Prevalence and correlates of disability in Bogra district of Bangladesh using the rapid assessment of disability survey

Abstract

BackgroundThe aim of this study was to estimate the prevalence of disability and its associated risk factors among adults aged 18 years and over in Bogra district, Bangladesh.MethodsThe Rapid Assessment of Disability (RAD) survey was conducted using probability-proportional-to-size sampling to select 66 clusters each with 50 people aged 18 years and older in 2010. Households within clusters were selected through compact segment sampling. Disability was identified based on the responses to the self-assessment of functioning section of the RAD questionnaire. Descriptive and multivariate logistic regression analyses were performed to model the associations between risk factors and disability status.ResultsOf 1855 adults who participated in the study, 195 (10.5 %) had disability. Age and gender adjusted prevalence of disability in Bogra district was 8.9 % (95 % CI: 7.7, 10.3). The highest prevalence of functional limitation was related to psychological distress (4.7 %; 95 % CI: 3.8, 5.7) followed by vision (4.4 %; 95 % CI: 3.6, 5.4), and hearing (2.3 %; 95 % CI: 1.7, 3.0) difficulties. The adjusted odds of disability increased with age with approximately eight-fold increase from 2.9 % (95 % CI: 1.6, 5.1) in 18–24 years to 24.5 % (95 % CI: 20.2, 29.4) in 55 years and above. People with poor socio-economic status (OR 1.90; 95 % CI: 1.1, 3.3) and who were unemployed (OR = 4.6; 95 % CI: 1.8, 11.6) were more like to have disability compared to the higher socio-economic status and those who have an occupation respectively.ConclusionsThere is a significant need for promoting programs for health, well-being, and rehabilitation, and policies specifically targeting the older population, women, unemployed and poor people in Bangladesh.

Cross-sectional Survey to Assess Prevalence of Disability and Access to Services in Albay Province, The Philippines

“…Use of the same tool in Uttarakhand, India found the prevalence of disability among adults to be 6.8% (Grills et al, 2017). Disability prevalence estimates with RAD are comparable to the WGSSQ, however RAD also identifies respondents with psychological distress (Marella et al, 2015) which would be a factor contributing to the lower estimated prevalence of disability found in our survey.…”

Factors Associated with Disability in Rural Bangladesh: Bangladesh Population-Based Diabetes and Eye Study (BPDES)

“…Available estimates suggest that the world prevalence (15%) of disability is expected to increase with the growing ageing population, as disability is consistently associated with older age [2, 3]. …”

“…Some of the conditions such as visual impairment and mental health disorders are closely related to disability [12–15]. With Bangladesh experiencing an exponential increase of the aging population and predominantly made of rural populations (78% of the total population live in the rural area) [16], the number of people with disability is likely to increase in the next two decades [2, 3, 17]. …”

“…Reported prevalence ranges from a minimum of 0.5% to a maximum of 31.9% [1–3, 17, 18]. Older age, lower socio-economic status and lower level of education have been found to be consistently associated with a higher prevalence of disability in Bangladesh [2, 3].…”

Inter-regional differences in the rate and structure of the causes of primary disability among the population of rural areas of Azerbaijan

“…Инвалидность как тяжёлая медико-соци-альная проблема заслуживает внимания во всех странах мира [1][2][3][4][5][6][7], её экономические, медицинские и социально-психологические последствия более остро ощущаются в раз-вивающихся странах [8,9].…”