รายงานภาระโรคระดับเขตและภูมิภาคของประเทศไทย พ.ศ. 2552

..
2552
(Regional differences in burden of disease in Thailand)

.. 2552

.. 2552
: (.)

(.)
:
.. 2556
:
1,000
2 6
. . . 11000
. 0 2590 2383 . 0 2590 2380
E-mail : bodadmin@ihpp.thaigov.net
www.thaibod.net
:

119/138 11 . 3 .

. . . 11000

. 0 2525 1121, 0 2525 4669-70 . 0 2525 1272

E-mail : graphico_sys@yahoo.com
ISBN 978-616-91548-2-2
.. 2552

(Disability
Adjusted Life Years: DALYs)

.. 2552

.. 2556
.. 2552

.. 2552

(.) (.)
.. 2552

1. ..

2. .

3. .

4. .
5. .
6. .

7. .
8. .

9.

10. .

11.

12. 7

13. .

.. 2552

.. 2552
1. .

2. .

3.

4.

5.

6.

7.

.. 2552
(Executive Summary)
2
1
4

4

4
2
6

1.
6

2.
6

3.
7
3
10

1
10
1.1
10
1.2
14
1.3 20
16

2 .. 2552
19
2.1 19
2.2
(YLL:Year of Life Lost due
to premature death)
21
2.3
(YLD : Year of Life Lost due
to Disability)
22
2.4
24
(DALY : Disabllity Adjusted Life Year)
2.5

25
2.6 5

31
4
36

1.
36

2.
38

41

41
.. 2552

1
.. 2552

2
.. 2552

3
.. 2552

4
()

5
()

6
22
()

7
22
()

8
22 ()

9
22 ()

10
()

11
()

12
()

13
()

14
()

15
()

16
()

17
()
.. 2552
42
44
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
1

2
3

4

5

6

7

.. 2552
6
.. 2552
13
.. 2552
17
.. 2552
20
20
28
5 ()
32
5 ()
34
.. 2552
1

.. 2552
2 .. 2552
3

.. 2552
4

() .. 2552
5

() .. 2552
6 22

()
7 22

()
8

.. 2552
9

.. 2552
10

.. 2552
11

.. 2552
12

.. 2552
13 .. 2552
14

22 () .. 2552
15

22 () .. 2552
.. 2552
11
11
12
13
14
16
16
21
22
23
23
24
25
27
27
.. 2552
11
.. 2552
(Executive Summary)

.. 2552

(cross-sectional descriptive study)

.. 2552

.. 2556

444-898

1 ( 898 695 )
13 ( 616
444 )

1 2 3 7

1)
22

4 5 12 7
8 10 2 3
6
2 3 12
1 7 8
7 8 10

2)

2
3 4 7 8
10 1
12 13

1 2 3 7
8 10
.. 2552

107-269

1
13

1)
22

2 3 6
1 10
4
12 7
8

2
3 12 7
8 7
8

2)

1 9
2 3 4 7
8
12
13

7 8 9
1 2 3

.. 2552
(Disability-Adjusded
Life Years: DALYs)

.. 25421 .. 25472
.. 25523
(DALY)
10.2 ( 5.8 4.4 )
( 14
13 )

( 15 13 )

.. 2556

1) ..
2552

2)
.. 2552

3)
.. 2552
.. 2552
1.

.. 2552

(crosssectional descriptive study)

(mid-year
population) .. 2552

2.

13
4
.. 25565 1
1
4 .. 2552
2
3
4

5

6

7
8

9
10

.. 2552

11

12

13
3.

3.1

40
.. 25523

(Nijk) (Nijk)
()
(Nijk)

7
Nijk
(1)
Nijk
Nijk i j k

i (, )

j (0, 1-4, 5-9,, 80-84, 85+)

k (
.. 2552)

Nijk = Nijk x

3.2 (Adjusted
Death Rate or Standardized Death Rate)

6
.. 2552

= [(Pai * mi)/Pa] * k
Pai i

Pa

mi i

k 100,000

3.3
(Standardized Mortality Ratio: SMR)

SMR = (Dp/Dsp x 100)

Dp

Dsp

3.4

.. 2552
(Disability-Adjusted Life Year: DALY)
(Year of Life Lost due to premature death : YLL)

(Year
of Life Lost due to Disability :YLD)

DALY = YLL + YLD
(2)
.. 2552
N
YLLijk = ijk x [1-e-0.03Lij]
0.03
(3)
Nijk i j k

Lij (age-specific
life expectancy) i j

j
(j = 0, 1-4, 5-9,,80-84, 85+) Lij
West Level 26

YLD (YLDik)

YLD

YLD
YLDik = YLLik X YLL ik
ik
(4)

YLDik YLLik YLD
YLL 3

YLD
YLD/YLL

YLD
YLD

(YLLs),
(YLDs), (DALYs)

(direct method)6
.. 2552
.. 2552
1
3

.. 2552

1.1
1.2
1.3
2
.. 2552

2.1

2.2
(YLL : Year of Life Lost due to prema ture death)

2.3
(YLD : Year of Life Lost due to
Disability)

2.4 (DALY : Disabllity
Adjusted Life Year)

2.5

2.6 5

63.4 ..
2552 31.2 32.1
4.3
7 2.4
( 7 ) 1.8
( 6 )

1.1

1 896
( 1,037 758
) 3 802
( 904
704 )
13 530 ( 619
448 )
10
.. 2552

829 ( 953
709 )
()
1,200
1,000
800
600
400
200
0
5 6 7 8
9 10 11 12 13
1 .. 2552
( 2)

60
1.3

140
()
120
70-79
80
100
80
60
40
20
0
0-4
5-14
15-29
30-44
45-59
()
60-69
2 .. 2552
.. 2552
11

( 3)

0-4
11 3 (
379 309 )

5-14
12 3 ( 80
60 )

15-29
1 3 (
255 98 )
80
20,000
70-79
60-69
15,000
45-59
10,000
30-44
15-29
5,000
0-4
1
2
3
4
5
6
7
8
9
10
11
12
13
5-14
1
2
3
4
5
6
7
8
9
10
11
12
13
()
25,000

