Evidence map›Paper›PMID 30609855›Full record

ArticleInternational journal of environmental research and public health2019

Socioeconomic Inequalities of Undiagnosed Diabetes in a Resource-Poor Setting: Insights from the Cross-Sectional Bangladesh Demographic and Health Survey 2011.

Md Mehedi Hasan, Fariha Tasnim, Md Tariqujjaman, Sayem Ahmed

Abstract read
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Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
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22citing papers in PubMed, 1 pooled it
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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

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3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Md Mehedi HasanInstitute for Social Science Research, The University of Queensland, Indooroopilly 4068, Queensland, Australia. m.m.hasan@uqconnect.edu.au.ORCID 0000-0001-7801-0506
Fariha TasnimMaternal and Child Health Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 1212 Dhaka, Bangladesh. fariharuhi@gmail.com.
Md TariqujjamanNutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 1212 Dhaka, Bangladesh. tariq.sbidu@gmail.com.ORCID 0000-0002-0172-9501
Sayem AhmedHealth Systems and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 1212 Dhaka, Bangladesh. sayemahmed@icddrb.org.ORCID 0000-0001-9499-1500

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetes mellitus is rising disproportionately but is not frequently diagnosed until complications appear, which results in adverse health consequences. We estimated the prevalence of undiagnosed diabetes among adult diabetic patients and associated socioeconomic inequalities in Bangladesh. We used nationally representative cross-sectional Bangladesh Demographic and Health Survey (BDHS) 2011 data. Among patients with diabetes, we identified undiagnosed cases as having fasting plasma glucose ≥ 7.0 mmol/L, never having taken prescribed medicine and being told by health professionals. Among 938 patients with diabetes, 53.4% remained undiagnosed. The poorest (75.9%) and rural (59.0%) patients had significantly higher undiagnosed cases than the richest (36.0%) and urban (42.5%), respectively. Multiple logistic regression analysis revealed that the likelihood of being undiagnosed was lower among patients with age ≥ 70 years vs. 35⁻39 years (adjusted odds ratio (AOR) = 0.35; 95% confidence interval (CI) 0.19, 0.64) and patients with higher education vs. no education (AOR = 0.36; 95% CI 0.21, 0.62). Conversely, a high level of physical activity and being in a poor socioeconomic quintile were associated with a higher risk of remaining undiagnosed for diabetes. The Concentration Index (C) also showed that undiagnosed diabetes was largely distributed among the socioeconomically worse-off group in Bangladesh (C = -0.35). Nationwide diabetes screening programs may reduce this problem in Bangladesh and other similar low-income settings.

Indexed as

Socioeconomic FactorsAdultAgedBangladeshCross-Sectional StudiesDiabetes MellitusFemaleHealth ResourcesHealth SurveysHumansMaleMiddle AgedOdds RatioPrevalenceRural PopulationBangladeshconcentration indexinequalityodds ratiosocioeconomic conditionundiagnosed diabetes

Identifiers

PMID30609855
PMCPMC6338882

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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.