ORCID Profile
0000-0001-9610-1479
Current Organisation
North South University
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Publisher: BMJ
Date: 12-2021
DOI: 10.1136/BMJOPEN-2021-057896
Abstract: This study assessed the changes in prevalence and associated factors of tobacco smoking among Bangladeshi adults over time. Nationally representative cross-sectional surveys. Two most recent Global Adults Tobacco Survey (GATS) data from Bangladesh, carried out in 2009 and 2017. Adult population aged 15 and above (n=9629 in 2009 n=12 783 in 2017). Current use of tobacco smoke, including cigarettes, bidi, hukkah, cigars or pipes, which was dichotomised (‘yes’/‘no’). We analysed data from two recent rounds of GATS (2009 and 2017). Multivariate logistic regression analysis was used. The overall prevalence of tobacco smoking among Bangladeshi adults was noted (23.00%, 95% CI 22.98 to 23.00 in 2009 16.44%, 95% CI 16.43 to 16.45 in 2017). Being male (adjusted OR (AOR)=59.72, CI 40.56 to 87.93 for 2009 AOR=71.17, CI 41.08 to 123.32 for 2017), age between 25 and 64 years (all AORs and p .05), smoking permissible at home (AOR=7.08, CI 5.88 to 8.52 for 2009 AOR=5.90, CI 5.34 to 6.95 for 2017), and watching tobacco smoking product use in movie/drama scenes (AOR=1.26, CI 1.11 to 1.44 for 2009 AOR=1.34, CI 1.17 to 1.54 for 2017) were found to be significantly associated with increased tobacco smoking among adults both in 2009 and in 2017. However, being offered free tobacco s le products (AOR=0.66, CI 0.57 to 0.77 for 2009 AOR=0.87, CI 0.76 to 0.99 for 2017) and having primary, secondary or higher education (all AORs and p .05) as well as being a student (AOR=0.16, CI 0.09 to 0.29 for 2009 AOR=0.32, CI 0.19 to 0.53) were associated with lower odds of tobacco smoking in both surveys. Although the prevalence of tobacco smoking has declined over the period, it is still high among those who were relatively older, men, less educated and exposed to a movie/drama where tobacco smoking is promoted. Therefore, appropriate interventions are required to stop tobacco smoking among the Bangladeshi population.
Publisher: Wiley
Date: 20-10-2022
DOI: 10.1111/HEX.13634
Abstract: Low‐ and middle‐income countries (LMICs) have a disproportionately high burden of chronic diseases, with inequalities in health care access and quality services. This study aimed to assess patients' preferences for healthcare services for chronic disease management among adult patients in Bangladesh. The present analysis was conducted among 10,385 patients suffering from chronic diseases, drawn from the latest Household Income and Expenditure Survey 2016–2017. We used the multinomial logistic regression to investigate the association of chronic comorbid conditions and healthcare service‐related factors with patients' preferences for healthcare services. The top four dimensions of patient preference for healthcare services in order of magnitude were quality of treatment (30.3%), short distance to health facility (27.6%), affordability of health care (21.7%) and availability of doctors (11.0%). Patients with heart disease had a 29% significantly lower preference for healthcare affordability than the quality of healthcare services (relative risk ratio [RRR] = 0.71 0.56–0.90). Patients who received healthcare services from pharmacies or dispensaries were more likely to prefer a short distance to a health facility (RRR = 6.99 4.80–9.86) or affordability of healthcare services (RRR = 3.13 2.25–4.36). Patients with comorbid conditions were more likely to prefer healthcare affordability (RRR = 1.39 1.15–1.68). In addition, patients who received health care from a public facility had 2.93 times higher preference for the availability of medical doctors (RRR = 2.93 1.70–5.04) than the quality of treatment in the health facility, when compared with private service providers. Patient preferences for healthcare services in chronic disease management were significantly associated with the type of disease and its magnitude and characteristics of healthcare providers. Therefore, to enhance service provision and equitable distribution and uptake of health services, policymakers and public health practitioners should consider patient preferences in designing national strategic frameworks for chronic disease management. Our research team includes four researchers (co‐authors) with chronic diseases who have experience of living or working with people suffering from chronic conditions or diseases.
