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Comparison Of Prevalence, Diagnosis And Management Status Of Diabetes Between Rural And Urban Adult Population In Bangladeshcomparison Of Prevalence, Diagnosis And Management Status Of Diabetes Between Rural And Urban Adult Population In Bangladesh: High time to initiate diabetes prevention programs and spread diagnostic and management facilities in rural areas. High time to initiate diabetes prevention programs and spread diagnostic and management facilities in rural areas.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
2015 (English)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Aims:

To estimate and compare the prevalence of diabetes and prediabetes in urban and rural adult population, aged 35 years and older, in Bangladesh.

To estimate the effect of Urban-Rural disparity of health facilities on the diagnosis and management status of diabetes.

Method:

This study was designed using a quantitative research method. The recent and nationally representative cross-sectional data, extracted from Bangladesh Demographic and Health Survey 2011, was analysed. A total 7565 individuals, 5076 in rural and 2489 in urban, aged 35 years and older, participated in the fasting blood glucose testing. Any person with either fasting plasma glucose (FPG)level ≥ 7 (mmol/l)  or taking medication for diabetes was considered as diabetic person and any person with FPG level 6.1-6.9 (mmol/l) without taking medication was categorised as person with prediabetes. Other outcome variables were diagnosis status of persons with diabetes (diagnosed or undiagnosed), treatment status (on medication or not on medication) and control status of diabetes.

Results:

A higher prevalence of diabetes was found in urban (15.3%) compared with rural population (9%). But the prevalence of prediabetes was higher in rural (27.2%) than urban population (23.7%). Disparity was also observed in diagnosis status of diabetes. The rate of undiagnosed diabetes was much higher in rural (68.2%) than in urban (49.3%) areas. Multivariable logistic regression model suggested that people with diabetes in urban areas were more likely to be diagnosed than in rural areas (OR 1.56; P-value <0.01). Those who were aware about their diabetes status, around 90% of them were on medication and those who were on medication 36.3% of them able to control the disease with no significant disparity in urban and rural areas.

Conclusion:

More than 11% of the adult Bangladeshi people aged 35 years and older were having diabetes with majority of them undiagnosed. Though significant disparity in diabetes prevalence was observed in urban and rural areas, such disparity was mostly influenced by other variables. However, the prevalence was found to be increasing more rapidly in rural areas where the people with diabetes were less likely to be diagnosed due to lack of screening and diagnostic facilities. To reduce the risk of diabetes and diabetes related complications epidemic, initiation of diabetes awareness and prevention programs for the whole country and spreading the diagnostic and management facilities in rural level is urgently needed in Bangladesh. 

Place, publisher, year, edition, pages
2015. , 28 p.
Series
, Centre for Public Health Report Series, ISSN 1651-341x ; 2015:25
Keyword [en]
Diabetes, Prevalence, Urban, Rural, Comparison, Bangladesh
National Category
Medical and Health Sciences Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-104598OAI: oai:DiVA.org:umu-104598DiVA: diva2:820281
Educational program
Master's Programme in Public Health (one-year)
Presentation
2015-05-25, Umeå, 14:05 (English)
Supervisors
Examiners
Available from: 2016-04-07 Created: 2015-06-11 Last updated: 2016-04-07Bibliographically approved

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