Prevalence, trends and associated factors of hypertension and diabetes mellitus in Bangladesh: Evidence from BHDS 2011 and 2017-18
The evolving pandemic of non-communicable diseases like hypertension, diabetes mellitus are globally on the rise, and the trend is also escalating in Bangladesh. We aimed to assess the prevalence trend and associated factors of hypertension (HTN), diabetes mellitus (DM), and hypertension- diabetes m...
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| description | The evolving pandemic of non-communicable diseases like hypertension, diabetes mellitus are globally on the rise, and the trend is also escalating in Bangladesh. We aimed to assess the prevalence trend and associated factors of hypertension (HTN), diabetes mellitus (DM), and hypertension- diabetes mellitus combined (HDC) among Bangladeshi adults from 2011 to 2018. Two nationally representative cross-sectional data from Bangladesh Demographic and Health Survey (BDHS): 2011 and 2017-18 were utilized. According to baseline characteristics, the average annual rate of change (AARC) was applied to quantify the annual rate of increase/decrease in HTN, DM, and HDC from 2011 to 2018. The prevalence ratios of HTN, DM, and HDC were assessed through modified Poisson regression with robust error variance (PR, 95% Confidence Interval (CI)). The data were prepared in SPSS version 23 and exported to Stata version 13 for further analysis. Among 11,686 participants, the overall mean age of the study participants was 52.79 years, Standard Deviation (SD)±12.99, and 42.28% were female. From 2011-2018, HTN, DM, and HDC prevalence in Bangladesh has increased by 13, 3.2, and 3.1 percentage points, respectively. The average annual rate of increase was observed in the HTN and HDC prevalence by all socio-economic and demographic categories during 2011-2018. The prevalence of HDC among Chittagong residents was approximately double in 2018: 3.95% (2011) versus 6.59% (2018). Increased age, inactive workers, overweight adults, and adults in wealthy families were common risk factors associated with HTN, DM, and HDC in Bangladesh. The prevalence of developing HTN and HDC was significantly higher among adults aged ≥ 70 years (PR: 2.70, 95% CI: 2.42-3.00; PR: 2.97, 95% CI: 2.08-4.24, respectively). A comprehensive approach of different stakeholders is required to develop appropriate strategies, including appropriate weight management, adequate physical activity, and healthier food habits. Health agencies should take initiatives to spread awareness among people at an early age, but special attention is needed for older people and those at risk for NCDs. |
| doi_str_mv | 10.1371/journal.pone.0267243 |
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We aimed to assess the prevalence trend and associated factors of hypertension (HTN), diabetes mellitus (DM), and hypertension- diabetes mellitus combined (HDC) among Bangladeshi adults from 2011 to 2018. Two nationally representative cross-sectional data from Bangladesh Demographic and Health Survey (BDHS): 2011 and 2017-18 were utilized. According to baseline characteristics, the average annual rate of change (AARC) was applied to quantify the annual rate of increase/decrease in HTN, DM, and HDC from 2011 to 2018. The prevalence ratios of HTN, DM, and HDC were assessed through modified Poisson regression with robust error variance (PR, 95% Confidence Interval (CI)). The data were prepared in SPSS version 23 and exported to Stata version 13 for further analysis. Among 11,686 participants, the overall mean age of the study participants was 52.79 years, Standard Deviation (SD)±12.99, and 42.28% were female. From 2011-2018, HTN, DM, and HDC prevalence in Bangladesh has increased by 13, 3.2, and 3.1 percentage points, respectively. The average annual rate of increase was observed in the HTN and HDC prevalence by all socio-economic and demographic categories during 2011-2018. The prevalence of HDC among Chittagong residents was approximately double in 2018: 3.95% (2011) versus 6.59% (2018). Increased age, inactive workers, overweight adults, and adults in wealthy families were common risk factors associated with HTN, DM, and HDC in Bangladesh. The prevalence of developing HTN and HDC was significantly higher among adults aged ≥ 70 years (PR: 2.70, 95% CI: 2.42-3.00; PR: 2.97, 95% CI: 2.08-4.24, respectively). A comprehensive approach of different stakeholders is required to develop appropriate strategies, including appropriate weight management, adequate physical activity, and healthier food habits. Health agencies should take initiatives to spread awareness among people at an early age, but special attention is needed for older people and those at risk for NCDs.