Health-related quality of life and its predictors among type 2 diabetic population of Bangladesh: A nation-wide cross-sectional study.

AIMS/INTRODUCTION We aimed to assess the Health-related quality of life (HRQoL) and identify its predictors among type-2 diabetic (T2D) subjects of Bangladesh. MATERIALS AND METHODS This nation-wide cross-sectional study assessed HRQoL among 1806 T2D subjects using the EuroQol-5 Dimensions Questionnaire (EQ-5D-5L), and the responses were further translated into a single summary crosswalk index score using the UK time trade-off value set. The predictors were determined using multinomial logistic regression analysis. RESULTS The mean EQ-5D-5L index score was 0.62 (SD, 0.25), and men scored better than the women. More than half of the study subjects (53.4%) were ranked as 'average' HRQoL. Overall, 64% of respondents had 'problem' at least in one of the dimensions of EQ-5D-5L and the burden of reported 'problems' was higher among women (70%). Among the five dimensions, the highest reported 'problem' was 79.8% for anxiety/depression, 77.7% for pain/discomfort and 60.1% for mobility. However, younger subjects ( 1) were being men, living in a rural area, married, literate, had a monthly income >19,488 BDT, absence of co-morbidity and had a duration of diabetes ≤5years. CONCLUSION The majority of Bangladesh's T2D subjects had an 'average' HRQoL based on the EQ-5D-5L index score. In broad terms, the identified predictors were gender, place of residence, marital status, literacy, monthly income, co-morbidity and duration of diabetes.