30-44
1 ( 580 244
)

45-59
1 8 ( 1,047
564 )

60-69
1 8 ( 2,439
1,742 )

70-79
7 ( 5,571 4,407
)

80
10 ( 13,567
13,311 )
3 .. 2552

1 ( 898 695
12
)
13
( 616 444 ) (
2)
.. 2552
2
.. 2552
:

1
898
695

2
828
606

3
831
627

4
756
562

5
797
572

6
789
526

7
831
683

8
778
666

9
743
568
10
765
654
11
717
455
12
812
569
13
616
444

778
582
1 2 3 5 6 7
12 1 2 3
7 8 10
4
5
120
80
60
40
20
13
12
11
10
0
1
100
4 () .. 2552
.. 2552
13
120
100
80
60
40
20
13
12
11
10
5 () .. 2552

1.2

22
.. 2552

( 170
165 )
( 151 114
)
( 104 55
)
22 ( 6 7)

1 3

(161 170
) ( 147
128 )

( 109 86 )
14

2 3

( 182 208
) ( 137
100 )
(
83 53 )

3 3

(187, 143 135
)

(198, 98 72
)

4 3

( 188 186
.. 2552
) ( 155
111 )
(
110 54 )

5 3

(190 178
) ( 146
117 )
(
119 56 )

6 3

(175 159
) ( 154
112 )
(
123 50 )

7 3

(185, 137 96
)

(157, 146 130
)

8 3

(192, 137 89
)

(153, 141 138
)

9 3

(164, 144 103

)

(163, 108 57
)

10 3

(168, 151 100
)

(141, 117 82
)

11 3

(170, 121 104
)

(149, 88 45
)

12 3

(230,
113 90 )

(208, 78 60
)

13 3

(156,
154 69 )

(124, 122
34 )
.. 2552
15
()
1,000
900
800
700
600
500
400
300
200
100
0
1 2 3 4 5 6 7 8 9 10 11 12 13
6 22 ()
()
800

700
600
500
400
300
200
100
0
1 2 3 4 5 6 7 8 9 10 11 12 13
7 22 ()

1.3 20

5

16
( 81, 64,
60, 54 47 )

( 84, 55, 52, 24
23 ) 3
.. 2552
3 .. 2552

* *
1
81
84
2
64
55
3
60
52
4
54
24
5
47
23
6 /
37
19 /
7
33
17
8
31
16
9
30
16
10
22
14
11
21
14
12
17
13
13
15
12
14
15
11
15
14
10
16
12
9
17
11
8
18
10
7
19
9
6
20
7
6
* :

5 (
)
)

( 87, 73, 50, 36 34
)

1 5

/
( 89, 88, 70, 54 54

2 5

( 95, 85, 63, 58 51
.. 2552
17
)

/ (
102, 69, 36,19 19
)

3 5

( 96, 89, 63, 54 40
)

/
( 109, 66, 31, 30
23 )

4 5

/ ( 87, 72, 68,
37 35 )

(
96, 63, 29, 23, 19
)

5 5

/ ( 89, 67, 65,
53 45 )

( 90, 55,
37, 22 21 )
18

6 5

/ ( 82, 74, 57, 49
46 )

/
( 83,
49, 26, 22 22 )

7 5

(
107, 85, 64, 62 42
)

(
157, 79, 48, 38 35
)

8 5

(
113, 62, 61, 55 51
)

(
138, 77, 68, 49 45
)

9 5

( 85, 62, 58, 46 44
)

/ (
.. 2552
91, 57, 43, 27 22

)

10 5

(
91, 74, 62, 54 42
)

(
82, 71, 51, 49 43
)

11 5

/
( 77, 76,
71, 51 44 )

/ ( 70, 50, 25,
21 20 )

12 5

/
( 103, 88, 59, 58
41 )

(
94, 66, 60, 19 19
)

13 5

/
( 65, 63,
37, 36 32 )

( 52,
40, 25, 25 18 )

:
6 11 4
12 ( 41 59
)
3

2
.. 2552

2.1

.. 2552
10.2 161

1.3
3
14 73
13

8.7

8.6

8.6

7.9

7
( 4)
.. 2552
19
4 .. 2552

DALYs %
DALYs

(x100,000)
(x100,000)
1 5.1 8.7
1
3.8

2
5.0 8.6
2 3.5
3 3.7 6.3
3
2.4
4 / 2.8 4.9
4
1.8
5
2.6 4.5
5 / 1.6
6
2.5 4.3
6
1.5
7
2.2 3.8
7
1.4
8
2.0 3.5
8
1.3
9
1.8 3.0
9
1.2
10
1.3 2.3
10
1.1

11
1.2 2.1
11 1.0
12
1.2 2.1
12 0.9
13
1.2 2.0
13
0.9
14
1.0 1.8
14
0.7
15
1.0 1.7
15
0.7
16
0.9 1.6
16
0.7
17
0.9 1.5
17
0.6
18
0.8 1.4
18
0.6

19
0.6
19 0.8 1.4

20
0.6
20 0.8 1.3

58.1 100

44.0
: .. 25523
20
.. 2552
%
8.6
7.9
5.4
4.0
3.6
3.5
3.1
2.9
2.7
2.6
2.2
2.1
2.1
1.7
1.6
1.5
1.5
1.4
1.3
1.3
100

2.2
(YLL:Year of Life Lost due to premature death)

.. 2552
6.2 (
3.7 2.5 )
98
(120
78 )
1.5

109 (132
86 )

96
(122 71
) 1

115
(140 91
) 3 107
(129 86
) 7 105
(123
88 ) 13
76 (93
59 ) 8
()
160
140
120
100
80
60
40
20
0
1 2 3 4 5 6 7 8 9 10 11 12 13
8 .. 2552
: (direct method)
.. 2552
21
80

9
()
600
500
400
300
200
100
0
0-4
5-14
15-29
30-44
45-59
()
60-69
70-79
80
9 .. 2552

2.3
(YLD : Year of Life Lost due to
Disability)

..
2552
3.9 (
2.1 1.9 )
63 (66
59 )

