Munam Al Muktadir, Hossain Ahammad
Department of Community Health and Epidemiology Dalhousie University Halifax Nova Scotia Canada.
Department of Computer Science & Engineering Varendra University Rajshahi Bangladesh.
Health Sci Rep. 2025 Aug 19;8(8):e71183. doi: 10.1002/hsr2.71183. eCollection 2025 Aug.
Diabetes mellitus (DM) and hypertension (HT) are major global health concerns, with a rising prevalence worsened by the COVID-19 pandemic. The interplay between these chronic conditions and COVID-19 presents a unique public health challenge, particularly in low- and middle-income countries such as Bangladesh. This study aimed to (1) determine the prevalence of DM and HT among individuals affected by COVID-19 pandemic in Rajshahi Division, Bangladesh, and (2) explore associations with sociodemographic and biological factors.
This cross-sectional study was conducted in the Rajshahi Division of Bangladesh between April and August 2021. Data was collected from 390 COVID-19-positive patients using a structured questionnaire and physical measurements, focusing on sociodemographic and biological factors associated with DM and HT. Logistic regression analyses were performed to identify significant risk factors.
Among participants, 12.05% had DM, 15.89% had HT, and 7.95% had both. Older age ( > 50 years) was significantly associated with higher prevalence of both conditions ( < 0.001). Females were more likely to have DM (16.6% vs. 9.2%), HT (19.2% vs. 13.8%), and both (10.6% vs. 6.3%) than males ( < 0.05). Private or self-employed individuals had a significantly higher risk of both DM and HT (RRR: 7.66, 95% CI: 4.26-12.37, < 0.001). Obesity (BMI ≥ 25) was linked to increased prevalence of DM (13.2%), HT (21.0%), and both (10.2%). Elevated SBP and DBP were strongly associated with comorbidity ( < 0.001), and tobacco use increased the odds of DM (AOR: 2.45, 95% CI: 1.13-5.29, = 0.02).
Targeted interventions, such as community-based education, improved chronic disease management, and culturally tailored strategies, are recommended to address these conditions effectively. Strengthening healthcare infrastructure and conducting longitudinal research to explore causal pathways will be critical in mitigating the impact of these comorbidities and improving pandemic preparedness in resource-limited settings.
糖尿病（DM）和高血压（HT）是全球主要的健康问题，新冠疫情使其患病率上升。这些慢性病与新冠疫情之间的相互作用带来了独特的公共卫生挑战，在孟加拉国等低收入和中等收入国家尤为如此。本研究旨在：（1）确定孟加拉国拉杰沙希专区受新冠疫情影响人群中糖尿病和高血压的患病率；（2）探讨与社会人口学和生物学因素的关联。
本横断面研究于2021年4月至8月在孟加拉国拉杰沙希专区进行。使用结构化问卷和体格测量从390名新冠阳性患者收集数据，重点关注与糖尿病和高血压相关的社会人口学和生物学因素。进行逻辑回归分析以确定显著的风险因素。
在参与者中，12.05%患有糖尿病，15.89%患有高血压，7.95%两者都有。年龄较大（>50岁）与这两种疾病的较高患病率显著相关（<0.001）。女性比男性更易患糖尿病（16.6%对9.2%）、高血压（19.2%对13.8%）以及两者皆患（10.6%对6.3%）（<0.05）。私营或个体经营者患糖尿病和高血压的风险显著更高（相对风险比：7.66，95%置信区间：4.26 - 12.37，<0.001）。肥胖（体重指数≥25）与糖尿病（13.2%）、高血压（2
