Prevalence and patterns of comorbidities in people with disabilities and their associated socio-demographic factors

Scientific Reports, Год журнала: 2024, Номер 14(1)

Опубликована: Янв. 16, 2024

Abstract The presence of comorbidities among individuals with disabilities worsens their already complex health and social circumstances. This study aims to explore prevalence patterns morbidities persons in Bangladesh identify associated socio-demographic factors. Data from 4270 disability was analysed extracted the 2021 National Household Survey on Persons Disability. Outcome variable considered occurrence morbidity disabilities. Explanatory variables encompassed factors at individual, household, community levels. Adjusted unadjusted multilevel mixed-effects logistic regression model used association outcome explanatory variables. We found that approximately half experienced one or more morbidities, chronic conditions being most prevalent (44%). Around 42% total were unable work. Specifically, hypertension (18.3%), diabetes (9.1%), heart problems (17.1%) conditions. likelihood experiencing comorbidity be higher females (aOR 1.3, 95% CI 1.1, 1.7), increase year education (aOR, 1.0–1.2), those wealthier households 1.6, 1.2, 2.2). underscores need for targeted policies interventions addressing distinct healthcare needs.

Язык: Английский

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Effects of disability on adverse health outcomes and anthropometric deficits among under-five children in South Asian countries: evidence from multiple indicator cluster surveys

The Lancet Regional Health - Southeast Asia, Год журнала: 2024, Номер 25, С. 100401 - 100401

Опубликована: Апрель 8, 2024

Children with disabilities face an increased risk of adverse health outcomes and poor anthropometric deficits, although the focus on them is limited in South Asian context thus far need newer more evidence. This study investigates effects disability deficits among 2-4 years aged children countries.

Язык: Английский

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Victimization status among persons with disabilities and its predictors: Evidence from Bangladesh National Survey on Persons with Disabilities

PLoS ONE, Год журнала: 2025, Номер 20(2), С. e0304752 - e0304752

Опубликована: Фев. 24, 2025

Background Persons with disabilities often face various forms of victimization, yet there is limited research exploring this phenomenon in Bangladesh. This study aims to investigate the victimization status among persons and identify its predictors. Methods Data 4293 analyzed were extracted from 2021 National Survey on Disabilities. Victimization (yes, no) was considered as outcome variables. Explanatory variables factors at individual, household, community levels. A multilevel mixed-effect logistic regression model used explore association variable explanatory by dividing total sample into age groups 0–17 years, 18–59 ≥ 60 years. Results The found that 44% Bangladesh experienced primarily involving neighbours (90.64%), relatives (43.41%), friends (28.41%), family members (27.07%). Among aged increasing associated a higher likelihood being victimized, while residing wealthiest households or certain divisions like Khulna Rangpur lower likelihoods. Conversely, respondents victimized. Unmarried years had an increased compared married individuals. For level schooling reduced We also divisional differences Chattogram, Khulna, Mymensingh, Rangpur, Sylhet reporting likelihoods those Barishal division, Conclusion study’s findings underscore around 4 10 are Tailored programs awareness-building initiatives covering neighbours, relatives, friends, important ensure dignified lives for population.

Язык: Английский

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Enhancing physical accessibility education in medical schools: Bridging the gap for inclusive healthcare

Advances in Biomedical and Health Sciences, Год журнала: 2025, Номер 4(2), С. 47 - 51

Опубликована: Апрель 1, 2025

The integration of disability education into medical school curricula has gained traction as a strategy to mitigate healthcare disparities experienced by people with disabilities. However, contemporary educational frameworks frequently neglect the critical aspect physical accessibility in education. Despite advancements educating about diverse disabilities, practical skills required establish accessible environments remain insufficiently addressed, resulting future providers being ill-equipped provide adequate care for patients This perspective explores distinct need enhanced on accessibility, such implementation ramps, automatic doors, and braille signs, schools. Based current literature, we highlight gaps education, emphasizing minimal focus its implications. lack formal training design infrastructure compromises physicians’ abilities create inclusive settings, thereby intensifying existing disparities. recent studies recommendations, this viewpoint endorses enable physicians promote environments.

Язык: Английский

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Patient satisfaction with quality of care at out-patient departments in selected health facilities in Kumasi, Ghana

BMC Health Services Research, Год журнала: 2024, Номер 24(1)

Опубликована: Сен. 4, 2024

Язык: Английский

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Healthcare service access challenges and determinants among persons with Disabilities in Bangladesh

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Фев. 20, 2024

Background: Persons with disabilities in LMICs facing numerous challenges accessing essential healthcare services. However, this understanding is lacking so far and Bangladesh. This study aimed to explore the pattern determinants of services access among persons disability Methods: We analysed data from 4,293 extracted 2021 National Survey on Persons Disabilities. The outcome variable was service within three months survey, categorized as either "yes" or "no" based perceived needs. Several individual, household, community-level factors were considered explanatory variables. We utilized a multilevel mixed-effect logistic regression model association analysis included stratification by age groups: 0-17 years 18-95 years. Results: One out every four Bangladesh reported that they could not their needs survey. main reasons for costs (52.10%), followed lack family support (27.0%), absence facilities areas residence (10.10%). Among those who did receive services, majority them governmental hospitals (26.50%), village practitioner (20.50%), private centres (19.78%). There higher likelihood residing households wealth quintiles living Chattogram Sylhet divisions. Unmarried divorced/widowed/separated lower likelihoods Conclusion: The findings emphasize need policies programs ensure entails raising awareness about importance providing demographic, well considering part social safety net programs.

