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Epidemiology of and Factors Associated with Prehypertension Among Hill Tribe Adults Aged 30–59 Years in Thailand: A Cross-Sectional Study

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Abstract

The study aimed to estimate the prevalence of and to determine the factors associated with prehypertension among the hill tribe aged 30–59 years. A cross-sectional study was conducted to collect data using a validated questionnaire and 5 mL blood specimens among six main hill tribe people living in 30 villages. Logistic regression was used to assess the associations between variables at a significance level of α = 0.05. A total of 1,076 individuals were recruited into the study: 67.3% were females, and 22.6% were aged 30–39 years. The overall prevalence was 67.8%. Six variables were found to be associated with prehypertension: being female; had family members ≤ 4 people; being members of Lahu, Hmong, Yao, Karen, and Lisu; had family debt; had overweight; and had a high total cholesterol. The implementation focused on encouraging active physical activity to reduce prehypertension is serious concerned and introduced.

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References

  1. Svetkey LP. Management of prehypertension. Hypertension. 2005;45(6):1056–61.

    Article  CAS  PubMed  Google Scholar 

  2. Egan BM, Stevens-Fabry S. Prehypertension: prevalence, health risks, and management strategies. Nat Rev Cardiol. 2015;12(5):289–300.

    Article  PubMed  Google Scholar 

  3. Boothll JN, Li J, Zhang L, Chen L, Muntner P, Egan B. Trends in prehypertension and hypertension risk factors in US adults. Hypertension. 2017;70(2):275–84.

    Article  Google Scholar 

  4. Zhang R, Deng R, Shen P, Fan M, Leng B, Zhou Y, et al. Clin Exp Hypertens. 2017;39(8):774–80.

    Article  CAS  PubMed  Google Scholar 

  5. Tremongkontip S, Kiettinun S, Pawa KK, Pattaraarchachai J. Prevalence and risk factors of prehypertensive people in the community. Thammasat Med J. 2012;12(4):688–97.

    Google Scholar 

  6. Aekplankorn W, Abbott-Klafter J, Khonputsa P, Tatsanavivat P, Chongsuvivatwong V, Chariyalertsak S, et al. Prevalence and management of prehypertension and hypertension by geographic regions of Thailand: the third national health examination survey, 2004. J Hypertens. 2008;26(1):191–9.

    Article  Google Scholar 

  7. Xu T, Liu J, Zhu G, Liu J, Han S. Prevalence of prehypertension and associated risk factors among chinese adult from a large-scale multi-ethnic population survey. BMC Public Health. 2016;16(775):1–8. https://doi.org/10.1186/s12889-016-3411-4.

    Article  Google Scholar 

  8. The World Bank. Thailand: overview. Available from: https://www.worldbank.org/en/country/thailand/overview Assessed 22 March 2021.

  9. Maniragaba VN, Nkurunziza F, Michel I. Demographic characteristics and economic growth: Rwanda’s experience (1995–2014). J Social Econ. 2016;3(4):170–84.

    Google Scholar 

  10. Apidechkul T, Chomchoei C, Wongnuch P, Tamornpark R, Upala P, Yeemard F, et al. Association of childhood experiences and methamphetamine use among Akha and Lahu hill tribe youths in northern Thailand: a cross-sectional study. PlosOne. 2020;15(6):e0234923.

    Article  CAS  Google Scholar 

  11. Upala P, Apidechkul T, Tamornpark R, Chomchoei C, Yeemard F. Seroprevalence and factors associated with hepatitis B infection among the hill tribe adult population in Thailand: a cross-sectional study. BMC Infect Dis. 2020;20(494):1–11. https://doi.org/10.1186/s12879-020-05221-1.

    Article  CAS  Google Scholar 

  12. Tawatchai A, Pilasinee W, Siriyaporn S, Thapakorn R. Health situation of Akha hill tribe in Chiang Rai province, Thailand. J Public Health Dev. 2016;14(1):77–97.

    Google Scholar 

  13. Apidechkul T. A 20-year retrospective cohort study of TB infection among the hill tribe HIV/AIDS populations, Thailand. BMC Infect Dis. 2016;16:72. https://doi.org/10.1186/s12879-016-1407-4.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Kullawong N, Apidechkul T, Upala P, Tamornpark R, Keawdounglek V, Wongfu C, et al. Factors associated with elevated low-density lipoprotein cholesterol levels among hill tribe people aged 30 years and over in Thailand: a cross-sectional study. BMC Public Health. 2021;21(1):1–10. https://doi.org/10.1186/s12889-021-10577-3.

    Article  CAS  Google Scholar 

  15. Apidechkul T, Laingoen O, Suwannaporn S. Inequity in accessing health care service in Thailand in 2015: a case study of the hill tribe people in Mae Fah Luang District, Chiang Rai, Thailand. J Health Res. 2016;30(1):67–71.