74
22
(86 63
)
55
(56 54
) 1
100 (129
72 )
13
46
(44 48
) 10
.. 2552

()
140
120
100
80
60
40
20
0
1 2 3 4 5 6 7 8 9 10 11 12 13
10 .. 2552
: (direct method)
()
200
0-59
60
11
180
160
140
120
100
80
60
40
20
0
0-4
5-14
15-29
30-44
45-59
()
60-69
70-79
80
11 .. 2552
.. 2552
23

2.4 (DALY : Disabllity Adjusted Life Year)

10.2 (
5.8 4.4 )
161
(186 137
)
183
(219 149
) 1
215
(269 163
)
2
3 7 8 10 12
13
122 (137
107 ) 12
()
300
250
200
150
100
50
0
1 2 3 4 5 6 7 8 9 10 11 12 13
12 .. 2552
: (direct method)
24
80
13
.. 2552
()
800
700
600
500
400
300
200
100
0
0-4
5-14
15-29
30-44
45-59
()
60-69
70-79
80
13 .. 2552

2.5

22
.. 2552

(344 )
(301 )
(319 )

(270
) (230
)
(196 )
22
( 14 15)

1 3

(83, 27
23 )
3

(22, 20 20
)

2 3

(33, 27
22 )
3

(25, 16 15
)
.. 2552
25

3 3

(35, 27
20 )
3

(25, 16 15
)

4 3

(28, 28 23
)
3

(23, 18 15 )

5 3

(29, 27 21
)
3

(21, 19 15 )

6 3

(30, 26 22
)
3

(21, 18 15 )

7 3

(26, 25 23
)
26
3
(32, 20
18 )

8 3

(28, 23 20
)
3
(29, 23
17 )

9 3

(27, 25
23 )
3

(21 , 17 15
)

10 3

(30, 25 24
)
3

(18, 17 17 )

11 3

(26,
23 18 )
3

(17, 15 14
)
.. 2552

12 3

(33, 22 19 )
3

(27, 15 13
)

13 3

(23,
21 15 )
3

(19, 15 15
)
()
300
250
200
150
100
50
0
1 2 3 4 5 6 7 8 9 10 11 12 13
14 22 () .. 2552
()
: (direct method)
180
160
140
120
100
80
60
40
20
1 2 3 4 5 6 7 8 9 10 11 12 13
15 22 () .. 2552
: (direct method)
.. 2552
27

20

20

5

/ (
16, 16, 12, 9 8

)

/ (
12, 11, 7, 6 5
) ( 5)
5 20

*
*
1
16
12

2
16
11
3
12
7
4 /
9
6
5
8
5
6
8
5
7
7
4
8
7
4
9
6
4
10
4
4
11
4
3
12
4
3
13
4
3
14
3
2
15
3
2
16
3
2
17
3
2
18
3
2
3
2
19
20
2
2
* :
28
.. 2552

20

20

5
(
)

1 5

/
(
66, 18, 13, 13 12
)

/ (
11, 10, 8, 8 8 )

2 5

(
21, 15, 14, 9 8
)

/ (
13, 8, 8, 7 5 )

3 5

(
22, 14, 13, 8 8
)
/
(
14, 8, 7, 7 7 )

4 5

/ (
17, 14, 12, 10 9
)

( 14, 7, 7,
6 5 )

5 5

/ (
16, 13, 13, 11 9
)

/ (
12, 8, 6, 6 5
)

6 5

/
(
18, 13, 11, 9 8
)
/
(
12, 7, 6, 5 5 )

7 5

(
18, 16, 15, 15 10 )

.. 2552
29

( 32, 10, 9, 7 5
)

8 5

( 17, 14, 13, 9
6 )

(
29, 10, 10, 9 6
)

9 5

/ (
18, 16, 12, 9 7
)
/
( 12,
12, 7, 6 5 )

10 5

(
16, 14, 13, 11 10 )

( 17, 9, 9,
7, 6 5 )

11 5

/
30
(
19, 13, 11, 10 9 )

/
( 9,
6, 5, 5 5 )

12 5

(
15, 14, 14, 13 11
)

( 13, 12,
7, 7 6 )

13 5

/
(
10, 9, 9, 6 5 )

(
7, 6, 5, 5 4
)
:

1)
1 12 ()
3 11 ()
(15 11 )
3

2)
1
.. 2552

YLD/YLL (DALYs)

3)
2 1

4 .. 2551-529

()

2.6 5

/ 5
( 6 7)
.. 2552
31
32
.. 2552

/

1
2
3
4
5

1

/
/

4

/
/

5

/
/

6

/
/

6 5 ()
.. 2552
33

/

1
2
3
4
5

8

9

/

10

11

/
/

12

/

13
/
/
6 5 () ()
34
.. 2552

/

1
2
3
4
5

1

/
2

/

/
3

/

/
6

/

7 5 ()
.. 2552
35

/

1
2
3
4
5

8

9

/

/
10

11

/
/

12

13

7 5 () ()
1.

.. 2552

670

1.3
1
(898 695
) 13
(616 444
)

0-4 5-14
11 12
15-59 1 60
1 0-4
3 5-14
3 15-29 3
30 1

1,
2, 3, 5, 6, 7 12
1, 2, 3, 7, 8, 10

22

(170 165
)

(81 84 )

1

2

36
.. 2552

7

8

.. 2552
37

10

11

12

38

13

2.

(YLL : Year of Life Lost due to premature death)

1
3 7 1
3 10
1 7 8

(YLD : Year of Life Lost due to Disability)

1 7
10 1
7 10 1
7 10
(DALY : Disability Adjusted

Life Year)
1 7
2

.. 2552

/

4

.. 2552
39

/

/

7

9

40

10

11

/

/

12

.. 2552

13

1.

2.
40
3.

DALY
YLD/YLL YLD

DALY

1.

