Mosiur Rahman1, Keiko Nakamura2, Masashi Kizuki3. 1. Department of International Health and Medicine, Division of Public Health, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan. Electronic address: swaponru_2000@yahoo.com. 2. Department of International Health and Medicine, Division of Public Health, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan. 3. Health Promotion, Division of Public Health, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Abstract
AIMS: To explore the association of the socioeconomic status (SES) in Bangladesh with diabetes prevalence, awareness, and control. METHODS: A population sample of 7540 individuals from the 2011 Bangladesh Demographic Health Survey was used. A composite variable of education and wealth calculated the SES indicator. Besides prevalence (age-sex adjusted) of diabetes and pre-diabetes, three other points were analyzed with the socio-demographic characteristics: awareness of diabetes, diabetics receiving medication and adequacy of treatment (measured by achieving normal fasting plasma glucose). RESULTS: The age-sex adjusted prevalence of diabetes and pre-diabetes were 10.8% and 25.0%, respectively, in the study population (n=7540). Prevalence of diabetes was 7.2% in the low SES (n=2147) and 17.9% in the high SES group (n=2,418). Among diabetics (n=879), 39.7% were aware of their disease, 35.5% were receiving medication, and 13.0% were receiving adequate medication. Diabetic patients from the medium or high SES group had an increased likelihood of being aware of their disease and of receiving medication. CONCLUSIONS: Contrary to other developed countries, diabetes in Bangladesh is more prevalent among the higher SES group. Due to the high prevalence of pre-diabetes, lack of awareness of diabetes and less likelihood of receiving adequate treatment in lower SES group, there is potential for the rapid increase of diabetes. Urgent preventive measures are needed to control the impending diabetes epidemic.
AIMS: To explore the association of the socioeconomic status (SES) in Bangladesh with diabetes prevalence, awareness, and control. METHODS: A population sample of 7540 individuals from the 2011 Bangladesh Demographic Health Survey was used. A composite variable of education and wealth calculated the SES indicator. Besides prevalence (age-sex adjusted) of diabetes and pre-diabetes, three other points were analyzed with the socio-demographic characteristics: awareness of diabetes, diabetics receiving medication and adequacy of treatment (measured by achieving normal fasting plasma glucose). RESULTS: The age-sex adjusted prevalence of diabetes and pre-diabetes were 10.8% and 25.0%, respectively, in the study population (n=7540). Prevalence of diabetes was 7.2% in the low SES (n=2147) and 17.9% in the high SES group (n=2,418). Among diabetics (n=879), 39.7% were aware of their disease, 35.5% were receiving medication, and 13.0% were receiving adequate medication. Diabeticpatients from the medium or high SES group had an increased likelihood of being aware of their disease and of receiving medication. CONCLUSIONS: Contrary to other developed countries, diabetes in Bangladesh is more prevalent among the higher SES group. Due to the high prevalence of pre-diabetes, lack of awareness of diabetes and less likelihood of receiving adequate treatment in lower SES group, there is potential for the rapid increase of diabetes. Urgent preventive measures are needed to control the impending diabetes epidemic.
Authors: Edward Fottrell; Naveed Ahmed; Sanjit Kumar Shaha; Hannah Jennings; Abdul Kuddus; Joanna Morrison; Kohenour Akter; Badrun Nahar; Tasmin Nahar; Hassan Haghparast-Bidgoli; A K Azad Khan; Anthony Costello; Kishwar Azad Journal: BMJ Glob Health Date: 2018-07-23