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0267243</identifier><identifier>PMID: 35503777</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Adults ; Age ; Aged ; Bangladesh - epidemiology ; Biology and Life Sciences ; Blood pressure ; Body mass index ; Body weight ; Confidence intervals ; Cross-Sectional Studies ; Datasets ; Demographics ; Demography ; Developing countries ; Diabetes ; Diabetes mellitus ; Diabetes Mellitus - epidemiology ; Diagnosis ; Distribution ; Education ; Fasting ; Female ; Food habits ; Food preferences ; Glucose ; Health risks ; Health surveys ; Households ; Humans ; Hypertension ; Hypertension - epidemiology ; Infectious diseases ; LDCs ; Male ; Males ; Medicine and Health Sciences ; Middle Aged ; Older people ; Overweight ; People and Places ; Physical activity ; Prevalence ; Public health ; Risk analysis ; Risk Factors ; Robustness (mathematics) ; Statistical analysis ; Trends ; Women</subject><ispartof>PloS one, 2022-05, Vol.17 (5), p.e0267243-e0267243</ispartof><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Sathi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 Sathi et al 2022 Sathi et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-bc58795775f288c828c270d99fd602350164680533d3c4dd741dcc1fb54d00743</citedby><cites>FETCH-LOGICAL-c692t-bc58795775f288c828c270d99fd602350164680533d3c4dd741dcc1fb54d00743</cites><orcidid>0000-0003-2396-2168 ; 0000-0002-9663-9460 ; 0000-0002-7663-2181</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9064112/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9064112/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,862,883,2098,2917,23853,27911,27912,53778,53780,79355,79356</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35503777$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Kabir, Enamul</contributor><creatorcontrib>Sathi, Nusrat Jahan</creatorcontrib><creatorcontrib>Islam, Md Akhtarul</creatorcontrib><creatorcontrib>Ahmed, Md Sabbir</creatorcontrib><creatorcontrib>Islam, Sheikh Mohammed Shariful</creatorcontrib><title>Prevalence, trends and associated factors of hypertension and diabetes mellitus in Bangladesh: Evidence from BHDS 2011 and 2017-18</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The evolving pandemic of non-communicable diseases like hypertension, diabetes mellitus are globally on the rise, and the trend is also escalating in Bangladesh. 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Health agencies should take initiatives to spread awareness among people at an early age, but special attention is needed for older people and those at risk for NCDs.</description><subject>Adult</subject><subject>Adults</subject><subject>Age</subject><subject>Aged</subject><subject>Bangladesh - epidemiology</subject><subject>Biology and Life Sciences</subject><subject>Blood pressure</subject><subject>Body mass index</subject><subject>Body weight</subject><subject>Confidence intervals</subject><subject>Cross-Sectional Studies</subject><subject>Datasets</subject><subject>Demographics</subject><subject>Demography</subject><subject>Developing countries</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes Mellitus - epidemiology</subject><subject>Diagnosis</subject><subject>Distribution</subject><subject>Education</subject><subject>Fasting</subject><subject>Female</subject><subject>Food habits</subject><subject>Food preferences</subject><subject>Glucose</subject><subject>Health risks</subject><subject>Health surveys</subject><subject>Households</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - epidemiology</subject><subject>Infectious diseases</subject><subject>LDCs</subject><subject>Male</subject><subject>Males</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Older people</subject><subject>Overweight</subject><subject>People and Places</subject><subject>Physical activity</subject><subject>Prevalence</subject><subject>Public health</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Robustness (mathematics)</subject><subject>Statistical analysis</subject><subject>Trends</subject><subject>Women</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk11v0zAYhSMEYqPwDxBYQkIg0eKPxE64QNrGYJUmDTHg1nJtp3WV2MV2KnbLL8dps6lBu0C5iGU_59g-ft8se47gDBGG3q9d561oZhtn9QxiynBOHmTHqCJ4SjEkDw_GR9mTENYQFqSk9HF2RIoCEsbYcfbnq9db0Wgr9TsQvbYqAGEVECE4aUTUCtRCRucDcDVY3Wy0j9oG4-wOU0YsdNQBtLppTOwCMBacCrtshNJh9QGcb43qzUHtXQtOLz5dAwwR2onTgE1R-TR7VIsm6GfDf5L9-Hz-_exienn1ZX52cjmVtMJxupBFyaqCsaLGZSlLXErMoKqqWlGISQERzWmZrkgUkblSLEdKSlQvilxByHIyyV7ufTeNC3yIL3BMyxRRWVU9Md8Tyok133jTCn_DnTB8N-H8kgsfjWw0ZyKvWdFrBcsXOS4ZYgRDhZHGSqVTTLKPw27dotVKahu9aEam4xVrVnzptryCNEcIJ4M3g4F3vzodIm9NkClmYbXr-nMXFSaQ0jKhr_5B77_dQC3Te3Nja5f2lb0pP2EpwVQPkCRqdg-VPqVbI1Ot1SbNjwRvR4LERP07LkUXAp9ff_t_9urnmH19wK60aOIquKaLqfbCGMz3oPQuBK_ru5AR5H2r3KbB-1bhQ6sk2YvDB7oT3fYG-QvJvgq3</recordid><startdate>20220503</startdate><enddate>20220503</enddate><creator>Sathi, Nusrat Jahan</creator><creator>Islam, Md Akhtarul</creator><creator>Ahmed, Md Sabbir</creator><creator>Islam, Sheikh Mohammed