2.
40
.. 2552
41

1. The Thai Working Group on Burden of Disease and Injuries. Burden of disease and injuries in Thailand.
Bureau of health policy and planning; 2002.
2. .
.. 2547. : ; 2552.
3. .
.. 2552. 1. : ; 2555.
4. . . 13 . [Online]. [ 22 2555] :
http://www.nhso.go.th/FrontEnd/page-about_structure.aspx
5. . 1447/2556
. 30 2556.
6. . . :
; 2539.
7. , , .
1 .. 2540-2542 16 . :
; 2546.
8. . [Online].
[ 22 2555] : http://www.popterms.mahidol.ac.th/popterms/showmean.
php?id=s00427
9. . 4 .. 2551-2552.
: ; 2553.
42
.. 2552
.. 2552
43
(Crude Death Rate)

(Disability-Adjusted Life Year :

DALY)

(health
gap)
(Year of Life Lost due to

premature death : YLL)
(Year of Life Lost due to Disability : YLD)
44
(Adjusted Death Rate or Standardized

Death Rate)

(Standardization)
6
(Standardized Mortality Ratio:
SMR)

.. 2552
1 .. 2552

1

2

3

4

5

6

7

8
9

10

11

12

13

(000)
2,814
1,703
1,483
6,001
2,374
2,450
2,676
7,499
2,479
2,698
3,291
2,249
10,717
2,075
2,265
4,340
2,718
31,275

(000)
(000)
2,892
5,707
1,733
3,436
1,534
3,017
6,159
12,160
2,529
4,903
2,553
5,002
2,762
5,438
7,844
15,344
2,505
4,984
2,684
5,381
3,322
6,613
2,241
4,491
10,752
21,469
2,102
4,177
2,336
4,601
4,438
8,778
2,989
5,707
32,183
63,457
9.0
5.4
4.8
19.2
7.7
7.9
8.6
24.2
7.9
8.5
10.4
7.1
33.8
6.6
7.3
13.8
9.0
100
.. 2552
45
46
.. 2552

/

1
2
3
4
5
6
7
8
9
10
11
12
13

2,814,365 1,703,297 1,483,049 2,373,561 2,449,573 2,675,947 2,478,989 2,697,845 3,290,683 2,249,468 2,074,706 2,265,098 2,717,924
0-4 149,791 109,589 92,322 154,699 162,817 186,868 147,480 179,607 216,585 147,693 154,677 193,660 153,322
5-14 357,811 241,544 202,936 331,851 346,265 397,057 349,891 406,420 492,729 348,002 321,962 400,695 391,636
15-29 662,837 397,970 339,472 543,569 602,023 633,917 600,651 667,221 801,276 562,664 524,947 593,870 630,942
30-44 657,366 436,236 379,102 626,114 619,777 725,466 682,098 743,929 870,563 603,448 526,719 516,015 697,860
45-59 645,598 335,602 296,617 459,897 458,324 481,199 454,234 463,418 574,865 378,467 340,207 346,751 566,018
60-69 181,604 103,212 95,741 140,385 143,900 143,515 156,430 146,354 194,199 125,084 109,225 113,669 165,150
70-79 117,814 59,652 58,045 86,286 86,417 80,106 68,120 67,816 105,477 62,976 69,690 71,119 85,256
80 41,544 19,492 18,814 30,760 30,050 27,819 20,085 23,080 34,989 21,134 27,279 29,319 27,740
2,892,268 1,733,053 1,534,103 2,529,491 2,552,753 2,762,251 2,505,212 2,683,592 3,322,341 2,241,139 2,102,342 2,335,574 2,988,815
0-4 139,914 102,019 86,858 144,130 151,584 176,239 139,123 170,601 203,554 139,790 145,013 182,472 143,314
5-14 339,692 227,048 190,049 311,667 325,807 373,948 330,323 386,446 462,142 327,573 302,850 378,569 373,111
15-29 645,740 379,880 325,747 527,363 568,465 617,944 578,524 644,076 768,695 541,989 507,409 580,246 628,632
30-44 691,031 440,265 385,351 681,517 648,780 750,312 678,771 724,201 864,269 587,063 531,151 543,091 799,593
45-59 690,372 357,531 327,294 530,726 517,893 528,595 474,943 478,094 609,566 389,695 360,701 381,663 664,637
60-69 191,798 117,898 112,034 173,389 171,882 165,734 179,237 162,253 221,781 141,047 123,247 131,043 208,246
70-79 139,167 77,990 75,783 112,606 116,420 104,264 92,557 86,121 136,547 82,897 89,013 94,592 122,295
80 54,554 30,422 30,987 48,093 51,922 45,215 31,734 31,800 55,787 31,085 42,958 43,898 48,987
2 .. 2552
( : )
31,274,505
2,049,110
4,588,799
7,561,359
8,084,693
5,801,197
1,818,468
1,018,774
352,105
32,182,934
1,924,611
4,329,225
7,314,710
8,325,395
6,311,710
2,099,589
1,330,252
547,442
.. 2552
47

/

1
2
3
4
5
6
7
8
9
10
11
12
13

29,188 14,576 13,412 18,980 20,173 20,242 19,093 18,620 23,911 15,820 14,934 17,512 16,834
0-4
419 299
241 452
536 698
376
516
581 364 586
617 498
5-14
225 120
133 154
192 232
186
275
349 236 225
320 134
15-29 1,691 970
818 1,208 1,175 1,442 1,358 1,519 1,783 1,187 1,260 1,424 816
30-44 3,811 2,123 1,815 2,818 2,928 3,104 2,882 2,605 3,517 2,304 2,442 2,556 2,060
45-59 6,757 3,433 3,044 4,345 4,257 4,809 4,319 4,013 4,956 3,300 2,632 3,576 4,373
60-69 4,429 2,305 2,195 2,975 3,125 3,386 3,542 3,227 3,895 2,537 2,076 2,601 3,147
70-79 6,551 3,071 2,872 4,119 4,140 3,686 3,795 3,524 4,699 3,024 2,954 3,327 3,416
80 5,304 2,255 2,294 2,909 3,820 2,886 2,635 2,940 4,130 2,867 2,761 3,091 2,391

