In rural Thailand, hypertension control was 63.9%, dropping to 47.8% with stricter thresholds, indicating significant cardiovascular risk among this population.
Hypertension control in rural Thailand remains suboptimal, particularly when applying stricter optimal targets, highlighting the need for targeted interventions addressing lifestyle and sociodemographic factors.
Absolute Event Rate: 0% vs 0%
Background: The clinical epidemiology of hypertension (HTN) in rural Thailand has not been fully reported. We describe factors associated with HTN control and cardiovascular (CV) outcomes in rural Thai communities. Methods: We conducted a cross-sectional study in Thai rural areas in 2024 using a multistage sampling scheme. Eligible participants included adults with HTN receiving care from 36 primary care units across four geographical regions. We used multilevel logistic regression modeling to examine factors associated with HTN control. Results: We included 1000 participants (68.3% women; mean age, 64.2 years). The HTN control rate was 63.9%, using a threshold of 20% risk over 10 years) was predicted in 7.9% of individuals with HTN: 12.7% in males and 5.0% in females. Elevated low-density lipoprotein (LDL) cholesterol (≥100 mg/dL) was present in 58.7% of participants; 51.5% had a body mass index of ≥25 kg/m2. Life’s Essential 8 CV health was categorized as poor, moderate, and high for 8.8%, 83.3%, and 7.8% of participants, respectively. Conclusions: We highlight a need for improving HTN control in rural Thailand and have identified sociodemographic, lifestyle, and metabolic factors that are associated with a lack of HTN control. Cardiovascular complications remain a significant concern for this population.
Sakboonyarat et al. (Wed,) reported a other. In rural Thailand, hypertension control was 63.9%, dropping to 47.8% with stricter thresholds, indicating significant cardiovascular risk among this population.