Shariful</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-2396-2168</orcidid><orcidid>https://orcid.org/0000-0002-9663-9460</orcidid><orcidid>https://orcid.org/0000-0002-7663-2181</orcidid></search><sort><creationdate>20220503</creationdate><title>Prevalence, trends and associated factors of hypertension and diabetes mellitus in Bangladesh: Evidence from BHDS 2011 and 2017-18</title><author>Sathi, Nusrat Jahan ; Islam, Md Akhtarul ; Ahmed, Md Sabbir ; Islam, Sheikh Mohammed Shariful</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-bc58795775f288c828c270d99fd602350164680533d3c4dd741dcc1fb54d00743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adult</topic><topic>Adults</topic><topic>Age</topic><topic>Aged</topic><topic>Bangladesh - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sathi, Nusrat Jahan</au><au>Islam, Md Akhtarul</au><au>Ahmed, Md Sabbir</au><au>Islam, Sheikh Mohammed Shariful</au><au>Kabir, Enamul</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence, trends and associated factors of hypertension and diabetes mellitus in Bangladesh: Evidence from BHDS 2011 and 2017-18</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2022-05-03</date><risdate>2022</risdate><volume>17</volume><issue>5</issue><spage>e0267243</spage><epage>e0267243</epage><pages>e0267243-e0267243</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The evolving pandemic of non-communicable diseases like hypertension, diabetes mellitus are globally on the rise, and the trend is also escalating in Bangladesh. We aimed to assess the prevalence trend and associated factors of hypertension (HTN), diabetes mellitus (DM), and hypertension- diabetes mellitus combined (HDC) among Bangladeshi adults from 2011 to 2018. Two nationally representative cross-sectional data from Bangladesh Demographic and Health Survey (BDHS): 2011 and 2017-18 were utilized. According to baseline characteristics, the average annual rate of change (AARC) was applied to quantify the annual rate of increase/decrease in HTN, DM, and HDC from 2011 to 2018. The prevalence ratios of HTN, DM, and HDC were assessed through modified Poisson regression with robust error variance (PR, 95% Confidence Interval (CI)). The data were prepared in SPSS version 23 and exported to Stata version 13 for further analysis. Among 11,686 participants, the overall mean age of the study participants was 52.79 years, Standard Deviation (SD)±12.99, and 42.28% were female. From 2011-2018, HTN, DM, and HDC prevalence in Bangladesh has increased by 13, 3.2, and 3.1 percentage points, respectively. The average annual rate of increase was observed in the HTN and HDC prevalence by all socio-economic and demographic categories during 2011-2018. The prevalence of HDC among Chittagong residents was approximately double in 2018: 3.95% (2011) versus 6.59% (2018). Increased age, inactive workers, overweight adults, and adults in wealthy families were common risk factors associated with HTN, DM, and HDC in Bangladesh. The prevalence of developing HTN and HDC was significantly higher among adults aged ≥ 70 years (PR: 2.70, 95% CI: 2.42-3.00; PR: 2.97, 95% CI: 2.08-4.24, respectively). A comprehensive approach of different stakeholders is required to develop appropriate strategies, including appropriate weight management, adequate physical activity, and healthier food habits. Health agencies should take initiatives to spread awareness among people at an early age, but special attention is needed for older people and those at risk for NCDs.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>35503777</pmid><doi>10.1371/journal.pone.0267243</doi><tpages>e0267243</tpages><orcidid>https://orcid.org/0000-0003-2396-2168</orcidid><orcidid>https://orcid.org/0000-0002-9663-9460</orcidid><orcidid>https://orcid.org/0000-0002-7663-2181</orcidid><oa>free_for_read</oa></addata></record> |
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| language | eng |
| recordid | cdi_plos_journals_2686208994 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Adults Age Aged Bangladesh - epidemiology Biology and Life Sciences Blood pressure Body mass index Body weight Confidence intervals Cross-Sectional Studies Datasets Demographics Demography Developing countries Diabetes Diabetes mellitus Diabetes Mellitus - epidemiology Diagnosis Distribution Education Fasting Female Food habits Food preferences Glucose Health risks Health surveys Households Humans Hypertension Hypertension - epidemiology Infectious diseases LDCs Male Males Medicine and Health Sciences Middle Aged Older people Overweight People and Places Physical activity Prevalence Public health Risk analysis Risk Factors Robustness (mathematics) Statistical analysis Trends Women |
| title | Prevalence, trends and associated factors of hypertension and diabetes mellitus in Bangladesh: Evidence from BHDS 2011 and 2017-18 |
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