21,916 10,945 10,797 15,264 15,993 13,955 15,430 14,860 18,628 13,000 10,070 13,111 13,389
0-4
322 227
282 340
429 470
241
368
353 365 353
538 443
5-14
130 103
114 113
120 159
138
188
178
99 134
172
77
15-29
507 254
319 405
476 508
359
518
549 360 420
454 338
30-44 1,689 887
790 1,152 1,230 1,338 1,187 1,189 1,581 900 907 1,036 991
45-59 3,396 1,797 1,664 2,457 2,415 2,497 2,511 2,696 3,048 1,895 1,335 1,834 2,363
60-69 3,242 1,570 1,596 2,318 2,171 2,066 3,105 2,827 2,941 2,081 1,062 1,528 1,950
70-79 5,977 2,829 2,561 3,707 3,483 3,093 4,079 3,410 4,555 3,163 2,097 3,440 3,028
80 6,653 3,276 3,470 4,772 5,668 3,824 3,809 3,664 5,421 4,138 3,761 4,109 4,198
3 .. 2552
( : )
243,296
6,182
2,783
16,651
34,965
53,815
39,440
49,178
40,283
187,356
4,733
1,726
5,468
14,876
29,909
28,457
45,424
56,763
48
.. 2552

1
2
3
4
5
6
7
8
9
10
11
12
13
0-4
280 273 261 292 329 374 255 287 268 246 379 319 325
5-14
63
50
66
46
55
59
53
68
71
68
70
80 34
15-29
255 244 241 222 195 227 226 228 223 211 240 240 129
30-44
579 484 478 450 471 428 422 350 404 384 464 497 296
45-59 1,044 1,019 1,027 946 930 1,000 949 866 860 873 779 1,035 773
60-69
2,424 2,243 2,282 2,122 2,176 2,359 2,256 2,207 1,992 2,026 1,910 2,311 1,918
70-79 5,572 5,063 4,906 4,778 4,795 4,583 5,588 5,237 4,439 4,808 4,253 4,705 4,021
80 12,728 11,576 12,108 9,442 12,760 10,433 12,968 12,824 11,713 13,483 10,099 10,700 8,704
4 ()
( : )
.. 2552
49

1
2
3
4
5
6
7
8
9
10
11
12
13
0-4
230
223 325 236 283 267 173 216 174 261 243 295 309
5-14
38
45
60
36
37
42
42
49
39
30
44
45 21
15-29
79
67
98
77
84
82
62
80
71
66
83
78 54
30-44
244 201
204 169 189 178 175 163 183 154 171 192 124
45-59
489 502 509 464 466 473 529 566 497 489 370 481 356
60-69 1,689 1,336 1,413 1,340 1,267 1,245 1,732 1,745 1,321 1,470 867 1,157 946
70-79 4,307 3,622 3,365 3,267 2,998 2,981 4,408 3,969 3,316 3,821 2,336 3,659 2,490
80 12,243 10,787 11,152 9,818 10,971 8,439 11,966 11,577 9,649 13,317 8,707 9,428 8,639
5 ()
( : )
50
.. 2552

1 2 3 4 5 6
A (Infectious diseases) 96 83 84 73 83 88
B (Respiratory infections) 20 24 29 28 27 24
C (Maternal conditions)
0 0 0 0 0 0
D (Perinatal conditions)
10 10 7 8 11 12
E (Nutritional disorders)
4 2 1 1 1 2
F (Cancer)
147 137 135 155 146 154
G (Benign neoplasms)
6 1 5 3 2 9
H (Diabetes mellitus)
22 24 18 20 22 19
I
5 4 4 3 3 4
(Other endocrine and metabolic disorders)
J (Mental disorders)
29 7 7 7 6 6
K (Neurological disorders) 13 6 9 7 10 6
L (Sense disorders)
0 0 0 0 0 0
M (Cardiovascular diseases)
161 182 187 188 190 175
N (Chronic respiratory diseases) 100 77 64 45 63 57
O (Digestive disorders) 64 72 65 47 53 52
P
45 26 20 18 20 16
(Genito-urinary diseases)
Q (Skin diseases)
3 3
3 3 2 4
R
11 10 7 8 4 4
(Musculo-skeletal diseases)
S (Congenital anomalies)
5 4 7 7 5 4
T (Oral conditions)
3 1 1 1 1 1
U (Unintentional injuries)
109 129 143 110 119 123
V (Intentional injuries)
43 26 33 23 30 28
6 22 ()
( : )
2
7
3
7
0
170
57
27
22
1
4
7
10
0
230
66
32
23
9 5 4 6 6
1 1 1 0 1
89 103 100 104 88
22 24 18 54 68
1
10
10
12
0
151
53
40
40
4
1
96
16
2
13
8
10
0
164
56
48
24
1
20
12
90
17
0
10
1
113
3
38
5
1
17
11
84
16
0
11
3
121
5
15
3
3
6
0
137
37
56
48
10
80
18
0
6
1
168
4
42
5
8
11
0
137
49
56
38
9
78
18
0
9
1
144
2
27
6
8
64
12
0
7
1
192
7
61
5
7
92
14
0
7
3
185
6
85
5
6
0
58
16
2
4
3
7
0
156
32
31
12
13
69
22
0
12
3
154
6
19
1
.. 2552
51

1 2 3 4 5 6
A (Infectious diseases) 67 53 72 54 56 50
B (Respiratory infections) 16 19 24 23 22 18
1 1 1
1
0 0
5 6 5 6 6 7
1 8 1 6 3 0
F (Cancer)
128 100 98 111 117 112
7 3
4 5 2 5
36 36 31 29 37 26
I
9 5 8 3 5 4
3 2 2 2 2 2
K (Neurological disorders) 24 10 11 13 13 6
L (Sense disorders)
0 0 0 0 0 0
170 208 198 186 178 159
N (Chronic respiratory diseases) 86 24 19 14 14 15
O (Digestive disorders) 25 32 33 29 24 23
P
48 26 32 22 27 26
(Genito-urinary diseases)
Q (Skin diseases)
2 4 7 3 4 4
R
17 9 12 6 6 5
(Musculo-skeletal diseases)
3 8 4 6 5 7
T (Oral conditions)
1 1 1 0 0 1
37 43 55 38 43 46
9 8 9 5 6 9
7 22 ()
( : )
8
42
11
1
5
0
153
0
138
7
2
9
0
141
13
40
56
1
10
4
1
28
4
7
54
15
1
4
1
130
3
157
7
2
11
0
146
14
34
41
2
22
6
1
29
3
6
0
31
4
5
18
2
9
0
163
15
30
29
9
55
19
0
4
2
108
4
57
7
5
1
35
3
3
20
2
14
0
141
16
35
56
10
62
16
1
4
31
117
3
82
6
5
0
41
8
2
6
1
7
0
149
18
18
19
11
45
12
1
6
0
88
2
21
5
7
0
33
9
2
6
1
17
0
208
34
20
27
7
0
26
2
3
7
1
11
0
122
9
17
19
12 13
33 34
15 17
1 1
7 8
0 0
78 124
4 4
60 25
6 3
52
.. 2552

