Paradox of relationship between social gradients and noncommunicable disease in develop ing countries.

发展中国家社会梯度与非传染性疾病之间关系的悖论。

• 批准号: 17F17110
• 负责人: 中村 桂子
• 金额: $ 1.34万
• 依托单位: Tokyo Medical and Dental University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for JSPS Fellows
• 财政年份: 2017
• 资助国家: 日本
• 起止时间: 2017-10-13 至 2020-03-31
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-17F17110/
• 关键词: Diabetes; Glycemic level; diet; medication; physical exercise; health-related QOL; Bangladesh; glycemic level

Although low socioeconomic status (SES) is related to poor glycemic control, the underlying mechanisms remain unclear. We examined potentially modifiable factors involved in the association between low SES and poor glycemic control using data from the baseline survey of a multicenter, prospective cohort study. Five hundred adult type 2 diabetes patients were recruited from three diabetes centers. Glycemic control was poorer in diabetic individuals with low SES than in those with higher SES. Adverse health-related behaviors, such as non-adherence to medication (adjusted odds ratio [AOR] = 1.07, 95% confidence interval [CI] 1.04-1.13) and diet (AOR = 1.04, 95% CI 1.02-1.06); existing comorbidities, such as depressive symptoms (AOR = 1.05, 95% CI 1.04-1.09); and non-adherence to essential health service-related practices concerning diabetes care, such as irregular scheduled clinic visits (AOR = 1.04, 95% CI 1.03-1.06) and not practicing self-monitoring of blood glucose (AOR = 1.05, 95% CI 1.03-1.07), mediated the relationship between social adversity and poor glycemic control specially in urban areas of Bangladesh. Those identified factors provide useful information for developing interventions to mitigate socioeconomic disparities in glycemic control. The results are useful for targeting suitable interventions aimed at reducing socioeconomic disparities in glycemic control. Economic data suggest that type 2 diabetes has a significantly catastrophic effect on diabetes patients and their households in Bangladesh.

尽管低社会经济地位（SES）与血糖控制不良有关，但其潜在机制仍不清楚。我们使用多中心前瞻性队列研究的基线调查数据，研究了低 SES 与血糖控制不良之间关联的潜在可改变因素。从三个糖尿病中心招募了 500 名成年 2 型糖尿病患者。低SES的糖尿病患者的血糖控制比SES高的糖尿病患者更差。与健康相关的不良行为，例如不坚持服药（调整后比值比 [AOR] = 1.07，95% 置信区间 [CI] 1.04-1.13）和饮食（AOR = 1.04，95% CI 1.02-1.06）；现有合并症，例如抑郁症状（AOR = 1.05，95% CI 1.04-1.09）；不遵守与糖尿病护理有关的基本卫生服务相关做法，例如不定期就诊（AOR = 1.04，95% CI 1.03-1.06）以及不进行自我血糖监测（AOR = 1.05，95% CI 1.03-1.07），调节社会逆境与血糖控制不良之间的关系，特别是在孟加拉国的城市地区。这些确定的因素为制定干预措施以减轻血糖控制方面的社会经济差异提供了有用的信息。研究结果有助于制定适当的干预措施，以减少血糖控制方面的社会经济差异。经济数据表明，2 型糖尿病对孟加拉国的糖尿病患者及其家庭造成了严重的灾难性影响。

项目成果

Second hand smoke, knowledge/attitude and socioeconomic status among married Bangladeshi women: a cross-sectional study.

孟加拉国已婚妇女的二手烟、知识/态度和社会经济地位：一项横断面研究。

• 发表时间: 2019
• 期刊: Sao Paulo Medical Journal
• 影响因子: 1.4
• 作者: Rahman M;Hasan SM;Haque SE;et al.
• 通讯作者: et al.

Maternal high-risk fertility behavior and association with chronic undernutrition among children under age 5 y in India, Bangladesh, and Nepal: Do poor children have a higher risk?

• DOI: 10.1016/j.nut.2017.10.001
• 发表时间: 2018-05-01
• 期刊: NUTRITION
• 影响因子: 4.4
• 作者: Rahman, Mosiur;Haque, Syed Emdadul;Mostofa, Golam
• 通讯作者: Mostofa, Golam

Secondhand smoke and illness: are mother-child pairs from low socio-economic strata at increased risk in Bangladesh?

二手烟与疾病：孟加拉国社会经济地位较低的母子对面临的风险是否增加？

• DOI: 10.5588/ijtld.18.0186
• 发表时间: 2019
• 期刊: The International Journal of Tuberculosis and Lung Disease
• 作者: Rahman M.;Mostofa M. G.;Rahman M. M.;Haque M. N.;Zahan M. S.;Haque S. E.;Al-Sobaihi S.;Hasan S. M. M.;Huda M. D.;Ahmed M. K.;Mahmud H. M. M.
• 通讯作者: Mahmud H. M. M.

Maternal pregnancy intention and its association with low birthweight and pregnancy complications in Bangladesh: findings from a hospital-based study

• DOI: 10.1093/inthealth/ihz010
• 发表时间: 2019-11-01
• 期刊: INTERNATIONAL HEALTH
• 影响因子: 2.5
• 作者: Rahman, Md Mosfequr;Nasrin, Sarkar Obaida;Buchanan, Fiona
• 通讯作者: Buchanan, Fiona

Assessment of knowledge regarding tuberculosis among industrial labors of Rajshahi District, Bangladesh: a cross- sectional study.

孟加拉国拉杰沙希区工业工人结核病知识评估：一项横断面研究。

• 发表时间: 2018
• 期刊: Human Biology Review
• 作者: Md. Masud Rana;Md. Rafiqul Islam;Mosiur Rahman;Tunku Kamarul Zaman;Premananda Bharati;Md. Golam Hossain.
• 通讯作者: Md. Golam Hossain.