{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T07:55:30Z","timestamp":1791186930557,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>The double burden of diabetes and hypertension is a growing public health concern in Bangladesh's urban slums, where healthcare access and health\u2010related quality of life (HRQoL) remain limited. This study compared hypertension prevalence, HRQoL, and healthcare barriers between adults with and without self\u2010reported diabetes, and identified factors independently associated with hypertension and HRQoL in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A community\u2010based comparative cross\u2010sectional study was conducted from June to August 2025 in five purposively selected urban slums of Dhaka. Using simple random sampling, 400 adults aged \u2265\u200945 years (200 with self\u2010reported diabetes, 200 without) were recruited. Data were collected using the validated Bengali WHO STEPS questionnaire and the EQ\u20105D\u20105L instrument. Multivariable logistic regression identified factors independently associated with self\u2010reported hypertension (the primary, prespecified outcome), with diabetes status entered as the key exposure variable, and multivariable linear regression examined factors associated with the EQ\u20105D\u20105L index score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Hypertension was more prevalent among participants with diabetes (121\/200, 60.5%) than without (46\/200, 23.0%;\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200957.8,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). After adjustment, diabetes remained the strongest independent correlate of hypertension (adjusted odds ratio [aOR] 3.82, 95% CI 2.46\u20135.93,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), alongside older age, higher body mass index, smoking, and non\u2010manual occupation. Diabetic participants had significantly lower EQ\u20105D\u20105L index scores (0.72\u2009\u00b1\u20090.18 vs. 0.85\u2009\u00b1\u20090.12,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001); this association persisted after adjustment (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.081, 95% CI\u2009\u2212\u20090.104 to \u22120.058,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Among participants with diabetes, financial constraints were the leading healthcare barrier (167\/200, 83.5%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Diabetes is strongly and independently associated with hypertension and impaired HRQoL among older adults in Dhaka's urban slums. Financial constraints dominate healthcare access barriers. Equity\u2010focused, integrated NCD interventions targeting this vulnerable population are urgently needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.73120","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T11:38:45Z","timestamp":1787744325000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Study of Hypertension Prevalence, Health\u2010Related Quality of Life, and Healthcare Barriers Among Diabetic and Non\u2010Diabetic Populations in Urban Slums of Bangladesh: A Community\u2010Based Comparative Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8421-517X","authenticated-orcid":false,"given":"Md. Fakhrul Islam","family":"Maruf","sequence":"first","affiliation":[{"name":"Department of Public Health and Informatics Jahangirnagar University Savar, Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nishat Tamanna","family":"Omi","sequence":"additional","affiliation":[{"name":"Department of Public Health and Informatics Jahangirnagar University Savar, Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2592-3375","authenticated-orcid":false,"given":"Mahfuza","family":"Mubarak","sequence":"additional","affiliation":[{"name":"Department of Public Health and Informatics Jahangirnagar University Savar, Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,26]]},"reference":[{"key":"e_1_2_16_2_1","volume-title":"Noncommunicable Diseases Fact Sheet","author":"World Health Organization","year":"2025"},{"key":"e_1_2_16_3_1","volume-title":"World Health Statistics 2025: Monitoring Health for the SDGs","author":"World Health Organization","year":"2025"},{"key":"e_1_2_16_4_1","volume-title":"IDF Diabetes Atlas","author":"International Diabetes Federation","year":"2025"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2021.109119"},{"key":"e_1_2_16_6_1","volume-title":"Hypertension","author":"World Health Organization","year":"2023"},{"key":"e_1_2_16_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2017.12.005"},{"key":"e_1_2_16_8_1","volume-title":"Noncommunicable Diseases Progress Monitor 2025","author":"World Health Organization","year":"2025"},{"issue":"11","key":"e_1_2_16_9_1","first-page":"e1200","article-title":"Catastrophic Health Expenditure and Impoverishment Due to Noncommunicable Diseases: A Global Review","volume":"6","author":"Essue B. 