Rahman Mosiur, Haque Syed Emdadul, Karim Iftekhairul, Datta Benay Kumar, Islam G M Rabiul, Sikder Md Ziaul Hasan, Khan Mohammed Shakwat Hossain
Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, 6205, Bangladesh.
Uchicago Research Bangladesh, Dhaka, Bangladesh.
Sci Rep. 2025 Jul 2;15(1):23363. doi: 10.1038/s41598-025-03173-7.
Research on the relationship between socioeconomic status (SES), the prevalence of disability, and the use of healthcare services by people with disabilities is limited. The aim of this study is to identify socioeconomic predictors of disability and examine the utilization of healthcare services among people with disabilities in Bangladesh. We used the first national representative, the National Household Survey on Persons with Disabilities (NSPD) 2021 survey data. The data utilized in our analysis came from 100,859 people who were at least 18 years old. Standard of living (henceforth referred to as wealth) was our proxy indicator of SES. The variables of interest for the outcome were the respondents' disability status and frequency of use of healthcare services. Adjusted odds ratio, relative, and slope inequality index are three regression-based techniques we utilized to evaluate different aspects of SES disparities in use of healthcare services and disability status. The prevalence of disability of our study sample was 3.40% and about 74.06% of people with disabilities have used healthcare services in the past three months. When compared to people in the poor SES group, people in the rich and middle SES group had 0.69 (95% CI 0.60-0.78) and 0.80 (95% CI 0.78-0.95) times lower chance of developing disability. When compared to individuals in the poor SES group, those in the rich and middle SES groups were 2.12 times (95% CI 1.55-2.89) and 1.39 times (95% CI 1.12-1.72) more likely to use of healthcare services. SES should be a key consideration in designing public health programs aimed at improving healthcare access and reducing disability prevalence in Bangladesh.
关于社会经济地位（SES）、残疾患病率以及残疾人医疗服务使用情况之间关系的研究较为有限。本研究的目的是确定残疾的社会经济预测因素，并考察孟加拉国残疾人的医疗服务利用情况。我们使用了首个全国代表性的2021年全国残疾人家庭调查（NSPD）数据。我们分析中使用的数据来自100859名年龄至少为18岁的人。生活水平（以下简称财富）是我们衡量SES的替代指标。结果方面的感兴趣变量是受访者的残疾状况和医疗服务使用频率。调整后的优势比、相对和斜率不平等指数是我们用来评估SES在医疗服务使用和残疾状况方面差异的不同方面的三种基于回归的技术。我们研究样本的残疾患病率为3.40%，约74.06%的残疾人在过去三个月中使用过医疗服务。与贫困SES组的人相比，富裕和中等SES组的人患残疾的几率分别低0.69倍（95%置信区间0.60 - 0.78）和0.80倍（95%置信区间0.78 - 0.95）。与贫困SES组的个体相比，富裕和中等SES组的人使用医疗服务的可能性分别高2.12倍（95%置信区间1.55 - 2.89）和1.39倍（95%置信区间1.12 - 1.72）。在设计旨在改善孟加拉国医疗服务可及性和降低残疾患病率的公共卫生项目时，SES应是一个关键考虑因素。
