Diabetes, Hypertension, and Comorbidity among Bangladeshi Adults: Associated Factors and Socio-Economic Inequalities
Abstract
:1. Introduction
2. Materials and Methods
2.1. Data Sources and Study Design
2.2. Outcome Variables
2.3. Explanatory Variables
2.4. Statistical Analyses
2.4.1. Descriptive Measures of Association
2.4.2. Measures of Inequality
2.4.3. Decomposition of CIX
2.5. Ethical Considerations
3. Results
3.1. Characteristics of Study Participants
3.2. Prevalence of Diabetes, Hypertension, and Comorbidity
3.3. Factors Associated with Diabetes, Hypertension, and Comorbidity
3.4. Socioeconomic Inequality in Diabetes, Hypertension, and Comorbidity
3.5. Decomposing the Socioeconomic Inequality
4. Discussion
Strengths and Limitations
5. Conclusions
Author Contributions
Funding
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
BDHS | Bangladesh Demographic and Health Survey |
BMI | Body Mass Index |
BP | Blood Pressure |
CAD | Coronary Artery Disease |
CC | Concentration Curve |
CDC | Centers for Disease Control and Prevention |
CI | Confidence Interval |
CIX | Concentration Index |
EA | Enumeration Area |
FPG | Fasting Plasma Glucose |
GBD | Global Burden of Disease |
HBP | High Blood Pressure |
ICC | Intra-Class Correlation Coefficient |
IDF | International Diabetes Federation |
IQR | Inter-Quartile Range |
LIMCs | Low-and-Middle-Income Countries |
NIPORT | National Institute of Population Research and Training |
NCD | Non-Communicable Disease |
OR | Odds Ratio |
PA | Physical Activity |
WHO | World Health Organization |
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Variables | Unweighted | Weighted | ||
---|---|---|---|---|
Frequency | Percentage | Frequency | Percentage | |
Individual- and household-level variables | ||||
Age; Mean (SD) | 39.54 | 16.20 | 39.46 | 16.21 |
18–34 years | 5437 | 44.80 | 5381 | 45.07 |
35–44 years | 2457 | 20.25 | 2421 | 20.28 |
45–54 years | 1712 | 14.11 | 1669 | 13.98 |
55–64 years | 1379 | 11.36 | 1348 | 11.30 |
≥65 years | 1151 | 9.48 | 1119 | 9.38 |
Sex | ||||
Male | 5227 | 43.07 | 5111 | 42.81 |
Female | 6909 | 56.93 | 6827 | 57.19 |
Employment status | ||||
Yes | 7551 | 62.22 | 7476 | 62.63 |
No | 4585 | 37.78 | 4462 | 37.37 |
Educational level | ||||
No education | 2948 | 24.29 | 3014 | 25.25 |
Primary | 3680 | 30.32 | 3596 | 30.12 |
Secondary | 3516 | 28.97 | 3539 | 29.65 |
Higher | 1992 | 16.41 | 1789 | 14.99 |
Body mass index; Mean (SD) | 22.39 | 4.05 | 22.36 | 4.02 |
Underweight | 2068 | 17.04 | 2056 | 17.22 |
Normal | 7102 | 58.52 | 6994 | 58.59 |
Overweight | 2457 | 20.25 | 2395 | 20.06 |
Obese | 509 | 4.19 | 493 | 4.13 |
Smoking status | ||||
Yes | 1857 | 15.30 | 1692 | 14.17 |
No | 10279 | 84.70 | 10246 | 85.83 |
Occupation | ||||
