Cargando…
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
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 stud...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5022158/ https://www.ncbi.nlm.nih.gov/pubmed/27624600 http://dx.doi.org/10.1186/s12955-016-0530-7 |
_version_ | 1782453467532492800 |
---|---|
author | Safita, Novie Islam, Sheikh Mohammed Shariful Chow, Clara K. Niessen, Louis Lechner, Andreas Holle, Rolf Laxy, Michael |
author_facet | Safita, Novie Islam, Sheikh Mohammed Shariful Chow, Clara K. Niessen, Louis Lechner, Andreas Holle, Rolf Laxy, Michael |
author_sort | Safita, Novie |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5022158 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-50221582016-09-20 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 Laxy, Michael Health Qual Life Outcomes Research 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. BioMed Central 2016-09-13 /pmc/articles/PMC5022158/ /pubmed/27624600 http://dx.doi.org/10.1186/s12955-016-0530-7 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Safita, Novie Islam, Sheikh Mohammed Shariful Chow, Clara K. Niessen, Louis Lechner, Andreas Holle, Rolf Laxy, Michael 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 |
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 |
title_full | 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 |
title_fullStr | 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 |
title_full_unstemmed | 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 |
title_short | 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 |
title_sort | 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 |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5022158/ https://www.ncbi.nlm.nih.gov/pubmed/27624600 http://dx.doi.org/10.1186/s12955-016-0530-7 |
work_keys_str_mv | AT safitanovie theimpactoftype2diabetesonhealthrelatedqualityoflifeinbangladeshresultsfromamatchedstudycomparingtreatedcaseswithnondiabeticcontrols AT islamsheikhmohammedshariful theimpactoftype2diabetesonhealthrelatedqualityoflifeinbangladeshresultsfromamatchedstudycomparingtreatedcaseswithnondiabeticcontrols AT chowclarak theimpactoftype2diabetesonhealthrelatedqualityoflifeinbangladeshresultsfromamatchedstudycomparingtreatedcaseswithnondiabeticcontrols AT niessenlouis theimpactoftype2diabetesonhealthrelatedqualityoflifeinbangladeshresultsfromamatchedstudycomparingtreatedcaseswithnondiabeticcontrols AT lechnerandreas theimpactoftype2diabetesonhealthrelatedqualityoflifeinbangladeshresultsfromamatchedstudycomparingtreatedcaseswithnondiabeticcontrols AT hollerolf theimpactoftype2diabetesonhealthrelatedqualityoflifeinbangladeshresultsfromamatchedstudycomparingtreatedcaseswithnondiabeticcontrols AT laxymichael theimpactoftype2diabetesonhealthrelatedqualityoflifeinbangladeshresultsfromamatchedstudycomparingtreatedcaseswithnondiabeticcontrols AT safitanovie impactoftype2diabetesonhealthrelatedqualityoflifeinbangladeshresultsfromamatchedstudycomparingtreatedcaseswithnondiabeticcontrols AT islamsheikhmohammedshariful impactoftype2diabetesonhealthrelatedqualityoflifeinbangladeshresultsfromamatchedstudycomparingtreatedcaseswithnondiabeticcontrols AT chowclarak impactoftype2diabetesonhealthrelatedqualityoflifeinbangladeshresultsfromamatchedstudycomparingtreatedcaseswithnondiabeticcontrols AT niessenlouis impactoftype2diabetesonhealthrelatedqualityoflifeinbangladeshresultsfromamatchedstudycomparingtreatedcaseswithnondiabeticcontrols AT lechnerandreas impactoftype2diabetesonhealthrelatedqualityoflifeinbangladeshresultsfromamatchedstudycomparingtreatedcaseswithnondiabeticcontrols AT hollerolf impactoftype2diabetesonhealthrelatedqualityoflifeinbangladeshresultsfromamatchedstudycomparingtreatedcaseswithnondiabeticcontrols AT laxymichael impactoftype2diabetesonhealthrelatedqualityoflifeinbangladeshresultsfromamatchedstudycomparingtreatedcaseswithnondiabeticcontrols |