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孟加拉国成年人中糖尿病和糖尿病前期的社会经济不平等现象。

Socio-economic inequalities in diabetes and prediabetes among Bangladeshi adults.

作者信息

Sarker Abdur Razzaque, Khanam Moriam

机构信息

Population Studies Division, Bangladesh Institute of Development Studies (BIDS), Dhaka, 1207 Bangladesh.

Institute of Health Economics, University of Dhaka, Dhaka, Bangladesh.

出版信息

Diabetol Int. 2021 Oct 25;13(2):421-435. doi: 10.1007/s13340-021-00556-9. eCollection 2022 Apr.

Abstract

Diabetes and prediabetes are overwhelming public health concerns in Bangladesh. However, there is a paucity of the literature examining and measuring socioeconomic inequalities in the prevalence of diabetes in Bangladesh. To provide reliable data and contribute to a nationwide scenario analysis, this study aims to estimate the inequality in prevalence of diabetes and prediabetes and to identify factors potentially contributing to socioeconomic inequalities in Bangladesh. This study used data from the latest Bangladesh Demographic and Health Survey (BDHS) 2017-18, a nationally representative survey. A regression-based decomposition method was applied to assess the socioeconomic contributors to inequality. The prevalence of diabetes and prediabetes were about 10 and 15% among Bangladeshi adults, respectively. Both diabetes and prediabetes were significantly associated with age, wealth status, suffering from overweight or obesity and administrative divisions of the respondents ( < 0.001). Respondents' household wealth status accounted for about 74 and 81% of the total inequality in diabetes and prediabetes in Bangladesh, respectively. Administrative region contributed 24.85% of the inequality in prediabetes and 12.26% of the inequality in diabetes. In addition, overweight or obesity status contributed 11.37% and exposure to television contributed 5.17% of the inequality in diabetes. Diabetes and prediabetes affect a substantial proportion of the Bangladeshi adult population. Therefore, these findings should be considered in the context of current and proposed policy decision making and for tracking its progression with economic development in Bangladesh.

摘要

糖尿病和糖尿病前期是孟加拉国极为严重的公共卫生问题。然而,在孟加拉国,研究和衡量糖尿病患病率方面社会经济不平等情况的文献却很匮乏。为了提供可靠数据并助力全国范围的情景分析,本研究旨在估算糖尿病和糖尿病前期患病率的不平等情况,并确定可能导致孟加拉国社会经济不平等的因素。本研究使用了来自2017 - 2018年最新的孟加拉国人口与健康调查(BDHS)的数据,这是一项具有全国代表性的调查。采用基于回归的分解方法来评估不平等的社会经济影响因素。孟加拉国成年人中糖尿病和糖尿病前期的患病率分别约为10%和15%。糖尿病和糖尿病前期均与年龄、财富状况、超重或肥胖以及受访者的行政区显著相关(<0.001)。受访者的家庭财富状况分别占孟加拉国糖尿病和糖尿病前期总不平等的约74%和81%。行政区对糖尿病前期不平等的贡献率为24.85%,对糖尿病不平等的贡献率为12.26%。此外,超重或肥胖状况对糖尿病不平等的贡献率为11.37%,接触电视对糖尿病不平等的贡献率为5.17%。糖尿病和糖尿病前期影响着很大比例的孟加拉国成年人口。因此,在当前及拟议的政策决策背景下以及追踪其在孟加拉国随经济发展的进展情况时,应考虑这些研究结果。

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