Socioeconomic disparities in diabetes prevalence and management among the adult population in Bangladesh.

Autor: Ahsan KZ; Public Health Leadership Program, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America., Iqbal A; Maternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh., Jamil K; IAP World Services, Arlington, Virginia, United States of America., Haider MM; Health Systems and Population Studies Division (HSPSD), International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh., Khan SH; Data for Impact (D4I), Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America., Chakraborty N; Data for Impact (D4I), Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.; Department of Statistics, University of Dhaka, Dhaka, Bangladesh., Streatfield PK; Health Systems and Population Studies Division (HSPSD), International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2022 Dec 20; Vol. 17 (12), pp. e0279228. Date of Electronic Publication: 2022 Dec 20 (Print Publication: 2022).
DOI: 10.1371/journal.pone.0279228
Abstrakt: Background: Diabetes, one of the major metabolic disorders, is rising in Bangladesh. Studies indicate there is inequality in prevalence and care-seeking behavior, which requires further exploration to understand the socioeconomic disparities in the pathophysiology of diabetes. This study examined the latest nationally representative estimates of diabetes prevalence, awareness, and management among adults aged 18 years and above in Bangladesh and its association with socioeconomic status in 2017-18.
Methods: We used the 2017-18 Bangladesh Demographic and Health Survey data. Diabetic status of 12,092 adults aged 18 years and above was measured in the survey using fasting plasma glucose levels. We applied multivariate logistic regressions to examine the role of socioeconomic status on diabetes prevalence, awareness, and management, after controlling for relevant covariates.
Results: Overall, 10% of adults had diabetes in Bangladesh in 2017-18, with the highest prevalence of 16% in the age group 55-64 years. Our analyses found statistically significant disparities by socioeconomic status in the prevalence of diabetes as well as the person's awareness of his/her diabetic condition. However, the effect of socioeconomic status on receiving anti-diabetic medication only approached significance (p = 0.07), and we found no significant association between socioeconomic status and control of diabetes.
Conclusions: We expect to see an 'accumulation' of the number of people with diabetes to continue in the coming years. The rising prevalence of diabetes is only the tip of an iceberg; a large number of people with uncontrolled diabetes and a lack of awareness of their condition will lead to increased morbidity and mortality, and that could be the real threat. Immediate measures to increase screening coverage and exploration of poor control of diabetes are required to mitigate the situation.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2022 Ahsan et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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