Self-reported prevalence of asthma and its associated factors among adult rural population in Bangladesh: a cross-sectional study using WHO PEN protocol

Objective For over a decade, the prevalence of asthma remained unchanged at around 7% in Bangladesh. Although asthma causes significant morbidity among both children and adults, updates on epidemiological data are limited on the prevalence in Bangladesh. This study attempted to determine the prevale...

Full description

Bibliographic Details
Main Authors: Riffat Ara Shawon, AKM Fazlur Rahman, Palash Chandra Banik, Lingkan Barua, Saidur Rahman Mashreky, Mithila Faruque, Shagoofa Rakhshanda, Minhazul Abedin, Abrar Wahab
Format: Article
Language:English
Published: BMJ Publishing Group 2023-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/12/e074195.full
_version_ 1797370759919697920
author Riffat Ara Shawon
AKM Fazlur Rahman
Palash Chandra Banik
Lingkan Barua
Saidur Rahman Mashreky
Mithila Faruque
Shagoofa Rakhshanda
Minhazul Abedin
Abrar Wahab
author_facet Riffat Ara Shawon
AKM Fazlur Rahman
Palash Chandra Banik
Lingkan Barua
Saidur Rahman Mashreky
Mithila Faruque
Shagoofa Rakhshanda
Minhazul Abedin
Abrar Wahab
author_sort Riffat Ara Shawon
collection DOAJ
description Objective For over a decade, the prevalence of asthma remained unchanged at around 7% in Bangladesh. Although asthma causes significant morbidity among both children and adults, updates on epidemiological data are limited on the prevalence in Bangladesh. This study attempted to determine the prevalence of asthma, and its modifiable and non-modifiable lifestyle predictors in a rural population of Bangladesh.Method This study was part of a cross-sectional study that applied the WHO Package of Essential Noncommunicable Disease Interventions via census in a rural area of Bangladesh, where self-reported data on asthma were recorded. Data on anthropometric measurement, sociodemographic characteristics and behavioural risk factors were collected following the standard protocol described in the WHO STEP-wise approach to surveillance (STEPS) questionnaire. Analysis included descriptive statistics to assess the prevalence of asthma and its risk factors, and binary logistic regression to determine contributing factors.Result The overall prevalence of asthma was 4.2%. Asthma was predominant among people above 60 years (8.4%). Higher asthma was noted among males (4.6%), self-employed (5.1%), with a family history of asthma (9.1%), with comorbidities besides asthma (7.8%) and underweight (6.0%) compared with their counterparts. The OR of having asthma was 1.89, 1.93, 1.32, 1.50, 2.60, 0.67, 0.67 and 0.78 if a respondent was 45 years old or more, married, underweight, ever smoker, with a family history of asthma, housewife, employed and consumed red meat, respectively, while considering all other variables constant, compared with their counterparts.Conclusion The study emphasised asthma to be a public health concern in Bangladesh, although it seems to have decreased over the last decade. Among others, red meat intake and nutritional status were strongly associated with asthma, and the linkage among these is still a grey area that needs further exploration.
first_indexed 2024-03-08T18:09:08Z
format Article
id doaj.art-f12af743619142d7b30613801589fcbc
institution Directory Open Access Journal
issn 2044-6055
language English
last_indexed 2024-03-08T18:09:08Z
publishDate 2023-12-01
publisher BMJ Publishing Group
record_format Article
series BMJ Open
spelling doaj.art-f12af743619142d7b30613801589fcbc2024-01-01T10:05:08ZengBMJ Publishing GroupBMJ Open2044-60552023-12-01131210.1136/bmjopen-2023-074195Self-reported prevalence of asthma and its associated factors among adult rural population in Bangladesh: a cross-sectional study using WHO PEN protocolRiffat Ara Shawon0AKM Fazlur Rahman1Palash Chandra Banik2Lingkan Barua3Saidur Rahman Mashreky4Mithila Faruque5Shagoofa Rakhshanda6Minhazul Abedin7Abrar Wahab8Centre for Injury Prevention and Research, Bangladesh, Dhaka, BangladeshCentre for Injury Prevention and Research, Bangladesh, Dhaka, BangladeshBangladesh University of Health Sciences, Dhaka, BangladeshBangladesh University of Health Sciences, Dhaka, BangladeshCentre for Injury Prevention and Research, Bangladesh, Dhaka, BangladeshBangladesh University of Health Sciences, Dhaka, BangladeshCentre for Injury Prevention and Research, Bangladesh, Dhaka, BangladeshCentre for Injury Prevention and Research, Bangladesh, Dhaka, BangladeshCentre for Injury Prevention and Research, Bangladesh, Dhaka, BangladeshObjective For over a decade, the prevalence of asthma remained unchanged at around 7% in