Язык: Английский

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Health-related quality of life in post-stroke patients attended at tertiary-level hospitals in Bangladesh

Frontiers in Stroke, Год журнала: 2024, Номер 3

Опубликована: Июнь 27, 2024

Background Insufficient data on the health-related quality of life (HRQoL) stroke survivors in less-resourced regions like Bangladesh emphasizes need for understanding influencing factors. In this cross-sectional study, our objective was to assess potential factors associated with HRQoL among Bangladesh. Methods The study included 424 (65% male, mean age 57.25 ± 12.13 years) undergoing rehabilitation at four tertiary-level hospitals assessed using European Quality Life Scale-5 Dimensions (EuroQol-5D), covering mobility, self-care, usual activities, pain/discomfort, and anxiety/depression, along a visual analog scale (VAS). Sociodemographic such as age, marital status, education, occupation, tobacco habit cohabitant situation, type duration stroke, co-morbidity, receipt rehabilitation, use assistive devices served independent variables. Bivariate logistic regression utilized ascertain estimated risk HRQOL, presenting odds ratios (OR) 95% confidence interval (CI) after adjusting confounders. Results primarily involved participants from rural areas (57.8%) primary education (67.7%). Stroke reported EQ summary index 0.393 0.46 VAS score 40.43 18. A majority experienced within 1–3 months (66%), 52.6% exhibiting left-side weakness. results highlight significant challenges survivors: 79.5% faced mobility issues, 81.1% were dependent 87% had activity limitations, 70.8% suffered bodily pain, 84% symptoms anxiety or depression. Widowed single encountered greater difficulties (Adjusted Odds Ratio, AOR = 1.24, CI 0.35–4.45) pain/discomfort (AOR 2.85, 0.85–9.27) compared their married counterparts. Those lacking access services considerably higher challenges: nearly thirty times 29.37, 8.85–97.50), self-care about forty-four 43.21, 10.02–186.41), activities also more frequent 43.47, 5.88–321.65), five prevalent 4.35, 2.45–7.71), depression over twenty common 20.14, 7.21–56.35) those who received services. Conclusion findings suggest that enhancement post-stroke patients necessitates targeted interventions, including family support, cessation, recurrent prevention, effective Longitudinal studies are recommended further confirmation these findings.

Язык: Английский

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Pattern of contraceptive use among reproductive-aged women with disabilities in Bangladesh: Evidence from multiple indicator cluster survey 2019

Disability and health journal, Год журнала: 2024, Номер 17(4), С. 101651 - 101651

Опубликована: Июнь 7, 2024

Язык: Английский

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Healthcare services access challenges and determinants among persons with disabilities in Bangladesh

Scientific Reports, Год журнала: 2024, Номер 14(1)

Опубликована: Авг. 19, 2024

Persons with disabilities in LMICs facing numerous challenges accessing essential healthcare services. However, this understanding is lacking so far and Bangladesh. This study aimed to explore the pattern determinants of services access among persons We analysed data from 4293 extracted 2021 National Survey on Disabilities. The outcome variable was within three months survey, categorized as either "yes" or "no" based perceived needs. Several individual, household, community-level factors were considered explanatory variables. utilized a multilevel mixed-effect logistic regression model association analysis included stratification by age groups: 0-17 years 18-95 years. One out every four Bangladesh reported that they could not their needs survey. main reasons for costs (52.10%), followed lack family support (27.0%), absence facilities areas residence (10.10%). Among those who did receive services, majority them governmental hospitals (26.49%), village practitioner (20.52%), private centres (19.87%). There higher likelihood residing households wealth quintiles living Chattogram Sylhet divisions. Unmarried divorced/widowed/separated lower likelihoods findings emphasize need policies programs ensure entails raising awareness about importance providing demographic, well considering part social safety net programs.

Язык: Английский

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Adapting and pilot testing a tool to assess the accessibility of primary health facilities for people with disabilities in Luuka District, Uganda

International Journal for Equity in Health, Год журнала: 2024, Номер 23(1)

Опубликована: Ноя. 13, 2024

Abstract Background People with disabilities frequently experience barriers in seeking healthcare that lead to poorer health outcomes compared people without disabilities. To overcome this, it is important assess the accessibility of primary facilities – broadly defined include a disability-inclusive service provision so as document present status and identify areas for improvement. We aimed identify, adapt pilot test an appropriate tool Luuka District, Uganda. Methods conducted rapid literature review tools, selecting Disability Awareness Checklist (DAC) on account its relative brevity development sensitization action tool. undertook three rounds adaptation, working together youth researchers (aged 18–35) who then underwent 2 days training DAC facilitators. The adapted comprised 71 indicators across four domains 12 sub-domains. also developed structured feedback form facilitators complete workers. calculated median scores overall, per domain sub-domain, categorised suggestions by type presumed investment level. pilot-tested 5 one sub-district Luuka, nested within worker disability. Results overall facility score was 17.8% (range 12.3–28.8). Facility were highest universal design (25.8%, 22.6–41.9), followed reasonable accommodation (20.0%, 6.7–33.3). Median capacity staff (6.67%, 6.7–20.0), linkages other services lower (0.0%, 0–25.0). Within forms, there 21 14–26) facility. Most commonly, these minor structural changes (20% suggestions), third no (2%) or low (33%) cost, majority (40%) medium cost. Conclusions Overall low, many opportunities low-cost improvement at did not any issues implementation tool, suggesting few further adaptations are required future use this setting.

Язык: Английский

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