title: Sociodemographic factors and the risk of developing cardiovascular disease in Bangladesh.
abstract: BACKGROUND
  Sociodemographic determinants of predicted 10-year risk for stroke or myocardial infarction are vital to identify patients who are at increased risk. Although some risk factors of predicted cardiovascular disease (CVD) risk are documented, further exploration is necessary considering various socioeconomic and demographic factors.
  
  
  OBJECTIVE
  To examine risk factors for stroke or myocardial infarction according to 10-year prediction, among hypertensive patients and by sociodemographic risk differences, using a nationally representative survey.
  
  
  METHODS
  Data were obtained from the 2011 Bangladesh Demographic Health Survey and analyzed in March and July 2014. The analyses were based on responses from 1,620 hypertensive individuals. WHO guidelines for predicting 10-year risk of stroke or myocardial infarction were applied to categorize risk of CVD into low, medium, or high strata.
  
  
  RESULTS
  A total of 21.8% of hypertensive adults were at high risk for CVD. An adjusted ordinal logistic regression model showed that a female- versus male-headed household (AOR=1.85); an urban versus rural residence (AOR=1.32); being overweight/obese versus underweight (AOR=1.80); and being aged 55-69 years (AOR=1.95) or ≥70 years (AOR=2.87) versus 35-54 years were significantly associated with higher CVD risk. A regional difference in distribution of CVD risk strata was observed.
  
  
  CONCLUSIONS
  Living in a female-headed household, having an urban residence, being overweight/obese, old age, and regional variations are factors associated with higher risk of CVD among hypertensive patients.
authors.affiliation: Department of International Health and Medicine, , Division of Public Health, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan. Electronic address: swaponru_2000@yahoo.com.
authors.forename: Mosiur
authors.initials: M
authors.lastname: Rahman
authors.affiliation: Department of International Health and Medicine, , Division of Public Health, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
authors.forename: Keiko
authors.initials: K
authors.lastname: Nakamura
authors.affiliation: Department of International Health and Medicine, , Division of Public Health, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
authors.forename: Kaoruko
authors.initials: K
authors.lastname: Seino
authors.affiliation: Department of Health Promotion, Division of Public Health, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
authors.forename: Masashi
authors.initials: M
authors.lastname: Kizuki
mesh_terms: D000328:Adult; D000368:Aged; D001459:Bangladesh / Q000453:epidemiology; D003710:Demography; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology*; D018570:Risk Assessment; D012307:Risk Factors; D012959:Socioeconomic Factors; D020521:Stroke / Q000453:epidemiology*