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H.","year":"2022","journal-title":"BMC Public Health"},{"issue":"1","key":"e_1_2_16_17_1","article-title":"The Importance of Community Health Workers in Addressing Non\u2010Communicable Diseases in Urban Slums of Bangladesh","volume":"13","author":"Joarder T.","year":"2020","journal-title":"Global Health Action"},{"key":"e_1_2_16_18_1","first-page":"533","article-title":"Health Literacy and NCD Knowledge in Urban Slums of Bangladesh","volume":"17","author":"Rawal L. B.","year":"2017","journal-title":"BMC Public Health"},{"issue":"1","key":"e_1_2_16_19_1","first-page":"12","article-title":"Health\u2010Related Quality of Life in Type 2 Diabetes Patients in Bangladesh Using EQ\u20105D","volume":"41","author":"Saleh F.","year":"2015","journal-title":"Bangladesh Medical Research Council Bulletin"},{"issue":"20","key":"e_1_2_16_20_1","first-page":"7503","article-title":"Cardiovascular Diseases and Type 2 Diabetes in Bangladesh: A Growing Public Health Concern","volume":"17","author":"Saquib N.","year":"2020","journal-title":"International Journal of Environmental Research and Public Health"},{"issue":"5","key":"e_1_2_16_21_1","article-title":"Barriers to Non\u2010Communicable Disease Care in Urban Slums of Bangladesh: A Qualitative Study","volume":"6","author":"Ahmed S. M.","year":"2021","journal-title":"BMJ Global Health"},{"issue":"5","key":"e_1_2_16_22_1","first-page":"e678","article-title":"Health System Challenges for NCD Management in Low\u2010Income Urban Settings","volume":"8","author":"Legido\u2010Quigley H.","year":"2020","journal-title":"Lancet Global Health"},{"key":"e_1_2_16_23_1","article-title":"Multimorbidity and Health\u2010Related Quality of Life in Low\u2010 and Middle\u2010Income Countries: A Systematic Review","volume":"11","author":"Islam F. M. A.","year":"2023","journal-title":"Frontiers in Public Health"},{"issue":"3","key":"e_1_2_16_24_1","article-title":"Prevalence and Correlates of Non\u2010Communicable Disease Multimorbidity Among Adults in Urban Slums of Dhaka, Bangladesh: A Cross\u2010Sectional Study","volume":"19","author":"Mistry S. K.","year":"2024","journal-title":"PLoS One"},{"key":"e_1_2_16_25_1","first-page":"1123","article-title":"Prevalence and Associated Factors of Hypertension Among Bangladeshi Adults: Findings From a Nationwide Survey","volume":"23","author":"Islam S. M. S.","year":"2023","journal-title":"BMC Public Health"},{"issue":"1","key":"e_1_2_16_26_1","article-title":"Financial Catastrophe and Impoverishment Due to Non\u2010Communicable Diseases in Urban Poor Households of Dhaka, Bangladesh","volume":"16","author":"Hossain M. B.","year":"2023","journal-title":"Global Health Action"},{"key":"e_1_2_16_27_1","first-page":"456","article-title":"Barriers and Facilitators to Non\u2010Communicable Disease Service Delivery in Primary Health Care Facilities in Bangladesh: A Qualitative Study","volume":"24","author":"Pervin S.","year":"2024","journal-title":"BMC Health Services Research"},{"key":"e_1_2_16_28_1","article-title":"Health System Preparedness for Non\u2010Communicable Diseases in Bangladesh: A Scoping Review","volume":"10","author":"Biswas T.","year":"2023","journal-title":"Lancet Regional Health\u2014Southeast Asia"},{"key":"e_1_2_16_29_1","first-page":"1367","article-title":"Non\u2010Communicable Disease Management in Primary Health Care of Bangladesh: Current Challenges and Policy Options","volume":"22","author":"Joarder T.","year":"2022","journal-title":"BMC Health Services Research"},{"key":"e_1_2_16_30_1","volume-title":"Sustainable Development Goal 3.4: Reduce Premature Mortality From NCDs","author":"World Health Organization","year":"2023"},{"issue":"5","key":"e_1_2_16_31_1","article-title":"Health\u2010Related Quality of Life Among Patients With Type 2 Diabetes Mellitus in Urban Bangladesh: A Hospital\u2010Based Cross\u2010Sectional Study","volume":"16","author":"Akter S.","year":"2022","journal-title":"Diabetes Metab Syndr"}],"container-title":["Health Science Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.73120","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hsr2.73120","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.73120","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T07:40:16Z","timestamp":1791186016000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hsr2.73120"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,26]]},"references-count":30,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/hsr2.73120"],"URL":"https:\/\/doi.org\/10.1002\/hsr2.73120","archive":["Portico"],"relation":{},"ISSN":["2398-8835","2398-8835"],"issn-type":[{"value":"2398-8835","type":"print"},{"value":"2398-8835","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,26]]},"assertion":[{"value":"2026-05-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e73120"}}