scholarly journals Awareness, treatment, and control of diabetes in Bangladesh: evidence from the Bangladesh Demographic and Health Survey 2017/18

2021 ◽  
Author(s):  
Md Nuruzzaman Khan ◽  
John C. Oldroyd ◽  
Mohammad Bellal Hossain ◽  
Rakibul M. Islam
Keyword(s):  
Health Survey ◽  
Diabetes Management ◽  
Demographic And Health Survey ◽  
Structural Factors ◽  
Cross Sectional ◽  
Factors Associated ◽  
Control Of Diabetes ◽  
Lower Education ◽  
The Government ◽  
And Control

Background The prevalence of diabetes is increasing in Bangladesh; however, the management of diabetes assessed by diabetes awareness, treatment, and control, remains poor. We aimed to estimate the age-standardised prevalence of awareness, treatment, and control of diabetes and its associated factors. Methods In this cross-sectional study, data from 1,174 Bangladeshi adults aged 18 years and older available from the most recent nationally representative Bangladesh Demographic and Health Survey (BDHS) 2017-18 were analysed. Awareness, treatment, and control of diabetes were our outcomes of interest. Crude and age-stadarised prevalence of awareness, treatment, and control were estimated using the survey weight and direct standardisation, respectively. Multilevel mixed-effects Poisson regression models were used to identify factors associated with awareness, treatment, and control of diabetes. Results Among those with diabetes (n=1,174), only 41.6% (95% CI, 38.3-45.0) were aware that they had the condition, and 39.3% (95% CI, 35.9-42.6) were taking treatment. Among those treated for diabetes, only 33.3% (95% CI, 28.9-37.6) had controlled diabetes. Factors positively associated with awareness and treatment were increasing age and hypertension while factors negatively associated with awareness and treatment were being men and having lower education. Factors associated with poor control were secondary education and residing in Rajshahi and Rangpur divisions. Conclusion This study provides evidence of poor management of diabetes in Bangladesh, especially in men. Less than half of the people with diabetes were aware of their condition, and only one-third had controlled diabetes. Interventions targeting younger people, in particular men and those with lower education, are urgently needed. The government needs to strengthen diabetes management programs within primary health care and address structural factors including the costs of diabetes care to improve awareness, treatment, and control of diabetes in Bangladesh.

scholarly journals Trend and factors associated with under-five mortality in Ethiopia further analysis of 2000-2016 Ethiopian demographic and health survey: A Multivariate decomposition analysis

2020 ◽  
Author(s):  
Wullo Sisay ◽  
Getayeneh Antehunegn Tesema ◽  
Misganaw Gebrie Worku ◽  
Dessie Abebaw Angaw
Keyword(s):  
Health Survey ◽  
Decomposition Analysis ◽  
Sampling Technique ◽  
Home Delivery ◽  
Fixed Number ◽  
Demographic And Health Survey ◽  
Cross Sectional ◽  
Under Five ◽  
Factors Associated ◽  
The Government

Abstract Background: The under-five mortality rate is the probability that a newborn will die before reaching the age of five years. It is usually expressed as a rate per 1000 live births. Nearly 7 million children worldwide die before their fifth birthdays, with almost all of such death occurring in developing countries Objective: To assess the trend and factors associated with under-five mortality in Ethiopia further analysis of 2000-2016 Ethiopian demographic and health survey: a decomposition analysis Methods: A secondary serial cross-sectional analysis was conducted utilizing data from four rounds of EDHS administered in 2000, 2005, 2011 and 2016. The Ethiopian health and demographic survey in 2000-2016 used a two-stage stratified sampling technique to select a nationally representative sample. In the first stage the total number of enumeration areas was 539 in 2000, 540 in 2005, 624 in 2011 and 645 EAs in 2016 were selected with probability proportional to EA size and with independent selection in each sampling stratum. In the second stage of selection, a fixed number of 28 households per cluster were selected with an equal probability systematic selection from the newly created household listing. Result: Looking at the overall trend, Ethiopia has shown a significant decrease in under-five mortality over the study period from 166 per 1000 births in 2000 to 67 per 1000 birth in 2016 with annual rate of reduction of 3.7%. The trends in under-five mortality showed a variation according to their characteristics. Among home delivery, the largest decrement was observed around 6.5% decrease from 2000 to 2016 and in health facility delivery decreased by 8.3% The decomposition analysis shows that 100.74% of the decrease in under-five mortality was accredited to the difference in the effects of characteristics. Conclusion: Under-five mortality decreased significantly over the last one and a half decades. One of the remarkable findings from the decomposition analysis is the effect of education, place of delivery and maternal age. the government of Ethiopia shall do all daughters will be educated and to build health facilities the whole place of the country Keywords: Under-five mortality decomposition analysis, trend