With high physical activity | 4651 | 38.32 | 4736 | 39.67 |
With low physical activity | 7485 | 61.68 | 7202 | 60.33 |
Marital status | ||||
Married | 9720 | 80.09 | 9683 | 81.11 |
Unmarried | 1252 | 10.32 | 1154 | 9.66 |
Others | 1164 | 9.59 | 1101 | 9.23 |
Household wealth status | ||||
Poorest | 2353 | 19.39 | 2305 | 19.30 |
Poorer | 2293 | 18.89 | 2346 | 19.65 |
Middle | 2399 | 19.77 | 2458 | 20.59 |
Richer | 2381 | 19.62 | 2372 | 19.87 |
Richest | 2710 | 22.33 | 2457 | 20.58 |
Media exposure | ||||
Has access | 378 | 3.11 | 11553 | 96.77 |
No access | 11758 | 96.89 | 385 | 3.23 |
Community-level variables | ||||
Place of residence | ||||
Rural | 7782 | 64.12 | 8750 | 73.30 |
Urban | 4354 | 35.88 | 3188 | 26.70 |
Administrative division | ||||
Barisal | 1265 | 10.42 | 659 | 5.52 |
Chittagong | 1643 | 13.54 | 2051 | 17.18 |
Dhaka | 1597 | 13.16 | 2773 | 23.23 |
Khulna | 1674 | 13.79 | 1481 | 12.41 |
Mymensingh | 1377 | 11.35 | 974 | 8.16 |
Rajshahi | 1585 | 13.06 | 1722 | 14.42 |
Rangpur | 1565 | 12.90 | 1499 | 12.56 |
Sylhet | 1430 | 11.78 | 778 | 6.52 |
Variables | Diabetes % (95% CI) | Hypertension % (95% CI) | Comorbidity % (95% CI) |
---|---|---|---|
Total | 10.04 (9.51–10.59) | 25.70 (24.93–26.49) | 4.47 (4.11–4.85) |
Individual- and household-level variables | |||
Age | |||
18–34 years | 5.29 (4.73–5.93) | 11.02 (10.21–11.88) | 1.01 (0.78–1.32) |
35–44 years | 11.33 (10.12–12.65) | 26.63 (24.91–28.43) | 4.40 (3.66–5.30) |
45–54 years | 15.29 (13.64–17.10) | 36.72 (34.44–39.06) | 8.10 (6.88–9.51) |
55–64 years | 15.89 (14.03–17.94) | 45.90 (43.25–48.57) | 9.61 (8.15–11.30) |
≥65 years | 15.16 (13.18–17.38) | 53.51 (50.58–56.42) | 9.62 (8.02–11.49) |
Sex | |||
Male | 10.61 (9.80–11.49) | 24.27 (23.12–25.47) | 4.34 (3.82–4.94) |
Female | 9.60 (8.93–10.33) | 26.77 (25.74–27.84) | 4.56 (4.09–5.08) |
Employment status | |||
Yes | 8.97 (8.35–9.64) | 23.60 (22.65–24.58) | 3.75 (3.35–4.21) |
No | 11.82 (10.90–12.80) | 29.22 (27.90–30.57) | 5.66 (5.02–6.38) |
Educational level | |||
No education | 9.87 (8.86–10.99) | 34.37 (32.69–36.08) | 4.77 (4.06–5.59) |
Primary | 10.47 (9.51–11.52) | 24.85 (23.47–26.29) | 4.31 (3.70–5.03) |
Secondary | 9.67 (8.74–10.69) | 21.58 (20.25–22.96) | 4.36 (3.74–5.09) |
Higher | 10.15 (8.84–11.64) | 20.97 (19.15–22.92) | 4.49 (3.62–5.55) |
Body mass index | |||
Underweight | 6.25 (5.28–7.38) | 16.64 (15.09–18.31) | 1.58 (1.12–2.22) |
Normal | 8.75 (8.11–9.44) | 22.48 (21.51–23.47) | 3.48 (3.08–3.94) |
Overweight | 15.10 (13.72–16.59) | 39.46 (37.52–41.43) | 8.28 (7.24–9.45) |
Obese | 19.43 (16.18–23.17) | 42.45 (38.16–46.86) | 11.97 (9.39–15.15) |
Smoking status | |||
Yes | 11.12 (9.71–12.71) | 30.19 (28.05–32.42) | 5.08 (4.13–6.24) |
No | 9.86 (9.29–12.71) | 24.96 (24.13–25.81) | 4.37 (3.99–4.78) |
