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The impact of health education in managing self-reported arthritis-related illness among elderly persons in rural Bangladesh
Research and Evaluation Division, BRAC, Dhaka, Bangladesh.
Department of Public Health Sciences, Karolinska Institutet.
Stockholm University, Faculty of Social Sciences, Department of Psychology. Division of Geriatric Epidemiology, NVS, Karolinska Institutet, Ageing Research Centre Stockholm, Sweden.
Research and Evaluation Division, BRAC, Dhaka, Bangladesh.
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2008 (English)In: Health Education Research, ISSN 0268-1153, E-ISSN 1465-3648, Vol. 23, no 1, 94-105 p.Article in journal (Refereed) Published
Abstract [en]

This study examines the impact of health education on prevalenceof and expenditure on treatment of self-reported arthritis-relatedillness among elderly persons in rural Bangladesh. An interventionstudy was conducted, including 1135 elderly persons (60 years)from eight randomly selected villages, four each of an interventionand a control area. The analyses include 839 elderly personswho participated in both pre- and post-intervention surveys(intervention area: n = 425, control area: n = 414). Participantsof the intervention area were further categorized as compliant(n = 315) and non-compliant (n = 110) based on adherence tothe intervention instructions. The intervention that lastedfor 15 months comprised home-based physical exercise, dietaryinstructions and other aspects of management. Results show thatalthough there was no significant difference in self-reportedarthritis-related illness between the compliant and non-compliantgroups at baseline, it was significantly lower in the compliantgroup (71%) at post-intervention compared with the non-compliant(81%). Related monthly expenditure on treatment was significantlyreduced in the compliant group (from Taka 104 to Taka 52) butnot in the other two groups. Logistic regressions further showedthat the control group had a higher probability of increasedtreatment-related expenditure compared with the compliant group(OR 2.0, 95% CI 1.4–2.8).

Place, publisher, year, edition, pages
Oxford: Oxford University Press , 2008. Vol. 23, no 1, 94-105 p.
Keyword [en]
health education, arthritis, old age, Bangladesh
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Research subject
URN: urn:nbn:se:su:diva-29039DOI: 10.1093/her/cym002ISI: 000252543600009OAI: diva2:228832

This study was done under the auspices of PHILL funded by the European Commission (ICA4-CT-2002-10035). We would like to thank the field investigators for collecting the data and the elderly persons of the study villages for their cooperation at various stages of the study. Finally, we are also grateful to the Swedish Institute for providing financial support to A.K.M.M. Rana.

Available from: 2009-08-06 Created: 2009-08-06 Last updated: 2015-09-08Bibliographically approved

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