การสำรวจสุขภาพประชาชนไทยโดยการตรวจร่างกาย...

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  • 4 .. 2551-2

  • 4 .. 2551-2 . ISBN 978-974-299-147-0 : 119/138 11 . 3 . . . . 11000 0-2525-1121, 0-2525-4669-70 0-2525-1272 E-mail : graphico_sys@yahoo.com

    4 .. 2551-2

  • 4 .. 2551-2

    4 .. 2551-2552 1. .. .. .. . .. 2. .. .. . . . . 3. .. . 4. .. . 5. .. .

  • 4 .. 2551-2

    4 . . . . . . . . . .. .. .. .. .. .. .. .. .. .

  • 4 .. 2551-2

    () 4 (.. 2551-2552) 2 (.. 2546-2547) .

  • 4 .. 2551-2

    1 1 11 2 19 2.1 19 2.2 19 2.3 25 2.4 25 2.5 27 2.6 29 3 31 3.1 31 3.2 32 3.3 36 3.4 37 3.5 45 4 47 4.1 47 4.2 57 4.3 80 4.4 92 4.5 103 4.6 114 5 127 5.1 127 5.2 135 5.3 142 5.4 149 5.5.1 (Multiple risk factors) 164 5.5.2 166 5.6 168 5.7 171 5.8 175 5.9 181

  • 4 .. 2551-2

    () 5.10 185 5.11 186 5.12 (Grip strength) 191 6 195 6.1 196 6.2 199 6.3 204 6.4 206 6.5 211 6.6 214 6.7 216 7 221 7.1 221 7.2 225 7.3 235 7.4 248 7.5 256 7.6 260 7.7 267 7.8 272 7.9 279 7.10 (Near Vision test) 284 8 287

  • 4 .. 2551-2 1

    4 .. 2552

    4 .. 2551-2552 (multi-stage random sampling) 1 20 15-59 12,240 60 9,720 21,960 .. 2551 .. 2552 20,450 93 1. 15 19.9 38.7 2.1 34.2 15-29 45-49 42.6 80 ( 5.8) 2. 3 .. 2546-7 3 45.9 38.7 2.3 2.1 12 10.6 8 9 3. 15 ( 41 /) 13.2 ( 21 /) 1.6 ( 13.9) ( 13.0) ( 2.2 1.4)

  • 4 .. 2551-2 2

    4. 3 .. 2546-7 4 ( 13.9) 3 ( 16.6) 5. (binge drinking) 4 ( 6 /) 3 ( 12 /) 3 / 6. (binge drinking) 4 ( 31.5 4.4) 3 ( 57.0, 19.0) 7. 18.5 ( 16.8 20.2) 8. 3 2546-7 3 20.7 24.2 4 3 4 9. 35.6 70-79 80 60.4 ( 22.5 16.8 ) 10. 25-36 11. 15 77.3 3 3 15-29 71.7 12. 15 80 20 15 1

  • 4 .. 2551-2 3

    13. 15 17.7 ( 5 ) ( 16.9 18.5 ) 15-69 18.5 60 80 ( 8) ( 26.5) ( 19.5) ( 18.6) ( 15.0) ( 14.5) 14. 3 .. 2547 ( 5 ) 4 2552 2547 20 24 15. 1 15 2.3 ( 2.8 1.8) ( 2.5) ( 1.8) ( 2.8) ( 2.4) 16. 6 15 3.3 () ( 4.5 2.0) ( 3.7 3.1) ( 4.0) ( 3.8) 17. 6 2.1 18. 30 15 14.8 ( 14.6 1.5) 15 1.1 15-29 4.9 19. 3 ( 1.8 2.8) 3 ( 3.8 4.9) 20. (BMI 25 kg/m2) 15 28.4 40.7 ( 36.1 25.1 44.9 38.8 )

