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Original Articles

Effect of Socioeconomic Risk Factors on the Difference in Prevalence of Diabetes Between Rural and Urban Populations in Bangladesh

  1. M Abu Sayeed, MD,
  2. Liaquat Ali, PHD,
  3. M Zafirul Hussain, MSC,
  4. M A Rumi, MSC,
  5. Akhtar Banu, MSC and
  6. A K Azad Khan, PHD
  1. Department of Epidemiology and Biostatistics, University of Dhaka Dhaka, Bangladesh
  2. Research Division, Bangladesh Institute of Research and Rehabilitation in Diabetes Endocrine and Metabolic Disorders (BIRDEM) Institute of Nutrition and Food Science, University of Dhaka Dhaka, Bangladesh
  1. Address correspondence and reprint requests to M. Abu Sayeed, MD, Research Division, BIRDEM, 122 Kazi, Nazrul Islam Ave., Dhaka, Bangladesh.
Diabetes Care 1997 Apr; 20(4): 551-555. https://doi.org/10.2337/diacare.20.4.551
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Abstract

OBJECTIVE To compare the prevalence of diabetes between the poor and rich of rural and urban populations in Bangladesh.

RESEARCH DESIGN AND METHODS A total of 1,052 subjects from urban and 1,319 from rural communities (age ≥ 20 years) of different socioeconomic classes were investigated. Capillary blood glucose levels, fasting and 2 h after a 75-g glucose drink (2-h blood glucose [BG]), were measured. Height, weight, waist, hips, and blood pressure were also measured.

RESULTS Age-adjusted (30–64 years) prevalence of NIDDM was higher in urban (7.97% with 95% CI 6.17–9.77) than in rural subjects (3.84%, CI 2.61–5.07), whereas impaired glucose tolerance (IGT) prevalence was higher in rural subjects. In either urban or rural areas, the highest prevalence of NIDDM was observed among the rich, and the lowest prevalence was observed among the poor socioeconomic classes. The rural rich had much higher prevalence of IGT than their urban counterpart (16.5 vs. 4.4%, CI 6.8–17.4). Increased age was an important risk factor for IGT and NIDDM in both rural and urban subjects, whereas the risk related to higher BMI and waist-to-hip ratio (WHR) was less significant in rural than urban subjects. Using logistic regression and adjusting for age, sex, and social class, the urban subjects had no excess risk for NIDDM. In contrast, an excess risk for glucose intolerance (2-h BG ≥ 7.8 mmol/l) was observed in the rural subjects.

CONCLUSIONS Adjusting for age, sex, and social class, the prevalence of NIDDM among urban subjects did not differ significantly from that among rural subjects. Increased age, higher socioeconomic class, and higher WHR were proven to be independent risk factors for glucose intolerance in either area.

  • Received February 21, 1996.
  • Accepted November 11, 1996.
  • Copyright © 1997 by the American Diabetes Association

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April 1997, 20(4)
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Effect of Socioeconomic Risk Factors on the Difference in Prevalence of Diabetes Between Rural and Urban Populations in Bangladesh
M Abu Sayeed, Liaquat Ali, M Zafirul Hussain, M A Rumi, Akhtar Banu, A K Azad Khan
Diabetes Care Apr 1997, 20 (4) 551-555; DOI: 10.2337/diacare.20.4.551

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Effect of Socioeconomic Risk Factors on the Difference in Prevalence of Diabetes Between Rural and Urban Populations in Bangladesh
M Abu Sayeed, Liaquat Ali, M Zafirul Hussain, M A Rumi, Akhtar Banu, A K Azad Khan
Diabetes Care Apr 1997, 20 (4) 551-555; DOI: 10.2337/diacare.20.4.551
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