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...
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BMJ Publishing Group
2023-12-01
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Series: | BMJ Open |
Online Access: | https://bmjopen.bmj.com/content/13/12/e074195.full |
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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. |
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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 |
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