Regional Differences in Burden of Disease in Thailand, Year 2009 - ภาระโรคระดับเขตสุขภาพของประเทศไทย พ.ศ. 2552

บทคัดย่อ

                Disability-Adjusted Life Year (DALY) is a summary measure of population health, which combines fatal and non-fatal health outcomes into a single index. The index represents the state of population health through the number of years of healthy life lost from premature death and disability. This is a crosssectional descriptive study using DALY to prioritize and estimate the magnitude of health problems in 13 public health regions of Thailand in 2009. Mortality data was obtained from the Bureau of Registration Administration, the Department of Provincial Administration, and the Ministry of Interior. DALY data was obtained from 2009 national burden of disease and injury study. The study revealed that DALYs lost in the Thai population in 2009 was 10.2 million. DALYs lost in males was 1.3 times higher than in females. At the health region level, region 1 has the highest DALYs loss (13% of Thailand DALYs), followed by health region 9 (10%) and 7 (8%). At the health region level, road traffic accidence was the main cause for the highest DALYs in males. Females in most of the geographical regions suffered from cardiovascular diseases. The results of this study reflect the unique health problems in each region. This information should be useful for policy-makers for health planning and resource allocation that tailored for the specific need of each public health region.

Key words: burden of disease, disability-adjusted life year, health disparities