Browsing by Author "Weerapong Seeupalat"

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    Characteristics and determinants of Thailand's declining birth rate in women age 35 to 59 years old: Data from the fourth national health examination survey
    (2014-01-01) Kriengkrai Correction Srithanaviboonchai; Wanchai Moongtui; Ratana Panpanich; Jiraporn Suwanteerangkul; Suwat Chariyalertsak; Rassamee Sangthong; Pattapong Kessomboon; Panwadee Putwatana; Jiraluck Nontarak; Surasak Taneepanichskul; Wichai Aekplakorn; Rungkarn Inthawong; Jiraluck Nonthaluck; Supornsak Tipsukum; Yawarat Porrapakkham; Kanittha Thaikla; Wongsa Laohasiriwong; Wanlop Jaidee; Sutthinan Srathonghon; Somdej Pinitsoontorn; Piyathida Kuhirunyaratn; Sauwanan Bumrerraj; Amornrat Rattanasiri; Suchad Paileeklee; Bangornsri Jindawong; Napaporn Krusun; Weerapong Seeupalat; Virasakdi Chongsuvivatwong; Mafausis Dueravee; Somrat Lertmaharit; Vilai Chinveschakitvanich; Onuma Zongram; Nuchanad Hounnaklang; Sukarin Wimuktayon; Chalermsri Nuntawan; Karn Chaladthanyagid; Chiang Mai University; Prince of Songkla University; Khon Kaen University; Mahidol University; National Health Examination Survey Office; Chulalongkorn University
    Objective: To describe characteristics and determinants of Thailand's declining birth rate using national representative survey data. Material and Method: The Fourth National Health Examination Survey was conducted between 2008 and 2009. Four stages of stratified probability samples, proportionate to size, were used to represent the whole Thai population. Information from women aged 35 to 59 years old was included in the analysis. Curve estimation was used to characterize the correlation between the number of children ever born and the age of married and un-married women. Binary logistic regression analysis was used to identify predictors of having fewer than two children among ever married women. Results: Of all 4120 women, the number of children decreased sharply among the oldest women aged 45 to 59 years old, decreased less sharply for women younger than 45 years of age, reached the lowest level at the age of 37 and 38 years old, and then increased minimally among the younger women surveyed. Among those who were ever married (n = 3,761), the independent predictors of having one or no child instead of having two or more children were aged 45 to 49 compared to 50 to 59 years old (OR = 1.66; 95% CI = 1.37-2.00), age 35 to 44 compared to 50 to 59 years old (OR = 1.39; 95% CI = 1.16-1.68), living in households with wealth index level 3 compared to level 1 (OR = 1.28; 95% CI = 1.01-1.63), urban residence (OR = 1.33; 95% CI = 1.14-1.57), attaining secondary school education (OR = 1.35; 95% CI = 1.11-1.64), and having junior college diploma or higher level of education compared to elementary or no education (OR = 1.81; 95% CI = 1.39-2.34). Conclusion: Birth rate of Thai women declined steeply in the past then less steeply, and might have begun to rise minimally in recent years. Younger age, living in an urban area, and having higher socioeconomic status were predictors of having fewer than two children.
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    Prevalence and management of diabetes and metabolic risk factors in Thai adults: The Thai national health examination survey IV, 2009
    (2011-09-01) Wichai Aekplakorn; Suwat Chariyalertsak; Pattapong Kessomboon; Rassamee Sangthong; Rungkarn Inthawong; Panwadee Putwatana; Surasak Taneepanichskul; A. W; I. R; Jiraluck Nonthaluck; Supornsak Tipsukum; Yawarat Porrapakkham; C. S; Kanittha Thaikla; Wongsa Laohasiriwong; Wanlop Jaidee; Sutthinan Srathonghon; Ratana Phanphanit; Jiraporn Suwanteerangkul; Kriangkai Srithanaviboonchai; K. P; Somdej Pinitsoontorn; Piyathida Kuhirunyaratn; Sauwanan Bumrerraj; Amornrat Rattanasiri; Suchada Paileeklee; Bangornsri Jindawong; Napaporn Krusun; Weerapong Seeupalat; Virasakdi Chongsuvivatwong; S. R; Mafausis Dueravee; T. S; Somrat Lertmaharit; Vilai Chinveschakitvanich; Onuma Zongram; Nuchanad Hounnaklang; Sukarin Wimuktayon; P. P; Chalermsri Nuntawan; Karn Chaladthanyagid; Faculty of Medicine, Ramathibodi Hospital, Mahidol University; Chiang Mai University; Khon Kaen University; Prince of Songkla University; National Health Examination Survey Office; Mahidol University; Chulalongkorn University
    OBJECTIVE - To determine the prevalence of impaired fasting glucose (IFG) and undiagnosed and diagnosed diabetes in Thai adults in 2009 and examine the extent of changes in proportions of diagnosis, treatment, and control for blood glucose, high blood pressure, and high total cholesterol between 2004 and 2009. RESEARCH DESIGN AND METHODS - Data from the multistage cross-sectional National Health Examination Survey (NHES) IV of 18,629 Thai adults aged ≥20 years conducted in 2009 were used to analyze and compare with the data from NHES III in 2004. RESULTS - The prevalence of IFG and diabetes was 10.6 and 7.5%, respectively. Of all diabetes diagnoses, 35.4% were not previously diagnosed, and the proportion was higher in men than in women (47.3 vs. 23.4%, P < 0.05). Compared with those in year 2004, the proportions of individuals with diabetes and concomitant hypertension did not significantly decrease in 2009 in both sexes, but the proportions of women with diabetes who were abdominally obese or had high total cholesterol (≥5.2 mmol/L) significantly increased in 2009 by 18.0 and 23.5%, respectively (all P < 0.01). The rates of treatment and control of blood glucose, high blood pressure, and high total cholesterol were favorably improved in 2009. However, in substantial proportions of individuals with diabetes these concomitants were still controlled suboptimally. CONCLUSIONS - The prevalence of diabetes and IFG remained high in Thai adults. Improvement in detection and control of diabetes and associatedmetabolic risk factors, particularly obesity and high serum cholesterol, are necessary. © 2011 by the American Diabetes Association.