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2019 Fiscal Year Annual Research Report

Paradox of relationship between social gradients and noncommunicable disease in develop ing countries.

Research Project

Project/Area Number 17F17110
Research InstitutionTokyo Medical and Dental University

Principal Investigator

中村 桂子  東京医科歯科大学, 大学院医歯学総合研究科, 教授 (00211433)

Co-Investigator(Kenkyū-buntansha) RAHMAN MD.  東京医科歯科大学, 大学院医歯学総合研究科, 外国人特別研究員
Project Period (FY) 2017-10-13 – 2020-03-31
KeywordsDiabetes / Glycemic level / diet / medication / physical exercise / health-related QOL / Bangladesh
Outline of Annual Research Achievements

Although low socioeconomic status (SES) is related to poor glycemic control, the underlying mechanisms remain unclear. We examined potentially modifiable factors involved in the association between low SES and poor glycemic control using data from the baseline survey of a multicenter, prospective cohort study. Five hundred adult type 2 diabetes patients were recruited from three diabetes centers. Glycemic control was poorer in diabetic individuals with low SES than in those with higher SES. Adverse health-related behaviors, such as non-adherence to medication (adjusted odds ratio [AOR] = 1.07, 95% confidence interval [CI] 1.04-1.13) and diet (AOR = 1.04, 95% CI 1.02-1.06); existing comorbidities, such as depressive symptoms (AOR = 1.05, 95% CI 1.04-1.09); and non-adherence to essential health service-related practices concerning diabetes care, such as irregular scheduled clinic visits (AOR = 1.04, 95% CI 1.03-1.06) and not practicing self-monitoring of blood glucose (AOR = 1.05, 95% CI 1.03-1.07), mediated the relationship between social adversity and poor glycemic control specially in urban areas of Bangladesh. Those identified factors provide useful information for developing interventions to mitigate socioeconomic disparities in glycemic control. The results are useful for targeting suitable interventions aimed at reducing socioeconomic disparities in glycemic control. Economic data suggest that type 2 diabetes has a significantly catastrophic effect on diabetes patients and their households in Bangladesh.

Research Progress Status

令和元年度が最終年度であるため、記入しない。

Strategy for Future Research Activity

令和元年度が最終年度であるため、記入しない。

  • Research Products

    (7 results)

All 2020 2019 Other

All Int'l Joint Research (1 results) Journal Article (5 results) (of which Peer Reviewed: 5 results,  Open Access: 5 results) Presentation (1 results)

  • [Int'l Joint Research] University of Rajshahi/Dhaka Diabetic Center/Barishal Diabeti Center(バングラデシュ)

    • Country Name
      BANGLADESH
    • Counterpart Institution
      University of Rajshahi/Dhaka Diabetic Center/Barishal Diabeti Center
    • # of Other Institutions
      1
  • [Journal Article] Mediators of the association between low socioeconomic status and poor glycemic control among type 2 diabetics in Bangladesh2020

    • Author(s)
      Rahman Mosiur、Nakamura Keiko、Hasan S. M. Mahmudul、Seino Kaoruko、Mostofa Golam
    • Journal Title

      Scientific Reports

      Volume: 10 Pages: 6690

    • DOI

      10.1038/s41598-020-63253-8

    • Peer Reviewed / Open Access
  • [Journal Article] The double burden of under- and overnutrition among Bangladeshi women: Socioeconomic and community-level inequalities2019

    • Author(s)
      Rahman Md. Aminur、Rahman Md. Mosfequr、Rahman Md. Mosiur、Jesmin Syeda S.
    • Journal Title

      PLOS ONE

      Volume: 14 Pages: e0219968

    • DOI

      10.1371/journal.pone.0219968

    • Peer Reviewed / Open Access
  • [Journal Article] Maternal pregnancy intention and its association with low birthweight and pregnancy complications in Bangladesh: findings from a hospital-based study2019

    • Author(s)
      Rahman Mosfequr、Nasrin Sarkar Obaida、Rahman Mosiur、Rahman Aminur、Mostofa Golam、Jesmin Syeda Sarah、Buchanan Fiona
    • Journal Title

      International Health

      Volume: 11 Pages: 447~454

    • DOI

      10.1093/inthealth/ihz010

    • Peer Reviewed / Open Access
  • [Journal Article] Secondhand smoking, knowledge/attitudes and socioeconomic status among married Bangladeshi women: a cross-sectional study2019

    • Author(s)
      Rahman Mosiur、Hasan Sheikh Mohammad Mahmudul、Haque Syed Emdadul、Haque Nuruzzaman、Rahman Mosfequr、Mostofa Golam、Zahan Sarwar、Huda Durrul、Sobaihi Saber Al-、Ahmed Kapil、Mahmud Howlader Mohammad Miraz
    • Journal Title

      Sao Paulo Medical Journal

      Volume: 137 Pages: 13~24

    • DOI

      10.1590/1516-3180.2018.0292071218

    • Peer Reviewed / Open Access
  • [Journal Article] Secondhand smoke and illness: are mother-child pairs from low socio-economic strata at increased risk in Bangladesh?2019

    • Author(s)
      Rahman M.、Mostofa M. G.、Rahman M. M.、Haque M. N.、Zahan M. S.、Haque S. E.、Al-Sobaihi S.、Hasan S. M. M.、Huda M. D.、Ahmed M. K.、Mahmud H. M. M.
    • Journal Title

      The International Journal of Tuberculosis and Lung Disease

      Volume: 23 Pages: 412~421

    • DOI

      10.5588/ijtld.18.0186

    • Peer Reviewed / Open Access
  • [Presentation] Effects of physical activity on periodontitis in type 2 diabetes in Bangladesh.2019

    • Author(s)
      Hasan SMM, Nakamura K, Seino K, Rahman MM
    • Organizer
      78th Annual Conference of Japanese Society of Public Health

URL: 

Published: 2021-01-27  

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