Department of Population Sciences, University of Dhaka, Dhaka, 1000, Bangladesh.
Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Maryland, 21205, USA.
Sci Rep. 2024 Apr 4;14(1):7936. doi: 10.1038/s41598-024-58554-1.
Diabetes and hypertension are among the leading causes of death in Bangladesh. This study examined hypertension, diabetes, and either or both, free life expectancy, to measure the effect of the diseases on the overall health of individuals in Bangladesh with regional variations. We utilized data from Bangladesh Sample Vital Statistics 2018 for mortality and Bangladesh Demographic and Health Survey 2017-2018 for diabetes and hypertension. The Sullivan method was employed to estimate age-specific hypertension and diabetes-free life expectancy. Altogether, 10.3% of the people aged 18-19 years lived with either diabetes or hypertension. The hypertension-free life expectancy was 40.4 years, and the diabetes-free life expectancy was 53.2 years for those aged 15-19. Overall, individuals would expect to spend 38.7% of their lives with either of the diseases. Females suffered more from hypertension and males from diabetes. Still, females suffered more from the aggregate of both. Rural people had more diabetes and hypertension-free life expectancy than those of urban. Individuals of Mymensingh had the highest life expectancy free of both diseases compared to other divisions of Bangladesh. Diabetes and hypertension affect a considerable proportion of the life of the population in Bangladesh. Policy actions are needed to guide the prevention, diagnosis, and treatment of both diseases, specifically focusing on women and urban populations. Widespread health-enhancing actions need to be taken to diminish the effect of these two diseases in Bangladesh.
糖尿病和高血压是孟加拉国的主要死亡原因之一。本研究考察了高血压、糖尿病或两者同时存在的情况，以衡量这些疾病对孟加拉国个体整体健康的影响，并考虑了区域差异。我们使用了 2018 年孟加拉国样本生命统计数据来衡量死亡率，以及 2017-2018 年孟加拉国人口与健康调查数据来衡量糖尿病和高血压的患病情况。我们采用了沙利文方法来估计特定年龄的高血压和无糖尿病预期寿命。在 18-19 岁的人群中，有 10.3%的人患有糖尿病或高血压。对于 15-19 岁的人来说，高血压无预期寿命为 40.4 年，糖尿病无预期寿命为 53.2 年。总的来说，人们预计会有 38.7%的生命时间患有这两种疾病中的一种。女性更多地患有高血压，男性更多地患有糖尿病。然而，女性在两种疾病的综合影响下遭受的痛苦更多。农村地区的人比城市地区的人拥有更多的高血压和无糖尿病预期寿命。与孟加拉国其他地区相比，迈门辛地区的人拥有最高的两种疾病都不患的预期寿命。糖尿病和高血压对孟加拉国人口的相当一部分生命产生了影响。需要采取政策行动来指导这两种疾病的预防、诊断和治疗，特别是关注女性和城市人口。需要采取广泛的促进健康的行动来减轻这两种疾病在孟加拉国的影响。