1
2
3
4
5
6
1 , / 84
51
38
65
65
82
(Infections, maternal, perinatal and nutritional conditions)
2 (Non-communicable diseases)
639 225 199 297 293 292
3 (Injuries)
106 67
64
79
88
97

830 343 301 441 446 470
(Disease category)
A (Infectious diseases)
58
28
25
37
41
51
B (Respiratory infections)
8
12
6
15
8
8
-
-
-
-
-
-
9
7
4
7
11
14
8
5
4
6
6
8
F (Cancer)
70
35
31
58
52
57
3
0
1
1
1
3
17
10
7
12
12
10
I
4
1
1
2
1
2
255 38
32
46
46
47
K (Neurological disorders)
18
4
6
6
9
6
L (Sense disorders)
41
23
21
32
33
34
77
47
44
69
68
66
N (Chronic respiratory diseases)
54
24
18
19
25
22
O (Digestive disorders)
36
21
16
21
21
23
P (Genito-urinary diseases)
29
7
7
11
8
6
Q (Skin diseases)
1
1
1
1
1
1
R (Musculo-skeletal diseases)
16
10
7
11
9
9
5
3
6
8
5
5
T (Oral conditions)
14
1
1
1
1
1
79
56
53
66
1
79
27
10
12
13
17
18
8 22 ()
( : )
8
49
298
78
426
31
4
-
8
6
69
2
32
2
23
6
33
49
15
19
20
0
12
15
1
64
15
7
58
335
72
466
40
4
-
6
7
64
2
43
3
55
10
32
47
18
24
16
0
16
5
1
62
10
81
11
43
74
28
27
16
1
19
6
1
88
19
49
7
-
11
8
67
1
21
4
399
107
580
9
75
63
7
28
43
18
15
13
0
9
4
1
57
10
33
5
-
6
5
50
1
19
2
274
67
389
10
49
19
7
26
46
21
9
6
0
9
6
1
54
27
38
4
-
10
7
34
2
7
1
195
80
334
11
58
36
10
28
68
32
11
8
0
7
7
1
49
36
39
5
-
12
5
34
1
18
3
263
85
409
12
61
22
9
36
64
15
16
5
1
10
7
1
38
11
41
7
11
8
61
3
11
1
261
49
378
13
68
.. 2552
53

1
2
3
4
5
6
1 , / 59
34
36
50
50
54
(Infections, maternal, perinatal and nutritional conditions)
2 (Non-communicable diseases)
418 199 182 277 280 255
3 (Injuries)
26
18
20
23
27
30

504 250 238 351 357 338
(Disease category)
A (Infectious diseases)
36
18
22
24
26
28
B (Respiratory infections)
6
4
4
7
6
5
1
1
0
1
0
0
5
4
3
6
7
10
11
8
6
11
10
10
F (Cancer)
62
29
26
48
49
48
4
1
1
2
1
2
26
15
12
17
23
14
I
6
2
3
2
3
3
61
23
23
32
33
32
K (Neurological disorders)
35
9
6
19
17
6
L (Sense disorders)
47
27
25
40
40
40
69
46
44
63
59
54
N (Chronic respiratory diseases)
43
9
5
7
8
7
O (Digestive disorders)
11
10
9
12
10
11
P (Genito-urinary diseases)
21
7
8
8
10
9
Q (Skin diseases)
1
1
2
2
2
2
R (Musculo-skeletal diseases)
24
12
12
17
16
15
4
6
3
7
6
9
T (Oral conditions)
3
2
2
2
2
3
20
15
17
21
24
24
6
3
3
3
3
6
9 22 ()
( : )
8
40
309
19
369
20
3
2
6
10
56
0
69
3
32
11
37
38
8
11
17
0
19
5
2
17
2
7
37
318
18
373
20
3
0
4
9
49
1
76
3
32
12
38
41
6
11
14
1
23
7
2
16
2
40
15
50
68
9
17
13
3
26
9
3
23
3
35
7
0
6
13
54
2
40
5
353
26
441
9
61
31
13
32
34
7
10
14
1
17
4
2
15
2
22
4
0
4
14
38
1
35
3
244
17
306
10
45
21
6
31
37
9
5
6
1
12
5
2
19
4
19
3
1
6
8
28
0
10
3
176
23
235
11
36
24
17
33
61
19
6
10
1
12
8
2
18
4
15
4
2
9
8
27
1
28
3
252
23
314
12
40
27
14
47
47
5
8
7
1
20
8
2
14
1
19
5
1
7
11
59
3
15
2
264
16
324
13
43
54
.. 2552
: 20

1 2 3 4 5

1 2 1 1 1
1

2 3 2 2
3 2

3 6 4 3 2 3

4 4 5 5 6 6

5 1 3 4 4 4
/
6 5 7 7 5 5

7 7 8
8 8 7

8 12 11 13 12 10

9 8 6 6 7 8

10 13 9 10 13 11
11 14 10 9 9 9

12 10 14 19 17 18

13 9 12 11 15 15

14 18 16 18 18 16
15 17 17 14 10 13

16 16 13 12 14 17

17 15 15 16 20 14

18 34 20 20 16 12

19 19 21 17 19 23

20 21 19 28 38 29
10 ()
6 7
1 3
2 4
3 5
6 1
4 8
5 10
8 7
11 2
7 6
10 11
9 13
18 9
12 16
17 21
13 20
16 15
14 18
15 24
25 12
38 14
8
2
4
5
1
9
10
6
3
8
11
13
7
12
18
19
14
16
23
15
22
9 10
1
2
2
3
5
4
3 1
4
6
7
9
8 11
9
5
6 10
10 7
11 12
13 8
12 14
18 20
16 17
14 16
19 13
15 19
17 18
30 15
11 12 13
1 2 2
2 4 8
3 1 1
8 12 5
5 6 7
4 5 4
7 8 3
12 7 11
9 11 10
11 9 12
10 13 9
16 14 14
13 20 18
6 3 16
15 17 6
20 22 17
17 19 20
14 16 13
26 15 26
19 10 38
.. 2552
55