Occupation | |||
With high physical activity | 6.85 (6.16–7.60) | 22.17 (21.01–23.37) | 2.38 (1.99–2.86) |
With low physical activity | 12.13 (11.40–12.91) | 28.03 (27.00–29.08) | 5.84 (5.32–6.41) |
Marital status | |||
Married | 10.41 (9.81–11.03) | 25.08 (24.22–25.95) | 4.55 (4.15–4.98) |
Unmarried | 4.86 (3.76–6.27) | 9.06 (7.53–10.86) | 0.69 (0.35–1.38) |
Others | 12.20 (10.40–14.27) | 48.64 (45.69–51.59) | 7.74 (6.30–9.47) |
Household wealth status | |||
Poorest | 5.76 (4.88–6.79) | 21.75 (20.12–23.49) | 1.81 (1.34–2.44) |
Poorer | 6.04 (5.14–7.07) | 23.07 (21.41–24.82) | 2.19 (1.67–2.87) |
Middle | 7.97 (6.97–9.11) | 25.36 (23.68–27.12) | 3.50 (2.85–4.31) |
Richer | 11.24 (10.03–12.58) | 26.88 (25.13–28.70) | 4.52 (3.75–5.43) |
Richest | 18.77 (17.27–20.36) | 31.12 (29.32–32.98) | 10.05 (8.92–11.31) |
Media exposure | |||
Has access | 10.14 (9.61–10.71) | 25.51 (24.72–26.31) | 4.54 (4.17–4.93) |
No access | 6.84 (4.71–9.84) | 31.46 (27.02–36.27) | 2.43 (1.28–4.54) |
Community-level variables | |||
Place of residence | |||
Rural | 8.77 (8.19–9.38) | 25.26 (24.36–26.18) | 3.91 (3.52–4.33) |
Urban | 13.52 (12.38–14.75) | 26.92 (25.41–28.49) | 6.01 (5.23–6.89) |
Administrative division | |||
Barisal | 9.91 (7.85–12.43) | 30.05 (26.67–33.66) | 4.27 (2.97–6.11) |
Chittagong | 11.13 (9.84–12.57) | 27.78 (25.88–29.75) | 5.81 (4.87–6.90) |
Dhaka | 14.48 (13.22–15.84) | 22.53 (21.01–24.12) | 5.61 (4.81–6.53) |
Khulna | 8.31 (7.01–9.83) | 27.42 (25.21–29.75) | 4.57 (3.62–5.76) |
Mymensingh | 8.15 (6.59–10.05) | 21.61 (19.14–24.31) | 3.17 (2.23–4.47) |
Rajshahi | 8.10 (6.90–9.49) | 26.05 (24.03–28.18) | 3.46 (2.69–4.43) |
Rangpur | 5.66 (4.60–6.95) | 28.19 (25.97–30.52) | 2.63 (1.93–3.57) |
Sylhet | 9.76 (7.87–12.05) | 24.15 (21.27–27.28) | 4.27 (3.06–5.94) |
Variables | Diabetes | Hypertension | Comorbidity | |||
---|---|---|---|---|---|---|
AOR (95% CI) | p Value | AOR (95% CI) | p Value | AOR (95% CI) | p Value | |
Age (years) | ||||||
18–34 | Ref | Ref | Ref | |||
35–44 | 2.16 (1.77–2.63) | <0.001 | 2.90 (2.52–3.34) | <0.001 | 3.55 (2.53–5.01) | <0.001 |
45–54 | 3.32 (2.61–3.96) | <0.001 | 5.13 (4.40–5.98) | <0.001 | 7.51 (5.34–10.54) | <0.001 |
55–64 | 3.93 (3.13–4.93) | <0.001 | 8.54 (7.21–10.11) | <0.001 | 10.82 (7.58–15.45) | <0.001 |
≥65 | 3.90 (3.01–5.07) | <0.001 | 12.86 (10.60–15.60) | <0.001 | 13.41 (9.04–19.88) | <0.001 |
Sex | ||||||
Male | Ref | Ref | Ref | |||
Female | 1.02 (0.87–1.21) | 0.770 | 1.23 (1.10–1.39) | <0.001 | 1.43 (1.12–1.83) | 0.005 |
Employment status | ||||||
Yes | 1.07 (0.88–1.28) | 0.502 | 1.01 (0.88–1.15) | 0.944 | 1.32 (1.02–1.73) | 0.038 |
No | Ref | Ref | Ref | |||
Educational level | ||||||
No education | Ref | Ref | Ref | |||
Primary | 1.24 (1.03–1.49) | 0.022 | 1.06 (0.93–1.20) | 0.378 | 1.15 (0.89–1.48) | 0.287 |
