Noncommunicable Disease Profiles of Bangladeshi Immigrants Aged >55 Years Living in Toronto: Access to Health Workshop and Needed Supports for Management

Abstract

Objectives: The study explored the profiles of noncommunicable diseases (NCDs) of South Asian Bangladeshi immigrants aged > 55, access to health workshops about NCDs for self-care, and the types of support they needed to control and manage their NCDs.
 Methods: The study was cross-sectional. The participants were Bangladeshi immigrants aged > 55 living in Toronto. They attended an ethnic community organization for services from January to March 2020, and the study included participants from them (purposively). Pretested structured and semi-structured questionnaires were applied to collect the information. The study used chi-square and logistic regression for data analysis. 
 Results: The study included 191 participants; among the participants, males and females were 44.0% (84) and 56.0% (107), respectively, more than half of them (53.4%, 102) were aged > 60 years, and the majority (69.6%, 133) lived in Canada for more than five years. The frequently mentioned NCDs by gender perspective were diabetes (male vs. female: 51.2% vs. 57.9%), high blood pressure (male vs. female: 48.8% vs. 54.2%), and high cholesterol (male vs. female: 33.3% vs. 36.4%). They also mentioned arthritis/chronic joint pain (22.0%, 44), anxiety and depression (16.2%, 31), and heart disease (15.2%, 29). Females, compared to males, were more likely to have multiple NCDs, AOR= 1.62, 95% CI: 0.86, 3.04. Also, the participants aged > 60 years were 2.53 times more likely to have multiple NCDs than those who were < 60 years (95% CI: 1.34, 4.77), and the participants who arrived in Canada in five years were more likely to have multiple NCDs, AOR=1.42, 95% CI: 0.72, 2.83) compared to the group more than five years. Furthermore, 51.8% (99) of participants had no access to health workshops/ health information about NCDs for self-management. Most needed caregiver support from family members (59.7%, 114) to manage NCDs. Also, they required accompaniment support to go to health care providers (40.3%, 77), needed a doctor's cooperation (34.0%, 65), prescription management support (28.3%, 54), and home support (26.7%, 51) for managing the diseases. 
 Conclusion: The profile of NCDs of Bangladeshi immigrants aged > 55 years were high blood pressure, diabetes, and high cholesterol. Gender and sociodemographic variables changed the profile of NCDs in Bangladeshi immigrants. Participants needed better health information access and family care support to manage NCDs. Local ethnic community services can design a community-based health, home, and caregiver support approach to address the NCDs of Bangladeshi immigrants.