangkok for his high school. He was a president of journal and public relation club and a member of foreign affair club in Phramongkutklao medical cadet union. He is interesting in non-communicable diseases and want to continue working on this researh title in the future for more precise information. Currently, he is working on a project about influence Factors on Influenza Vaccination among Primary School Students’ Guardian in Phra Nakhon Si Ayutthaya Province.