Secondary | 1.13 (0.92–1.39) | 0.248 | 1.02 (0.88–1.19) | 0.766 | 1.23 (0.92–1.64) | 0.162 |
Higher | 0.94 (0.73–1.22) | 0.657 | 0.98 (0.81–1.18) | 0.831 | 0.99 (0.70–1.43) | 0.999 |
Body mass index | ||||||
Underweight | 0.67 (0.54–0.84) | <0.001 | 0.56 (0.48–0.65) | <0.001 | 0.45 (0.30–0.66) | <0.001 |
Normal | Ref | Ref | Ref | |||
Overweight | 1.53 (1.31–1.78) | <0.001 | 2.39 (2.13–2.68) | <0.001 | 1.94 (1.58–2.39) | <0.001 |
Obese | 1.71 (1.31–2.22) | <0.001 | 2.53 (2.04–3.13) | <0.001 | 2.22 (1.59–3.09) | <0.001 |
Smoking status | ||||||
Yes | 1.06 (0.89–1.26) | 0.536 | 1.86 (1.76–1.98) | 0.022 | 1.01 (0.79–1.28) | 0.946 |
No | Ref | Ref | Ref | |||
Occupation | ||||||
With high physical activity | Ref | Ref | Ref | |||
With low physical activity | 1.41 (1.17–1.69) | <0.001 | 1.34 (1.18–1.52) | <0.001 | 1.72 (1.31–2.26) | <0.001 |
Marital status | ||||||
Married | 1.28 (0.93–1.76) | 0.123 | 1.03 (0.82–1.29) | 0.790 | 2.13 (0.96–4.70) | 0.063 |
Unmarried | Ref | Ref | Ref | |||
Others | 1.16 (0.78–1.71) | 0.468 | 1.40 (1.06–1.84) | 0.019 | 2.02 (0.87–4.72) | 0.104 |
Household wealth status | ||||||
Poorest | Ref | Ref | Ref | |||
Poorer | 0.96 (0.74–1.25) | 0.747 | 1.12 (0.95–1.31) | 0.176 | 1.11 (0.72–1.71) | 0.647 |
Middle | 1.15 (0.89–1.49) | 0.282 | 1.27 (1.07–1.49) | 0.005 | 1.60 (1.06–2.40) | 0.025 |
Richer | 1.45 (1.11–1.90) | 0.006 | 1.38 (1.16–1.66) | <0.001 | 2.05 (1.35–3.11) | 0.001 |
Richest | 2.14 (1.61–2.86) | <0.001 | 1.40 (1.14–1.71) | 0.001 | 3.44 (2.22–5.33) | <0.001 |
Media exposure | ||||||
Has access | 0.95 (0.62–1.45) | 0.800 | 0.83 (0.64–1.07) | 0.158 | 0.99 (0.51–1.96) | 0.999 |
No access | Ref | Ref | Ref | |||
Place of residence | ||||||
Rural | 1.10 (0.92–1.32) | 0.278 | 0.97 (0.85–1.10) | 0.664 | 1.11 (0.90–1.38) | 0.338 |
Urban | Ref | Ref | Ref | |||
Administrative division | ||||||
Barisal | 1.01 (0.73–1.37) | 0.986 | 1.09 (0.88–1.37) | 0.428 | 0.85 (0.58–1.26) | 0.423 |
Chittagong | 0.93 (0.70–1.24) | 0.623 | 0.99 (0.81–1.22) | 0.940 | 0.91 (0.64–1.28) | 0.578 |
Dhaka | 1.47 (1.11–1.94) | 0.006 | 0.75 (0.60–0.92) | 0.008 | 1.05 (0.74–1.49) | 0.776 |
Khulna | 0.81 (0.60–1.10) | 0.176 | 0.90 (0.73–1.11) | 0.318 | 0.87 (0.61–1.25) | 0.462 |
Mymensingh | 0.98 (0.72–1.34) | 0.910 | 0.78 (0.62–0.97) | 0.029 | 0.75 (0.49–1.13) | 0.164 |
Rajshahi | 0.95 (0.70–1.29) | 0.747 | 0.98 (0.79–1.22) | 0.890 | 0.87 (0.59–1.28) | 0.473 |
Rangpur | 0.75 (0.54–1.04) | 0.084 | 1.19 (0.95–1.48) | 0.123 | 0.78 (0.51–1.18) | 0.236 |
Sylhet | Ref | Ref | Ref | |||
Measures of variation | ||||||
Variance (95% CI) | 0.425 (0.327–0.552) | 0.306 (0.233–0.403) | 0.116 (0.001–20.895) | |||
ICC (95% CI) | 0.052 (0.031–0.085) | 0.028 (0.016–0.047) | 0.004 (<0.001–0.993) | |||
