2019 Fiscal Year Annual Research Report
Paradox of relationship between social gradients and noncommunicable disease in develop ing countries.
| Project/Area Number |
17F17110
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| Research Institution | Tokyo Medical and Dental University |
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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)
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| 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
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| Project Period (FY) |
2017-10-13 – 2020-03-31
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| Keywords | Diabetes / Glycemic level / diet / medication / physical exercise / health-related QOL / Bangladesh |
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| 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.
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| Research Progress Status |
令和元年度が最終年度であるため、記入しない。
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| 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。
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