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Influence of distance between residence and health facilities on non-communicable diseases: An assessment over hypertension and diabetes in Bangladesh
- Source :
- PLoS ONE, Vol 12, Iss 5, p e0177027 (2017), PLoS ONE
- Publication Year :
- 2017
- Publisher :
- Public Library of Science (PLoS), 2017.
-
Abstract
- Objective This paper reflected on the prevalence of hypertension and diabetes in Bangladesh, which is spreading rapidly in low-income countries. The rationale of constructing more health centers for addressing NCDs was assessed in this paper by determining the relationship between prevalence of NCDs, particularly hypertension and diabetes, and distance to health facilities. Methods From BDHS (Bangladesh Health and Demographic Survey) 2011 data set, 7544 samples were analyzed to demonstrate association between Non-communicable diseases (NCD) and distance from respondents’ home to health facilities like hospitals, community clinics, pharmacies or doctors’ chambers, and community facilities like market, post office or cinema hall. Bivariate analysis was conducted between accessibility to health facilities and prevalence of the diseases. The causal relationship between the spatial effects and the prevalence of the diseases were analyzed by applying Generalized Linear Mixed Model (GLMM) was fitted. Results Fitting linear mixed effect models, we found that hypertension and diabetes react differently with various spatial effects. Distance from home to hospital had significant effect (P < 0.001) on hypertension showing people living further from the facilities or town centers seemed to be less hypertensive, whereas diabetes showed no such affiliation. Conclusion Higher prevalence of diabetes (40.9%) over hypertension (26.5%) in people aging 35 or higher, have appeared to have caused the difference, which concluded that each non-communicable disease should be dealt to its own merit for policy making instead considering as a group of diseases.
- Subjects :
- Male
Gerontology
Multivariate analysis
Medical Doctors
Economics
Health Care Providers
Social Sciences
lcsh:Medicine
Blood Pressure
Disease
Vascular Medicine
Geographical Locations
Endocrinology
Mathematical and Statistical Techniques
0302 clinical medicine
Epidemiology
Medicine and Health Sciences
Medicine
Public and Occupational Health
030212 general & internal medicine
lcsh:Science
Bangladesh
Multidisciplinary
Socioeconomic Aspects of Health
Professions
Hypertension
Physical Sciences
Female
Bivariate Analysis
Statistics (Mathematics)
Research Article
Adult
medicine.medical_specialty
Asia
Endocrine Disorders
030209 endocrinology & metabolism
Pharmacy
Bivariate analysis
Research and Analysis Methods
03 medical and health sciences
Health Economics
Environmental health
Diabetes mellitus
Diabetes Mellitus
Humans
Statistical Methods
Demography
Health economics
business.industry
lcsh:R
medicine.disease
Health Care
Metabolic Disorders
People and Places
Multivariate Analysis
Population Groupings
Residence
lcsh:Q
Health Facilities
business
Mathematics
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 12
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....29bea3d16c96dc16c1989ef6af9095ef