MOR | 1.86 | 1.69 | 1.38 | |||
Model fitness | ||||||
Wald chi2 (p value) | 627.32 (<0.001) | 1737.02 (<0.001) | 598.49 (<0.001) | |||
AIC | 7136.53 | 11774.48 | 3788.87 | |||
Cluster number | 675 | 675 | 675 |
Variables | Elasticity | CIX | Contribution to Overall CIX = 0.251 | |
---|---|---|---|---|
Absolute Contribution | Percentage Contribution | |||
Age | ||||
18–34 years | Ref | |||
35–44 years | 0.135 | −0.021 | −0.003 | −1.143 |
45–54 years | 0.142 | 0.006 | 0.001 | 0.349 |
55–64 years | 0.128 | −0.025 | −0.003 | −1.280 |
≥65 years | 0.105 | −0.040 | −0.004 | −1.683 |
Subtotal | −0.009 | −3.757 | ||
Sex | ||||
Male | Ref | |||
Female | −0.018 | −0.005 | <0.001 | 0.035 |
Employment status | ||||
Yes | 0.023 | −0.067 | −0.002 | −0.621 |
No | Ref | |||
Educational level | ||||
No education | Ref | |||
Primary | 0.061 | −0.130 | −0.008 | −3.142 |
Secondary | 0.024 | 0.127 | 0.003 | 1.218 |
Higher | −0.009 | 0.398 | −0.004 | −1.397 |
Subtotal | −0.009 | −3.321 | ||
Body mass index | ||||
Underweight | −0.043 | −0.228 | 0.010 | 3.906 |
Normal | Ref | |||
Overweight | 0.060 | 0.224 | 0.015 | 5.310 |
Obese | 0.016 | 0.437 | 0.022 | 8.774 |
Subtotal | 0.047 | 17.990 | ||
Smoking status | ||||
Yes | Ref | |||
No | 0.002 | −0.136 | <0.001 | −0.104 |
Occupation | ||||
With high physical activity | Ref | |||
With low physical activity | 0.179 | 0.133 | 0.024 | 11.494 |
Marital status | ||||
Married | 0.114 | −0.006 | −0.001 | −0.279 |
Unmarried | Ref | |||
Others | −0.001 | −0.069 | <0.001 | 0.021 |
Subtotal | −0.001 | −0.258 | ||
Household wealth status | ||||
Poorest | Ref | |||
Poorer | −0.009 | −0.417 | 0.004 | 1.545 |
Middle | 0.018 | −0.015 | <0.001 | −0.109 |
Richer | 0.067 | 0.390 | 0.037 | 15.435 |
Richest | 0.136 | 0.794 | 0.128 | 48.941 |
Subtotal | 0.169 | 65.812 | ||
Media exposure | ||||
Has access | 0.015 | 0.021 | <0.001 | 0.122 |
No access | Ref | |||
Place of residence | ||||
Rural | 0.036 | −0.138 | −0.005 | −1.999 |
Urban | Ref | |||
Administrative division | ||||
Barisal | 0.001 | −0.233 | −0.001 | −0.114 |
Chittagong | −0.009 | 0.121 | −0.001 | −0.427 |
Dhaka | 0.061 | 0.243 | 0.015 | 5.874 |
Khulna | −0.022 | 0.053 | −0.001 | −0.463 |
Mymensingh | <0.001 | −0.206 | <0.001 | 0.002 |
Rajshahi | −0.005 | −0.101 | 0.001 | 0.202 |
Rangpur | −0.028 | −0.297 | 0.008 | 3.325 |
Sylhet | Ref | |||
Subtotal | 0.021 | 8.399 | ||
Explained CIX | 0.235 | 93.792 | ||
Residual CIX | 0.016 | 6.208 |
Variables | Elasticity | CIX | Contribution to Overall CIX = 0.071 | |
---|---|---|---|---|
Absolute Contribution | Percentage Contribution | |||
Age | ||||
18–34 years | Ref | |||
35–44 years | 0.133 | −0.021 | −0.003 | −3.991 |
45–54 years | 0.140 | 0.006 | 0.001 | 1.231 |
55–64 years | 0.147 | −0.025 | −0.004 | −5.245 |