  • 4 .. 2551-2 4

    21. ( 90 . 80 . ) 18.6 45 ( 27.5 49.6) ( 14.8 42.8) 22. 3 2546-7 (BMI 25 ./. ) 34.4 2547 40.7 22.5 28.4 36.1 15.4 2547 45 18.6 2552 23. 15 6.9 ( 7.7 6 ) 70-79 ( 14.3) 60-69 ( 19.2) ( 8.5) (7.7) (5.6) (4.9) (4.1) ( 9.9) (9.1) (7.5) (6.0) (5.9) 3 2 3 28.5 < 126 ./. 24. 3 2546-7 15 2552 2547 6.9 2547 56.6 31.2 44.9 (FPG < 126 /) 12.2 28.5 133 25. 15 21.4 15-29 ( 4.6 0.9 ) 80 ( 26.8 19.0) (32.7) (26.9) ( 25.0) (25.1)

  • 4 .. 2551-2 5

    (21.4) (13.5) (24.0) (21.9) (21.8) (16.9) 60 40 8 - 9 1 5 (< 140/90 . 1 5 26. 3 2546-7 2551-52 3 .. 2547 22.0 ( 23.3 20.9) 71.4 50.3 23.6 20.1 8.6 20.9 27. (Total cholesterol; TC) 240 / 15 19.1 ( 21.4 16.7 ) 60-69 ( 27.4) 240 ./. ( 25.6 25.1 ) ( 24.5) (14.7) (13.8) 28. 3 .. 2547 15 197.5 ./. 2547 208.6 ./. 2552 188.9 199.2 ./. ( 240 ./. 17.1 21.4 13.7 16.7 29. 15 21.7 ( 24.5 18.9) 30. 1.4 15 1.9 35

  • 4 .. 2551-2 6

    1.5 15 ( 1.7 1.3 ) 0.8 31. 15 0.5, 1.2, 3.8, 2.0, 3.8, 4.4, 7.9 32. 5 240 /. (BMI 25/2) 37.7 15 1 , 18.8 2 , 7.2 3 1.2 4 . 33. 3 .. 2546-7 2547 1, 2, 3 4 37.7, 17.3, 6.3 1.4 34. 15 2.8 ( 3.5 2.2 ) 80 3.7 7 ( 3.6 3.2) ( 3.0) (2.9) ( 4.4) (4.1) (3.5) (3.5) (2.2) 35. 15 23.0 ( 29.8 15.8) 16.2 15-29 60.7 80 80

  • 4 .. 2551-2 7

    36. 3 .. 2547 3 .. 2547 11.4 22.2 37. 12 8.3 15 2 ( 11.5 5.2 ) 15-29 ( 14.4) ( 20.3) 38. 15-29 , 30-44 45-59 13.2 14.1 14.8 39. 2 8 15-29 36.2 12.5 40. 10.5 15-19 84.8 41. 5 4.4 15-29 11.2 ( 74.0) 16.9 8.1 42. 73 74.9 56 31.5 43. 11 32.9 44. 2 42.5 15-59 30-44 45-59 51.7 49.2 45. 1 17.9 30-44 45-59 20.2 23.2 45-59 4.5

  • 4 .. 2551-2 8

    46. 3 2547 2 32.4 2547 42.5 2552 47. 15-59 48.7 60.7 48. 40-59 1 1.7 3.9 49. 60 (MMSE-Thai version 2002) 12.4 9.8 15.1 7.1 ( 8.3 5.6) 60-69 32.5 80 ( 40.0 22.1) 50. 6 60 18 21.9 14.4 (60-69, 70-79, 80 ) 3 51. ( 60 ) 6 /, , , , /, 2 15.5, ( 12.7 17.8) 52. 3 .. 2547 12.8 ( 9.6 15.4)

  • 4 .. 2551-2 9

    53. 18 24 () 20 53 28 . 4 3 2547

  • 4 .. 2551-2 10

  • 4 .. 2551-2 11

    1

    1.1 4 1 .. 2534-2535, 2 .. 2539-2540, 3 .. 2546-2547 4 .. 2551-2552 3 1 (.. 2534-2535)1 1 2534 31 2535 , , ( ), , , , -

    1 . 1 .. 2534-2535 ; 2539

  • 4 .. 2551-2 12

    - Stratified two state sampling stratum 5 Stratum , (), , 3 (1) (2) (3) / / Stage I () ( ) Stage II / ( ) 5,882 23,884 22,217 ( 93.0) 9,894 ( 44.5), 12,323 ( 55.5) 15 31.9, 15- 59 58.5 (60+ ) 9.8. 15 ( 30 ) ( () 0 5 6 14 15 29 Peak Expiratory Flow Rate Hematocrit, Serum protein, Serum creatinine, Fasting blood sugar, Total cholesterol, Total bilirubin