    Google Scholar 

  16. The Hill tribe Welfare and Development Center, Ministry of Interior. The hill tribe population in Thailand. 2019: 20–33.

  17. Charan J, Biswas T. How to calculate sample size for different study designs in medical research. Indian J Psychol Med. 2013;35(2):121–6.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Charoendee K, Sriratanaban J, Aekplakorn W, Hanvoravongchai P. Assessment of population coverage of hypertension screening in Thailand based on the effective coverage framework. BMC Health Serv Res. 2018;18(208):1–9. https://doi.org/10.1186/s12913-018-2996-y.

    Article  Google Scholar 

  19. Department of Mental Health. Stress test-5 (ST-5). Available from: https://www.dmh.go.th/test/download/view.asp?id=18. Assessed 22 March 2021

  20. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, et al. National high blood pressure education program coordinating committee. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension. 2003;42:1206–52.

    Article  CAS  PubMed  Google Scholar 

  21. World Health Organization (WHO). Body mass index: BMI. Available from: http://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi Assessed 22 March 2021

  22. World Health Organization (WHO). Guideline for the management of dyslipidemia in patients with diabetes mellitus. Available from: https://apps.who.int/iris/handle/10665/119809 Assessed 22 March 2021.

  23. Centers of Disease Control and Prevention (CDC). Diabetes test. Available from: https://www.cdc.gov/diabetes/basics/getting-tested.html. Assessed 22 March 2021.

  24. Singh RB, Fedacko J, Pella D, Magcejova Z, Ghosh s, De AK, et al. Prevalence and risk factors for pre-hypertension and hypertension in five indian cities. Acta Cardiol. 2011;66(1):29–37.

    Article  PubMed  Google Scholar 

  25. Grotto I, Grossman E, Huerta M, Sharabi Y. Prevalence of prehypertension and associated cardiovascular risk profiles among young israeli adults. Hypertension. 2006;48(2):245–59.

    Article  Google Scholar 

  26. Zhang R, Deng R, Shen P, Fan M, Lemg B, Zhou Y, et al. Prehypertension and socioeconomic status: a cross-sectional study in Chongqing, China. Clin Exp Hypertens. 2017;39(8):774–80.

    Article  CAS  PubMed  Google Scholar 

  27. Xu T, Liu J, Zhu G, Liu J, Han S. Prevalence of prehypertension and associated risk factors among chinese adults from a large-scale multi-ethnic population survey. BMC Public Health. 2016;16:775. https://doi.org/10.1186/s12889-016-3411-4.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Tripathi N, Kishore J, Babu BV. Prevalence of hypertension in indian tribal adult population: a scoping review. J Adv Res Med. 2020;7(1):5–13.

    Article  Google Scholar 

  29. Sun Z, Zheng L, Wei Y, Li J, Zhang X, Zhang Z, et al. The prevalence of prehypertension and hypertension among rural adults in Liaoning province of China. Clin Cardiol. 2007;10:183–7.

    Article  Google Scholar 

  30. Hernandez-Vasquez A, Vargas-Fernandez R. Prevalence of prehypertension and associated cardiovascular risk profiles among adults in Peru: findings from a nationwide population-based study. Int J Environ Res Public Health. 2022;19(7867):1–13. https://doi.org/10.3390/ijerph19137867.

    Article  Google Scholar 

  31. Fan LM, Wang F, Zhao M, Cui WL, Cai L. Socioeconomic differentials in trends in the prevalence of prehypertension and hypertension awareness, treatment, and control in rural Southwestern China. BMC Cardiovasc Disord. 2021;21(259):1–8. https://doi.org/10.1186/s12872-021-02062-x.

    Article  Google Scholar 

  32. Egan BM. Physical activity and hypertension knowing is not enough; we must apply. Willing is not enough; we must do-von Goethe. Hypertension. 2017;69:404–6.

    Article  CAS  PubMed  Google Scholar 

  33. Pescatello LS, Buchner DM, Jakicic JM, Powell KE, Kraus WE, Bloodgood B, et al. Physical activity to prevent and treat hypertension: a systematic review. Sci Sports Exerc. 2019;51(6):1314–23.

    Article  Google Scholar 

  34. Diaz KM, Shimbo D. Physical activity and the prevention of hypertension. Curr Hypertens Rep. 2013;15(6):656–68.

    Article  Google Scholar 

  35. Berg Gvd E, Mv, Galino-Garre F, Vrijkotte TGM, Gemke RJ. Explaining socioeconomic inequalities in childhood blood pressure and prehypertension: the ABCD study. Hypertension. 2013;61:35–41.

