Evidence map›Paper›PMID 37130132›Full record

ArticlePloS one2023

The burden of chronic diseases, disease-stratified exploration and gender-differentiated healthcare utilisation among patients in Bangladesh.

Rashidul Alam Mahumud, Jeff Gow, Md Parvez Mosharaf, Satyajit Kundu, Md Ashfikur Rahman, Natisha Dukhi, Md Shahajalal, Sabuj Kanti Mistry, Khorshed Alam

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Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

What it found

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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.

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Rashidul Alam MahumudHealth Research Group, Department of Statistics, University of Rajshahi, Rajshahi, Bangladesh.ORCID 0000-0001-9788-1868
Jeff GowSchool of Business, Faculty of Business, Education, Law and Arts, University of Southern Queensland, Toowoomba, Australia.
Md Parvez MosharafHealth Research Group, Department of Statistics, University of Rajshahi, Rajshahi, Bangladesh.
Satyajit KunduGlobal Health Institute, North South University, Dhaka, Bangladesh.ORCID 0000-0001-9610-1479
Md Ashfikur RahmanDevelopment Studies Discipline, Social Science School, Khulna University, Khulna, Bangladesh.ORCID 0000-0002-5517-8557
Natisha DukhiHuman Sciences Research Council, Cape Town, South Africa.
Md ShahajalalDepartment of Public Health, School of Health and Life Sciences, North South University, Dhaka, Bangladesh.
Sabuj Kanti MistryCentre for Primary Health Care and Equity, University of New South Wales, Sydney, Australia.ORCID 0000-0001-6100-6076
Khorshed AlamSchool of Business, Faculty of Business, Education, Law and Arts, University of Southern Queensland, Toowoomba, Australia.ORCID 0000-0003-2232-0745

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic diseases are considered one of the major causes of illness, disability, and death worldwide. Chronic illness leads to a huge health and economic burden, especially in low- and middle-income countries. This study examined disease-stratified healthcare utilisation (HCU) among Bangladesh patients with chronic diseases from a gender perspective.

methodsData from the nationally representative Household Income and Expenditure Survey 2016-2017 consisting of 12,005 patients with diagnosed chronic diseases was used. Gender differentiated chronic disease stratified-analytical exploration was performed to identify the potential factors to higher or lower utilisation of healthcare services. Logistic regression with step-by-step adjustment for independent confounding factors was the method used.

resultsThe five most prevalent chronic diseases among patients were gastric/ulcer (Male/Female, M/F: 16.77%/16.40%), arthritis/rheumatism (M/F: 13.70%/ 13.86%), respiratory diseases/asthma/bronchitis (M/F: 12.09% / 12.55%), chronic heart disease (M/F: 8.30% / 7.41%), and blood pressure (M/F: 8.20% / 8.87%). Eighty-six percent of patients with chronic diseases utilised health care services during the previous 30 days. Although most patients received outpatient healthcare services, a substantial difference in HCU among employed male (53%) and female (8%) patients were observed. Chronic heart disease patients were more likely to utilise health care than other disease types, which held true for both genders while the magnitude of HCU was significantly higher in males (OR = 2.22; 95% CI:1.51-3.26) than their female counterparts (OR = 1.44; 1.02-2.04). A similar association was observed among patients with diabetes and respiratory diseases.

conclusionA burden of chronic diseases was observed in Bangladesh. Patients with chronic heart disease utilised more healthcare services than patients experiencing other chronic diseases. The distribution of HCU varied by patient's gender as well as their employment status. Risk-pooling mechanisms and access to free or low-cost healthcare services among the most disadvantaged people in society might enhance reaching universal health coverage.

Indexed as

Delivery of Health CarePatient Acceptance of Health CareBangladeshChronic DiseaseFemaleHealth ExpendituresHumansMale

Identifiers

PMID37130132
PMCPMC10153713

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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.