scholarly journals Prevalence, awareness, and control of hypertension among Bangladeshi adults: an analysis of demographic and health survey 2017–18

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Gulam Muhammed Al Kibria ◽  
Rajat Das Gupta ◽  
Jannatun Nayeem
Keyword(s):  
Health Survey ◽  
Descriptive Analysis ◽  
Female Gender ◽  
Cross Sectional Study ◽  
Older Age ◽  
Demographic And Health Survey ◽  
Cross Sectional ◽  
Factors Associated ◽  
Control Programs ◽  
And Control

Abstract Background The prevalence of hypertension is increasing in Bangladesh, however, few recent studies investigated the proportion of people and factors associated with prevalence, awareness, and control of this condition in this country. This study investigated these among Bangladeshi adults. Methods Using Bangladesh Demographic and Health Survey 2017–18 data, a cross-sectional study was conducted. Multilevel logistic regression analysis was employed after descriptive analysis and prevalence estimation. Results Among 12,926 persons (mean age: 40 years, 57% women), the prevalence of hypertension was 27.4% (n = 3551), it was 28.4 and 26.2% among females and males, respectively. Among hypertensive people, about 42.4% (n = 1508) people were aware of having it, 48.7% among females and 33.5% among males. Of the 1313 people who were taking antihypertensive medication, only 33.8% (n = 443) had controlled hypertension, 34.7 and 31.7% among females and males, respectively. Among the studied factors associated with hypertension, people with older age, female gender, overweight/obesity, diabetes, richer wealth quintiles, and residence in some administrative divisions had higher odds of hypertension (p < 0.05). However, the odds of awareness was lower among younger people, males, and people without overweight/obesity, diabetes, or richer wealth quintiles. Odds of controlled hypertension was also lower among people with older age and higher among college-educated people. Conclusion This study identified several important factors associated with prevalence, awareness, and control of hypertension. It is important to address these factors with nationwide prevention and control programs.

scholarly journals Factors associated with low birth weight in Afghanistan: a cross-sectional analysis of the demographic and health survey 2015

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e025715 ◽  
Author(s):  
Rajat Das Gupta ◽  
Krystal Swasey ◽  
Vanessa Burrowes ◽  
Mohammad Rashidul Hashan ◽  
Gulam Muhammed Al Kibria
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Health Survey ◽  
Urban Areas ◽  
Maternal Education ◽  
Multivariable Analysis ◽  
Demographic And Health Survey ◽  
Secondary Outcome ◽  
Cross Sectional ◽  
Factors Associated