    Article  Google Scholar 

  36. Ghimire P, Anuwatnonthakate A, Trongsakul S. Prevalence of prehypertension and its associated factors among health workers in Nepalese central hospitals. Proceeding of RSU International Research Conference 2020; 449 – 61. Available from: https://rsucon.rsu.ac.th/files/proceedings/inter2020/2436_20200508182544.pdf

  37. Peltzer K, Pengpid S, Sychareun V, Ferrer AJ, Low WY, Huu TN, et al. Prehypertension and psychosocial risk factors among university students in ASEAN countries. BMC Cardiovasc Disord. 2017;17(230):1–9. https://doi.org/10.1186/s12872-017-0666-3.

    Article  Google Scholar 

  38. Booth JN, Li J, Zhang L, Chen L, Muntner P, Egan B. Trend in prehypertension and hypertension risk factors in US adults. Hypertesntion. 2017;70:275–84.

    Article  CAS  Google Scholar 

  39. Lydia A, Setiati S, Soejono CH, Istanti R, Marsigit J, Azwar MK. Prevalence of prehypertension and its risk factors in midlife and late life: indonesian family life survey 2014–2015. BMC Public Health. 2021;21(493):1–10. https://doi.org/10.1186/s12889-021.

    Article  Google Scholar 

  40. Hu L, Huang X, You C, Li J, Hong K, Li P, et al. Prevalence and risk factors of prehypertension and hypertension in Southern China. PlosOne. 2017;12(1):e0170238.

    Article  Google Scholar 

  41. Song J, Chen X, Zhao Y, Mi J, Wu X, Gao H. Risk factors for prehypertension and their interactive effect: a cross-sectional survey in China. BMC Cardiovasc Disorder. 2018;18(182):1–10. https://doi.org/10.1186/s12872-018-0917-y.

    Article  CAS  Google Scholar 

  42. Hnuploy K, Sornlorn K, Naepimay N, Changkaew S. Prevalence and factors associated with prehypertension among Myanmar migrant workers in Surat Thani province. 2022; 4(3):13–22.

  43. Jang I. Prehypertension and its determinants in healthy young adult: analysis of data from the Korean National Health and Nutrition Examination Survey VII. Int J Environ Res Public Health. 2021;18(9144):1–11. https://doi.org/10.3390/ijerph18179144.

    Article  Google Scholar 

  44. Guo X, Zou L, Zhang X, Li J, Zheng L, Sun Z, et al. Prehypertension Tex Heart Inst J. 2011;38(6):643–52.

    PubMed  Google Scholar 

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Acknowledgements

We would like to thank The Health System Research Institute, Thailand, and Mae Fah Luang University to support the grant. We also would like to thank all village headmen and participants to provide information.

Funding

This study was granted for doing this project by The Health System Research Institute, Thailand (Grant No 61 − 027). However, the grant funder has no role in all steps of the study.

Author information

Authors and Affiliations

  1. Center of Excellence for The Hill tribe Health Research, Mae Fah Luang University, Chiang Rai, Thailand

    Tawatchai Apidechkul, Panupong Upala, Chalitar Chomchoei & Fartima Yeemard

  2. School of Health Science, Mae Fah Luang University, Chiang Rai, Thailand

    Tawatchai Apidechkul

Authors
  1. Tawatchai Apidechkul
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  2. Panupong Upala
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  3. Chalitar Chomchoei
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  4. Fartima Yeemard
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Contributions

Conceptualization: Tawatchai Apidechkul; Methodology: Tawatchai Apidechkul, Panupong Upala, Chalitar Chomchoei, Fartima Yeemard; Formal analysis and investigation: Tawatchai Apidechkul, Panupong Upala, Chalitar Chomchoei, Fartima Yeemard; Writing-original draft preparation: Tawatchai Apidechkul; Writing-review and editing: Tawatchai Apidechkul, Panupong Upala, Chalitar Chomchoei, Fartima Yeemard; Funding acquisition: Tawatchai Apidechkul; Resources: Panupong Upala, Chalitar Chomchoei, Fartima Yeemard; Supervision: Tawatchai Apidechkul.

Corresponding author

Correspondence to Tawatchai Apidechkul.

Ethics declarations

Ethics Approval

All the study concepts and the protocol were approved by the Mae Fah Luang University Research Ethics Committee on Human Research (No. REH-6100). All participants were provided information regarding the study before obtaining informed consent by written. Those could not use Thai, then they were provided information by the local language by the village health volunteers who fluent both Thai and their local language before asking to stamp a fingerprint on informed consent form.

Conflict of interest

The authors declare that they have no conflicts of interest.

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Informed consent was obtained from all participants.

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Apidechkul, T., Upala, P., Chomchoei, C. et al. Epidemiology of and Factors Associated with Prehypertension Among Hill Tribe Adults Aged 30–59 Years in Thailand: A Cross-Sectional Study. J Immigrant Minority Health 25, 560–569 (2023). https://doi.org/10.1007/s10903-023-01465-6

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