Evidence map›Paper›PMID 30057800›Full record

ArticleBMJ global health2018

Diabetes knowledge and care practices among adults in rural Bangladesh: a cross-sectional survey.

Edward Fottrell, Naveed Ahmed, Sanjit Kumar Shaha, Hannah Jennings, Abdul Kuddus, Joanna Morrison, Kohenour Akter, Badrun Nahar, Tasmin Nahar, Hassan Haghparast-Bidgoli and 3 more

Abstract read
In one paragraph

Article in BMJ global health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

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  6. Bridging the diagnostic gap in diabetes.Bulletin of the World Health Organization · 2026
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

13 authors.

Edward FottrellInstitute for Global Health, University College London, London, UK.
Naveed AhmedDiabetic Association of Bangladesh, Dhaka, Bangladesh.
Sanjit Kumar ShahaDiabetic Association of Bangladesh, Dhaka, Bangladesh.
Hannah JenningsInstitute for Global Health, University College London, London, UK.
Abdul KuddusDiabetic Association of Bangladesh, Dhaka, Bangladesh.
Joanna MorrisonInstitute for Global Health, University College London, London, UK.ORCID 0000-0002-9241-8863
Kohenour AkterDiabetic Association of Bangladesh, Dhaka, Bangladesh.
Badrun NaharDiabetic Association of Bangladesh, Dhaka, Bangladesh.
Tasmin NaharDiabetic Association of Bangladesh, Dhaka, Bangladesh.
Hassan Haghparast-BidgoliInstitute for Global Health, University College London, London, UK.
A K Azad KhanDiabetic Association of Bangladesh, Dhaka, Bangladesh.
Anthony CostelloInstitute for Global Health, University College London, London, UK.
Kishwar AzadDiabetic Association of Bangladesh, Dhaka, Bangladesh.

Funding

Medical Research Council MR/M016501/1
6 · The paper itself

Abstract

backgroundPopulation knowledge of how to prevent, detect and control diabetes is critical to public health initiatives to tackle the disease. We undertook a cross-sectional survey of adults in rural Bangladesh to estimate knowledge and practices related to diabetes.

methodsIn 96 villages in Faridpur district, trained fieldworkers surveyed 12 140 randomly selected men and women aged ≥30. They collected data on sociodemographic status, knowledge of diabetes and history of blood and urine glucose testing. Fasting and 2-hour post-glucose load capillary blood tests ascertained the diabetic status of respondents. Levels of knowledge and practices were analysed by sociodemographic characteristics and diabetic status.

resultsThe population showed low levels of diabetes knowledge overall, with only one in three adults able to report any valid causes of the disease. Knowledge of diabetes causes, symptoms, complications, prevention and control was significantly associated with age, education, wealth and employment. Only 14% of respondents reported ever having had a blood glucose test and strong associations with wealth were observed (least poor relative to most poor 2.91 (2.32-3.66)). 78.4% of known diabetics (ie, with a prior diagnosis) reported that they did not monitor their blood glucose levels on at least a monthly basis. However, they had better knowledge of the causes (odds relative to normoglycaemic individuals 1.62 (1.23-2.09)), symptoms (5.17 (3.41-7.82)), complications (5.18 (3.75-7.14)), prevention (4.18 (3.04-5.74)) and control (8.43 (4.83-14.71)).

conclusionKnowledge of diabetes among rural adults in Faridpur is extremely poor. Levels of diabetes testing are low and monitoring of blood glucose among known diabetics infrequent. Diabetes prevention and control efforts in this population must include large-scale awareness initiatives which focus not only on high-risk individuals but the whole population. TRIAL REGISTRATION NUMBER: ISRCTN41083256; Pre-results.

Indexed as

community-based surveydiabetesepidemiologyprevention strategiespublic health

Identifiers

PMID30057800
PMCPMC6058170

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.