ObjectivesThis study aimed to investigate the factors associated with low birth weight (LBW) in Afghanistan.DesignCross-sectional study.SettingThis study used data collected from the Afghanistan Demographic and Health Survey 2015.ParticipantsFacility-based data from 2773 weighted live-born children enrolled by a two-stage sampling strategy were included in our analysis.Primary and secondary outcome measuresThe primary outcome was LBW, defined as birth weight <2.5kg.ResultsOut of 2773 newborns, 15.5% (n=431) had LBW. Most of these newborns were females (58.3%, n=251), had a mother with no formal schooling (70.5%, n=304), lived in urban areas (63.4%, n=274) or lived in the Central region of Afghanistan (59.7%, n=257). In multivariable analysis, residence in Central (adjusted OR (AOR): 3.4; 95% CI 1.7 to 6.7), Central Western (AOR: 3.0; 95% CI 1.5 to 5.8) and Southern Western (AOR: 4.0; 95% CI 1.7 to 9.1) regions had positive association with LBW. On the other hand, male children (AOR: 0.5; 95% CI 0.4 to 0.8), newborns with primary maternal education (AOR: 0.5; 95% CI 0.3 to 0.8), birth interval ≥48 months (AOR: 0.4; 95% CI 0.1 to 0.8), belonging to the richest wealth quintile (AOR: 0.2; 95% CI 0.1 to 0.6) and rural residence (AOR: 0.3; 95% CI 0.2 to 0.6) had decreased odds of LBW.ConclusionsMultiple factors had association with LBW in Afghanistan. Maternal, Neonatal and Child Health programmes should focus on enhancing maternal education and promoting birth spacing to prevent LBW. To reduce the overall burden of LBW, women of the poorest wealth quintiles, and residents of Central, Central Western and South Western regions should also be prioritised. Further exploration is needed to understand why urban areas are associated with higher likelihood of LBW. In addition, research using nationally representative samples are required.

scholarly journals Socioeconomic inequalities in the use of caesarean section delivery in Ghana: a cross-sectional study using nationally representative data

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Emmanuel Dankwah ◽  
Shelley Kirychuk ◽  
Wu Zeng ◽  
Cindy Feng ◽  
Marwa Farag
Keyword(s):  
Caesarean Section ◽  
Health Survey ◽  
Maternal Age ◽  
Wealth Quintile ◽  
Socioeconomic Inequalities ◽  
Demographic And Health Survey ◽  
Wealth Status ◽  
Cross Sectional ◽  
Factors Associated ◽  
Nationally Representative

Abstract Background Inappropriate use of Caesarean Section (CS) delivery is partly to blame for Ghana’s high maternal mortality rate. However, previous research offered mixed findings about factors associated with CS use. The goal of this study is to examine use of CS in Ghana and the socioeconomic factors associated with it. Methods Data from the nationally representative 2014 Ghana Demographic and Health Survey (GDHS) was used after permission from the Monitoring and Evaluation to Assess and Use Results (MEASURE) Demographic and Health Survey (DHS) program. Univariable and multivariable logistic regression models were fitted to examine the socioeconomic inequalities in CS use. The independent variables included maternal age, marital status, religion, ethnicity, education, place of residence, wealth quintile, and working status. Concentration index (CI) and rate-ratios were computed to ascertain the level of CS inequalities. Results Out of the 4294 women, 11.4% had CS delivery. However, the percentage of CS delivery ranged from 5% of women in the poorest quintile to 27.5% of women in the richest qunitle. Significant associations were detected between CS delivery and maternal age, parity, education, and wealth quintile . Conclusions This study revealed that first, even though Ghana has achieved an aggregate CS rate consistent with WHO recommendations, it still suffers from inequities in the use of CS. Second, both underuse of CS among poorer women in Ghana and overuse among rich and educated women are public health concerns that need to be addressed. Third, the results show in spite of Ghana’s free maternal care services policies, wealth status of women continues to be strongly and signtificantly associated with CS delivery, indicating that there are indirect health care costs and other reasons preventing poorer women from having access to CS which should be understood better and addressed with appropriate policies.

scholarly journals Coverage and factors associated with full immunisation among children aged 12–59 months in Bangladesh: insights from the nationwide cross-sectional demographic and health survey

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e028020 ◽  
Author(s):  
Abdur Razzaque Sarker ◽  
Raisul Akram ◽  
Nausad Ali ◽  
Marufa Sultana
Keyword(s):  
Health Survey ◽  
Urban Areas ◽  
Coverage Rate ◽  
Demographic And Health Survey ◽  
Medium Size ◽  
Immunisation Coverage ◽  
Cross Sectional ◽  
Factors Associated ◽  
Full Immunisation ◽  
Socioeconomic And Demographic Factors