Publisher: Wiley
Date: 30-12-2022
DOI: 10.1111/PSYG.12925
Abstract: Globally, the COVID‐19 pandemic seriously affected both physical and mental health conditions. This study aims to assess changes in the prevalence of depression among older adults during the COVID‐19 pandemic in Bangladesh and explore the correlates of depression in pooled data. This study followed a repeated cross‐sectional design and was conducted through telephone interviews on two successive occasions during the COVID‐19 pandemic (October 2020 and September 2021) among 2077 (1032 in 2020‐survey and 1045 in 2021‐survey) older Bangladeshi adults aged 60 years and above. Depression was measured using the 15‐item Geriatric Depression Scale (GDS‐15). The binary logistic regression model was used to identify the factors associated with depression in pooled data. A significant increase in the prevalence of depression was noted in the 2021 survey compared to the 2020 survey (47.2% versus 40.3% adjusted odds ratio (aOR): 1.40, 95% confidence interval (CI): 1.11–1.75). Depression was significantly higher among participants without a partner (aOR 1.92, 95% CI 1.45–2.53), with a monthly family income of BDT (aOR: 2.65, 95% CI 1.82–3.86) or 5000–10 000 BDT (aOR: 1.30, 95% CI 1.03–1.65), living alone (aOR 2.24, 95% CI 1.40–3.61), feeling isolated (aOR 3.15, 95% CI 2.49–3.98), with poor memory/concentration (aOR 2.02, 95% CI 1.58–2.57), with non‐communicable chronic conditions (aOR 1.34, 95% CI 1.06–1.69), overwhelmed by COVID‐19 (aOR 1.54, 95% CI 1.18–2.00), having difficulty earning (aOR 1.49, 95% CI 1.15–1.92) or obtaining food (aOR 1.56, 95% CI 1.17–2.09) during COVID‐19 pandemic, communicating less frequently (aOR 1.35, 95% CI 1.07–1.70) and needing extra care (aOR 2.28, 95% CI 1.75–2.96) during the pandemic. Policymakers and public health practitioners should provide immediate mental health support initiatives for this vulnerable population during the COVID‐19 pandemic and beyond. Policymakers should also invest in creating safe places to practise mindful eating, exercise, or other refuelling activities as a means of preventing and managing depression.
Publisher: MDPI AG
Date: 11-12-2022
DOI: 10.3390/HEALTHCARE10122508
Abstract: This study investigated the association between healthy eating behaviors and nutrition literacy in a s le of Bangladeshi adults. A cross-sectional survey was conducted among 400 adults from two districts of Bangladesh (Dhaka and Chattogram). Data were generated by in-person interviews using a structured questionnaire. The Nutrition Literacy Scale and National Dietary Guidelines for Bangladesh were used to assess nutrition literacy and healthy eating behaviors, respectively. Multiple linear regression models were used to observe the association. The mean score for healthy eating behavior was 21.8 (SD = 4.8, Range: 5–33) on a scale of 34. A moderate positive correlation was found between nutrition literacy and healthy eating behavior of participants (r = 0.28, p 0.001). The adjusted regression model showed that a 1 unit increase in nutrition literacy reflected an increase in the healthy eating behavior score of participants by 0.22 units (β = 0.223, p 0.001). Findings showed an association between nutrition literacy and eating behaviors in Bangladeshi adults. Future research could be carried out to establish a causal relationship that may help inform the necessity of educational interventions for Bangladeshi adults to assist with meeting national nutrition-related targets.
Publisher: Elsevier BV
Date: 04-2021
Publisher: Frontiers Media SA
Date: 06-04-2022
Abstract: Poverty and health illiteracy, combined with inappropriate systems to track disease and infection rates, contribute to children-and-mothers’ poor adherence to nutrient-rich foods intake in Bangladesh. Although risk factors for child and pregnant women malnutrition have been explored, the relationship between Bangladeshi adults’ nutrition literacy and their demographics and personal beliefs remains unknown. The purpose of this study was to examine the association between adults’ nutrition literacy, demographics and personal beliefs in a large s le of Bangladeshi adults. Four hundred adults from two districts (Dhaka and Chattogram) of Bangladesh participated in a cross-sectional survey. Data were collected by interviews using a structured questionnaire containing the Nutrition Literacy Scale. Multiple linear regression models were employed to analyze associations between nutrition literacy and related factors. The mean nutrition literacy score was 21.6 ( SD : 3.7 range: 11–32) on a scale of 32. Multiple linear regression revealed that being a businessman (β = 1.66, p = 0.013) or private employee (β = 1.08, p = 0.030), having a higher family income (β = 1.17, p = 0.009), and a higher educational level were positively associated with higher nutrition literacy scores compared to their counterparts. Participants who had ever completed a nutrition-related course (β = 4.95, p & 0.001), and who perceived themselves as having a need for accessing nutrition-related information were positively associated with the higher nutrition literacy compared to their counterparts. Findings from this study suggest the need for an integrated response plan involving educational interventions and accessible dietary plans targeting adult populations to enhance their nutritional literacy.
