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Socio-Economic Inequality of Chronic Non-Communicable Diseases in Bangladesh

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  • Tuhin Biswas
  • Md Saimul Islam
  • Natalie Linton
  • Lal B Rawal

Abstract

Introduction: Chronic non-communicable diseases (NCDs) are a major public health challenge, and undermine social and economic development in much of the developing world, including Bangladesh. Epidemiologic evidence on the socioeconomic status (SES)-related pattern of NCDs remains limited in Bangladesh. This study assessed the relationship between three chronic NCDs and SES among the Bangladeshi population, paying particular attention to the differences between urban and rural areas. Materials and Method: Data from the 2011 Bangladesh Demographic and Health Survey were used for this study. Using a concentration index (CI), we measured relative inequality across pre-diabetes, diabetes, pre-hypertension, hypertension, and BMI (underweight, normal weight, and overweight/obese) in urban and rural areas in Bangladesh. A CI and its associated curve can be used to identify whether socioeconomic inequality exists for a given health variable. In addition, we estimated the health achievement index, integrating mean coverage and the distribution of coverage by rural and urban populations. Results: Socioeconomic inequalities were observed across diseases and risk factors. Using CI, significant inequalities observed for pre-hypertension (CI = 0.09, p = 0.001), hypertension (CI = 0.10, p = 0.001), pre-diabetes (CI = -0.01, p = 0.005), diabetes (CI = 0.19, p

Suggested Citation

  • Tuhin Biswas & Md Saimul Islam & Natalie Linton & Lal B Rawal, 2016. "Socio-Economic Inequality of Chronic Non-Communicable Diseases in Bangladesh," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-12, November.
    • Handle: RePEc:plo:pone00:0167140
    DOI: 10.1371/journal.pone.0167140
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    1. Alayne M Adams & Rubana Islam & Sifat Shahana Yusuf & Anthony Panasci & Nancy Crowell, 2020. "Healthcare seeking for chronic illness among adult slum dwellers in Bangladesh: A descriptive cross-sectional study in two urban settings," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-18, June.
    2. Manuel García-Goñi & Alexandrina P. Stoyanova & Roberto Nuño-Solinís, 2021. "Mental Illness Inequalities by Multimorbidity, Use of Health Resources and Socio-Economic Status in an Aging Society," IJERPH, MDPI, vol. 18(2), pages 1-18, January.
    3. Md. Mehedi Hasan & Fariha Tasnim & Md. Tariqujjaman & Sayem Ahmed, 2019. "Socioeconomic Inequalities of Undiagnosed Diabetes in a Resource-Poor Setting: Insights from the Cross-Sectional Bangladesh Demographic and Health Survey 2011," IJERPH, MDPI, vol. 16(1), pages 1-12, January.
    4. Chipo Mutyambizi & Frederik Booysen & Andrew Stokes & Milena Pavlova & Wim Groot, 2019. "Lifestyle and socio-economic inequalities in diabetes prevalence in South Africa: A decomposition analysis," PLOS ONE, Public Library of Science, vol. 14(1), pages 1-21, January.
    5. Anjana Rai & Swadesh Gurung & Subash Thapa & Naomi M Saville, 2019. "Correlates and inequality of underweight and overweight among women of reproductive age: Evidence from the 2016 Nepal Demographic Health Survey," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-16, May.
    6. Biplab Kumar Datta & Muhammad Jami Husain & Sohani Fatehin & Deliana Kostova, 2018. "Consumption displacement in households with noncommunicable diseases in Bangladesh," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-12, December.

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