Objective <p>Non-communicable diseases (NCDs) are a growing health burden in low- and middle-income countries, with hypertension and poor glycaemic control being key contributors. This study aimed to assess the prevalence, awareness, and misinformation surrounding hypertension and diabetes in Bangladesh, identifying high-risk groups.</p> Methods <p>Data from the nationally representative 2022 Bangladesh Demographic Health Survey were analysed, covering 13,344 adults aged 17–95&#xa0;years. We applied complex survey weighted regression modelling, spatial analysis, and machine learning techniques to explore trends, regional disparities, and factors influencing NCD awareness.</p> Results <p>The prevalence of hypertension (≥ 140/90&#xa0;mm Hg) or diabetes (blood glucose ≥ 126&#xa0;mg/dL or 7.0&#xa0;mmol/L) was 31%, rising to 52% among adults aged 50 + . Notably, 17% of affected individuals in this age group were unaware of their condition. Among adults aged 50 + , 34% had undiagnosed hypertension, while 38% across all ages were unaware of their diabetes. Females developed hypertension earlier than males. Regional disparities were evident, with the highest NCD prevalence in Feni (40%), Naogaon (37%), and Natore (36%). Awareness varied by age, sex, BMI, and mobile phone ownership, which was linked to misinformation. Adults aged 30–39 had 2.11 times higher odds of unawareness (95% CI: 1.75, 2.56), rising to 5.61 times in those aged 70 + (95% CI: 4.36, 7.20) compared to those under 30. Obese individuals were 3.07 times more likely to be unaware than those classified as underweight (95% CI: 2.33, 4.05).</p> Conclusions <p>This study reveals gaps in health literacy and screening access, contributing to the escalating NCD burden in Bangladesh.</p>

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Prevalence of hypertension and diabetes in Bangladesh: identifying gaps in awareness and misinformation

  • Raaj Kishore Biswas,
  • Awan Afiaz,
  • Md. Hasibul Islam Jitu,
  • Bushra Chowdhury,
  • Sharmin Sultana,
  • Ahmed Moosa,
  • Enamul Kabir,
  • Jahar Bhowmik,
  • Nicholas A. Koemel,
  • Luigi Fontana

摘要

Objective

Non-communicable diseases (NCDs) are a growing health burden in low- and middle-income countries, with hypertension and poor glycaemic control being key contributors. This study aimed to assess the prevalence, awareness, and misinformation surrounding hypertension and diabetes in Bangladesh, identifying high-risk groups.

Methods

Data from the nationally representative 2022 Bangladesh Demographic Health Survey were analysed, covering 13,344 adults aged 17–95 years. We applied complex survey weighted regression modelling, spatial analysis, and machine learning techniques to explore trends, regional disparities, and factors influencing NCD awareness.

Results

The prevalence of hypertension (≥ 140/90 mm Hg) or diabetes (blood glucose ≥ 126 mg/dL or 7.0 mmol/L) was 31%, rising to 52% among adults aged 50 + . Notably, 17% of affected individuals in this age group were unaware of their condition. Among adults aged 50 + , 34% had undiagnosed hypertension, while 38% across all ages were unaware of their diabetes. Females developed hypertension earlier than males. Regional disparities were evident, with the highest NCD prevalence in Feni (40%), Naogaon (37%), and Natore (36%). Awareness varied by age, sex, BMI, and mobile phone ownership, which was linked to misinformation. Adults aged 30–39 had 2.11 times higher odds of unawareness (95% CI: 1.75, 2.56), rising to 5.61 times in those aged 70 + (95% CI: 4.36, 7.20) compared to those under 30. Obese individuals were 3.07 times more likely to be unaware than those classified as underweight (95% CI: 2.33, 4.05).

Conclusions

This study reveals gaps in health literacy and screening access, contributing to the escalating NCD burden in Bangladesh.