ObjectiveTo estimate the coverage and factors associated with full immunisation coverage among children aged 12–59 months in Bangladesh.Study designThe study is cross sectional in design. Secondary dataset from Bangladesh Demographic and Health Survey was used for this analysis. Immunisation status was categorised as ‘fully immunised’ if the children had received all the eight recommended vaccine doses otherwise ‘partially/unimmunised’.SettingsBangladesh.ParticipantChildren aged 12–59 months were the study participants. Participants were randomly selected through a two-stage stratified sampling design. A total of 6230 children were eligible for the analysis.ResultsAbout 86% of the children (5356 out of 6230) were fully immunised. BCG has the highest coverage rate (97.1%) followed by oral polio vaccine 1 (97%) and pentavalent 1 (96.6%), where the coverage rate was the lowest for measles vaccine (88%). Coverage was higher in urban areas (88.5%) when compared with rural ones (85.1%). Full immunisation coverage was significantly higher among children who lived in the Rangpur division (adjusted OR (AOR)=3.46; 95% CI 2.45 to 4.88, p<0.001), were 48–59 months old (AOR=1.32; 95% CI 1.06 to 1.64, p=0.013), lived in a medium size family (AOR=1.56; 95% CI 1.32 to 1.86, p<0.001), had parents with a higher level of education (AOR=1.96; 95% CI 1.21 to 3.17, p=0.006 and AOR=1.55; 95% CI 1.05 to 2.29, p=0.026) and belonged to the richest families (AOR=2.2; 95% CI 1.5 to 3.21, p<0.001). The likelihood of being partially or unimmunised was higher among children who had the father as their sole healthcare decision-maker (AOR=0.69; 95% CI 0.51 to 0.92, p<0.012).ConclusionsThere were significant variations of child immunisation coverage across socioeconomic and demographic factors. These findings will inform innovative approaches for immunisation programmes, and the introduction of relevant policies, including regular monitoring and evaluation of immunisation coverage—particularly for low-performing regions, so that the broader benefit of immunisation programmes can be achieved in all strata of the society.

scholarly journals Diabetes and correlates of cardiovascular diseases among women aged 15-49 years in Benin: evidence from a Demographic and Health Survey

2020 ◽  
Author(s):  
Michael Ekholuenetale ◽  
Chimezie Igwegbe Nzoputam ◽  
Amadou Barrow
Keyword(s):  
Heart Disease ◽  
Cardiovascular Diseases ◽  
Health Survey ◽  
Lung Diseases ◽  
Statistical Significance ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Sub Saharan Africa ◽  
Cross Sectional ◽  
The Government

Abstract Background: Sub-Saharan Africa (SSA) countries are facing an epidemiological shift from infectious diseases to chronic diseases, such as cardiovascular diseases (CVDs). The burden of CVDs in a population results from the prevalence of several factors. This study was to determine the association of diabetes and correlates with heart and lung diseases.Methods: We used Benin Demographic and Health Survey (BDHS) population-based cross-sectional data. BDHS 2017-18 is the fifth of its kind. A total of 7712 women of reproductive age were included in this study. Heart and lung diseases were the outcome variables. Percentage and logistic regression model were used to analyze the data. The level of statistical significance was set at 5%.Results: The prevalence of heart disease was 1.3% (95%CI: 1.0%-1.7%) and lung disease was approximately 1.5% (95%CI: 1.2%-1.9%). Women who had diabetes were also found to be 3.57 times significantly more likely to have heart disease when compared with those who do not have diabetes (AOR= 3.57; 95%CI: 1.51 – 8.45). Furthermore, women with diabetes were 4.55 times significantly more likely to also have lung diseases when compared with those who do not have diabetes (AOR= 4.55; 95%CI: 2.06 – 10.06). Women who had hypertension were found to be 3.18 times significantly more likely to have heart disease when compared with those who had no hypertension (adjusted odds ratio (AOR) = 3.18; 95%CI: 2.02 – 4.98).Conclusion: Diabetes was a key determinant of heart disease. Health policymakers and government need to focus on widespread prevention and control interventions of heart disease through improved screening for risk factors and early detection of CVDs especially among high-risk women. The government should also create nationwide awareness and educate people about CVDs and its fatality rate.

scholarly journals Prevalence, awareness, treatment, and control of hypertension in Bangladesh: Findings from National Demographic and Health Survey, 2017-18

