title: Association of socioeconomic status with diagnosis, treatment and control of hypertension in diabetic hypertensive individuals in Bangladesh: a population-based cross-sectional study.
abstract: OBJECTIVE
  This study aimed to examine if socioeconomic status could affect the likelihood of diagnosis, treatment and control of hypertension in diabetic hypertensive individuals.
  
  
  METHODS
  Cross-sectional nationally representative study.
  
  
  METHODS
  Bangladesh.
  
  
  METHODS
  This paper used data from the 2011 Bangladesh Demographic Health Survey. The analyses were based on the responses of 339 diabetes hypertensive individuals.
  
  
  METHODS
  Diagnosis, treatment and control of hypertension.
  
  
  RESULTS
  The age-adjusted prevalence of hypertension in diabetes individuals was 38.4% in the study population. Among diabetic hypertensive subjects only 65.7% had been diagnosed, 58.4% were receiving treatment and 42% controlled their hypertension. Individuals from high socioeconomic status (AOR 2.60; 95% CI 1.16-5.83) had an increased likelihood of reporting diagnosis of hypertension. Individuals from medium (AOR 2.22; 95% CI 1.11-4.46) and high socioeconomic status (AOR 3.47; 95% CI 1.59-7.58) had increased chance of receiving treatment. In addition, individuals belonging to high socioeconomic status (AOR 2.53; 95% CI 1.14-5.63) were more likely to report of controlling hypertension.
  
  
  CONCLUSIONS
  This study indicated that hypertension is more prevalent among diabetic patients. Furthermore, diabetic hypertensive patients from the low socioeconomic status group are also less likely to be diagnosed and also less likely to receive treatment for hypertension. In addition, diabetic hypertensive patients from the low socioeconomic status were less likely to control hypertension compared with an individual belonging to the high socioeconomic status group. This reduced likelihood of receiving proper treatment will lead to a rapid increase in the prevalence of macrovascular and microvascular diseases among diabetic hypertensive patients.
authors.affiliation: Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi 6205, Bangladesh.
authors.forename: Mosiur
authors.initials: M
authors.lastname: Rahman
authors.affiliation: UChicago Research Bangladesh, House 4, Road 2/B, Sector 4, Uttra-1230, Dhaka, Bangladesh.
authors.forename: Syed Emdadul
authors.initials: SE
authors.lastname: H
authors.affiliation: Ministry of Health and Family Welfare, Bangladesh Secretariat, Dhaka 1000, Bangladesh.
authors.forename: Md Jahirul
authors.initials: MJ
authors.lastname: Islam
authors.affiliation: Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi 6205, Bangladesh.
authors.forename: Md Golam
authors.initials: MG
authors.lastname: Mostofa
authors.affiliation: Department of Medical Biology and Genetics, Gaziantep University, Turkey.
authors.forename: Khandakar Asm
authors.initials: KA
authors.lastname: Saadat
keywords: Bangladesh; Diabetes; SES; control; diagnosis; hypertension; treatment