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Influence of distance between residence and health facilities on non-communicable diseases: An assessment over hypertension and diabetes in Bangladesh

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  • Raaj Kishore Biswas
  • Enamul Kabir

Abstract

Objective: This paper reflected on the prevalence of hypertension and diabetes in Bangladesh, which is spreading rapidly in low-income countries. The rationale of constructing more health centers for addressing NCDs was assessed in this paper by determining the relationship between prevalence of NCDs, particularly hypertension and diabetes, and distance to health facilities. Methods: From BDHS (Bangladesh Health and Demographic Survey) 2011 data set, 7544 samples were analyzed to demonstrate association between Non-communicable diseases (NCD) and distance from respondents’ home to health facilities like hospitals, community clinics, pharmacies or doctors’ chambers, and community facilities like market, post office or cinema hall. Bivariate analysis was conducted between accessibility to health facilities and prevalence of the diseases. The causal relationship between the spatial effects and the prevalence of the diseases were analyzed by applying Generalized Linear Mixed Model (GLMM) was fitted. Results: Fitting linear mixed effect models, we found that hypertension and diabetes react differently with various spatial effects. Distance from home to hospital had significant effect (P

Suggested Citation

  • Raaj Kishore Biswas & Enamul Kabir, 2017. "Influence of distance between residence and health facilities on non-communicable diseases: An assessment over hypertension and diabetes in Bangladesh," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-11, May.
    • Handle: RePEc:plo:pone00:0177027
    DOI: 10.1371/journal.pone.0177027
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    References listed on IDEAS

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    2. repec:bla:devpol:v:28:y:2010:i:6:p:693-709 is not listed on IDEAS
    3. Sanjay Basu & David Stuckler & Martin McKee, 2010. "Drivers of Inequality in Millennium Development Goal Progress: A Statistical Analysis," Working Papers id:2467, eSocialSciences.
    4. Stock, Robert, 1983. "Distance and the utilization of health facilities in rural Nigeria," Social Science & Medicine, Elsevier, vol. 17(9), pages 563-570, January.
    5. Gesler, Wilbert M., 1992. "Therapeutic landscapes: Medical issues in light of the new cultural geography," Social Science & Medicine, Elsevier, vol. 34(7), pages 735-746, April.
    6. David Stuckler & Sanjay Basu & Martin McKee, 2010. "Drivers of Inequality in Millennium Development Goal Progress: A Statistical Analysis," PLOS Medicine, Public Library of Science, vol. 7(3), pages 1-13, March.
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    1. Rongrong Zhang & Song Liu & Ming Li & Xiong He & Chunshan Zhou, 2021. "The Effect of High-Density Built Environments on Elderly Individuals’ Physical Health: A Cross-Sectional Study in Guangzhou, China," IJERPH, MDPI, vol. 18(19), pages 1-22, September.
    2. Junyu Lu & Meilin Dai & Fuhan Li & Ludan Qin & Bin Cheng & Zhuoyan Li & Zikun Yao & Rong Wu, 2023. "The Impact of Urban Built Environments on Elderly People’s Sense of Safety and Adaptation to Aging: A Case Study of Three Major Urban Agglomerations in China," Land, MDPI, vol. 12(8), pages 1-18, July.
    3. Raaj Kishore Biswas & Enamul Kabir & Refat Bin Reza Rafi, 2019. "Investment in Research and Development Compared to Military Expenditure: Is Research Worthwhile?," Defence and Peace Economics, Taylor & Francis Journals, vol. 30(7), pages 846-857, November.
    4. Xiaoxiao Liu & Judy E. Seidel & Terrence McDonald & Alka B. Patel & Nigel Waters & Stefania Bertazzon & Rizwan Shahid & Deborah A. Marshall, 2022. "Rural–Urban Disparities in Realized Spatial Access to General Practitioners, Orthopedic Surgeons, and Physiotherapists among People with Osteoarthritis in Alberta, Canada," IJERPH, MDPI, vol. 19(13), pages 1-20, June.

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