Type 2 diabetes and its correlates among adults in Bangladesh: a population based study
Type 2 diabetes and its correlates among adults in Bangladesh: a population based study
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DOI：
10.1186/s12889-015-2413-y
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发表时间：
2015-10-19
影响因子：
4.5
通讯作者：
Haque, Md Rabiul
中科院分区：
文献类型：
--
作者：
Chowdhury, Muhammad Abdul Baker;Uddin, Md Jamal;Haque, Md Rabiul
背景：2型糖尿病是孟加拉国最常见的非传染性疾病之一。然而，孟加拉国成年人中2型糖尿病的相关性仍不清楚。我们的目标是调查孟加拉国成年人中2型糖尿病的相关性。方法：我们利用具有全国代表性的2011年孟加拉国人口与健康调查数据进行了一项横断面研究。随机抽样调查了7543名(3823名女性和3720名男性)35岁及以上的城市和农村地区成年人，他们参与了调查。糖尿病被定义为在调查期间有空腹血糖水平=7 mm/L或服用糖尿病药物。分析中考虑了假设的因素，如年龄、性别、教育程度、居住地、社会地位、体重指数和高血压。结果：糖尿病总患病率为11%，女性患病率(11.2%)略高于男性(10.6%)。55~59岁年龄组患糖尿病的优势比(OR)=2.37，95%可信区间(CI)：1.76~3.21。此外，受教育程度高(OR=1.67，95%CI：1.18~2.36)和社会地位高(OR=2.01，95%CI：1.50~2.70)的调查对象患糖尿病的风险分别高于未受教育程度和较低社会地位的调查对象。我们还发现社会经济状况、居住地(城乡)、居住地区(不同地区)、超重和肥胖以及高血压与孟加拉人的2型糖尿病显著相关。结论：我们的研究表明，年龄、较高的社会经济地位、较高的教育程度、高血压和肥胖与2型糖尿病显著相关。孟加拉国应为老年人、富人和/或受过高等教育的人启动基于需求的政策计划战略，包括早期诊断、通过大众媒体提高认识，以及改变生活方式的健康教育计划。此外，有必要对具体地区进行纵向研究，以找出地区差异的根本原因。
Background: Type 2 diabetes is one of the most prevalent non-communicable diseases in Bangladesh. However, the correlates of type 2 diabetes among adults in Bangladesh remain unknown. We aimed to investigate the correlates of type 2 diabetes among the adults in Bangladesh.Methods: We conducted a cross-sectional study using data from the nationally representative 2011 Bangladesh Demographic and Health Survey. A random sample of 7,543 (3,823 women and 3,720 men) adults of age 35 years and older from both urban and rural areas, who participated in the survey was included. Diabetes was defined as having a fasting plasma blood glucose level of >= 7 mm/L or taking diabetes medication during the survey. Hypothesized factors, e.g., age, sex, education, place of residence, social status, body mass index, and hypertension were considered in the analyses. Multivariable logistic regression models were used to identify the important correlates of type 2 diabetes.Results: Among the respondents, the overall prevalence of diabetes was 11 %, and the prevalence was slightly higher in women (11.2 %) than men (10.6 %). Respondents with the age group of 55-59 years had higher odds of having diabetes (odds ratios (OR) = 2.37, 95 % confidence interval (CI): 1.76-3.21) than the age group of 35-39 years. Moreover, respondents who had higher educational attainment (OR = 1.67, 95 % CI: 1.18-2.36) and higher social status (OR = 2.01, 95 % CI: 1.50-2.70) had higher odds of having diabetes than the respondents with no education and lower social status, respectively. We also found socioeconomic status, place of residence (rural or urban), regions of residence (different divisions), overweight and obesity, and hypertension as significant correlates of type 2 diabetes in Bangladesh.Conclusions: Our study shows that older age, higher socioeconomic status, higher educational attainment, hypertension, and obesity were found to be significant correlates of type 2 diabetes. Need-based policy program strategies including early diagnosis, awareness via mass media, and health education programs for changing lifestyles should be initiated for older age, wealthy, and/or higher educated individuals in Bangladesh. Moreover, area-specific longitudinal research is necessary to find out the underlying causes of regional variations.