Burden of diabetes mellitus: Experience from urban and rural communities of Bangladesh

Abstract

Diabetes mellitus (DM) is one of the major non-communicable diseases need lifelong care otherwise develop multi-systemic complications in human body. It poses enormous economic and disability burden to the victims, society and the country. Burden of the disease is not well addressed in developing countries. This pertinent study intended to unveil the burden of diabetes mellitus in urban and rural communities of Bangladesh.This comparative cross-sectional study was conducted among 2052 (1026 urban and 1026 rural) participants to compare disability and economic burden of diabetes mellitus between urban and rural communities. The study estimated disability burden in terms of Disability Adjusted Life Years (DALY) and economic burden in terms of ―Cost of Treatment‖ approach from patient perspective. The study also ascertained prevalence and risk factors of diabetes mellitus in both communities. Semi-structured questionnaire, checklist, verbal autopsy, and multi-stage sampling technique were used for data collection. Data analysis included descriptive statistics comprising mean, SD, frequency, proportion, range and percentage and inferential statistics comprising χ2 test,‗t‘ test, and logistic regression.