  • 4 .. 2551-2 13

    30 ( 30 ) Peak Flow Rate Hematocrit, Serum protein, Serum creatinine, Fasting blood sugar, Total cholesterol, Total bilirubin PEFR Chest X-ray Plain KUB 17 22,217 ( 23,884 ) 5,852 5 24.7 6.3 (>40%) ( 5.4%) 200 mg% 11.3 ( 140 mg%) 2.3 15 21.7 15 1.5 3.2 0.9 20.6 5.2 2 (.. 2539-2540)2 2540 , , , , , - 1. 2. 3. 2 2 .. 2539-2540.

  • 4 .. 2551-2 14

    Three stage Stratified Sampling 5 Strata ( 4 ) Stage 1 Strata () 8 (Proportional to size) 8 Stage 2 / ( ) / / / .. 2538-2539 Stage 3 / 15 5 4 (

  • 4 .. 2551-2 15

    1. (3,306 ) 3,070 89 () ( 27.6 11.9) 42.7 20.1 18.3 1 2. (4,238 ) 9.6 13.5 3.7 19.3 11.0 56.0 6.6 91.96 11.87 3. (4,230 ) 20.6 4 / 20 10 33.7 3 1 8.4 64.5 40.3 11.6 4.4 1.4 4. (4,408 ) 65 4.2 1 4 19 1.8 3.4 24.8 3 (.. 2546-2547)3 (.) 1. () 2. () 3. () 4. () 5. ()

    3 . 3 .. 2546-2547 ; 2549.

  • 4 .. 2551-2 16

    15-59 60 (Three stage Stra-tified Probability Sampling) 13 strata (12 .) Stage 1 3 6 . Stage 2 Stage 3 42,120 39,290 ( 93.3) 15-59 9,515 15-59 10,403 60 9,419 60 9,953 1. 2. (Physical activity) ( Ethanol) 3. 4. 5. BMI - (Fasting Plasma Glucose) (Total cholesterol) (CBC)

  • 4 .. 2551-2 17

    15 17 2 46 2 MET minute (Metabolic Equivalent Time) 70 75 15 23 21 17 14 7 6 22 11 BMI 15 22.5 34.4 15 36 (Abdominal obesity) 20-30 4 (.. 2551 - 2552)4 1.2 1. 2. 3. 1.3 1. 2. 3.

    4 , , 4. , ; 2551

  • 4 .. 2551-2 18

    4. 1.4 4 7 1 2 3 15 4 5 / 6 15 -59 7 60 3 2547 4 2552

  • 4 .. 2551-2 19

    2

    2.1 1 3 1. ( 1-14 ) - (1-5 ) - (6-14 ) 2. (15-59 ) 3. (60 ) 2.2 (sample survey) (target population) (sampling design) (sampling unit) (sampling frame) 2.2.1 4 .. 2551 4

  • 4 .. 2551-2 20

    3 1 14 15 59 60 2 2.2.2 (Sample design) (large scale sample survey) 4 ( 1 ) stratified four-stage sampling (probability sampling) 4 / / / 1 (eligible sampling unit) (heterogenous population) (stratified sampling) 4 5 12

  • 4 .. 2551-2 21

    ( ) ( 1-14 15-59 60 ) 6 27 1) (Primary sampling selection) : : : (systematic sampling) 20 21 2.1 1 () 5 5 5 5 21 2) (Secondary sampling selection) : : : / (systematic sampling) / 104 / 2.2 / / 12 ( ) 19 23 29 21 104

  • 4 .. 2551-2 22

    3) (Tertiary sampling selection) : : / / : / / (systematic sampling) / 612 / 2.3 / / 68 68 - ( ) 136 68 68 136 68 68 136 68 68 136 68 68 612 340 272 4) (Eligible sampling selection) : 1 : 1 / : / (systematic sampling) 1 3 31,680

  • 4 .. 2551-2 23

    2

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