การสำรวจสภาวะสุขภาพอนามัยของประชาชนไทย ครั้งที่ 3

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  • 3 .. 2546-2547

    ISBN : 974-8133-52-4http://203.157.19.191 ()

    , 3 ..2546-2547 : , 2549. 2549 1500

  • 4

  • 5

    3

    . . . . .. .. .. .. .. .. .. .. . . . . .. .. . .

    2549

  • 6

    2 3 2547 40,000 . .. ..

  • 7

    3 .. 2546 - 2547

    9 1 17 2 20

    2.1 202.2 322.3 402.4 412.5 422.6 452.7 462.8 50

    3 513.1 513.2 553.3 613.4 633.5 693.6 72

    4 774.1 774.2 1114.3 1524.4 156

  • 8 5 1595.1 1615.2 15-59 1625.3 171

    6 1746.1 1776.2 177

    6.2.1 1786.2.2 1826.2.3 183

    6.3 1876.4 1916.5 1936.6 1966.7 201

    7 2137.1 2147.2 222

    37.3 224

    3 227 4 237 5 243 6 245

  • 9 3

    3 .. 2546 - 2547 (.)

    4 15 - 59 60 (Three - stage Stratified probability Sampling) 42,120 39,290

    15 - 15 .. 2547

    (60 ) () Hemoglobin Hematocrit, (Fasting Blood Sugar) (Total cholesterol) CBC

  • 10

    Stata 9.0 (Stata Corporation Texas) 39,290 15 - 59 9,515 15 - 59 10,403 60 9,419 60 9,953

    1. 15

    .. 2543

    .. 2563

    15 - 29

    9 80 4

    19 3 73 64 8 33 80

    71 53

    46 8 6 - 8 (70 - 80 ) 81 . ( 56) 15-20

    5,000 5,800 4,000

    (1,230 ) 10 15 - 59

  • 11

    20 60 30,50 60 60 - 69, 70 - 79 80 47,64 82

    15 2.9 5 5,6,7 10

    2.

    4

    15 17 2

    ( 20 ethanol 40 ) 11.8 0.4 15 27 65 57 19 12 3 15 - 29

    15

    46 2 13 8 18 23

    (physical activity)

    MET minute (Metabolic Equivalent Time) (inactive)

  • 12

    70 50 20.7 24.2

    15 268 (+188) 283

    (+195) 400 5 15 80 76

    3.

    15 23 21 ( SBP > 140

    DBP > 90 ) 71

    17 14

    60 69 45 - 59 60 69 87 9

    7 6

    60 - 69 14 19 66 49 Insulin 41 41

    ( ) 15.4 15 10.6

    (Hb < 13 gm%, Hct < 39 %) 2 22 11

    80 50

  • 13

    5

    (Body Mass Index: BMI) 15 22.6 (+3.9) 23.8 (+4.6) (15 - 29

    ) (30 - 59 ) 80 78.6 (+ 10.9) 76.6 (+ 4.6) 70 24.9 kg /m2 22.5 34.4 ( > 90 .. > 80 ..) 15 36 (abdominalobesity)

    15 44 32 1

    20 15 2 9 8 3

    15 15 25

    1

    15 3 0.4 0.4 ( 0.6 0.3) 0.5 0.8 ( 1.0 0.6) 0.2

    ( 15 - 59 ) 12

    15.7 9.8 8.2 5.5 53 44 ( 13.2 10.6 )

  • 14

    4. 15 - 59

    14 15 - 29 13 45 - 59 15 2 (S.D. 1.8) 19.8 5.4 14.4

    (Screening program) Pap. Smear

    Pap.smear 2 15 - 59 32.4 16.1 2

    49 15 - 59 22.7 Mammogram 40 - 59 4

    15 - 59 15 - 29 50 17

    5.

    7 (1) (2) (3) (4) (5)

    Barthel ADL (Activities of Daily Living)

    60-69 70-79 90 80 80

  • 15

    10 80 12-13 14 9 (2740)

    8 9 20 20 20 45 28 0.6

    80

    38 41 20 35 60 30

    60 (TMSE) 20 60-69 60 77 80

    3

    80 3

    3 40 20 60

  • 16

    30, 40 50 60-69 , 70-79 80 5-6

    19,336 36

    47 27 60-69 ( 40) ( 20) ( 10) 3 80

    60 40

    80-90

    13 20 15

    50 20-28 30

  • 17

    1.1

    .. 2534 .. 2539 .. 2547 (.) (.)

    1.2

    1.3

    1

  • 18

    1.4 15

    4 15 - 59 60

    42, 120

    1.5 1

    3 .. 2546-2547 2

    3,4,5 6 3 15 ()

    4

    4

    5 15-59

    6 60 60

  • 19

    7

    (.) . . . . 2 2.1 2.5 2.6 2.9

    .

    13 .

  • 20

    2.1

    (.)

    2.1.1 (Target Population)

    3 .. 2546 - 2547 15 - 59 60

    2

  • 21

    2.1.2 (Population Unit)

    (Cluster Sampling)/

    (Population Average) (Proportion) (Ratio)

    2.1.3

  • 22

    Stratified Two-Stage ClusterSampling 3 3

    2.1.3.1 (Stratification)

    12

    1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.

  • 23

    12. 13.

    6

    1. 2.

    3. 4. 5. 6.

