FACTORS ASSOCIATED WITH THE OCCURRENCE OF URINARY STONE DISEASE OF ADULTS LIVING IN TAKRAI – NALARE VILLAGE, NASI NUAN SUBDISTRICT, MUANG DISTRICT, MUKDAHAN PROVINCE. ปัจจัยที่มีความสัมพันธ์กับการเกิดโรคนิ่วในระบบทางเดินปัสสาวะของวัยผู้ใหญ่ ที่อาศัยอยู่ที่บ้านท่าไคร้ – นาแล ตำบลนาสีนวน อำเภอเมือง จังหวัดมุกดาหาร

Abstract

            Urinary stone disease is a public health problem in the Northeast. The aim of this unmatched case-control study was to investigate factors associated with urinary stone disease in adults aged 20-59 years living in Takrai–Nalare Village, Na Si NuanSubdistrict, Meuang District, Mukdahan Province. The subjects in the case group were people who suffered from urinary stone disease while in the control group were those did not have the disease. Data were collected using a structured questionnaire which elicited information about the characteristics of the subjects, and their food and water consumption. Multiple logistic regression statistics was used to identify the factors associated with urinary stone disease.

            The results showed that most of the subjects 77.1% in case groups were male, that the average age was 45.5 years, and 57.1% were obese. In the control group 36.4% were male, the group’s average age was 43.2 years, and 18.6% were obese. Multiple logistic regression showed that the factors associated with urinary stone disease were obesity (OR_adj=2.8, 95%CI=1.3-6.3), labour-intensive work (OR_adj=8.9, 95%CI=1.4-56.7), and the consumption of high-oxalate vegetables (OR_adj=7.7, 95%CI=1.5-38.9). Taking calcium supplements was a protective factor (OR_adj=0.2, 95%CI=0.1-0.3). In conclusion, obesity, and labour-intensive work were risk factors for urinary stone disease. Health personnel should therefore encourage those at risk to engage in preventative behavior such as drinking of clean water and a reduced consumption of high-oxalate vegetables.

    Key words: Urinary stone disease, adults, nutritional status,food consumption