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], "abstractNote": "การสำรวจสุขภาพประชาชนครั้งที่ 4 พ.ศ. 2551-2552 นี้ ดำเนินการโดยสำนักงานสำรวจสุขภาพประชาชนไทย สถาบันวิจัยระบบสาธารณสุข ได้รับการสนับสนุนจาก สำนักนโยบายและยุทธศาสตร์ กระทรวงสาธารณสุข สำนักงานกองทุนสนับสนุนการสร้างเสริมสุขภาพ และสำนักงานหลักประกันสุขภาพแห่งชาติวัตถุประสงค์หลักของการสำรวจฯ คือ แสดงความชุกของโรคและปัจจัยเสี่ยงทางสุขภาพที่สำคัญ การกระจายตามเพศ และกลุ่มอายุ ในระดับประเทศ ภาคและเขตปกครอง ทำการสำรวจกลุ่มตัวอย่างที่ได้จากการสุ่ม (multi-stage random sampling)จากประชากรไทยอายุตั้งแต่ 1 ปีขึ้นไป ที่อาศัยใน 20 จังหวัดทั่วประเทศ และกรุงเทพฯ แบ่งเป็นกลุ่มอายุ 15-59 ปี จำนวน 12,240 คน และ 60 ปีขึ้นไป จำนวน 9,720 คน รวม 21,960 คนดำเนินการเก็บข้อมูลภาคสนาม เมื่อ ก.ค. 2551 – มี.ค. 2552 โดยได้รับความร่วมมือจากเครือข่ายมหาวิทยาลัยของภาคต่างๆ ผลการสำรวจได้ผู้เข้าร่วมการศึกษาจำนวน 20,450 คน คิดเป็นอัตราตอบกลับร้อยละ 93 การสำรวจในกลุ่มสุขภาพผู้ใหญ่วัยแรงงานและสูงอายุมีดังนี้\n 1. พฤติกรรมสุขภาพ ได้แก่ การสูบบุหรี่ การดื่มเครื่องดื่มแอลกอฮอล์ กิจกรรมทางกาย พฤติกรรมการกินอาหาร การกินผักผลไม้ การใช้ยาและอาหารเสริม ภาวะอ้วน โรคเบาหวาน โรคความดันโลหิตสูง ภาวะไขมันในเลือดผิดปกติ ประวัติโรคเรื้อรัง การมีปัจจัยเสี่ยงหลายปัจจัยร่วมกัน ภาวะซึมเศร้า ภาวะโลหิตจาง การบาดเจ็บ อนามัยเจริญพันธุ์ \n 2. สุขภาพผู้สูงอายุ ได้แก่ ภาวะสมองเสื่อม การหกล้ม ภาวะพึ่งพาในกิจวัตรประจำวัน การเสื่อมของอวัยวะ\nโดยสรุป เมื่อเปรียบเทียบกับผลการสำรวจสุขภาพประชาชนไทยโดยการตรวจร่างกายครั้งที่ 4 นี้ กับการสำรวจครั้ง 3 ในปี 2547 พบว่าความชุกของบางปัจจัยเสี่ยงมีแนวโน้มเพิ่มขึ้น เช่นภาวะอ้วน และภาวะไขมันในเลือดสูง การกินผักผลไม้ไม่เพียงพอ และภาวะโลหิตจาง บางปัจจัยอยู่ในสถานการณ์คงเดิม ได้แก่ โรคเบาหวาน ความดันโลหิตสูง และบางปัจจัยเสี่ยงมีแนวโน้มที่ดีขึ้นในบางกลุ่มเช่น การสูบบุหรี่ลดลงในกลุ่มผู้ชายแต่ในผู้หญิงยังไม่ลดลง การมีกิจกรรมทางกายเพียงพอเพิ่มขึ้นเล็กน้อย เป็นต้น ดังนั้นจึงยังมีความจำเป็นที่ทุกภาคส่วนยังต้องร่วมกันกำหนดมาตรการ ดำเนินการควบคุมป้องกันปัจจัยเสี่ยง และสร้างเสริมสุขภาพประชาชนให้มีประสิทธิผลมากขึ้น 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