Prevalence of multimorbidity among Bangladeshi adult population: A nationwide cross-sectional study

This article was published in BMJ Open [ © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.] and the definite version is available at: http://dx.doi.org/10.1136/bmjopen-2019-030886. The Journal's website...

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Автори: Khan, Nusrat, Rahman, Mahfuzar, Mitra, Dipak, Afsana, Kaosar
Інші автори: Brac James P. Grant School of Public Health
Формат: Journal Article
Мова:en_US
Опубліковано: BMJ Journals 2022
Предмети:
Онлайн доступ:http://hdl.handle.net/10361/16529
http://dx.doi.org/10.1136/bmjopen-2019-030886
id 10361-16529
record_format dspace
spelling 10361-165292022-04-10T21:01:31Z Prevalence of multimorbidity among Bangladeshi adult population: A nationwide cross-sectional study Khan, Nusrat Rahman, Mahfuzar Mitra, Dipak Afsana, Kaosar Brac James P. Grant School of Public Health Global health Multimorbidity Non-communicable disease (NCDS) Risk factors This article was published in BMJ Open [ © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.] and the definite version is available at: http://dx.doi.org/10.1136/bmjopen-2019-030886. The Journal's website is at: https://bmjopen.bmj.com/content/9/11/e030886 Objective This study aimed to report prevalence and evaluate the association between multimorbidity and associated risk factors in the adult population of Bangladesh. Design A cross-sectional study was conducted using a multistage clustered random sampling strategy. Setting The study was conducted among the general population of 58 districts in Bangladesh. Participants A total of 12 338 male and female individuals aged ≥35 were included for analysis in this study. Identified through a household listing conducted prior to the study, from 15 297 individuals meeting the inclusion criteria, 12 338 participants were included based on availability during data collection, consent and health condition. Outcome measures Multimorbidity in terms of hypertension, diabetes, cancer, cardiovascular diseases, stroke and chronic obstructive pulmonary disease. Results Approximately 8.4% (95% CI 7.0 to 9.7) of individuals suffer from multimorbidity, of which hypertension accounted for (30.1%) followed by diabetes (10.6%). The mean age of the population was 58.6 (SD ±9.2) years. The prevalence of multimorbidity was lower among men (7.7%) compared with women (8.9%). The likelihood of having multimorbidity among obese individuals were more than double than people with normal body mass index (BMI). Physical activity protected individuals from developing multimorbidity: however, the physical activity adjusted OR was 0.5 (95% CI 0.2 to 1.2). After adjusting for all covariates, higher age, higher educational status, economic status, and higher BMI were found to be significantly associated with the odds of developing multimorbidity, with an overall adjusted OR of 0.02 (95% CI 0.01 to 0.02). Conclusion This study reported a high prevalence of multimorbidity in Bangladesh, although it explored the burden and identified risk factors considering only six chronic diseases. Further detailed exploration through longitudinal studies considering a wider range of diseases is needed to document the actual burden, develop effective preventive measures and clinical guidelines to improve the quality of life of the population. Published 2022-04-10T07:44:29Z 2022-04-10T07:44:29Z 2019 2018-11-28 Journal Article Khan, N., Rahman, M., Mitra, D., & Afsana, K. (2019). Prevalence of multimorbidity among Bangladeshi adult population: A nationwide cross-sectional study. BMJ Open, 9(11) doi:10.1136/bmjopen-2019-030886 http://hdl.handle.net/10361/16529 http://dx.doi.org/10.1136/bmjopen-2019-030886 en_US https://bmjopen.bmj.com/content/9/11/e030886 BMJ Open application/pdf BMJ Journals
institution Brac University
collection Institutional Repository
language en_US
topic Global health
Multimorbidity
Non-communicable disease (NCDS)
Risk factors
spellingShingle Global health
Multimorbidity
Non-communicable disease (NCDS)
Risk factors
Khan, Nusrat
Rahman, Mahfuzar
Mitra, Dipak
Afsana, Kaosar
Prevalence of multimorbidity among Bangladeshi adult population: A nationwide cross-sectional study
description This article was published in BMJ Open [ © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.] and the definite version is available at: http://dx.doi.org/10.1136/bmjopen-2019-030886. The Journal's website is at: https://bmjopen.bmj.com/content/9/11/e030886
author2 Brac James P. Grant School of Public Health
author_facet Brac James P. Grant School of Public Health
Khan, Nusrat
Rahman, Mahfuzar
Mitra, Dipak
Afsana, Kaosar
format Journal Article
author Khan, Nusrat
Rahman, Mahfuzar
Mitra, Dipak
Afsana, Kaosar
author_sort Khan, Nusrat
title Prevalence of multimorbidity among Bangladeshi adult population: A nationwide cross-sectional study
title_short Prevalence of multimorbidity among Bangladeshi adult population: A nationwide cross-sectional study
title_full Prevalence of multimorbidity among Bangladeshi adult population: A nationwide cross-sectional study
title_fullStr Prevalence of multimorbidity among Bangladeshi adult population: A nationwide cross-sectional study
title_full_unstemmed Prevalence of multimorbidity among Bangladeshi adult population: A nationwide cross-sectional study
title_sort prevalence of multimorbidity among bangladeshi adult population: a nationwide cross-sectional study
publisher BMJ Journals
publishDate 2022
url http://hdl.handle.net/10361/16529
http://dx.doi.org/10.1136/bmjopen-2019-030886
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AT rahmanmahfuzar prevalenceofmultimorbidityamongbangladeshiadultpopulationanationwidecrosssectionalstudy
AT mitradipak prevalenceofmultimorbidityamongbangladeshiadultpopulationanationwidecrosssectionalstudy
AT afsanakaosar prevalenceofmultimorbidityamongbangladeshiadultpopulationanationwidecrosssectionalstudy
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