The Prevalence and Associated Factors of I-sarn Syndrome in Rural Community, Khon Kaen

ABSTRACT

Background:  I-sarn syndrome (ISS) consists of multiple chronic complaints including myofascial pain, back pain or lower abdominal pain, dyspepsia, poly-arthralgia, headaches, fatigue, history of dysuria, and/or any of these made worse by consuming bamboo shoot.Objectives:  To determine the prevalence of ISS and their associated factors in rural community, Khon Kaen Province.Methods:  A cross-sectional analytic study in 16 rural villages from 4 districts. Subjects, between 15 and 60 years of age, were randomly selected by multistage sampling.Results: 1,128 individuals were participated, 38% were male, 45% were older than 45 years and most of them were farmers (71.1%). Age-sex adjusted prevalence of ISS was 29.4%. Prevalence of myofascial pain, back pain/lower abdominal pain, dyspepsia, poly-arthralgia, headaches, fatigue, and dysuria was 33.7, 37.7, 29.9, 11.4, 39.8, 30.9 and 18.5%, respectively. The prevalence of people whose symptoms aggravated by bamboo shoot was 33.5%. ISS patient was significantly older, more debt, higher creatinine level, more frequent visited at health center and community hospital (p