Abstract

The paper was to throw some light on the risk factors for diabetes disability among Bangladeshi adults of 18 years and above residing in both urban and rural areas. In investigating the adults, it was decided to cover 50.1% males and 49.9% females to maintain the national level of sex ratio in the sample. The respondents were interviewed when they were visiting some diagnostic centres in urban and semi-urban areas. The percentage of diabetic respondents included in the sample was 67% and 25.5% of them were suffering for 10 years and above, 6.4% were disable against 4.8% total disable respondents in the sample, and obese adults were 30.2%. Diabetic disable adults in the sample were 4.3%. The most responsible variable for diabetes disability was obesity followed by longer duration of diabetes, sedentary activity, smoking habit, being housewife, being married, etc. These variables were identified on the basis of risk ratio and correlation coefficients of variables and discriminant function scores. Beside these variables, rural people, Muslims, adults of ages 40 – 50 years, illiterate people had more risk of facing the problem of diabetes disability.

Highlights

  • Physical disability for males and females indicates increased risk of not being able to do usual daily task; like normal walking, normal working, and maintaining physical balance without any support

  • Obesity and diabetes may increase the risk of disability because of complications arises in mobility conditions, in hearing capacity and in visual impairment, including cardiovascular disease (CVD) and peripheral vascular disease and peripheral neuropathy [ 1, 2, 3, 4 ]

  • The analysis showed that the variable body mass index was most responsible one for discrimination followed by duration of diabetes, utilization of time, smoking habit, occupation, marital status, level of blood pressure, etc

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Summary

Introduction

Physical disability for males and females indicates increased risk of not being able to do usual daily task; like normal walking, normal working, and maintaining physical balance without any support. In another study it was reported that the risk of disability might be increased 67% due to diabetes [5]. The diabetic disable patients is expected to be increased by 2025 in developed countries as older people will comprise two-thirds of the diabetic patients in those countries [ 7, 8 ]. The prevalence of diabetes in adults is predicted to rise to 642 million in 2040 [9]. The rate of prevalence of the problem was 4.3% in 2006 in India compared to 1 to 2 per cent in western world [12]. The problem is predominant among females, older people and diabetic patients suffering for longer duration [20, 21]. May be the causes of disability [5, 22 – 26] Keeping this health problem of adults in mind the objective of this paper was determined to identify the socioeconomic variables responsible for simultaneous prevalence of diabetes disability among Bangladeshi adults

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