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. 2015 Feb 18;10(2):e0118365.
doi: 10.1371/journal.pone.0118365. eCollection 2015.

Awareness, treatment, and control of diabetes in Bangladesh: a nationwide population-based study

Md Shafiur Rahman  1 , Shamima Akter  2 , Sarah Krull Abe  3 , Md Rafiqul Islam  4 , Md Nazrul Islam Mondal  4 , J A M Shoquilur Rahman  4 , Md Mizanur Rahman  5
Affiliations

Awareness, treatment, and control of diabetes in Bangladesh: a nationwide population-based study

Md Shafiur Rahman et al. PLoS One. .

Abstract

Objectives: To examine awareness, treatment, and control of diabetes mellitus among the adult population in Bangladesh.

Methods: The study used data from the 2011 nationally representative Bangladesh Demographic and Health Survey (BDHS). The BDHS sample is comprised of 7,786 adults aged 35 years or older. The primary outcome variables were fasting blood glucose, diagnosis, treatment, and control of diabetes. Multilevel logistic regression models were used to identify the risk factors for diabetes awareness.

Results: Overall, age-standardized prevalence of diabetes was 9.2%. Among subjects with diabetes, 41.2% were aware of their condition, 36.9% were treated, and 14.2% controlled their condition. A significant inequality in diabetes management was found from poor to wealthy households: 18.2% to 63.2% (awareness), 15.8% to 56.6% (treatment), and 8.2% to 18.4% (control). Multilevel models suggested that participants who had a lower education and lower economic condition were less likely to be aware of their diabetes. Poor management was observed among non-educated, low-income groups, and those who lived in the northwestern region.

Conclusions: Diabetes has become a national health concern in Bangladesh; however, treatment and control are quite low. Improving detection, awareness, and treatment strategies is urgently needed to prevent the growing burden associated with diabetes.

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Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Sampling process.
Fig 2
Fig 2. Age–specific and age–standardized prevalence of diabetes and prediabetes in Bangladeshi adults aged 35 years or older.
Fig 3
Fig 3. Cubic spline regression model between A) prevalence of diabetes and body much index (BMI), B) awareness of diabetes and BMI, C) treatment of diabetes and BMI, and D) control of diabetes and BMI.
Spline regression (three knots, reference value: BMI = 25 kg/m2). Continuous line, odds ratio for diabetes and dashed line, 95% confidence interval. The model was adjusted for age and sex.
See this image and copyright information in PMC

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