Mathematical spatial analysis for multiple disease mapping application to hypertension and ischemic heart disease

Abstract

The objectives of this research are to estimate the morbidity rates of Hypertension and Ischemic heart disease in each province of Thailand, to investigate factors influencing on the morbidity rates, and to construct the disease maps of those two diseases. The generalized linear mixed model (GLMM) in which the responses have a Poisson distribution and the spatial effects are a multivariate conditional autoregressive model (MCAR) are adopted. The provincial secondary data sets consisting of a number of Hypertension and Ischemic heart disease patients, an average income per head and a student proportion were collected. The results show the average income per head (Relative Risk (RR) = 1.0002) and student proportion (RR = 1.0186) influence the morbidity rates of Hypertension and Ischemic heart disease. Hypertension and Ischemic maps are easy for readers to see which areas are at high risk. They are a useful tool for planning and controlling the Hypertension and Ischemic heart disease.