    2.1.3.2 (Clustering) (Stratified Sampling) (Cluster Sampling)

    (Cluster Sampling)

  • 24

    (First Stage Clustering) 3 (Probability Proportional to Size)

    / 2 (Second Stage Clustering) / /

    / / (Systematic Sampling) /

    2.1.4 (Sampling Plan)

    (Stratified Three-stage Cluster Sampling) 2 6 12 2 24 30

    1 2

    1 2 3 2.1. -2.4

  • 25

    2.2

    1 5 8 11

    2 6 9 12

    3 7 10

    4

    2

    1, 2, 3...15

    1

    1, 2, 3...15

    ...

    1, 2, 3...15

    2.1

    1

    2

    3

    4

    5

    6

    7

    8

    9

    10

    11

    12

  • 26

    2.3

    1 5 8 11

    2 6 9 12

    3 7 10

    4

    1

    1, 2, 3...15

    1

    1, 2, 3...15

    ...

    1, 2, 3...

  • 27

    2.1.5

    (Population Proportion: Prevalence) P 0.01 - 0.99 (Absolute Error) |p-P| =0.01 - 0.10 0.95 2.1

    2.4

    2 1 .....

    1, 2,...15 1, 2,...15 1, 2,...15

    2.4

  • 28

    P |p-P| =0.01 |p-P| =0.025 |p-P| =0.05 |p-P| =0.075 |p-P| =0.10.01 380 61 15 7 40.05 1,825 292 73 32 180.10 3,457 553 138 61 350.15 4,898 784 196 87 490.20 6,147 983 246 109 610.25 7,203 1,152 288 128 720.30 8,067 1,291 323 143 810.35 8,740 1,398 350 155 870.40 9,220 1,475 369 164 920.45 9,508 1,521 380 169 950.50 9,604 1,537 384 171 960.55 9,508 1,521 380 169 950.60 9,220 1,475 369 164 920.65 8,740 1,398 350 155 870.70 8,067 1,291 323 143 810.75 7,203 1,152 288 128 720.80 6,147 983 246 109 610.85 4,898 784 196 87 490.90 3,457 553 138 61 350.95 1,825 292 73 32 180.99 380 61 15 7 4

    2.1 0.95

    (Cluster Sampling) (Stratified Random Sampling) 810 10,530 ( 12 ) 3 4 ( ) 42,120

  • 29

    3 / 15 / / 702/

    2.1.6 (Sample Allocation)

    2.2 -2.3 810 405 405

    2.2

    1

    12 4,860 4,860 9,720- 1 135 135 270- 1 405 405 810

    810 - 810 5,670 4,860 10,53012 19,440 19,440 38,880

    - 1 540 540 1,080- 1 1,620 1,620 3,240

    3,240 - 3,240 22,680 19,440 42,120

    4

  • 30

    2.1.7 (Sampling Frame)/

    (Sampling Frame) / / 3

    2.1.8 (Estimation Procedure)

    30

    2.3 15

    46,072,543 15,099,543 30,973,000 5,242,080 5,242,080 - 11,057,444 3,922,653 7,134,791 8,754,911 1,880,761 6,874,150 15,183,663 2,652,907 12,530,756 5,834,445 1,401,142 4,433,303

    : .. 2543

    2.4

    15,937,804 5,291,871 10,645,933 1,743,752 1,743,752 - 3,921,855 1,427,899 2,493,956 3,194,220 699,107 2,495,113 5,073,914 918,912 4,155,002 2,004,063 502,201 1,501,862

    : .. 2543

  • 31

    (Ratio Estimator) (Post Stratification)

    3 2.5

    1. :

    /

    / - - - 3

    2.5

    (15-59 ) (60 +)

  • 32

    2.2 4

    ( 15-59 ) ( 60 ) ( 15-59 ) (60 )

    4 - ( 15-59 )- ( 15-59 )- ( 60 )- ( 60 )

    1

    ( )

    (15-59 ) (60 +)

    2.

    3. Hematocrit / Hemoglobin Fasting blood sugar Total cholesterol White blood count

  • 33

    2 2

    191 (WHO Multi-Country Survey Study , 2000-2001) Health State Description 8 8

    - (mobility)- (self care)- (pain or discomfort)- (cognition)- (personal relationship, community participation)- (vision)- (sleep and energy)- (emotion, affect) ()

    5 (1) (5) 5 5

    3 3

    (1) C1a C2b 1 12

    1 C1b

  • 34

    C1b

    6-8 = 1 1 = 1 1/2 = 1 1 = 1 4 = 1 1 (150 cc) = 1

    1/2 (1=150cc 1 ) = 1 1 1 = 1 1/2 = 1

    (2) C2b C1b 12 3 /

    2 = 2 1/2 = 1 = 3

    (3) C3-C20 C3 C20

    4 (Physical Activity)

    3

    (1) ( D1-D6)

    (2)

  • 35

    ( D7-D8b) D7 D7 D8a 10 D8b

    (3) D9-D14 ( 10 )

    5

    (1) (Current smoker) 2 . (Daily smoker) 1 . (Non-daily smoker Occasional smoker)

    (2) (Non-smoker) 2 . (Never-smokers) . (Ex-smokers)

    5 E1-E7b3 E1 : E2 : 100 E3a,E3b : E4a : E4b1-E4b3 : E4a E5a-E5c : E6 :

  • 36

    E7a-E7b1,2,3 :

    6 F1a-F3g

    -

    - (

    cc. ) - ()

    (F3-F3g)

    ()

    - - ( cc) (cc)- ()- Ethanol (Ethanol Specific Density = 0.79)

    () = X Ethanol Specific Density X

    1 (330 cc) Ethanol = 330 X 0.79 X 0.05

    = 13 1 (140 cc) Ethanol = 140 X 0.79 X 0.12

    = 13 1 Standard drink 1 (Ethanol) 8 - 13

    7 GA1-GM20 15

    - -

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