1 2 3 4 5

81 88 95 96 87
89

64 70 85 89 68 67

60 47 58 62 72 65

54 54 51 40 34 35

47 89 63 54 37 53
/
37 54 33 33 35 45

33 45 31 33 30 32

31 22 24 18 20 22

30 41 44 34 32 31

22 21 29 25 18 22
21 20 24 29 28 27

17 27 14 13 10 11

15 32 15 20 13 15

15 10 11 13 10 14
14 11 10 16 22 17

12 12 14 20 14 14

11 13 11 14 8 16

10 3 7 11 12 17

9 9
7 14 8
7

7 7 7 4 2 4
11 ()
( : )
6 7
82 65
74 62
57 42
39 107
49 29
46 28
34 32
19 85
35 36
21 22
24 14
11 28
17 10
11 6
15 6
13 11
14 8
14 6
7 22
2 12
8
62
55
51
113
26
23
34
61
26
21
12
31
14
8
8
11
9
5
10
7
9 10
85 74
62 62
44 54
58 91
46 37
28 28
27 24
27 42
29 27
27 32
18 18
14 29
15 12
8
7
10 9
14 11
8 14
11 8
9
8
4 11
11 12 13
77 88 63
76 58 26
71 103 65
25 20 32
44 38 26
51 41 36
31 27 37
15 38 19
17 22 20
15 26 15
16 17 22
10 13 9
13 9 8
41 59 9
11 10 30
7 6 8
10 9 7
12 11 10
5 11 5
8 23 2
56
.. 2552
: 20

1 2 3 4 5

1 1 1 1 1 1

2 4 3 3 3 3

3 3 2 2 2 2

4 8 5 10 12 14

5 5 10 7 11
9
/
6 6 4 4 9 6
7 11 6 5 4 4
8 9 7 8 8 7

9 12 8 6 7 5

10 2 13 16 17 17

11 7 11 14 13 13
12 16 16 12 5 8

13 15 14 15 10 10

14 10 21 9 6 11

15 17 15 13 19 15

16 24 12 17 14 16

17 13 9 11 23 18
18 26 23 37 18 12

19 21 22 23 15 21
20 18 24 18 29 22

21 19 20 27 33 32
12 ()
6 7
1 2
3 1
2 4
9 3
8 5
4 6
7 8
5 11
6 9
15 26
10 12
12 20
13 13
22 7
16 10
11 17
14 18
18 15
45 16
23 19
39 21
8
2
1
5
3
4
6
13
7
10
37
12
11
14
20
9
18
16
31
8
17
15
9 10
1
2
2
1
3
3
4
5
6
4
5 12
7
9
11 11
8 10
18 20
14 16
12 17
13 18
15 8
9 7
10 15
22 14
49 36
33 13
17 21
25 22
11 12 13
1 1 1
4 3 3
2 2 2
14 19 12
7 7 10
5 10 8
8 6 6
6 8 7
3 5 14
16 14 20
10 12 9
15 13 4
11 11 5
12 29 18
20 17 24
18 27 17
13 21 16
9 9 13
23 16 31
22 18 29
17
4
38
.. 2552
57

1 2 3 4 5

84 87 102 109 96 90

55 36 36 31 29 37

52 50 69 66 63 55

24 27 19 15 13 11

23 34 14 18 14 15
/
19 29 19 30 17 21
17 16 19 23 23 22
16 20 17 16 18 20

16 15 15 23 18 21

14 73 12 11 6 8

14 29 14 11 13 13
13 10 10 13 19 17

12 10 12 11 14 15

11 16 6 16 18 13

10 10 12 12 5 11

9 5 13 10 9 10

8 13 15 13 4 7
7 4 5 2 6 13

6 7 5 5 9 5
5 8 3 5
6 9

6 8 6 4 3 3
13 ()
( : )
6 7
83 79
26 157
49 38
16 48
17 35
22 17
17 15
22 13
18 13
10 4
13 12
13 6
12 11
5 16
9 13
13 7
11 7
7 8
1 7
4 7
2 5
8
77
138
45
68
49
16
10
15
13
1
11
11
10
6
14
7
7
2
15
7
8
9 10
91 71
57 82
43 51
27 43
21 49
22 12
19 16
13 12
16 14
6
6
11 10
12 10
11 7
8 16
14 21
13 11
5 11
1
2
2 11
7
6
4
6
11 12 13
70 94 52
21 60 25
50 66 40
9 6 10
13 14 12
20 13 14
12 14 16
17 14 16
25 19 7
7 11 5
11 11 14
8 11 25
10 11 19
10 3 5
5 7 3
6 4 5
9 5 6
11 13 9
4 8 3
5 6 3
7 19 2
58
.. 2552
: 20