≥65 years | 0.143 | −0.040 | −0.006 | −8.195 |
Subtotal | −0.012 | −16.200 | ||
Sex | ||||
Male | Ref | |||
Female | 0.081 | −0.005 | <0.001 | −0.575 |
Employment status | ||||
Yes | 0.023 | −0.067 | −0.002 | −2.179 |
No | Ref | |||
Educational level | ||||
No education | Ref | |||
Primary | 0.006 | −0.130 | −0.001 | −1.197 |
Secondary | 0.012 | 0.127 | 0.002 | 2.142 |
Higher | 0.001 | 0.398 | <0.001 | 0.516 |
Subtotal | 0.001 | 1.461 | ||
Body mass index | ||||
Underweight | −0.064 | −0.228 | 0.015 | 20.731 |
Normal | Ref | |||
Overweight | 0.111 | 0.224 | 0.025 | 35.529 |
Obese | 0.024 | 0.437 | 0.011 | 15.153 |
Subtotal | 0.051 | 71.413 | ||
Smoking status | ||||
Yes | Ref | |||
No | −0.019 | −0.136 | 0.003 | 3.575 |
Occupation | ||||
With high physical activity | Ref | |||
With low physical activity | 0.114 | 0.133 | 0.015 | 21.539 |
Marital status | ||||
Married | 0.009 | −0.006 | <0.001 | −0.075 |
Unmarried | Ref | |||
Others | 0.019 | −0.069 | −0.001 | −1.903 |
Subtotal | −0.001 | −1.978 | ||
Household wealth status | ||||
Poorest | Ref | |||
Poorer | 0.008 | −0.417 | −0.003 | −4.512 |
Middle | 0.018 | −0.417 | <0.001 | −0.382 |
Richer | 0.027 | 0.390 | 0.010 | 14.738 |
Richest | 0.025 | 0.794 | 0.020 | 28.349 |
Subtotal | 0.027 | 38.193 | ||
Media exposure | ||||
Has access | −0.093 | 0.021 | −0.002 | −2.774 |
No access | Ref | |||
Place of residence | ||||
Rural | −0.031 | −0.138 | 0.004 | 6.127 |
Urban | Ref | |||
Administrative division | ||||
Barisal | 0.004 | −0.233 | −0.001 | −1.314 |
Chittagong | −0.001 | 0.121 | −0.001 | −0.235 |
Dhaka | −0.044 | 0.243 | −0.011 | −15.078 |
Khulna | −0.010 | 0.053 | −0.001 | −0.773 |
Mymensingh | −0.014 | −0.206 | 0.003 | 4.011 |
Rajshahi | −0.002 | −0.101 | 0.001 | 0.223 |
Rangpur | 0.010 | −0.297 | −0.003 | −4.310 |
Sylhet | Ref | |||
Subtotal | −0.013 | −17.476 | ||
Explained CIX | 0.072 | 101.126 | ||
Residual CIX | −0.001 | −1.126 |
Variables | Elasticity | CIX | Contribution to Overall CIX = 0.340 | |
---|---|---|---|---|
Absolute Contribution | Percentage Contribution | |||
Age | ||||
18–34 years | Ref | |||
35–44 years | 0.253 | −0.021 | −0.005 | −1.575 |
45–54 years | 0.269 | 0.006 | 0.002 | 0.488 |
55–64 years | 0.253 | −0.025 | −0.006 | −1.868 |
≥65 years | 0.223 | −0.040 | −0.009 | −2.642 |
Subtotal | −0.018 | −5.597 | ||
Sex | ||||
Male | Ref | |||
Female | 0.169 | −0.005 | −0.001 | −0.249 |
Employment status | ||||
Yes | 0.166 | −0.067 | −0.011 | −3.281 |
No | Ref | |||
Educational level | ||||
No education | Ref | |||
Primary | 0.053 | −0.130 | −0.007 | −2.025 |
Secondary | 0.073 | 0.127 | 0.009 | 2.715 |
Higher | 0.011 | 0.398 | 0.005 | 1.323 |
Subtotal | 0.007 | 2.013 | ||
Body mass index | ||||
Underweight | −0.113 | −0.228 | 0.026 | 7.578 |
