Abstract
ObjectivesTo examine awareness, treatment, and control of diabetes mellitus among the adult population in Bangladesh.MethodsThe study used data from the 2011 nationally representative Bangladesh Demographic and Health Survey (BDHS). The BDHS sample is comprised of 7,786 adults aged 35 years or older. The primary outcome variables were fasting blood glucose, diagnosis, treatment, and control of diabetes. Multilevel logistic regression models were used to identify the risk factors for diabetes awareness.ResultsOverall, age-standardized prevalence of diabetes was 9.2%. Among subjects with diabetes, 41.2% were aware of their condition, 36.9% were treated, and 14.2% controlled their condition. A significant inequality in diabetes management was found from poor to wealthy households: 18.2% to 63.2% (awareness), 15.8% to 56.6% (treatment), and 8.2% to 18.4% (control). Multilevel models suggested that participants who had a lower education and lower economic condition were less likely to be aware of their diabetes. Poor management was observed among non-educated, low-income groups, and those who lived in the northwestern region.ConclusionsDiabetes has become a national health concern in Bangladesh; however, treatment and control are quite low. Improving detection, awareness, and treatment strategies is urgently needed to prevent the growing burden associated with diabetes.
Highlights
Diabetes mellitus is a major global health problem, affecting 382 million people, accounting for 5.3 million deaths in 2013 [1,2,3]
Multilevel models suggested that participants who had a lower education and lower economic condition were less likely to be aware of their diabetes
Poor management was observed among non-educated, low-income groups, and those who lived in the northwestern region
Summary
Diabetes mellitus is a major global health problem, affecting 382 million people, accounting for 5.3 million deaths in 2013 [1,2,3]. Diabetes was a disease of the affluent, but it has become a major public health problem in low- and middle-income countries [6,7,8], affecting South Asians [4]. The economic and disease burden associated with noncommunicable diseases especially diabetes puts enormous pressure on fragile health systems in low-income countries [6,9,10,11]. In the South Asian region, Bangladesh has the second largest number of adults with diabetes (5.1 million adults, 6.31%) [1]. Understanding the extent to which households or populations are not being diagnosed, treated, and controlling their diabetes condition may reveal opportunities to reduce premature death, disability, and household economic shock
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
