Suchat HanchaiphiboolkulNiphon PoungvarinSamart NidhinandanaNijasri Charnnarong SuwanwelaPimchanok PuthkhaoSomchai TowanabutTasanee TantirittisakJithanorm SuwantameeMaiyadhaj SamsenThailand Ministry of Public HealthMahidol UniversityPhramongkutklao College of MedicineChulalongkorn University2018-05-032018-05-032011-04-01Journal of the Medical Association of Thailand. Vol.94, No.4 (2011), 427-43601252208012522082-s2.0-79955416636https://repository.li.mahidol.ac.th/handle/123456789/12575Objective: To assess stroke prevalence and stroke risk factors in Thailand. Material and Method: Thai Epidemiologic Stroke (TES) Study is an ongoing, community based cohort study that has been conducted in five geographic regions of Thailand. Baseline health status survey was started in 2004 and enrollment continued until the end of 2006. All participants who were suspicious of being stroke victims were verified. In this analysis, baseline data of 19,997 participants aged 45 to 80 years were identified and analyzed as a cross-sectional analysis. Results: Three hundred and seventy six subjects were proved to have a stroke thus resulting the crude prevalence of stroke to be 1.88% (95% CI, 1.69 to 2.07). Age standardization to Segi world standard population was 1.81% (95% CI, 1 .62 to 1.99). Crude prevalence among adults aged ≥ 65 years was 2.70% (95% CI, 2.28 to 3.11). Stroke prevalence differed among five geographic regions of the country (Bangkok 3.34%, Central region 2.41%, Southern 2.29%, Northern 1.46% and Northeastern 1.09%). Using multiple logistic regression analysis, factors associated with higher stroke prevalence were male gender (p < 0.001), occupational class (p < 0.001), geographic region (p < 0.001), hypertension (p < 0.001), diabetes mellitus (p = 0.002) and hypercholesterolemia (p = 0.026). Conclusion: Stroke prevalence in Thailand from TES study is higher than previous studies, but it is lower than developed countries, probably due to high case fatality rate in Thai population. Geographic variation in stroke prevalence is found more in Bangkok, Central and Southern regions. Longitudinal follow-up of TES cohort study will provide further information on risk factors and incidence of stroke.Mahidol UniversityMedicineArticleSCOPUS