Publisher: MDPI AG
Date: 23-09-2022
DOI: 10.3390/HEALTHCARE10101848
Abstract: This study examines the association of depressive and anxiety symptoms with diet quality among university students while controlling for different demographic and other health and lifestyle factors. This cross-sectional study was carried out between April 2021 and June 2021 among a total of 440 (unweighted) university students. Diet quality was assessed using a 10-item mini-dietary assessment index tool. The depressive and anxiety symptoms of participants were measured using the validated Patient Health Questionnaire-9 (PHQ-9), and the Generalized Anxiety Disorder (GAD-7) scale, respectively. Multivariable logistic regression and mediation analyses were performed. In this study, 61.1% (95% CI: 56.6% to 65.7%) of university students’ diet quality was good during the COVID-19 pandemic. Being a post-graduate student, an urban resident, having no depressive (AOR = 2.15, 95% CI: 1.20 to 3.84) and anxiety symptoms (AOR = 1.96, 95% CI: 1.07 to 3.59), no changes or improvement in appetite, and no changes in sleep duration were significantly associated with good diet quality among our study participants. Depressive and anxiety symptoms during COVID-19 had a significant effect on the diet quality of university students. Future public health policies need to be focused on improving the mental health and well-being of students particularly during pandemic situations to enhance their diet quality.
Publisher: Informa UK Limited
Date: 13-01-2020
Publisher: Public Library of Science (PLoS)
Date: 02-05-2023
DOI: 10.1371/JOURNAL.PONE.0284117
Abstract: Chronic diseases are considered one of the major causes of illness, disability, and death worldwide. Chronic illness leads to a huge health and economic burden, especially in low- and middle-income countries. This study examined disease-stratified healthcare utilisation (HCU) among Bangladesh patients with chronic diseases from a gender perspective. Data from the nationally representative Household Income and Expenditure Survey 2016–2017 consisting of 12,005 patients with diagnosed chronic diseases was used. Gender differentiated chronic disease stratified-analytical exploration was performed to identify the potential factors to higher or lower utilisation of healthcare services. Logistic regression with step-by-step adjustment for independent confounding factors was the method used. The five most prevalent chronic diseases among patients were gastric/ulcer (Male/Female, M/F: 16.77%/16.40%), arthritis/rheumatism (M/F: 13.70%/ 13.86%), respiratory diseases/asthma/bronchitis (M/F: 12.09% / 12.55%), chronic heart disease (M/F: 8.30% / 7.41%), and blood pressure (M/F: 8.20% / 8.87%). Eighty-six percent of patients with chronic diseases utilised health care services during the previous 30 days. Although most patients received outpatient healthcare services, a substantial difference in HCU among employed male (53%) and female (8%) patients were observed. Chronic heart disease patients were more likely to utilise health care than other disease types, which held true for both genders while the magnitude of HCU was significantly higher in males (OR = 2.22 95% CI:1.51–3.26) than their female counterparts (OR = 1.44 1.02–2.04). A similar association was observed among patients with diabetes and respiratory diseases. A burden of chronic diseases was observed in Bangladesh. Patients with chronic heart disease utilised more healthcare services than patients experiencing other chronic diseases. The distribution of HCU varied by patient’s gender as well as their employment status. Risk-pooling mechanisms and access to free or low-cost healthcare services among the most disadvantaged people in society might enhance reaching universal health coverage.
Publisher: Wiley
Date: 29-07-2022
DOI: 10.1002/PUH2.16
Abstract: Street food has become popular in developing countries due to its affordability, availability and taste. Maintaining the quality and safety of street food is linked to the vendors’ appropriate food handling practices to reduce foodborne illness. Therefore, this study aimed to assess food safety knowledge, attitudes and practices of street food vendors in Chattogram city, Bangladesh. A cross‐sectional study was carried out among 302 street food vendors from December 2020 to March 2021. Data were collected by in‐person interviews through a structured questionnaire. Independent s le t ‐tests and one‐way analysis of variance (ANOVA) were used to compare food safety knowledge, attitudes, and practices scores across socio‐demographic variables. The mean score of food safety knowledge, attitudes and practices was 8.99 (SD = 4.17, range: 1–18), 8.46 (SD = 3.51, range: 1–16) and 17.78 (SD = 5.74, range: 1–34), respectively. The food safety knowledge scores significantly ( p 0.05) differed by the participants’ age, marital status, income, residence and work experience. The average food safety attitudes score significantly ( p 0.05) varied by age, marital status, income, and education level. The average food safety practices score significantly ( p 0.05) differed by the respondents’ education level and work experience. Our findings suggest that food safety knowledge, attitudes, and practices were poor among street food vendors. Therefore, there is a need for strategies and intervention programs such as food safety training and awareness c aigns as well as financial support to improve food safety knowledge, attitudes, and practices which help to reduce foodborne illness.
No related grants have been discovered for Satyajit Kundu.