1 2 3 4 5
1
1 2 3 3 3

2 2 1 1 1 1

3 4 3 2 2 2
/
4 3 7 6 5 4

5 7 6 8 7 8

6 10 8 4 4 5

7 12 9 9 9 9

8 5 4 5 8 6

9 8 5 7 6 7

10 11 11 12 10 10

11 13 10 13 11 11

12 24 20 17 20 13

13 14 13 14 12 12

14 9 16 10 17 16

15 19 12 15 18 17

16 18 19 19 15 18

17 22 15 11 16 15

18 6 32 33 32 33
19 25 18 16 14 14

20 15 23 22 28 24
14 ()
6 7
4 4
1 2
2 5
3 6
8 3
5 8
11 1
6 13
7 7
9 10
10 9
18 27
13 12
14 18
15 15
20 16
17 17
12 35
16 22
26 11
8
15
2
4
6
1
5
3
13
10
9
7
23
11
14
17
16
19
33
25
8
9 10
1
2
2
1
3
5
5
7
4
3
8
8
6
6
7
9
9 10
13 15
10 11
18 24
11 13
14 20
12 12
16 16
15 18
38 4
19 21
20 14
11 12 13
7 5 13
1 3 4
4 4 1
2 6 3
9 15 5
5 2 2
11 7 7
6 9 8
14 11 10
8 14 6
12 12 12
3 1 18
10 13 9
15 22 21
17 10 16
13 16 14
24 25 20
36 36 36
20 18 17
25 20 27
.. 2552
59
: (direct method)

1 2 3 4 5
16 66 15 13 12 13

16 18 21 22 17 16

12 13 14 14 14 13
/
9 13
8
8
9
11

8
9
8
6
6
6

8
6
8
8
10
9

7
5 6 4 5 5

7 12 9 8 5 7

6
8 8 7 6 6

4
6 4 4 4 4

4
4 4 4 4 4

4
3 3 3 3 4

4
4 4 4 4 4

3
7 3 4 3 3

3
3 4 4 3 3

3
3 3 3 3 3

3
3 3 4 3 3

3
9 1 1 1 1
3
3 3 4 4 3

2
4 2 2 2
2
15 ()
( : )
6 7
9
15
18 16
13 10
11
7
6
15
8 6
4 18
7 3
6 7
5 4
4 5
3 2
4 4
4 2
3 3
3 3
3 3
4 1
3 2
2 4
8
3
14
9
6
17
6
13
3
4
4
5
2
4
3
3
3
3
1
2
5
9 10
18 14
16 16
12 10
7
7
9
13
6
7
6
9
6
5
6
5
4
3
4
4
2
2
4
4
3
3
4
4
3
3
3
3
1 11
2
2
2
4
11 12 13
5
11
3
19 14
6
10 13 10
13 10
9
4
3
5
9 14 9
4 9 4
7 6
4
3 4 4
4 4 5
3 4 3
11 15 2
4 4 4
3 2 2
2 4 3
3 3 3
2
2 2
1 1 1
2 2 3
2 2 1
60
.. 2552
: 20

1 2 3 4 5

1 4 3 5 4 2

2 1 1
1 1 1

3 3 2 3 2 3

4 7 4 4 3 4
/
5 5 5 2 7 5

6 9 6 7 5 7

7 10 7 8 8
8

8 15 8 6 6 6

9 14 9 9 10 10

10 12 12 11 16 21

11 11 19 12 19 16
12 18 11 10 11 11

13 6 10 22 9 9

14 23 14 16 12 12

15 20 15 15 15 13

16 16 16 31 24 22

17 8 22 18 22 20

18 13 18 23 21 19

19 19 17 14 20 18

20 2 23 26 36 32
16 ()
6 7
4 1
1 3
2 2
5 8
3 9
6 5
8 7
7 12
10 10
13 4
15 6
9 13
49 11
11 16
14 14
32 21
19 15
16 17
21 18
27 49
8
1
4
3
7
9
6
8
11
10
2
5
12
15
20
14
13
16
18
19
56
9 10
1
1
2
2
3
3
6
6
4 13
5
7
7
8
8 10
10 9
9
4
11 5
14 16
13 11
16 27
15 17
25 20
17 14
24 25
20 18
41 36
11 12 13
6 1 3
1
2 1
4 5 2
5 3 5
3 10 7
7 6 4
8 8 6
2 7 15
9 9 8
17 31 19
14 17 20
10 11 12
36 15 9
13 16 10
12 14 13
11 4 33
19 28 23
15 21 14
16 18 17
32 27 32
.. 2552
61
: (direct method)

1 2 3 4 5

12 8 8
7 6 8

11 11 13 14 13 12

7 8 8 7 7 6

6 5 7 7 7 6
/
5 8 5 8 4 5

5 5 5 5 5 5

4 4 4 4 4 4

4 4 4 5 4 5

4 4 4 4 4 4

4 4 3 3 2 2

3 4 2 2 2
2
3 3 3 3 3 3

3 6 3 2 4
4

2 2 2 2 3 3

2 2 2
2 2
2

2 3 2 1 1 1

2 5 2 2 2 2

2 4 2 1 2 2

2 2 2 2 2 2

2 10 2 1 1 1
17 ()
( : )
6 7
5 32
12 9
7 10
5 4
6 4
5 5
4 4
4 3
4 4
2 7
2 5
4 2
0 3
3 2
2 2
1 1
2 2
2 2
2 2
1 0
8 9 10 11 12 13
29 12 17 5 13 5
9 12 9 9 12 7
10
7 9 5 6 6
5 4
5
5 7 4
4 6
3 5 4 4
5 5
5 5 5 5
4 4
4
4 4 4
3 4
3 6 5 2
4
4
4 4 4 4
10 4
7 1 1 1
6 3
6 2 2 1
3 2
2 3 3 3
2 3
3 1 2 3
2 2
1 2 2 3
2 2
2 2 2 2
3
1
2 3 7 1
2 2
2 1 1 1
2
1
1 2 2 2
2 2
2 2 2 1
0 1
1 1 1 1
62
.. 2552
.. 2552 (Regional differences in burden of disease in Thailand)

รายงานภาระโรคระดับเขตและภูมิภาคของประเทศไทย พ.ศ. 2552

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รายงานภาระโรคระดับเขตและภูมิภาคของประเทศไทย พ.ศ. 2552

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..

(Disability-Adjusted Life Year: DALY)

(Year of Life Lost due to premature death : YLL)

(164, 144 103

91, 57, 43, 27 22

16, 16, 12, 9 8

(Crude Death Rate)

(Disability-Adjusted Life Year :

(Year of Life Lost due to

(Year of Life Lost due to Disability : YLD)

(Adjusted Death Rate or Standardized

.. 2552 (Regional differences in burden of disease in Thailand)

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