Subject    :    [2015 Jun;39(3)] Prevalence of Depression and Glucose Abnormality in an Urbanizing Rural Population of Bangladesh
Writer KDA
Date 2015-07-07 18:31:13 Hit 5,192
LINK URL http://www.e-dmj.org/DOIx.php?id=10.4093/dmj.2015.39.3.218 (Click 834)
Diabetes Metab J. 2015 Jun;39(3):218-229. English. Published online May 06, 2015.  http://dx.doi.org/10.4093/dmj.2015.39.3.218 
Copyright © 2015 Korean Diabetes Association
   
Prevalence of Depression and Glucose Abnormality in an Urbanizing Rural Population of Bangladesh
Khurshid Natasha,1,2 Akhtar Hussain,1 A. K. Azad Khan,2 and Bishwajit Bhowmik1,2
1Institute of Health and Society, Section for International Health, University of Oslo, Oslo, Norway.
2Bangladesh University of Health Sciences, Diabetic Association of Bangladesh, Dhaka, Bangladesh.
Corresponding author: Khurshid Natasha. Division of Public Health, Department of Health Promotion and Health Education, Bangladesh University of Health Sciences, 125/1 Darussalam Mirpur, Dhaka 1216, Bangladesh. Email: drnatasha1976@gmail.com 
 
Received May 07, 2014; Accepted November 17, 2014.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

 
Abstract
Background

Depression and glucose abnormality are increasing in Bangladesh including its rural area. This study was designed to determine the prevalence of depression in an urbanizing rural population of Bangladesh with or without glucose abnormality (including diabetes mellitus [DM], and pre-diabetes which combines impaired fasting glucose and impaired glucose tolerance pre-DM).

Methods

A total of 2,293 subjects aged ≥20 years were investigated. Sociodemographic and anthropometric details, blood pressure, fasting (fasting plasma glucose) and 2 hours after 75 g plasma glucose (2-hour plasma glucose), were studied. Montgomery-Asberg Depression Rating Scale was used to assess depression.

Results

The overall prevalence of DM was 7.9% and pre-DM was 8.6%. Prevalence of depression was 15.31% (n=351; 95% confidence interval [CI], 1.59 to 1.36) with mean depressive score 17.62±3.49. Female were more likely to have depression (17.16%). The 22.35% of male and 29.46% of female with pre-DM and 26.58% male and 36.27% female with DM had depressive symptoms. There was no significant variation in the mean age of different groups (healthy, depressed and with glucose abnormality). Depression was significantly associated with age, marital status, occupation, high physical activity, and low body mass index. The odds ratio (OR) for depression was significantly increased in patients with glucose abnormality compared with those without pre-DM (OR, 2.49; 95% CI, 1.76 to 3.51; PP

Conclusion

Prevalence of depression found alarming in our study area though lesser than previous studies and it is significantly related to glucose abnormality. The study reveals that mental health should get more focused specially along with metabolic diseases.

   

 

Keywords: Bangladesh, Depression, Diabetes mellitus, Glucose abnormality, Prediabetic state, Urbanizing rural.

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