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The impact of type 2 diabetes on health related quality of life in Bangladesh: results from a matched study comparing treated cases with non-diabetic controls

Safita, Novie, Islam, Sheikh Mohammed Shariful, Chow, Clara K., Niessen, Louis, Lechner, Andreas, Holle, Rolf and Laxy, Michael 2016, The impact of type 2 diabetes on health related quality of life in Bangladesh: results from a matched study comparing treated cases with non-diabetic controls, Health and quality of life outcomes, vol. 14, no. 1, pp. 1-9, doi: 10.1186/s12955-016-0530-7.

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Title The impact of type 2 diabetes on health related quality of life in Bangladesh: results from a matched study comparing treated cases with non-diabetic controls
Author(s) Safita, Novie
Islam, Sheikh Mohammed SharifulORCID iD for Islam, Sheikh Mohammed Shariful orcid.org/0000-0001-7926-9368
Chow, Clara K.
Niessen, Louis
Lechner, Andreas
Holle, Rolf
Laxy, Michael
Journal name Health and quality of life outcomes
Volume number 14
Issue number 1
Article ID 129
Start page 1
End page 9
Total pages 9
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2016-09-13
ISSN 1477-7525
Keyword(s) Bangladesh
Case control study
Complications
Diabetes
EQ-5D
Quality of life
Adult
Age Factors
Aged
Case-Control Studies
Diabetes Mellitus, Type 2
Ethnic Groups
Female
Humans
Income
Logistic Models
Male
Middle Aged
Sex Factors
Socioeconomic Factors
Surveys and Questionnaires
Summary BACKGROUND: Little is known about the association between diabetes and health related quality of life (HRQL) in lower-middle income countries. This study aimed to investigate HRQL among individuals with and without diabetes in Bangladesh.

METHODS: The analysis is based on data of a case-control study, including 591 patients with type 2 diabetes (cases) who attended an outpatient unit of a hospital in Dhaka and 591 age -and sex-matched individuals without diabetes (controls). Information about socio-demographic characteristics, health conditions, and HRQL were assessed in a structured interview. HRQL was measured with the EuroQol (EQ) visual analogue scale (VAS) and the EQ five-dimensional (5D) descriptive system. The association between diabetes status and quality of life was examined using multiple linear and logistic regression models.

RESULTS: Mean EQ-VAS score of patients with diabetes was 11.5 points lower (95 %-CI: -13.5, -9.6) compared to controls without diabetes. Patients with diabetes were more likely to report problems in all EQ-5D dimensions than controls, with the largest effect observed in the dimensions 'self-care' (OR = 5.9; 95 %-CI: 2.9, 11.8) and 'mobility' (OR = 4.5; 95 %-CI: 3.0, -6.6). In patients with diabetes, male gender, high education, and high-income were associated with higher VAS score and diabetes duration and foot ulcer associated with lower VAS scores. Other diabetes-related complications were not significantly associated with HRQL.

CONCLUSIONS: Our findings suggest that the impact of diabetes on HRQL in the Bangladeshi population is much higher than what is known from western populations and that unlike in western populations comorbidities/complications are not the driving factor for this effect.
Language eng
DOI 10.1186/s12955-016-0530-7
Field of Research 1117 Public Health And Health Services
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30104254

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.