2021 ◽  
Author(s):  
Md. Nuruzzaman Khan ◽  
John C. Oldroyd ◽  
Enayet K. Chowdhury ◽  
Mohammad Bellal Hossain ◽  
Juwel Rana ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Health Survey ◽  
Demographic And Health Survey ◽  
Hypertension Control ◽  
Control Blood Pressure ◽  
Factors Associated ◽  
Robust Variance ◽  
Control Programmes ◽  
Nationally Representative ◽  
And Control

AbstractObjectiveTo estimate the age-standardised prevalence, awareness, treatment and control of hypertension; and to identify their risk factors in Bangladeshi adults 18 years and above using the Bangladesh Demographic and Health Survey (BDHS) 2017-18 data.MethodsData from 12, 904 Bangladeshi adults aged 18 years and older available from the most recent nationally representative BDHS 2017-18 were used. Hypertension was defined as having systolic blood pressure ≥140 mmHg and/or a diastolic blood pressure ≥90 mmHg, and/or taking anti-hypertensive drugs to control blood pressure. Age-standardised prevalence of hypertension and control were estimated with direct standardisation, and a multilevel mixed-effects Poisson regression model with a robust variance was used to identify factors associated with hypertension and its awareness, treatment, and control.ResultsThe overall age-standardised prevalence of hypertension was 40.0% (95% CI, 38.9-42.2); (men: 37.1%, women: 42.0%). Among those with hypertension (n=3531), 44.3% were aware that they had the condition and 39.1% were taking anti-hypertensive medication. Among those treated for hypertension (n=1306), only 41% had controlled hypertension. Factors independently associated with hypertension were increasing age, higher body mass index, being women, having diabetes, and residing in selected administrative divisions. A declining trend of hypertension control was observed with increasing age and those not being educated.ConclusionHypertension is highly prevalent (4 out of 10) in Bangladeshi adults, while awareness, treatment, and control are low. Irrespective of risks associated with hypertension and its management, awareness and control programmes should be given high priority in reducing hypertension, and improving hypertension control in Bangladesh.

Determinants of diabetes in Bangladesh using two approaches: an analysis of the Demographic and Health Survey 2011

2019 ◽  
Vol 52 (4) ◽  
pp. 585-595
Author(s):  
Krystal K. Swasey ◽  
Rajat Das Gupta ◽  
Jannatun Nayeem ◽  
Gulam Muhammed Al Kibria
Keyword(s):  
Health Survey ◽  
Public Health Intervention ◽  
Cross Sectional Study ◽  
Demographic And Health Survey ◽  
Point Estimate ◽  
Age Group ◽  
Cross Sectional ◽  
Factors Associated ◽  
High Risk Populations ◽  
Prevalence Ratios

AbstractThis cross-sectional study analysed data from the Bangladesh Demographic and Health Survey 2011 to investigate factors associated with diabetes in Bangladesh. Data were analysed using logistic and log-binomial regressions to estimate odds ratios (ORs) and prevalence ratios (PRs), respectively. Among the 7544 respondents aged ≥35 years, the estimated prevalence of diabetes was 11.0%. In the adjusted analysis, survey participants in the age group 55–64 years (adjusted PR [APR]: 1.8, 95% Confidence Interval (CI): 1.4, 2.2; adjusted OR [AOR]: 1.9, 95% CI: 1.5, 2.5) and those with at least secondary education level (APR: 1.3, 95% CI: 1.0, 1.6; AOR: 1.3, 95% CI: 1.0, 1.7) were more likely to have diabetes than those in the age group 35–44 years and those with no education. Furthermore, respondents living in Khulna (APR: 0.5, 95% CI: 0.4, 0.6; AOR: 0.4, 95% CI: 0.3, 0.6) were less likely to have diabetes than people living in Barisal. While adjusted estimates of PR and OR were similar in terms of significance of association, the magnitude of the point estimate was attenuated in PR compared with the OR. Nevertheless, the measured factors still had a significant association with diabetes in Bangladesh. The results of this study suggest that Bangladeshi adults would benefit from increased education on, and awareness of, the risk factors for diabetes. Focused public health intervention should target these high-risk populations.

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