Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 2016 Sep 13;14(1):129.
doi: 10.1186/s12955-016-0530-7.

The impact of type 2 diabetes on health related quality of life in Bangladesh: results from a matched study comparing treated cases with non-diabetic controls

Novie Safita  1   2 , Sheikh Mohammed Shariful Islam  3   4   5 , Clara K Chow  6   7 , Louis Niessen  8   9 , Andreas Lechner  10   11   12 , Rolf Holle  1   11 , Michael Laxy  1   11
Affiliations
Comparative Study

The impact of type 2 diabetes on health related quality of life in Bangladesh: results from a matched study comparing treated cases with non-diabetic controls

Novie Safita et al. Health Qual Life Outcomes. .

Abstract

Background: Little is known about the association between diabetes and health related quality of life (HRQL) in lower-middle income countries. This study aimed to investigate HRQL among individuals with and without diabetes in Bangladesh.

Methods: The analysis is based on data of a case-control study, including 591 patients with type 2 diabetes (cases) who attended an outpatient unit of a hospital in Dhaka and 591 age -and sex-matched individuals without diabetes (controls). Information about socio-demographic characteristics, health conditions, and HRQL were assessed in a structured interview. HRQL was measured with the EuroQol (EQ) visual analogue scale (VAS) and the EQ five-dimensional (5D) descriptive system. The association between diabetes status and quality of life was examined using multiple linear and logistic regression models.

Results: Mean EQ-VAS score of patients with diabetes was 11.5 points lower (95 %-CI: -13.5, -9.6) compared to controls without diabetes. Patients with diabetes were more likely to report problems in all EQ-5D dimensions than controls, with the largest effect observed in the dimensions 'self-care' (OR = 5.9; 95 %-CI: 2.9, 11.8) and 'mobility' (OR = 4.5; 95 %-CI: 3.0, -6.6). In patients with diabetes, male gender, high education, and high-income were associated with higher VAS score and diabetes duration and foot ulcer associated with lower VAS scores. Other diabetes-related complications were not significantly associated with HRQL.

Conclusions: Our findings suggest that the impact of diabetes on HRQL in the Bangladeshi population is much higher than what is known from western populations and that unlike in western populations comorbidities/complications are not the driving factor for this effect.

Keywords: Bangladesh; Case control study; Complications; Diabetes; EQ-5D; Quality of life.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Proportion of patients reporting moderate or severe problems in the EQ-5D dimensions
See this image and copyright information in PMC

References

    1. van Dieren S, Beulens JW, van der Schouw YT, Grobbee DE, Neal B. The global burden of diabetes and its complications: an emerging pandemic. Eur J Cardiovasc Prev Rehabil. 2010;17(Suppl 1):S3–8. doi: 10.1097/01.hjr.0000368191.86614.5a. - DOI - PubMed
    1. Islam SMS, Purnat TD, Phuong NTA, Mwingira U, Schacht K, Fröschl G. Non-Communicable Diseases (NCDs) in developing countries: a symposium report. Glob Health. 2014;10(1):1–8. doi: 10.1186/s12992-014-0081-9. - DOI - PMC - PubMed
    1. Akter S, Rahman MM, Abe SK, Sultana P. Nationwide survey of prevalence and risk factors for diabetes and prediabetes in Bangladeshi adults. Diabetes Care. 2014;37(1):e9–e10. doi: 10.2337/dc13-1647. - DOI - PubMed
    1. Biswas T, Islam A, Rawal L, Islam S. Increasing prevalence of diabetes in Bangladesh: a scoping review. Public Health. 2016. - PubMed
    1. Wood-Dauphinee S. Assessing quality of life in clinical research: from where have we come and where are we going? J Clin Epidemiol. 1999;52(4):355–363. doi: 10.1016/S0895-4356(98)00179-6. - DOI - PubMed

Publication types