Search

The worldwide rising incidence of cardiovascular diseases and the associated risk factors could be country or area specific. A case control study identifying important risk factors of myocardial infarction (MI) prevailing in the northern region of Bangladesh, was conducted in two major northern region hospitals, Rajshahi and Rangpur Medical College for a period of 6 months. Majority of the cases (66%) and controls (56%) were in the age range of 41 - 60 years. The proportion of male, married and urban residents were predominant in both the case and control group. The highest percentage of patients with MI were involved in business comparatively patients without MI. Clinical symptoms like chest pain, epigastric pain, breathlessness, dizziness and fatigue were observed to be somewhat higher in cases compared to controls. The logistic regression analysis showed that smoking habit, smokeless tobacco consumption, sedentary lifestyle and dyslipidemia were found independent predictors of MI in northern district patients with odds ratio (OR) (95% confidence interval) being 3.1 (1.2 to 3.7), 2.5 (1.0 to 3.5), 2.0 (1.1 to 3.6) and 2.3 (1.3 to 4.1), respectively. [ABSTRACT FROM AUTHOR]

Background: Worldwide people in disorder of sex development (DSD) faces multiple barriers while seeking their social rights, particularly healthcare services. We aimed to explore the healthcare opportunities available to them, using patterns of healthcare utilization and difficulties faced by DSD population in accessing healthcare services in Bangladesh., Methods: Data from a total of 945 DSD population and 71 medical staff were analyzed, collected from three major divisions (Dhaka, Chittagong, and Rajshahi) in Bangladesh during the period of January to December of 2017. A structured questionnaire was used to collect data via face-to-face interviews. Descriptive statistic was used to determine the frequencies of the visit by the DSD population in healthcare facilities as well as to analyze difficulties experienced by the DSD population in getting healthcare services. Multivariate regression analysis was used to explore the association between perceived barriers in getting healthcare services and failures of the DSD population to receive the healthcare services., Results: Present data revealed that around 80% of DSD population sought healthcare services from government healthcare facilities, where the overall success rate in getting healthcare services was less than 50%. The DSD population reported a number of reasons for failures in getting healthcare services, including non-friendly interaction by non-clinical hospital's staff, non-friendly interaction by physicians, public fright as general people do not want to mingle with a DSD person, undesirable excess public interest in DSD individuals, and limitation of the treatment opportunities of hospitals to merely male or female patients. Among the stated reasons, the most frequently reported reason was non-friendly interaction by physicians (50.27%), followed by undesirable excess public interest in DSD individuals (50.16%)., Conclusion: DSD population in Bangladesh have limited access to healthcare facilities and facing multiple barriers to get healthcare services. Initiatives from the government and social organizations are important to ensure their access to healthcare services.