Normal | Ref | |||
Overweight | 0.109 | 0.224 | 0.024 | 7.154 |
Obese | 0.028 | 0.437 | 0.031 | 10.573 |
Subtotal | 0.081 | 25.305 | ||
Smoking status | ||||
Yes | Ref | |||
No | −0.012 | −0.136 | 0.002 | 0.471 |
Occupation | ||||
With high physical activity | Ref | |||
With low physical activity | 0.321 | 0.133 | 0.043 | 12.570 |
Marital status | ||||
Married | 0.283 | −0.006 | −0.002 | −0.512 |
Unmarried | Ref | |||
Others | 0.025 | −0.069 | −0.002 | −0.508 |
Subtotal | −0.004 | −1.020 | ||
Household wealth status | ||||
Poorest | Ref | |||
Poorer | 0.008 | −0.417 | −0.003 | −1.022 |
Middle | 0.068 | −0.015 | −0.001 | −0.299 |
Richer | 0.099 | 0.390 | 0.039 | 11.432 |
Richest | 0.208 | 0.794 | 0.165 | 48.488 |
Subtotal | 0.200 | 58.599 | ||
Media exposure | ||||
Has access | 0.096 | 0.021 | 0.002 | 0.590 |
No access | Ref | |||
Place of residence | ||||
Rural | 0.076 | −0.138 | −0.011 | −3.095 |
Urban | Ref | |||
Administrative division | ||||
Barisal | −0.005 | −0.233 | 0.001 | 0.337 |
Chittagong | <0.001 | 0.121 | <0.001 | 0.010 |
Dhaka | 0.020 | 0.243 | 0.005 | 1.408 |
Khulna | −0.005 | 0.053 | <0.001 | −0.079 |
Mymensingh | −0.010 | −0.206 | 0.002 | 0.610 |
Rajshahi | −0.010 | −0.101 | 0.001 | 0.310 |
Rangpur | −0.020 | −0.297 | 0.006 | 1.776 |
Sylhet | Ref | |||
Subtotal | 0.015 | 4.372 | ||
Explained CIX | 0.305 | 90.678 | ||
Residual CIX | 0.035 | 9.322 |
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Share and Cite
Kundu, S.; Rahman, M.A.; Kabir, H.; Al Banna, M.H.; Hagan Jr., J.E.; Srem-Sai, M.; Wang, L. Diabetes, Hypertension, and Comorbidity among Bangladeshi Adults: Associated Factors and Socio-Economic Inequalities. J. Cardiovasc. Dev. Dis. 2023, 10, 7. https://doi.org/10.3390/jcdd10010007
Kundu S, Rahman MA, Kabir H, Al Banna MH, Hagan Jr. JE, Srem-Sai M, Wang L. Diabetes, Hypertension, and Comorbidity among Bangladeshi Adults: Associated Factors and Socio-Economic Inequalities. Journal of Cardiovascular Development and Disease. 2023; 10(1):7. https://doi.org/10.3390/jcdd10010007
Chicago/Turabian StyleKundu, Satyajit, Md. Ashfikur Rahman, Humayun Kabir, Md. Hasan Al Banna, John Elvis Hagan Jr., Medina Srem-Sai, and Lina Wang. 2023. "Diabetes, Hypertension, and Comorbidity among Bangladeshi Adults: Associated Factors and Socio-Economic Inequalities" Journal of Cardiovascular Development and Disease 10, no. 1: 7. https://doi.org/10.3390/jcdd10010007
APA StyleKundu, S., Rahman, M. A., Kabir, H., Al Banna, M. H., Hagan Jr., J. E., Srem-Sai, M., & Wang, L. (2023). Diabetes, Hypertension, and Comorbidity among Bangladeshi Adults: Associated Factors and Socio-Economic Inequalities. Journal of Cardiovascular Development and Disease, 10(1), 7. https://doi.org/10.3390/jcdd10010007