Bangladesh. Although asthma causes significant morbidity among both children and adults, updates on epidemiological data are limited on the prevalence in Bangladesh. This study attempted to determine the prevalence of asthma, and its modifiable and non-modifiable lifestyle predictors in a rural population of Bangladesh.Method This study was part of a cross-sectional study that applied the WHO Package of Essential Noncommunicable Disease Interventions via census in a rural area of Bangladesh, where self-reported data on asthma were recorded. Data on anthropometric measurement, sociodemographic characteristics and behavioural risk factors were collected following the standard protocol described in the WHO STEP-wise approach to surveillance (STEPS) questionnaire. Analysis included descriptive statistics to assess the prevalence of asthma and its risk factors, and binary logistic regression to determine contributing factors.Result The overall prevalence of asthma was 4.2%. Asthma was predominant among people above 60 years (8.4%). Higher asthma was noted among males (4.6%), self-employed (5.1%), with a family history of asthma (9.1%), with comorbidities besides asthma (7.8%) and underweight (6.0%) compared with their counterparts. The OR of having asthma was 1.89, 1.93, 1.32, 1.50, 2.60, 0.67, 0.67 and 0.78 if a respondent was 45 years old or more, married, underweight, ever smoker, with a family history of asthma, housewife, employed and consumed red meat, respectively, while considering all other variables constant, compared with their counterparts.Conclusion The study emphasised asthma to be a public health concern in Bangladesh, although it seems to have decreased over the last decade. Among others, red meat intake and nutritional status were strongly associated with asthma, and the linkage among these is still a grey area that needs further exploration.https://bmjopen.bmj.com/content/13/12/e074195.full
spellingShingle Riffat Ara Shawon
AKM Fazlur Rahman
Palash Chandra Banik
Lingkan Barua
Saidur Rahman Mashreky
Mithila Faruque
Shagoofa Rakhshanda
Minhazul Abedin
Abrar Wahab
Self-reported prevalence of asthma and its associated factors among adult rural population in Bangladesh: a cross-sectional study using WHO PEN protocol
BMJ Open
title Self-reported prevalence of asthma and its associated factors among adult rural population in Bangladesh: a cross-sectional study using WHO PEN protocol
title_full Self-reported prevalence of asthma and its associated factors among adult rural population in Bangladesh: a cross-sectional study using WHO PEN protocol
title_fullStr Self-reported prevalence of asthma and its associated factors among adult rural population in Bangladesh: a cross-sectional study using WHO PEN protocol
title_full_unstemmed Self-reported prevalence of asthma and its associated factors among adult rural population in Bangladesh: a cross-sectional study using WHO PEN protocol
title_short Self-reported prevalence of asthma and its associated factors among adult rural population in Bangladesh: a cross-sectional study using WHO PEN protocol
title_sort self reported prevalence of asthma and its associated factors among adult rural population in bangladesh a cross sectional study using who pen protocol
url https://bmjopen.bmj.com/content/13/12/e074195.full
work_keys_str_mv AT riffatarashawon selfreportedprevalenceofasthmaanditsassociatedfactorsamongadultruralpopulationinbangladeshacrosssectionalstudyusingwhopenprotocol
AT akmfazlurrahman selfreportedprevalenceofasthmaanditsassociatedfactorsamongadultruralpopulationinbangladeshacrosssectionalstudyusingwhopenprotocol
AT palashchandrabanik selfreportedprevalenceofasthmaanditsassociatedfactorsamongadultruralpopulationinbangladeshacrosssectionalstudyusingwhopenprotocol
AT lingkanbarua selfreportedprevalenceofasthmaanditsassociatedfactorsamongadultruralpopulationinbangladeshacrosssectionalstudyusingwhopenprotocol
AT saidurrahmanmashreky selfreportedprevalenceofasthmaanditsassociatedfactorsamongadultruralpopulationinbangladeshacrosssectionalstudyusingwhopenprotocol
AT mithilafaruque selfreportedprevalenceofasthmaanditsassociatedfactorsamongadultruralpopulationinbangladeshacrosssectionalstudyusingwhopenprotocol
AT shagoofarakhshanda selfreportedprevalenceofasthmaanditsassociatedfactorsamongadultruralpopulationinbangladeshacrosssectionalstudyusingwhopenprotocol
AT minhazulabedin selfreportedprevalenceofasthmaanditsassociatedfactorsamongadultruralpopulationinbangladeshacrosssectionalstudyusingwhopenprotocol
AT abrarwahab selfreportedprevalenceofasthmaanditsassociatedfactorsamongadultruralpopulationinbangladeshacrosssectionalstudyusingwhopenprotocol